Effectiveness of an Educational Program on Nurse's Knowledge and Practices Regarding Pain Management for Orthopedic Wards Patients in Baghdad Teaching Hospitals.

Authors

  • Alaa M. Abdul-Hamid Adult Nursing Department, College of Nursing/University of Baghdad Author
  • Hussein H. Atiyah Adult Nursing Department, College of Nursing/University of Baghdad Author

DOI:

https://doi.org/10.61841/s7c81e15

Keywords:

Pain Management, Orthopedic, Educational Program, Pharmacological Pain Management, NonPharmacological Pain Management

Abstract

Background: Quazi-experimental study was carried out at the orthopedic wards in AL-Wasity Teaching Hospital, and Ghazi AL-Hariri Martyr Hospital for Surgical Specialties. Objectives: the study aim to assess nurses knowledge and practices regarding pain management for orthopedic wards patients in Baghdad teaching hospitals, assess effectiveness of an educational program on nurses knowledge and practices regarding pain management for orthopedic wards patients in Baghdad teaching hospitals, and find out the relationships between nurses knowledge and practices, and their socio-demographic characteristics (age, gender, level of education, years of employments in nursing, years of experience in orthopedic wards, and participation in training session). Methodology: data collected through the application of a pre-test/ post-test approach for the study group and control group through using of structured questionnaire and checklist. Data collection was done at two times: baseline data (before any intervention was provided to the study group) and 21 days after giving the educational program (in the study group). The period of the study was from 16th December 2019 to 6thApril 2020. A non - probability purposive sample was randomly selected from nurses who were working in orthopedic wards. The sample divided into two groups (20) nurses considered as study group, and another (20) nurses considered as control group. The study group was exposed to an educational program, while the control group was not exposed to the program. Descriptive statistical analysis procedure by using SPSS version 23 (frequency, percentage and mean of score and standard deviation) and inferential analysis procedure (person correlation coefficient and t-test and p-value) were used to analysis the data. Results: the results of this study shows that there is a highly significant differences related to nurses' knowledge and practices regarding pain management for orthopedic wards patients; between pre and posttest in the study group, whereas there is a minor difference between pre and posttest in the control group. Conclusion: Nurses' knowledge and practices regarding pain management for orthopedic wards patients has been improved after application of the educational program in the study group, which confirmed the effectiveness of the delivered program toward improving knowledge and practices regarding pain management for orthopedic wards patients, the study concluded that there is a significant association between nurses knowledge and practices and their socio-demographic characteristics in term of level of education and years of experience in orthopedic wards. Recommendation: The researcher recommended the necessity of continuing applying this program to a broader sample. 

Downloads

Download data is not yet available.

References

1. Abbas, A. D. (2014). Evaluation Of Nurses Practices Concerning Chest Pain Management For Patients In The Emergency Unit. kufa Journal for Nursing sciences, 4(1), 24-33.

2. Abid, R. I., Majeed, H. M., & Mohammed, T. R. (2018). Assessment of Nurses Documentation for Nursing Care at Surgical Wards in Baghdad Teaching Hospitals. Journal of Pharmaceutical Sciences and Research, 10(10), 2568-2571.

3. Al-Ganmi, A. (2013). Assessment of Nurses' Knowledge Concerning Cardiogenic Shock for Patients' in Cardiac Care Unit at Baghdad Hospitals. College of Nursing, University of Baghdad, 4-6.

4. Alsaraireh, M., & Eshah, N. F. (2019). Factors that influence the quality of pain management in patients with skin traction. International Journal of Orthopaedic and Trauma Nursing, 36, 100713.

5. Al-Tameemi, L., and Khudur, K. M. (2017). Effectiveness of An Instructional Program on Nurses'

Knowledge Regarding Nursing Follow Up to Weaning From Mechanical Ventilation in Intensive Care Units in Baghdad Teaching Hospitals. IOSR Journal of Nursing and Health Science, 6(4), 2-4.

6. Atiyah, H. H. (2018). effectiveness of an educational Program on nurses’ Knowledge Concerning nursing Management for Patients with Compound Fracture at orthopedic Wards in Medical City Directorate. Indian Journal of Public Health Research & Development, 9(8), 321-326.

7. Atiyah, H., Khudhur, K., Hasan, S. (2012). Evaluation of nurses' practices toward postoperative wound dressing in surgical wards. Iraqi National Journal of Nursing Specialties, 1(25), 29-39.

8. Bakey, S. J. (2012). Evaluation of Nurses’ Practices throughout Hemodialysis Treatment for Patients in hemodialysis unit at Baghdad teaching hospitals. kufa Journal for Nursing sciences, 2(2), 64-76.

9. Barbosa, M. H., Araújo, N. F. D., Silva, J. A. J. D., Corrêa, T. B., Moreira, T. M., & Andrade, É. V. (2014). Pain assessment intensity and pain relief in patients post-operative orthopedic surgery. Escola Anna Nery, 18(1), 143-147.

