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在职教育项目对埃塞俄比亚某大学医院护士疼痛管理知识及态度的影响

The Impact of an In-service Educational Program on Nurses' Knowledge and Attitudes Regarding Pain Management in an Ethiopian University Hospital.

作者信息

Germossa Gugsa N, Sjetne Ingeborg Strømseng, Hellesø Ragnhild

机构信息

School of Nursing and Midwifery, Jimma University Institute of Health Sciences, Jimma University, Jimma, Ethiopia.

Department of Nursing Sciences, Faculty of Medicine, Institute of Health and Society, University of Oslo, Oslo, Norway.

出版信息

Front Public Health. 2018 Aug 20;6:229. doi: 10.3389/fpubh.2018.00229. eCollection 2018.

Abstract

Although pain control for hospitalized patients is a central issue for all health care providers, nurses' knowledge, and attitudes are the major barriers. Educational program is a strategy to improve nurses' knowledge and attitudes on pain management. However, there is paucity of information on how in-service education program influences nurses' knowledge and attitudes score for pain management in Ethiopia. The objective of this study was therefore, to investigate the influence of an in-service educational program on nurses' knowledge and attitudes regarding pain management in an Ethiopian university hospital. A quasi-experimental study was conducted between 1 October and 15 November 2016. Totally 111 nurses working at Jimma University Medical Center participated in the study. We provided 2 consecutive days of intensive pain management education with a follow-up training session after 1 month. Knowledge and Attitudes Survey Regarding Pain (KASRP) was used as a tool for measuring the impact of educational program. Data were analyzed using the Wilcoxon signed-rank test, and results were considered significant at < 0.05. Of the 111 nurses, who participated in the study, 39.5% were female, 46.8% had a baccalaureate degree, and 67.6% had worked in nursing for 6-10 years. The mean age of respondents was 26.9 ( ± 5.6) years. On average, participants answered 41.4% of the survey items correctly before the intervention and 63.0% after the intervention. The mean rank score of nurses' knowledge and attitudes regarding pain significantly improved following participation in the educational program ( = -9.08, < 0.001). The educational program improved nurses' scores for pain management knowledge and attitudes. This may lead to more effective pain management by nurses.

摘要

尽管对住院患者的疼痛控制是所有医疗保健提供者的核心问题,但护士的知识和态度是主要障碍。教育项目是提高护士对疼痛管理的知识和态度的一种策略。然而,关于在职教育项目如何影响埃塞俄比亚护士对疼痛管理的知识和态度得分的信息却很少。因此,本研究的目的是调查在职教育项目对埃塞俄比亚一家大学医院护士关于疼痛管理的知识和态度的影响。2016年10月1日至11月15日进行了一项准实验研究。共有111名在吉姆马大学医学中心工作的护士参与了该研究。我们提供了连续两天的强化疼痛管理教育,并在1个月后进行了一次后续培训。《疼痛知识与态度调查》(KASRP)被用作衡量教育项目影响的工具。使用Wilcoxon符号秩检验对数据进行分析,结果在<0.05时被认为具有统计学意义。参与研究的111名护士中,39.5%为女性,46.8%拥有学士学位,67.6%从事护理工作6至10年。受访者的平均年龄为26.9(±5.6)岁。平均而言,参与者在干预前正确回答了41.4%的调查项目,干预后为63.0%。参与教育项目后,护士关于疼痛的知识和态度的平均秩次得分显著提高(=-9.08,<0.001)。该教育项目提高了护士在疼痛管理知识和态度方面的得分。这可能会使护士进行更有效的疼痛管理。

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