Pain Management Knowledge, Attitude, and Associated Factors Among Nurses Working at Adult Emergency Department of Public Hospitals
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Date
2025-06-13
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Addis Ababa University
Abstract
Background: Pain is a common phenomenon in emergency patients which can result in long
term issues and changes in physiological functions. Successfully managing pain necessitates a
thorough understanding and proficient skills in knowledge and attitude. It is essential for nurses
to possess a strong foundation of pain-related knowledge, favorable attitude and to cultivate
effective pain management practices. Pain is often the most misinterpreted, inadequately
diagnosed, and poorly managed medical issue.
Objective: This study aimed to assess pain management knowledge, attitude and associated
factors among nurses working at adult emergency department of public hospitals in Addis
Ababa, Ethiopia, 2025.
Methods: Institutional based cross-sectional study design was conducted from April 10-25,
2025. All Nurses working in the adult emergency department of selected public hospitals during
data collection period were included by census method. Data was collected using structured self
administered questionnaire. Data analysis was done using SPSS version 26. Descriptive statistics
like frequency, percentage, mean, and standard deviation were used to describe the distribution
of data. Associations were analyzed using bivariate and multivariate logistic regression model.
The findings were expressed with 95 % CI and odds ratio at P-value < 0.05.
Result: Overall 65.8% of nurses had an adequate knowledge of pain management with a mean
score of 10.4254(2.8016 SD). In multiple variable analyses; receiving training (AOR 5.674,
95%CI; 1.839-17.51) and attitude status (AOR 2.3, 95%CI; 1.228-4.3) had a significant
association with the level of knowledge. The magnitude of favorable attitude towards pain
management among nurses was 56.6% with a mean score of 7.7588 (2.079 SD). Receiving
training (AOR 2.03, CI95%:1.05-2.54), Knowledge level (AOR 2.3, 95%CI; 1.228-4.57) and
educational level with odds ratio of (AOR 8.62, CI95%; 2.47-30.08)) had a significant
association with attitude.
Conclusion and Recommendation: The study revealed that almost two-third of nurses working
at adult emergency department had good knowledge and more than half of them had a favorable
attitude toward pain management. Thus, the situation demands various educational and quality
improvement initiatives that could enhance the nurse„s knowledge and attitude in the area of pain
management
Key words: K
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Keywords
Knowledge, Attitude, Nurses, Pain management, Emergency department.