10.Bilik, Ö., Savcı, A., & Damar, H. (2018). Orthopedic nurses' experiences in postoperative pain management. Turkiye Klinikleri J, 10(3), 214-21.

11.Büyükyılmaz, F . (2014). Non-Pharmacological Intervention in Orthopedic Pain: A Systematic Review.

International journal of caring sciences, 3 (7), 718-719.

12.Cui, C., Wang, L. X., Li, Q., Zaslansky, R., & Li, L. (2018). Implementing a pain management nursing

protocol for orthopaedic surgical patients: Results from a PAIN OUT project. Journal of clinical nursing,

27(7-8), 1684-1691.

13.Germossa, G. N., Sjetne, I. S., & Hellesø, R. (2018). The Impact of an In-service Educational Program on

Nurses' Knowledge and Attitudes Regarding Pain Management in an Ethiopian University Hospital. Frontiers

in public health, 6, 229.

14.Hassan, H. S., & Naseer, A. A. A. (2015). Effectiveness of Educational Program on Nurses' Practices toward

Cardiac Rehabilitation for Patients with Heart Attack. kufa Journal for Nursing sciences, 5(1), 18-23.

15.Hsu, J. R., Mir, H., Wally, M. K., & Seymour, R. B. (2019). Clinical Practice Guidelines for Pain

Management in Acute Musculoskeletal Injury. Journal of orthopedic trauma, 33(5), e158.

16.Hussein, T. M., & Al-Ani, B. A. J. (2015). Impact of Health Educational Program Upon Nurses' Knowledge

Towards Postoperative Wounds Care In Mosul Teaching Hospitals. nursing national Iraqi speciality, 28(2),

122-130.

17.Kadhim, H.Y., Bader, TH. R. (2012). Evaluation of nurses’ practices toward orthopedic wound infection.

Iraqi national Journal of nursing Specialties, 3(25), 58-70.

18.Khaled, A. K. (2016). Effect of Educational Programs on Knowledge and Attitudes of Surgical Nurses

Regarding Pain in Taif Hospitals. Int J Multidisc Curr Res, 4, 256-259.

19.Majeed, H. J., & Al-Attar, W. M. A. (2015). Effectiveness of an Educational Program on Nurses’ Knowledge

Concerning Side Effect of Radiotherapy at Al-Amal National Hospital for Cancer Management in Baghdad

City. kufa Journal for Nursing sciences, 5(2), 75-83.

20.Menlah, A., Garti, I., Amoo, S. A., Atakro, C. A., Amponsah, C., & Agyare, D. F. (2018). Knowledge,

attitudes, and practices of postoperative pain management by nurses in selected district hospitals in

Ghana. SAGE Open Nursing, 4, 1-11.

21.Mohammed, W. K., & Abas, A. H. (2013). Effectiveness of Continuing Nursing Education Program on

Nursing Staffs, Knowledge at Kidney Transplantation Units in Baghdad Teaching Hospitals. nursing national

Iraqi specility, 26(1), 25-32.

22.Mota, M., Cunha, M., Santos, M. R., Silva, D., & Santos, E. (2019). Non-pharmacological interventions for

pain management in adult victims of trauma: a scoping review protocol. JBI database of systematic reviews

and implementation reports, 17(12), 2483-2490.

23.Nuseir, K., Kassab, M., & Almomani, B. (2016). Healthcare providers’ knowledge and current practice of

pain assessment and management: how much progress have we made?. Pain Research and Management, 2016,

1-7.

24.Rafati, F., Soltaninejad, M., Aflatoonian, M. R., & Mashayekhi, F. (2016). Postoperative pain: Management

and documentation by Iranian nurses. Materia socio-medica, 28(1), 36.

25.Selman, F. K., & Ahmed, S. A. (2018). Effectiveness of an educational program on nurses’ practices

concerning nursing interventions for patients with coronary artery disease in AL-Nasiriyah Heart Center.

Indian Journal of Public Health Research & Development, 9(8), 1262-1267.

26.Shakya, B. M., & Shakya, S. (2016). Knowledge and Attitude of Nurses on Pain Management in a Tertiary

Hospital of Nepal. International Journal of Nursing Research and Practice, 3(1), 21, 1324-2350.

27.Sikawa, L. (2018). Nurses’ role in patient guidance for post-operative pain management in the orthopedic patients: A Narrative Literature Review.LAMK, 1-9.

28.World Health organization (WHO). (2019, Novmber). Musculoskeletal conditions. Retrieved From

https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions.

29.Wulff, T. (2012). Knowledge and clinical practice of nurses for adult post-operative orthopaedic pain management (Doctoral dissertation, Stellenbosch: Stellenbosch University),1-20.

Published

29.02.2020

How to Cite

M. Abdul-Hamid, A., & H. Atiyah, H. (2020). Effectiveness of an Educational Program on Nurse’s Knowledge and Practices Regarding Pain Management for Orthopedic Wards Patients in Baghdad Teaching Hospitals. International Journal of Psychosocial Rehabilitation, 24(1), 6508-6519. https://doi.org/10.61841/s7c81e15