Performance of Evidence-based Pain Assessment and Management Guidelines among Medical-Surgical Nurses

Heui Lyang Kim; Chi Eun Song; Hyang Sook So

doi:10.7469/kjan.2016.28.5.546

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Performance of Evidence-based Pain Assessment and Management Guidelines among Medical-Surgical Nurses

Heui Lyang Kim, MSN, RN¹, Chi Eun Song, Ph.D., APN², Hyang Sook So, Ph.D., APN³

Korean Journal of Adult Nursing 2016;28(5):546-558.
Published online: October 31, 2016

DOI: https://doi.org/10.7469/kjan.2016.28.5.546

¹Nurse, Chonnam National University Hospital, Gwangju

²Nurse, Chonnam National University Hwasun Hospital, Hwasun

³Professor, College of Nursing, Chonnam National University, Gwangju, Korea

Corresponding author: So, Hyang Sook College of Nursing, Chonnam National University, 160 Baekse-ro, Dongn-gu, Gwngju 61469, Korea. Tel: +82-62-530-4952, Fax: +82-62-227-4009, E-mail: hsso@jnu.ac.kr

• Received: July 18, 2016 • Accepted: October 24, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
REFERENCES

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.
Key Words: Pain management; Guideline; Job performance

Table 1.

General and Pain Education-related Characteristics of the Subjects (N=140)

Variables	Characteristics	Categories	n(%)
General characteristics	Age (year)	＜25	65 (46.4)
		25~29	38 (27.1)
		30~34	24 (17.1)
		≥35	13 (9.4)
	Work experience (year)	＜5	77 (55.0)
		5~＜10	36 (25.7)
		10~＜15	18 (12.9)
		≥15	9 (6.4)
	Job position	Head nurse	6 (4.3)
		Charge nurse	8 (5.7)
		Staff nurse	126 (90.0)
	Working unit	Medical	56 (40.0)
	Working unit	Surgical	84 (60.0)
	Education level	Diploma	36 (25.7)
		Bachelor	92 (65.7)
		Graduate	12 (8.6)
Pain-related education characteristics	Non-experience group		52(37.1)
	Needs of pain education	Yes	52 (100.0)
	Needs of pain education	No	0 (0.0)
	Experience group		88(62.9)
	Frequency of education	1	48 (54.6)
		2	20 (22.7)
		≥3	20 (22.7)
	Types of education	Undergraduate course	31 (35.2)
		Continuing education	24 (27.3)
		Inservice education	33 (37.5)
	Duration of education (hours)	1~2	37 (42.1)
		3~4	11 (12.5)
		4~5	9 (10.2)
		≥6	31 (35.2)
	Contents of education*	Pain mechanism	75 (85.2)
		Pain assessment	83 (94.3)
		Pain intervention	- -
		Analgesics	81 (92.0)
		Cold or hot therapy	63 (71.6)
		Massage	56 (63.6)
		Placebo	65 (73.9)
		Relaxation therapy	65 (73.9)
		Music therapy	47 (53.5)
	Needs of pain education	Pain mechanism	6 (6.8)
		Pain assessment	34 (38.7)
		Pain intervention	48 (54.5)
	Awareness about pain management guideline	Not awared	90 (64.3)
	Awareness about pain management guideline	Awared	50 (35.7)
	Degree of implementation of pain management, if awared	A little	5 (10.0)
		Somewhat	43 (86.0)
		Very well	2 (4.0)

*Duplicated number.

REFERENCES

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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.
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9.Chan B, Leung P. Pain management. Canadian Journal of Surgery. 2005;48(2):98-9.
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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.
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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.
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Performance of Evidence-based Pain Assessment and Management Guidelines among Medical-Surgical Nurses

Korean J Adult Nurs. 2016;28(5):546-558. Published online October 31, 2016

DOI: https://doi.org/10.7475/kjan.2016.28.5.546

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Performance of Evidence-based Pain Assessment and Management Guidelines among Medical-Surgical Nurses

Korean J Adult Nurs. 2016;28(5):546-558. Published online October 31, 2016

DOI: https://doi.org/10.7475/kjan.2016.28.5.546

Performance of Evidence-based Pain Assessment and Management Guidelines among Medical-Surgical Nurses

Table 1.

General and Pain Education-related Characteristics of the Subjects (N=140)

Variables	Characteristics	Categories	n(%)
General characteristics	Age (year)	＜25	65 (46.4)
		25~29	38 (27.1)
		30~34	24 (17.1)
		≥35	13 (9.4)
	Work experience (year)	＜5	77 (55.0)
		5~＜10	36 (25.7)
		10~＜15	18 (12.9)
		≥15	9 (6.4)
	Job position	Head nurse	6 (4.3)
		Charge nurse	8 (5.7)
		Staff nurse	126 (90.0)
	Working unit	Medical	56 (40.0)
	Working unit	Surgical	84 (60.0)
	Education level	Diploma	36 (25.7)
		Bachelor	92 (65.7)
		Graduate	12 (8.6)
Pain-related education characteristics	Non-experience group		52(37.1)
	Needs of pain education	Yes	52 (100.0)
	Needs of pain education	No	0 (0.0)
	Experience group		88(62.9)
	Frequency of education	1	48 (54.6)
		2	20 (22.7)
		≥3	20 (22.7)
	Types of education	Undergraduate course	31 (35.2)
		Continuing education	24 (27.3)
		Inservice education	33 (37.5)
	Duration of education (hours)	1~2	37 (42.1)
		3~4	11 (12.5)
		4~5	9 (10.2)
		≥6	31 (35.2)
	Contents of education*	Pain mechanism	75 (85.2)
		Pain assessment	83 (94.3)
		Pain intervention	- -
		Analgesics	81 (92.0)
		Cold or hot therapy	63 (71.6)
		Massage	56 (63.6)
		Placebo	65 (73.9)
		Relaxation therapy	65 (73.9)
		Music therapy	47 (53.5)
	Needs of pain education	Pain mechanism	6 (6.8)
		Pain assessment	34 (38.7)
		Pain intervention	48 (54.5)
	Awareness about pain management guideline	Not awared	90 (64.3)
	Awareness about pain management guideline	Awared	50 (35.7)
	Degree of implementation of pain management, if awared	A little	5 (10.0)
		Somewhat	43 (86.0)
		Very well	2 (4.0)

*Duplicated number.

Table 1. General and Pain Education-related Characteristics of the Subjects (N=140)

*Duplicated number.

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Performance of Evidence-based Pain Assessment and Management Guidelines among Medical-Surgical Nurses

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