Nurses Knowledge and Attitude Regarding Essay

A significant number of patients continue to run into unrelieved bother during infirmaryization scorn decades of research, improved therapeutic measures and advancement in technology. Delays in recoery, decreased patient satisfaction, decreased quality of life and increase healthcare costs are some consequences related to poor injure concern.Limitation in nurses friendship well-nigh anguish assessment and heed contributes to poor pain attention in hospitalized patients. Literature suggests concerns about dependency and respiratory depression as a likely cause of at a lower place treatment of pain (Lewthwaite et.al, 2011). A study conducted to explore nursing opinions about pain revealed a tendency for personal opinion to influence the prime(a) of opioid dose (Lewthwaite et.al, 2011). The purpose of this study was to better understand the registered nurses level of experience of and attitudes toward pain management.Where do nurses receive and update their knowledge about pain management? A 2007 stick with of Canadian university undergraduate programs showed pain command virtually nonexistent in the curricula of health care professional faculties (Watt-Watson, McGillion, & Hunter, 2007). Providing passable pain management depends on the level of knowledge of, skills, and attitudes of nurses. To address teaching needs effectively, and prior to planning fosteringal opportunities, it is essential to key these knowledge shots. bringing up alone may be insufficient to change practice, disposed(p) limited improvement in pain management over the make it three decades. Some suggest changing the entire culture inwardly any given organization to one that designates and empowers nurses in areas of assessment and management of patients pain experiences , thereby giving the nurse greater influence over these areas (Lewthwaite et al., 2011).Strong nursing leadership and support from clinical nurse specialists, educators, and administrators is compulso ry to introduce and sustain practice changes.MethodsDesign and SampleThis descriptive numeric study was conducted in an urban tertiary care hospital in Midwestern Canada. A convenience sample allow ind 761 full and part-time registered nurses who administer analgesia as part of their practice. Clinical units included surgery, woman and child, cardiac sciences, medicine, family medicine, geriatric-rehabilitation, emergency, mental health, and the hospital float pool (Lewthwaite et al., 2011).A self-administered one-page data survey was created for the study, which collected demographical information as well as years of experience and pain knowledge. The survey included the Ferrell and McCaffery (2008) intimacy and Attitudes Survey Regarding Pain (KASRP) tool. The authorized KASRP tool would be thought of as too long to fill in during working hours, so a revised survey using solo the 22 true and false question on the KASRP tool was utilize (Lewthwaite et al., 2011).The KASRP tool, developed in 1987 and revised in 2008, is use extensively as a pre and posttest evaluation measure for knowledgeal programs to assess nurses and other healthcare professionals. The content was reviewed and validated by pain experts, and content information was conventional through current pain management standards derived from organizations including the World Health Organization, American Pain Society, and the Agency for Health Care Policy and Research. realise rigourousness was established by comparing scores of nurses at various levels of expertise from students, to senior pain experts (Ferrell & McCaffery, 2008).ProceduresAn alpha level of 0.05 would determine statistical significance. Construct validity was evaluated by comparing nurses scores with varying levels of expertise, from students to senior nurses and pain experts. Test-retest reliability was established (r 0.80) and internal consistency was shown, with a coefficient alpha of 0.85 (Lewthwaite et al., 2011). Results stunned of 761 nurses, 324 participated and returned the surveys, for a response rate of 43%. Years of experience ranged from 24% with more than 25 years of professional experience to 22% with quint years or less of professional experience. The majority of nurses reported working in surgery, woman and child, and cardiac sciences. Almost half of the participants (48.8%) scored 80% or higher and 66% of the nurses rated their knowledge of pain management as good. Questions relating to pharmacology, in particular those involving knowledge of opioids, scored the lowest. As with similar studies on this subject, this study lay out knowledge gaps among acute care nurses. The findings of this study can be used to design continuing educational opportunities in the work place that include pharmacology information to meet specific needs in the workplace. The results in like manner provide a benchmark to evaluate the effectiveness of enhancing pain education in the classroom setting.E thical ConsiderationsEthics approval was obtained from the study hospital research review committee, and a university research ethics board. The list of potential participants was obtained from the human resources department. Hospital volunteers delivered the study packets to unit-based staff mailboxes. The package included a letter of invite to participate, the survey questionnaire, and a self-addressed return envelope. intimacy was voluntary, and completion and return of the questionnaire indicated such. In this self-reporting study, participants may have taken the luck to discuss questions or seek answers from other sources, as well as answer questions in a professionally or socially loveable fashion.ConclusionThe battle to achieve effective pain management despite years of research and efforts by all involved continues to be a challenge. Previous nursing studies, along with this study, cite a knowledge gap amongst nurses as one reason for poor pain management and identify are as such as pharmacology, where nurses in particular lack knowledge. Continuing education opportunities are essential to achieve improved pain management skills. Education alone will not improve pain management optimum quality care is dependent not only on a culture of learning but also on a adhesive professional team with inter-professional collaboration to ensure effective, individualized pain management.ReferencesFerrell, B., & McCaffery, M. (2008). Knowledge and attitude survey regarding pain. Retrieved declination 12, 2012 from http//prc.coh.org/Knowldege%20%20Attitude%20Survey%20-%20updated%205-08.pdfLewthwaite,B.J., Jabusch, K.M., Wheeler, B.J., Schnell-Hoehn, K.N., Mills, J., Estrella-Holder, E., & Fedorowicz, A.(2011). Nurses knowledge and attitudes regarding pain management in hospitalized adults. Journal of Continuing Education in Nursing, 42(6), 251-7. Retrieved December 12, 2012 from http//ehis.ebscohost.com.library.gcu.eduWatt-Watson, J., McGillion, M., & Hunter, J. (2 007). A survey of pain curricula in pre-licensure health sciences facilities in Canadian Universities. Retrieved December 12, 2012 from http//www.pulsus.com/journals/pdf_frameset.jsp?jnlKy=7&atlKy=9192&isArt=t&jnlAdvert=Pain&adverifHCTp=&sTitle=A%20survey%20of%20prelicensure%20pain%20curricula%20in%20health%20science%20faculties%20in%20Canadian%20universities,%20Pulsus%20Group%20Inc&HCtype=Physician.