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نتیجه جستجو - Pain management

تعداد مقالات یافته شده: 27
ردیف عنوان نوع
1 Pain management for infants – Myths, misconceptions, barriers; knowledge and knowledge gaps
مدیریت درد برای نوزادان - افسانه ها، باورهای غلط، موانع؛ دانش و شکاف دانش-2021
Twelve years ago, the paper ‘Oral sucrose for pain management in infants: Myths and misconceptions’ was published in the Journal of Neonatal Nursing. At this time, eight myths or misconceptions were addressed. Since this time there has been more than 100 studies published reporting on analgesic effects of sweet solutions in newborns, which have been synthesised and included in systematic reviews. There has also been a growth of literature to support analgesic effects of breastfeeding and skin-to-skin care as well as concerning evidence of adverse long-term neurobehavioural outcomes associated with painful procedures. Yet, ongoing studies of pain management practices continue to report inconsistent use of these strategies during painful procedures. We are therefore at a cross-roads of evidence – there is knowledge of effective treatments, knowledge of harm of untreated pain, yet sick, premature as well as healthy infants are continuing to be exposed to painful procedures with no effective treatment. There are however ongoing myths, misconceptions, and practical barriers to using the evidence as well as ongoing knowledge gaps. This paper will therefore highlight existing myths, misconceptions, barriers and current knowledge gaps to using the three key evidence-based pain management strategies of breastfeeding, skin-to-skin care and sweet solutions, in the hope that this will bring to light newborn infant pain treatment practices that can be improved.
keywords: پرستاری | نوزاد تازه | درد | درمان درد | شیر دادن | ساکاروز | پوست به پوست | نوزاد | ترجمه دانش | پژوهش | Nursing | Newborn | Pain | Pain treatment | Breastfeeding | Sucrose | Skin-to-skin | Neonate | Knowledge translation | Research
مقاله انگلیسی
2 Nurses perspectives on pain management practices during newborn blood sampling in China
دیدگاه های پرستاران در مورد شیوه های مدیریت درد در طی نمونه گیری خون نوزادان در چین-2021
Introduction: Nurses’ use of evidence-based pain treatments for newborns during needle-related procedures in China was unknown. This study aimed to ascertain knowledge and use of pain management strategies and usefulness of a publicly accessible ’BSweet2Babies’ video, produced in Mandarin, demonstrating the use of breastfeeding, skin-to-skin care (SSC), and sweet solutions during painful procedures. Methods: An online survey was conducted during six nursing conferences in China ascertaining nurses’ previous viewing of the video and knowledge and use of the demonstrated strategies. Results: 221 nurses participated. Only 25 (11.3%) had previously seen the video. Over half knew that breast- feeding (n = 138, 62.4%) and SSC (n = 173, 78.3%) reduced pain, and 89 (40.3%) knew that sucrose reduced pain, but these strategies were infrequently used. Most intended to use the strategies in the future. Discussion: A knowledge-to-action gap for newborn pain management was identified. Future research is needed to improve the implementation of effective pain treatment for newborns.
keywords: نوزاد | درد رویه ای | مدیریت درد | تمرین مبتنی بر شواهد | نظر سنجی | Neonate | Procedural pain | Pain management | Evidence-based practice | Survey
مقاله انگلیسی
3 Pain Prevalence, Pain Management, and the Need for Pain Education in Healthcare Undergraduates
شیوع درد، مدیریت درد و نیاز به آموزش درد در دانشجویان مراقبت های بهداشتی-2021
Background: Pain is a common health problem in undergraduate students. Pain prevalence, pain management strategies and knowledge among healthcare groups has not been revealed yet.
Aim: This study explored pain prevalence, intensity, pain management strategies, knowledge, and education in undergraduate students specializing in healthcare science. The findings will highlight the necessity for increasing pain management education in the university setting. Design: A questionnaire-based, cross-sectional study was conducted.
Settings/ Participants: Data was collected from 1,490 university students in Tokyo between December 2015 and April 2016. A c square test was performed to examine differences in pain status and management strategies according to gender. We compared medical knowledge scores among disciplines using one-way analysis of variance.
