Patient Satisfaction With a Nurse-Led Pain Management Program: A Quasi-Experimental Study in Ethiopia

Introduction Patient satisfaction is one of the important indicators of quality care. Objective To examine patient ratings of pain management satisfaction before and after introducing a nurse-led management program. Methods A quasi-experimental design with three cross-sectional surveys between Octob...

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Main Authors: Gugsa Nemera Germossa RN, MSc, Ingeborg Strømseng Sjetne RN, PhD, Milada Cvancarova Småstuen PhD, Ragnhild Hellesø RN, PhD
Format: Article
Language:English
Published: SAGE Publishing 2022-11-01
Series:SAGE Open Nursing
Online Access:https://doi.org/10.1177/23779608221141237
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author Gugsa Nemera Germossa RN, MSc
Ingeborg Strømseng Sjetne RN, PhD
Milada Cvancarova Småstuen PhD
Ragnhild Hellesø RN, PhD
author_facet Gugsa Nemera Germossa RN, MSc
Ingeborg Strømseng Sjetne RN, PhD
Milada Cvancarova Småstuen PhD
Ragnhild Hellesø RN, PhD
author_sort Gugsa Nemera Germossa RN, MSc
collection DOAJ
description Introduction Patient satisfaction is one of the important indicators of quality care. Objective To examine patient ratings of pain management satisfaction before and after introducing a nurse-led management program. Methods A quasi-experimental design with three cross-sectional surveys between October 1, 2016 and June 15, 2017. A total of 845 patients admitted to the four inpatient departments (medicine, surgery, maternity, and gynecology) of Jimma University Medical Centre were invited to participate in the study. A questionnaire adapted from the American Pain Society Patient Outcome Questionnaire, Pain Treatment Satisfaction Scale, and related literature was used for the survey. Data were analyzed using the chi-square test (categorical variables), t -tests for continuous variables, and robust regression to determine the effect of nurse-led management program on patient satisfaction. For all tests, p -values <.05 were considered statistically significant. Results Of the 845 patients invited, 782 (92.5%) participated in the surveys—Survey 1: N  = 256; Survey 2: N  = 259; Survey 3: N  = 267. The proportion of patients who perceived that staff responded within 30 min increased from 67.8% in Survey 1 to 71.1% in Survey 2 and 74.2% in Survey 3. On a scale of 1 to 5 (1 = strongly dissatisfied and 5 = strongly satisfied), the overall mean patient satisfaction with pain management was 3.61 (SD 0.80) in Survey 1, 3.81 (SD 0.86) in Survey 2, and 4.10 (SD 0.64) in Survey 3. Moreover, the patients scored significantly higher on all satisfaction items in Survey 2 (B ranged between 0.12 and 0.41) and Survey 3 (B ranged between 0.24 and 0.74) compared to Survey 1. Conclusion The patients’ ratings of their satisfaction and staff nurse responsiveness following the nurse-led pain management program have increased compared to the levels before the intervention. However, further studies, including those with a control group, are warranted to confirm the results.
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spelling doaj.art-82f0f5095363492594508d1135e284f02022-12-22T02:44:26ZengSAGE PublishingSAGE Open Nursing2377-96082022-11-01810.1177/23779608221141237Patient Satisfaction With a Nurse-Led Pain Management Program: A Quasi-Experimental Study in EthiopiaGugsa Nemera Germossa RN, MSc0Ingeborg Strømseng Sjetne RN, PhD1Milada Cvancarova Småstuen PhD2Ragnhild Hellesø RN, PhD3 Department of Nursing Sciences, Institute of Health and Society, Faculty of Medicine, , Oslo, Norway Division of Health Services, Institute of Public Health, Oslo, Norway Department of Nursing, Faculty of Health Sciences, , Oslo, Norway Department of Nursing Sciences, Institute of Health and Society, Faculty of Medicine, , Oslo, NorwayIntroduction Patient satisfaction is one of the important indicators of quality care. Objective To examine patient ratings of pain management satisfaction before and after introducing a nurse-led management program. Methods A quasi-experimental design with three cross-sectional surveys between October 1, 2016 and June 15, 2017. A total of 845 patients admitted to the four inpatient departments (medicine, surgery, maternity, and gynecology) of Jimma University Medical Centre were invited to participate in the study. A questionnaire adapted from the American Pain Society Patient Outcome Questionnaire, Pain Treatment Satisfaction Scale, and related literature was used for the survey. Data were analyzed using the chi-square test (categorical variables), t -tests for continuous variables, and robust regression to determine the effect of nurse-led management program on patient satisfaction. For all tests, p -values <.05 were considered statistically significant. Results Of the 845 patients invited, 782 (92.5%) participated in the surveys—Survey 1: N  = 256; Survey 2: N  = 259; Survey 3: N  = 267. The proportion of patients who perceived that staff responded within 30 min increased from 67.8% in Survey 1 to 71.1% in Survey 2 and 74.2% in Survey 3. On a scale of 1 to 5 (1 = strongly dissatisfied and 5 = strongly satisfied), the overall mean patient satisfaction with pain management was 3.61 (SD 0.80) in Survey 1, 3.81 (SD 0.86) in Survey 2, and 4.10 (SD 0.64) in Survey 3. Moreover, the patients scored significantly higher on all satisfaction items in Survey 2 (B ranged between 0.12 and 0.41) and Survey 3 (B ranged between 0.24 and 0.74) compared to Survey 1. Conclusion The patients’ ratings of their satisfaction and staff nurse responsiveness following the nurse-led pain management program have increased compared to the levels before the intervention. However, further studies, including those with a control group, are warranted to confirm the results.https://doi.org/10.1177/23779608221141237
spellingShingle Gugsa Nemera Germossa RN, MSc
Ingeborg Strømseng Sjetne RN, PhD
Milada Cvancarova Småstuen PhD
Ragnhild Hellesø RN, PhD
Patient Satisfaction With a Nurse-Led Pain Management Program: A Quasi-Experimental Study in Ethiopia
SAGE Open Nursing
title Patient Satisfaction With a Nurse-Led Pain Management Program: A Quasi-Experimental Study in Ethiopia
title_full Patient Satisfaction With a Nurse-Led Pain Management Program: A Quasi-Experimental Study in Ethiopia
title_fullStr Patient Satisfaction With a Nurse-Led Pain Management Program: A Quasi-Experimental Study in Ethiopia
title_full_unstemmed Patient Satisfaction With a Nurse-Led Pain Management Program: A Quasi-Experimental Study in Ethiopia
title_short Patient Satisfaction With a Nurse-Led Pain Management Program: A Quasi-Experimental Study in Ethiopia
title_sort patient satisfaction with a nurse led pain management program a quasi experimental study in ethiopia
url https://doi.org/10.1177/23779608221141237
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