Knowledge, Attitude, Practice and Factors Associated with Pain Management for Hospitalized Children among Nurses Working in Public Referral Hospitals of Amhara Region, Ethiopia, 2018
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Date
2018-06
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Addis Ababa University
Abstract
Background: Hospitalized children experience moderate to severe acute or chronic pain whichminimizes their comfort and has become a major health problem in developed and developingcountries. Unrelieved childhood pain causes unnecessary suffering and result in short- and longtermphysical and emotional impacts in children and their families’ lives. Managing pain properly can prevent children from unnecessary stay in hospitals and suffer from pain.
Objectives: The aim of this study was to explore the knowledge, attitude, practice and factorsassociated with pain management for hospitalized children among nurses working in Amhara public referral hospitals, Ethiopia
Methods: A quantitative cross-sectional design was conducted from February 27 to March 27,2018 in selected public referral hospitals of Amhara regional state. A total of 289 nurses with aresponse rate (97.6%) participated in the study. Study participants were recruited by simple random sampling and semi structured self administered questionnaire was used to collect data.The collected data was coded and entered in to Epi data 4.2.0 and transferred to SPSS version 21for further analysis. Logistic regression model was used for association between independent versus out-come variables and considering the AOR, 95% CI and p < 0.05 cutoff point assignificant for all the independent variables.
Result: The knowledge scores of participants had a mean value of 5.57 (52.2%) out of 10. Themean score of attitude was 46.66 (46.7%) out of 57 and the mean score for the nurses’ level ofpractices was found to be 5.42 (45.7%) out of 10. There was a significant relationship betweennurses’ knowledge scores and the level of education, attitude, and level of practice. Nursingwork load, negative attitude, and lack training were factors for pain management practices.Finally, score of nurses’ attitude was significantly associated with qualification, knowledge,practice and presence of assessment tool.
Conclusion and Recommendation: Results showed that nurses had poor performance and unfavorable attitude towards pain management. However, majority of Nurses were knowledgeable on some area of pharmacological and non-pharmacological pain managements for children. The hospital’s administrative bodies should provide convenient training program regarding pain and its management to staff nurses.
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Keywords
Nurses, Knowledge, Attitudes, Practices, Barriers, Pain management, hospitalized children