Results: In total, 511 (79.2%) students had experienced bodily pain during the preceding 6 months. Pain prevalence differed by gender. More nursing students had used both pharmacological and nonpharmacological methods for pain management than had students from other disciplines (p ¼ .011). Pain medication knowledge of students in other disciplines was low to moderate, with greater knowledge observed in medical students (p < .05).
Conclusions: Education regarding pain management should be developed that considers differences among disciplines. Additionally, poor pain management knowledge could affect the quality of care students provide to patients after graduation. Enhancing pain management knowledge by providing suitable pain management education in universities may contribute to better pain management for students, and this may translate to their work in clinical settings.
مقاله انگلیسی
4 Factors Relating to Nurses’ Knowledge and Attitudes Regarding Pain Management in Inpatients
عوامل مرتبط با دانش و نگرش پرستاران در مورد مدیریت درد در بیماران بستری-2021
Purpose: To describe factors associated with nurses’ attitudes or lack of knowledge regarding pain management in adult inpatients.
Design: Transverse descriptive survey-based study. Methods: This was a transverse descriptive survey-based study. The population was obtained through nonprobability convenience sampling. The Knowledge and Attitudes Survey Regarding Pain was made available to 470 nurses at a tertiary level hospital. Associations were sought with the unit where assigned, years of experience, specific training on pain, and postgraduate education.
Results: The sample included 134 nurses with a mean age of 41.6 ± 10.8 years; 87% were women, 64% worked rotating shifts, 64% had more than 10 years of experience, and 31% had specific training in pain management. The greatest number of correct responses was obtained from nurses with specific training in pain management (p ¼ .001) and nurses who worked in units of surgical hospitalization (p ¼ .004). The lack of training was associated with a deficit in knowledge and inadequate attitudes about pain management. In nurses with less than 10 years of experience, worse results were observed in knowledge, whereas the unit of work was decisive in the results about attitude (p < .05).
Conclusions: Among the nurses surveyed, some knowledge gaps were detected, as were certain inappropriate attitudes, associated with lack of training, lack of experience, and being assigned to specific hospitalization units.
مقاله انگلیسی
5 A Review and Conceptual Analysis of Cancer Pain Self-Management
بررسی و تجزیه و تحلیل مفهومی از خود مدیریت سرطان-2021
Objectives: In this concept analysis article, we will clarify the concept “self-management of cancer pain” by identifying related antecedents, attributes, and consequences to further refine the conceptual and operational definitions of the concept. Design: A review was conducted.
Review/Analysis Methods: The Walker and Avant method was used for this concept analysis. Data sources: CINAHL, PubMed, and PsycInfo were searched systemically.A total of eight studies on “selfmanagement of cancer pain or self-care of cancer pain” published between 2004 and 2019 were identified.
Results: Attributes for self-management of cancer pain include self-efficacy, integration of methods for pain relief into daily life, decision-making related to pain management, process for solving pain-related issues, and initiation of interactions with healthcare professionals. Antecedents include knowledge regarding pain assessment and management, cognitive abilities, motivation, undergoing pain treatment, patient education and counseling, social support, and accountability from all parties involved. Consequences include pain control, improved quality of life, and increased opioid intake.
Conclusions: Self-management of cancer pain was reported to be a self-regulation process with the aim to encourage patients to use skills attained through development of self-efficacy, so they can actively participate in their pain management. This outcome may enhance their quality of life by decreasing their pain, depression, and anxiety and increasing the availability of social support.
مقاله انگلیسی
6 A Nonrandomized Pretest Posttest Study on the Impact of an Educational Pain Management Program on Nurses’ Knowledge and Attitudes Regarding Pain in a Middle Eastern Country
یک مطالعه غیرتصادفی پیش آزمون پس آزمون در مورد تأثیر یک برنامه آموزشی مدیریت درد بر دانش و نگرش پرستاران در مورد درد در یک کشور خاورمیانه-2021
Background: Although nurse’s knowledge and attitudes regarding pain management has been sufficiently studied worldwide, the impact of an educational intervention program in improving such attitudes and knowledge has not been likewise researched, especially in Middle Eastern countries.
Aims: To examine nurses’ knowledge and attitudes regarding pain at a university hospital in Lebanon before and after the introduction of a pain management educational program. And to assess the relationship between the characteristic of nurses and their pain knowledge.
