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Nurses’ knowledge and barriers regarding pain management in intensive care units

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  • Hsiang‐Ling Wang
  • Yun‐Fang Tsai

Abstract

Aim. To explore nurses’ knowledge and barriers regarding pain management in intensive care units. Background. Pain is a common and treatable condition among intensive care patients. Quality care of these patients depends on the pain knowledge and pain management skills of critical care nurses. However, no single study has explored these nurses’ knowledge of and perceived barriers to pain management in Taiwan. Design. A cross‐sectional study. Method. Intensive care unit nurses (n = 370) were recruited from 16 hospitals chosen by stratified sampling across Taipei County in Taiwan. Data were collected on nurses’ knowledge of pain management using the Nurses’ Knowledge and Attitudes Survey‐Taiwanese version, on perceived barriers to pain management using a researcher‐developed scale and on background information. Results. The overall average correct response rate for the knowledge scale was 53·4%, indicating poor knowledge of pain management. The top barrier to managing pain identified by these nurses was ‘giving proper pain prescription needs doctor’s approval; can’t depend on me’. Knowledge of pain management was significantly and negatively related to perceived barriers to pain management. In addition, scores for knowledge and perceived barriers differed significantly by specific intensive care unit. Knowledge also differed significantly by nurses’ education level, clinical competence level (nursing ladder) and hospital accreditation category. Conclusion. Our results indicate an urgent need to strengthen pain education by including case analysis for intensive care nurses in Taiwan. Relevance to clinical practice. Pain education should target knowledge deficits and barriers to changing pain management approaches for Taiwanese nurses in intensive care units.

Suggested Citation

  • Hsiang‐Ling Wang & Yun‐Fang Tsai, 2010. "Nurses’ knowledge and barriers regarding pain management in intensive care units," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(21‐22), pages 3188-3196, November.
  • Handle: RePEc:wly:jocnur:v:19:y:2010:i:21-22:p:3188-3196
    DOI: 10.1111/j.1365-2702.2010.03226.x
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    Cited by:

    1. Oren Asman & Elena Slutsker & Semyon Melnikov, 2019. "Nurses' perceptions of pain management adequacy in mechanically ventilated patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2946-2952, August.
    2. Hilde Wøien & Henning Værøy & Geir Aamodt & Ida T Bjørk, 2014. "Improving the systematic approach to pain and sedation management in the ICU by using assessment tools," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(11-12), pages 1552-1561, June.
    3. Esther I. Bernhofer & Jeanne M. Sorrell, 2015. "Nurses Managing Patients’ Pain May Experience Moral Distress," Clinical Nursing Research, , vol. 24(4), pages 401-414, August.

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