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 which
minimizes their comfort and has become a major health problem in developed and developing
countries. Unrelieved childhood pain causes unnecessary suffering and result in short- and longterm
physical 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 factors
associated 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 a
response 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 21
for 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 as
significant for all the independent variables.
Result: The knowledge scores of participants had a mean value of 5.57 (52.2%) out of 10. The
mean score of attitude was 46.66 (46.7%) out of 57 and the mean score for the nurses’ level of
practices was found to be 5.42 (45.7%) out of 10. There was a significant relationship between
nurses’ knowledge scores and the level of education, attitude, and level of practice. Nursing
work 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