PDF
ePub
Citation
Print
Abstract
Purpose
This study aimed at the effectiveness to investigate the performance of evidence-based pain assessment and management guidelines.
Methods
Participants were 140 nurses at the med-surgical units. Data were collected in early July, 2014 using Registered Nurses Association of Ontario (RNAO) guideline (2007) revised and validated by Hong and Lee (2012) and analyzed by descriptive statistics, t-test, ANOVA using SPSS/WIN18.0.
Results
The score of performance of pain assessment guideline was higher than the score of pain management. Categories with high score were pain screening, parameter of pain assessment, documentation, assessment of opioids side-effects, and record of pain caused intervention. Categories with low score were comprehensive pain assessment, multidisciplinary communication, establishing a plan for pain management, consultation and education for patients and their families, and education for nurse. Non-pharmacological management was the lowest one.
Conclusion
Assessing and managing pain is a complex phenomenon. It might be useful if institutions host training programs to ensure that nurse are better able to understand and implement pain assessment and management. Since non-pharmacological management is less likely to be used by nurses it may be helpful to include these methods in a training program.
REFERENCES
1.Kwon TD. Acute ․chronic management of pain. Paper presented at: The Meeting of the Korean Association of Internal Medicine. 2011. October 22; Seoul, Korea.
2.North American Nursing Diagnosis Association. NANDA nursing diagnosis, goals and interventions. 3rd ed. Cha YN., Jang HS, Han HS, Jeong JS, Yoon J, et al., translator. Seoul: Hyunmoonsa;2013.
3.McCaffery M., Pasero C. Pain: clinical manual. 2nd ed.St Louis: Mosby;1999.
4.Max MB., Donovan M., Miaskowski CA., Ward SE., Gordon D., Bookbinder M, et al. Quality improvement guidelines for the treatment of acute pain and cancer pain. The Journal of the American Medical Association. 1995. 274(23):1874–80. http://dx.doi.org/10.1001/jama.1995.03530230060032.
5.Kwon IG., Whangs MS., Kim JH. Effects of pain management education on pain of the terminal cancer patients at home. Journal of Korean Oncology Nursing. 2002. 2(1):36–49.
6.Song SS., Park CS. Pain management knowledge and attitude of internal medicine and surgery stream nurses. The Journal of Korean Academic Society of Home Care Nursing. 2010. 17(1):55–62.
7.Gong SW., Bang JY., Seo MS., Hyun SS., Kim HJ., Lee MA, et al. Knowledge and attitudes of oncology nurses toward cancer pain managements. Korean Journal of Adult Nursing. 2004. 16(1):5–16.
8.Kennedy MP. Violence in emergency departments: underre-ported, unconstrained, and unconscionable. Medical Journal of Australia. 2005. 183(7):362–5.
9.Chan B., Leung P. Pain management. Canadian Journal of Surgery. 2005. 48(2):98–9.
10.Mun JH. Knowledge and performance of nurses'cancer pain management. [masters thesis]. Gongju: Kongju National University;2014.
11.Song MH. Hematopoietic stem cell transplant nurses' knowledge and attitudes regarding pain management. [masters thesis]. Seoul: Yonsei University;2000.
12.Jang KS., Choi JY., Ryu SA., Kim YH., Park HY., Kim EA, et al. Action research in nursing and healthcare. Seoul: Hyunmoonsa;2014.
13.Tak HH., Kim KH. A study on performance of pain management and perceived barriers of pain care among hospital nurses. Nursing Science. 2012. 24(1):23–34.
14.Won YH., Kim YH., Park JY. Comparison of pain management between before and after the application of guidelines in cancer emergency room. Asian Oncology Nursing. 2012. 12(3):230–6. http://dx.doi.org/10.5388/aon.2012.12.3.230.
15.Kim SY., Hwang IH., Yoon JL., Cho JJ., Choi YH., Rho YG, et al. A selection and translation of evidence based clinical practice guidelines for primary care physician in respiratory disease field. The Korean Journal of Family Medicine. 2004. 25(3):205–15.
16.Shin ES. Trends in the development of and emerging tasks of clinical practice guidelines in Korea. Journal of the Korean Medical Association. 2012. 55(4):371–8.
17.The Korean Society of Anesthesiologists. Anesthesiology and pain medicine. Seoul: Ryomoongak;2010.
18.Kim Y. Symptom management for cancer patients. The Korean Journal of Hospice and Palliative Care. 2012. 15(2):61–7.
19.Hong SJ., Lee EJ. Validation of a translated guideline on pain assessment and management: focused on abdominal surgery patients. Journal of Korean Clinical Nursing Research. 2012. 18(1):159–70.
20.Registered Nurses Association of Ontario. Assessment & management of pain. [Internet]. Toronto: Registered Nurses Association of Ontario;2007. [cited 201０ January 19]. Available from:. http://rnao.ca/sites/rnao-ca/files/AssessAndManagementOfPain2014.pdf.
21.Faul F., Erdfelder E., Lang A-G., Buchner A. GPower 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007. 39:175–91.
22.Han JY., Park HS., Jin MJ. Nurses' knowledge and performance of pain management at a general hospital. Journal of Korean Academy of Fundamentals of Nursing. 2016. 23(1):7–12. http://dx.doi.org/10.7739/jkafn.2016.23.1.6.
23.Kim HK., Lee HS., Hwang KH., Yoo YS., Lee SM. Positive and negative determinants for pain management in both cancer patients and their nurses. Journal of Korean Academy of Fundamentals of Nursing. 2006. 13(1):68–75.
24.Wang HL., Tsai YF. Nurses' knowledge and barriers regarding pain management in intensive care units. Journal of Clinical Nursing. 2010. 19(21-22):3188–96. http://dx.doi.org/10.1111/j.1365-2702.2010.03226.x.
25.Kim E., Park M. Nurses'awareness and performance about evidence-based pain management in older adults. Korean Journal of Adult Nursing. 2012. 24(1):20–30.
26.Yang MR., Choi GS., Jung Y. A study on nurses' knowledge of cancer patient's pain and pain-palliation. Medical Journal of Chosun University. 2006. 31(1):66–77.
27.Sterman E., Gauker S., Krieger J. A comprehensive approach to improving cancer pain management and patient satisfaction. Oncology Nursing Forum. 2003. 30(5):857–64.
28.Park JS., Oh YJ. A survey of nurses' knowledge of pain. Journal of Korean Academy of Fundamentals of Nursing. 2003. 10(1):87–95.
29.Brown ST. Outcomes analysis of a pain management project for two rural hospitals. Journal of Nursing Care Quality. 2000. 14(4):28–34.
Table 1.
General and Pain Education-related Characteristics of the Subjects (N=140)
XML Download