Knowledge, and practice of nurses ‘and associated factors in managing neonatal pain in public hospitals in Addis Abeba,Ethiopia,2020.
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Date
2020-07
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Addis Abeba University
Abstract
Background: Pain is a significant global problem in the field of health. Hospitalized neonates
experience moderate to severe acute or chronic pain which minimizes their comfort and suffering
that result in short and long term complications. Health care providers in developing countries
lack knowledge about neonatal pain management. Appropriate management of neonatal pain
prevents unnecessary hospital stay and suffering them from pain.
Objective: The aim of the study was to assess the neonatal ICU nurses’ knowledge and practice
and factors associated regarding neonatal pain management at public hospital of Addis Ababa,
Ethiopia, 2020.
Methods: Institutional based cross-sectional study design was used to collect data from four
selected public hospitals in Addis Ababa, from 22April-22May 2020. Simple random sampling
was used to recruit study participants using structured, self-administered questionnaire. Logistic
regression model was used to identify the association. Odds ratio was used to test the strength of
the associations between outcome and predictor variables at a 95% confidence level and p value
of <0.05 was considered as statistically significant association. Result: This study conducted
with 119 nursing staff working in Neonatal ICU with a response rate of 96.6%. Out of that
68.7% of nurses had adequate knowledge regarding neonatal pain management. Regarding
practice, less than half (32.2%) of the respondents had Good practice. There was significant
relationship between nurses’ knowledge scores and receiving training on neonatal pain
management being in NICU and getting neonatal pain management training at
College/University. Availability of infant pain management policy in place, getting training on
neonatal pain management at college/ university and knowledge category were factors
significantly associated with practice of nurses’ in managing neonatal pain.
Conclusion and Recommendation: This study revealed that nurses had poor practice but had
adequate knowledge in managing neonatal pain. However majority of nurses didn’t know and
practice assessment of neonatal pain accordingly. The respective hospitals and Ethiopian
ministry of health should provide convenient training program on neonatal pain management to
nurses.
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Keywords
Pain, NICU, knowledge, practice, nurses