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 neonatesexperience moderate to severe acute or chronic pain which minimizes their comfort and sufferingthat result in short and long term complications. Health care providers in developing countrieslack knowledge about neonatal pain management. Appropriate management of neonatal painprevents unnecessary hospital stay and suffering them from pain.
Objective: The aim of the study was to assess the neonatal ICU nurses’ knowledge and practiceand 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 fourselected public hospitals in Addis Ababa, from 22April-22May 2020. Simple random samplingwas used to recruit study participants using structured, self-administered questionnaire. Logisticregression model was used to identify the association. Odds ratio was used to test the strength ofthe associations between outcome and predictor variables at a 95% confidence level and p valueof <0.05 was considered as statistically significant association. Result: This study conductedwith 119 nursing staff working in Neonatal ICU with a response rate of 96.6%. Out of that68.7% of nurses had adequate knowledge regarding neonatal pain management. Regardingpractice, less than half (32.2%) of the respondents had Good practice. There was significantrelationship between nurses’ knowledge scores and receiving training on neonatal painmanagement being in NICU and getting neonatal pain management training atCollege/University. Availability of infant pain management policy in place, getting training onneonatal pain management at college/ university and knowledge category were factorssignificantly associated with practice of nurses’ in managing neonatal pain.
Conclusion and Recommendation: This study revealed that nurses had poor practice but hadadequate knowledge in managing neonatal pain. However majority of nurses didn’t know andpractice assessment of neonatal pain accordingly. The respective hospitals and Ethiopianministry of health should provide convenient training program on neonatal pain management tonurses.
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Keywords
Pain, NICU, knowledge, practice, nurses