The evaluation of pain training effect of clinical nurses

  • He Miao ,
  • Wang Xiuli ,
  • Feng Yi
Expand
  • Department of Anesthesiology, Peking University People's Hospital, Beijing 100044, China

Received date: 2018-09-25

  Online published: 2020-12-10

Supported by

Chinese Medical Association Medical Education Branch and China Association of Higher Education Medical Education Specialized Committee 2016 Medical Education Research Project (2016B-HL011)

Abstract

Objective To explore the effect of pain training on pain management knowledge, attitude and behavior of clinical nurses. Methods The data of 55 nurses before and after pain training in Beijing grade A tertiary hospital were collected by using “Pain Knowledge and Attitude Questionnaire (KASRP)” with self-controlled design to evaluate the effect of clinical nurses' pain assessment pain management knowledge and attitude. Results The median of pain management knowledge and attitude of nurses before the training was [20(18,24)] and only 25.5% (14/55) of the total nurses passed the training. The median was [22(21,25)]. The number of passers-by rose from 14 to 26, accounting for 47.3% (26/55) of the total number of trainees. The difference was statistically significant before and after training (P<0.001). The scores of each dimension of the pain knowledge and belief questionnaire before and after training were statistically significant (all P<0.001) except for the dimension of “comprehensive drug use”. Conclusions The implementation of pain training has a positive effect on improving the knowledge level and attitude of clinical nurses. In the future, comprehensive pain training should be carried out according to the specialty characteristics of different departments to further strengthen the pain knowledge, skills and attitude of clinical nursing staff, so as to improve the quality of nursing.

Key words: Pain; Training; Nurse; Effect; Evaluation

Cite this article

He Miao , Wang Xiuli , Feng Yi . The evaluation of pain training effect of clinical nurses[J]. Chinese Journal of Medical Education, 2019 , 39(6) : 470 -474 . DOI: 10.3760/cma.j.issn.1673-677X.2019.06.012

References

[1]Williams AC, Craig KD. Updating the definition of pain[J].Pain,2016, 157(11):2420-2423.DOI:10.1097/j.pain.0000000000000613.
[2]樊碧发.疼痛医学原理与实践[M].北京:人民卫生出版社,2009:47.
[3]Klopfenstein CE, Herrmann FR, Mamie C, et al. Pain intensity and pain relief after surgery: A comparison between patients' reported assessments and nurses' and physicians observations[J].Acta Anaesthesiol Scand,2000,44(l): 58-62.DOI:10.1034/j.1399-6576.2000.440111.x.
[4]卢苇,林润,金爽,等.福建省三级甲等医院临床护士疼痛知识与态度调查分析[J]. 中国护理管理,2014,14(11):1137-1139.DOI:10.3969/j.issn.1672-1756.2014.11.006.
[5]陈晓燕,成守珍,高明榕,等.8家三级医院ICU护士疼痛管理知识和态度调查分析[J].中国护理管理,2013,13(10):87-89.DOI:10.3969/j.issn.1672-1756.2013.010.031.
[6]Moceri JT, Drevdahl DJ. Nurses' knowledge and attitudes toward pain in the emergency department[J].J Emerg Nurs,2014,40(1):6-12.DOI:10.1016/j.jen.2012.04.014.
[7]Horgas AL, Elliott AF, Marsiske M. Pain assessment in persons with dementia: Relationship between self-report and behavioral observation[J].J Am Geriatr Soc,2010,57(1):126-132.DOI:10.1111/j.1532-5415.2008.02071.x.
[8]Wysong PR. Nurses' beliefs and self-reported practices related to pain assessment in nonverbal patients[J].Pain Manag Nurs,2014,15(1):176-185. DOI:10.1016/j.pmn.2012.08.003.
[9]杜冰,吴晶.国内疼痛教育的现状与进展[J].上海护理,2012,12(1):64-67.
[10]张春华,徐丽华,朱小平,等.疼痛教育项目对护士疼痛知识、态度及评估实践的效果研究[J].中国实用护理杂志,2010,26(4):30-33.DOI:10.3760/cma.j.issn.1672-7088.2010.02.011.
[11]Ger LP, Chang CY, Ho ST, et al. Effects of a continuing education program on nurse practices of cancer pain assessment and their acceptance of patient pain reports[J].J Pain Symptom Manage,2004,27(l):61-71.DOI:10.1016/j. jpainsymman.2003.05.006.
[12]史艳萍.护理人员疼痛知识培训效果评价[D].郑州:郑州大学,2012.
[13]童莺歌,叶志弘.浙江省4家三级医院护士疼痛管理知识和态度的调查与分析[J]. 护理与康复,2010,9(9):747-749,752.
[14]McCaffery M, Robinson ES. Your patient is in pain—Here's how you respond[J].Nurs,2002,32(10):36-45.DOI:10.1097/00152193-200210000-00042.
[15]Van Niekerk LM, Martin F. Tasmanian nurses' knowledge of pain management[J]. Int J Nurs Stud,2001,38(2):141-152.DOI:10.1016/S0020-7489(00)00053-5.
[16]谭璇,李素云,蔡付珺,等.护士知信行疼痛护理模式培训的效果评价[J].护理研究, 2015,29(12下旬版):4545-4547.DOI:10.3969/j.issn.1009-6493.2015.36.021.
[17]姜安丽.新编护理学基础[M].北京:人民卫生出版社,2007:249.
[18]Owen H, McMillan V, Rogowski D. Postoperative pain therapy: A survey of patients' expectations and their experiences[J].Pain,1990,41(3):303-307.
Outlines

/