Admassie Belete Muluadam, Lema Girmay Fitiwi, Ferede Yonas Admasu, Tegegne Biresaw Ayen
College of Medicine and Health Sciences, University of Gondar, Ethiopia.
Ann Med Surg (Lond). 2022 Aug 8;81:104338. doi: 10.1016/j.amsu.2022.104338. eCollection 2022 Sep.
Quality of pain management in emergency departments may be affected by nurses' perceived barriers. Poorly managed pain may lead to altered physiological and psychological function which affect patients' quality of life as well as increase costs to the health care system.
This study aimed to assess emergency nurse's perceived barriers to pain management and associated factors at emergency departments, 2021.
A multi-center cross-sectional study was conducted with 153 nurses from eight emergency departments from May1-May 30, 2021 with semi-structured questionnaire. All volunteer nurses were included. Epi-info version 7 and SPSS version 20.0 were used for data entry and analysis respectively. We used descriptive statistics to report results of the study in the form of text and table. Student t-test, one way ANOVA and Post hoc test were applied to assess relationship between socio-demographic characteristics of the participants with perceived barriers.
Of the 20 items, overcrowding 3.24 ± 0.9, nursing workload 3.16 ± 1.03, and lack of pain management guidelines/protocol2.5 ± 1.15 were the highest reported barriers to pain management at an emergency department. In addition, years of work experience as emergency nurses1 (p-value = 0.01), BSC level of education (p-value = 0.04), married (p-value = 0.04) and frequency of training ≤ (p-value = 0.02) were significantly associated with nurses perceived barriers on pain management.
and Recommendation: Overcrowding, nurses' workload, absence of pain management tool, year of experience as emergency nurse ≤1, married, BSC nurses and frequency of training1 were the perceived barriers to pain management in the emergency department. The stakeholders in each facility should make an effort to increase the ratio of nurses to emergency patients. Professionals should develop local pain assessment and management protocol. Training should be given regularly and the opportunity of education should be maximized.
急诊科疼痛管理的质量可能受到护士所感知到的障碍的影响。疼痛管理不善可能导致生理和心理功能改变，这会影响患者的生活质量，并增加医疗保健系统的成本。
本研究旨在评估2021年急诊科护士对疼痛管理的感知障碍及相关因素。
2021年5月1日至5月30日，对来自8个急诊科的153名护士进行了一项多中心横断面研究，采用半结构化问卷。所有志愿护士均被纳入。分别使用Epi-info 7版和SPSS 20.0版进行数据录入和分析。我们使用描述性统计以文本和表格的形式报告研究结果。应用学生t检验、单因素方差分析和事后检验来评估参与者的社会人口学特征与感知障碍之间的关系。
在20项内容中，过度拥挤（3.24±0.9）、护理工作量（3.16±1.03）以及缺乏疼痛管理指南/规程（2.5±1.15）是急诊科报告的最高疼痛管理障碍。此外，急诊护士的工作年限≤1年（p值=0.01）、本科学历（p值=0.04）、已婚（p值=0.04）以及培训频率≤（p值=0.02）与护士对疼痛管理的感知障碍显著相关。
过度拥挤、护士工作量、缺乏疼痛管理工具、急诊护士工作年限≤1年、已婚、本科学历护士以及培训频率≤是急诊科疼痛管理的感知障碍。每个机构的利益相关者应努力提高护士与急诊患者的比例。专业人员应制定当地的疼痛评估和管理规程。应定期进行培训，并最大限度地提供教育机会。
