Pain Assessment and Management Practices among Nurses Working in Pediatric Department in Public Hospitals, Addis Ababa, Ethiopia
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Date
2024-05-15
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Addis Ababa University
Abstract
Background: Pain is a primary motivator for patients to seek medical attention, and it is the most frequent symptom seen in children at hospitals. Evaluating pain is crucial and serves as the primary focus in patient care for pain management.
Objective: To assess pain assessment and management practices among nurses working in pediatric department in public hospitals, Addis Ababa, Ethiopia. Methods: A cross-sectional study was conducted at St. Paul Hospital Millennium Medical College and Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia, from March to April 2024. It included all staff nurses in pediatric units during this period. Data were collected using a semi-structured questionnaire and analyzed with SPSS version 26. Descriptive statistics summarized patient characteristics, while logistic regression explored associations between variables, with significance set at p < 0.05.
Result: The study's major findings reveal that while a significant majority of nurses (89.7%) reported they assess pain. Also the overall pain management practice was 73.53% good among nurses working in the pediatric department of public hospitals in Addis Ababa, Ethiopia Participants workload was a significant factor, with a high workload associated with an AOR of 0.034 (95% CI: 0.003-0.343, p=.004), suggesting a strong negative impact on pain assessment practices. The lack of availability of pain assessment tools had a non-significant AOR of 0.82 (95% CI: 0.19-4.94, p=.074). However, the lack of education on assessment tools showed a significant effect with an AOR of 0.321 (95% CI: 0.129-0.795, p=.014), and the lack of familiarity with assessment tools also significantly affected pain assessment practices, with an AOR of 0.342 (95% CI: 0.120-0.977, p=.045).
Conclusion: The study's findings underscore the challenges in pain assessment and management, citing high nursing workload, lack of education on assessment tools, and "Emergency" care as key factors influencing practices. Clear communication within units is crucial, as it impacts pain management outcomes.
Recommendations include targeted training, workload management, improved tool accessibility, enhanced communication, continuous education, interdisciplinary collaboration, and regular monitoring for better pain management practices.
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Pain assessment pain management pediatric pain Tikur Anbessa Specialized Hospital St. Paul Hospital MMC