Jarrett Anna, Church Terri, Fancher-Gonzalez Kim, Shackelford Jamie, Lofton Annelle
Eleanor Mann School of Nursing, ACNS Program, University of Arkansas, Fayetteville, AR, USA.
Clin Nurse Spec. 2013 Mar-Apr;27(2):81-7. doi: 10.1097/NUR.0b013e3182819133.
The purpose of the study was to measure knowledge and attitudes of nursing about pain management in patients before education, immediately after, and 6 months later. The end-point measure was Hospital Consumer Assessment of Healthcare Providers and Systems quarterly scores and percentile rank.
This longitudinal, quasi-experimental, quantitative study used survey method with pretest and posttest scores to measure immediate learning and 6 months later to measure sustained changes in knowledge and attitudes for nurses in this facility.
The setting was a 360-bed acute care community hospital in the midsouth.
The sample consisted of approximately 206 bedside nurses who worked in an acute care facility and 164 final posttest participants.
The survey was used in a group setting immediately prior to a didactic learning experience. Immediately after the session, a posttest survey was administered. The 6-month follow-up occurred via an online module developed by the principal investigator. A repeated-measures analysis of variance, a pairwise comparison with a paired t test, and a Bonferroni correction were performed to determine if sustained knowledge and attitudes have changed.
Posttest scores were significantly higher than pretest scores on the Knowledge and Attitudes Survey Regarding Pain immediately after a didactic education session and 6 months later (P < .017).
Six months later, scores remained higher than pretest or immediate posttest scores.
Nurses with a stronger knowledge base may lead to better pain management, improved outcomes, and higher patient satisfaction scores.
本研究的目的是测量护士在教育前、教育后即刻以及6个月后对患者疼痛管理的知识和态度。最终测量指标是医疗服务提供者和系统的医院消费者评估季度得分及百分位排名。
这项纵向、准实验性定量研究采用调查方法,通过前测和后测分数来测量即刻学习情况,并在6个月后测量该机构护士知识和态度的持续变化。
研究背景是美国中南部一家拥有360张床位的急性护理社区医院。
样本包括约206名在急性护理机构工作的床边护士以及164名最终后测参与者。
在理论学习体验之前,以小组形式进行调查。课程结束后即刻进行后测调查。6个月随访通过主要研究者开发的在线模块进行。进行重复测量方差分析、配对t检验的成对比较以及邦费罗尼校正,以确定知识和态度是否发生了持续变化。
在理论教育课程后即刻以及6个月后,关于疼痛的知识和态度调查的后测分数显著高于前测分数(P < .017)。
6个月后,分数仍高于前测或教育后即刻的分数。
知识基础更扎实的护士可能会带来更好的疼痛管理、改善治疗效果以及更高的患者满意度得分。