Methods: Design; A nonrandomized pretest posttest study design was used. Setting; A university hospital in Lebanon. Participants; Included 183 nurses using the Nurses’ Knowledge and Attitudes Survey Regarding Pain questionnaire. The pain educational intervention was based on the principles of Ajzen’s theory of planned behavior.
Results: A significant difference between the pre and post test scores was noted (p = .016). Questions answered correctly by 80% of participants were related to questions about pain, pain assessment and management, and questions related to medications, such as correct dosages and opioid side effects were not answered correctly by the majority of nurses. There were significant associations between test scores and the nurses’ educational level, their age, and their years of experience. Nurses who worked in critical care units, the emergency department and oncology had higher scores than nurses who worked on general units.
Conclusions: Despite the intensive pain education provided at our institution, the pain knowledge of nurses remains below that recommended level which indicates a dire need for more intensive and continuous education in order to provide a pain free environment.
مقاله انگلیسی
7 Educational Intervention to Strengthen Pediatric Postoperative Pain Management: A Cluster Randomized Trial
مداخله آموزشی برای تقویت مدیریت درد پس از عمل کودکان: یک آزمایش تصادفی خوشه ای-2021
Background: Pediatric postoperative pain is still undertreated. Aims: To assess whether educational intervention increases nurses’ knowledge and improves pediatric postoperative pain management.
Design: Cluster randomized controlled trial with three measurement points (baseline T1, 1 month after intervention T2, and 6 months after intervention T3). Participants/Subjects: The study was conducted in postanesthesia care units at six hospitals in Norway. Nurses working with children in the included units and children who were undergoing surgery were invited to participate in this study.
Methods: Nurses were cluster randomized by units to an intervention (n = 129) or a control group (n = 129). This allocation was blinded for participants at baseline. Data were collected using “The Pediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain: Norwegian Version” (primary outcome), observations of nurses’ clinical practice, and interviews with children. The intervention included an educational day, clinical supervision, and reminders.
Results: At baseline 193 nurses completed the survey (75% response rate), 143 responded at T2, and 107 at T3. Observations of nurses’ (n = 138) clinical practice included 588 children, and 38 children were interviewed. The knowledge level increased from T1 to T3 in both groups, but there was no statistically significant difference between the groups. In the intervention group, there was an improvement between T1 and T2 in the total PNKAS-N score (70% vs. 83%), observed increase use of pain assessment tools (17% vs. 39%), and children experienced less moderate-to-severe pain.
Conclusions: No significant difference was observed between the groups after intervention, but a positive change in knowledge and practice was revealed in both groups. Additional studies are needed to explore the most potent variables to strengthen pediatric postoperative pain management.
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مقاله انگلیسی
8 Resident Opioid Prescribing Habits Do Not Reflect Best Practices in Post-Operative Pain Management: An Assessment of the Knowledge and Education Gap
عادت های تجویز داروهای ساکن، بهترین شیوه ها را در مدیریت درد پس از عمل منعکس نمی کنند: ارزیابی شکاف دانش و آموزش-2021
OBJECTIVE: To evaluate deficiencies in knowledge and education in opioid prescribing and to compare surgical resident opioid-prescribing practices to Opioid Prescribing Engagement Network (OPEN) procedure-specific guidelines.
DESIGN: Anonymous web-based survey distributed to all general surgery residents to evaluate prior education received and confidence in knowledge in opioid prescribing. The number of 5 milligram oxycodone tablets prescribed for common procedures was assessed and compared with OPEN for significance using Wilcoxon signed rank tests.
SETTING: General surgery residency program within large university-based tertiary medical center. PARTICIPANTS: Categorical general surgery residents of all postgraduate years.
RESULTS: Fifty-six of 72 (78%) categorical residents completed the survey. Few reported receiving formal education in opioid prescribing in medical school (32%) or residency (16%). While 82% of residents felt confident in opioid side effects, fewer felt the same with regards to opioid pharmacokinetics (36%) or proper opioid disposal (29%). Opioids prescribed varied widely with residents prescribing significantly more than recommended by OPEN in 9 of 14 procedures.
