一项教育计划对重症监护护士疼痛评估与管理知识及态度的影响
Impact of an Educational Program on the Knowledge and Attitude About Pain Assessment and Management Among Critical Care Nurses.
作者信息
Issa Marwan Rasmi, Awajeh Adel M, Khraisat Firas S, Rasheed Akram M, Amirah Mohammad F, Hussain Ashraf, Alharthy Abdulrhman
机构信息
Marwan Rasmi Issa, MSN, RN, is senior nurse educator, ICU, King Saud Medical City, Riyadh, Saudi Arabia. Adel M. Awajeh, MSN, RN, is senior nurse educator, ICU, King Saud Medical City, Riyadh, Saudi Arabia. Firas S. Khraisat, PhD, MSN, RN, is senior quality specialist, King Saud Medical City, Riyadh, Saudi Arabia. Akram M. Rasheed, MSN, RN, is senior nurse educator, ICU, King Saud Medical City, Riyadh, Saudi Arabia. Mohammad F. Amirah, MSN, RN, is senior nurse educator, ICU, King Saud Medical City, Riyadh, Saudi Arabia. Ashraf Hussain, MSN, RN, is nurse manager, King Saud Medical City, Riyadh, Saudi Arabia. Abdulrhman Alharthy, MD, is intensives MD consultant, ICU, King Saud Medical City, Riyadh, Saudi Arabia.
出版信息
Dimens Crit Care Nurs. 2019 Sep/Oct;38(5):271-277. doi: 10.1097/DCC.0000000000000375.
BACKGROUND
Pain assessment and management are imperative parts of nursing care and considered as one of the most fundamental patient rights. The role of pain management education is well established in improving knowledge and attitude among nurses.
OBJECTIVES
This study aims to evaluate the impact of pain management educational program on the knowledge and attitudes of intensive care unit (ICU) staff nurses toward pain assessment and management. The baseline score of pain assessment and management knowledge and attitude of ICU nurses has been identified in a previous research, and the result showed immense lack of knowledge and poor attitudes among ICU nurses toward pain assessment and management when dealing with ICU patients.
METHODS
This is a pretest-posttest experimental study, utilizing a self-reporting questionnaire tool to obtain information about nurses' knowledge and attitudes toward pain assessment and management after implementation of new pain management educational program for critical care nurses. Data were collected using the Knowledge and Attitudes Survey Regarding Pain tool that measures knowledge with 22 question items and measures attitude with 17 question items. Paper-based questionnaire was distributed to nurses for data collection.
RESULTS AND CONCLUSION
The results showed significant improvement in knowledge and attitudes about pain assessment and management among ICU nurses; it was evident after delivering pain management education program. At baseline, 204 ICU nurses gave consent and completed the questionnaire and thus included in baseline measurement before implementing the intervention. In the postintervention measurement, the questionnaire was distributed to the same participants included in the baseline phase from which 181 participants completed the questionnaire for the second time, with a response rate of 89%; the deficits and preconception in pain assessment and management can be improved through implementing pain management educational programs.
背景
疼痛评估与管理是护理工作的重要组成部分，被视为患者最基本的权利之一。疼痛管理教育在提高护士的知识水平和态度方面的作用已得到充分确立。
目的
本研究旨在评估疼痛管理教育项目对重症监护病房（ICU）护士对疼痛评估与管理的知识和态度的影响。在之前的一项研究中已确定了ICU护士疼痛评估与管理知识及态度的基线分数，结果显示ICU护士在处理ICU患者时对疼痛评估与管理的知识极度缺乏且态度不佳。
方法
这是一项前后测实验研究，使用自我报告问卷工具来获取重症监护护士实施新的疼痛管理教育项目后护士对疼痛评估与管理的知识和态度的信息。使用关于疼痛的知识与态度调查问卷工具收集数据，该工具用22个问题项测量知识，用17个问题项测量态度。纸质问卷分发给护士进行数据收集。
结果与结论
结果显示ICU护士在疼痛评估与管理方面的知识和态度有显著改善；在开展疼痛管理教育项目后很明显。基线时，204名ICU护士同意并完成了问卷，因此被纳入干预实施前的基线测量。在干预后测量中，问卷分发给与基线阶段相同的参与者，其中181名参与者第二次完成了问卷，回复率为89%；通过实施疼痛管理教育项目可以改善疼痛评估与管理方面的不足和先入之见。
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