CONCLUSIONS: Tackling the evolving opioid epidemic requires a multidisciplinary approach that addresses prescribing at all steps of the process, starting with trainee education.
KEY WORDS: Opioid Epidemic | Opioid Prescribing Engagement Network | Surgical Education | Resident Education
COMPETENCIES: Patient Care, Medical Knowledge, Practice-Based Learning and Improvement
مقاله انگلیسی
9 Knowledge of Opioid-induced Respiratory Depression Among Chinese Healthcare Professionals:A Cross-Sectional Study
شناخت افسردگی تنفسی ناشی از مواد مخدر در میان متخصصان مراقبت های بهداشتی چینی: یک مطالعه مقطعی-2021
Purpose: The purposes of this study were to measure knowledge about opioid-induced respiratory depression (OIRD) among Chinese healthcare professionals and to explore the associated factors that influence Chinese healthcare professionals’s knowledge
Methods: A cross-sectional survey was conducted. A convenience sample of 90 0 Chinese healthcare professionals from 21 provinces, 4 municipalities, and 4 a utonomous regions was used. The OIRD knowledge questionnaire, which is a s elf-designed questionnaire based on evidence, was used to judges the degree of knowledge among Chinese healthcare professionals according to the accuracy r ate. The questionnaire included questions on 6 dimensions of knowledge. Socio -demographic characteristics were also measured by amulti-item questionnaire.
Results: The mean accuracy and correct response rate range on the OIRD kno wledge questionnaire for all participants were 64.5±10.0% and 20%-100%, resp ectively. According to univariate analysis, Chinese healthcare professionals’ OIR D knowledge was positively correlated with age, region, profession, hospital lev el, type of hospitals and departments, education level, years of clinical working, and clinical practice of chronic cancer pain management. Multiple linear regress ion analysis showed differences in professions and regions.( all p<0. 0 5) .
Conclusions Most Chinese healthcare professionals had misconceptions about O IRD and lacked relevant knowledge. We should assign importance to developin g targeted training programs and exploring feasible and effective training metho ds.
keywords: Cancer pain | Opioid-induced respiratory depression | Knowledge | Healthcare professionals | Opioid-induced adverse
مقاله انگلیسی
10 Pain Management Knowledge of Nurses Working in Northwest Amhara Referral Hospitals in Ethiopia During 2018
مدیریت دانش درد پرستاران شاغل در بیمارستان های ارجاع شمال غربی آمین در اتیوپی در سال 2018-2021
Background: Pain is an unpleasant emotional and sensory experience that is associated with actual or potential tissue damage. Providing comfort and relief of pain of clients are the fundamental role of nurses in nursing practices. However, inadequate knowledge of appropriate pain management has been reported to be a major obstacle to implementing effective pain management by nurses.چ
Objective: The objective of this study was to assess knowledge of pain management techniques in nurses working in referral hospitals in northwest Ethiopia.
Methods: An institution-based, cross-sectional, interviewer-administered questionnaire study of the pain treatment knowledge of 411 nurses was conducted in 2018 in Northwest Referral Hospitals in Ethiopia. The sample size was allocated to each selected referral hospital. A systematic sampling technique was used to select study participants. The descriptive data were presented in frequency tables. Binary and multivariable logistic regression analyses were undertaken to identify associated factors to pain management knowledge of nurses. Variables with a P value < 0.05 were considered as a significant variable.
Results: Only 40.6% of nurses were judged to have had adequate knowledge regarding pain management. Number of years of training (adjusted odds ratio = 2.19; 95% CI, 1.39–3.44), prior pain education (adjusted odds ratio = 2.34; 95% CI, 1.45–3.8), and professional rank (adjusted odds ratio = 3.09; 95% CI, 1.37–6.96) were associated factors for pain management knowledge of nurses.
Conclusions: The level of many nurses’ knowledge of pain management techniques were inadequate. Lack of pain training in their institution, lack of pain education in their academic curriculum, and professional rank were predictors of these nurses’ pain management knowledge. Providing pain management training and employing higher service rank nurses are likely to result in increased nurses’ knowledge of proper pain management techniques.
keywords: Knowledge | Nursing | Northwest Ethiopia | Pain management
مقاله انگلیسی
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