Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized Patients
Background: Pain management is among the key tasks of nurses. Numerous studies have investigated the barriers and facilitators of pain management with conflicting results. The current study investigated the Iranian nurses’ perspectives in terms of the barriers and facilitators of pain management in...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Iran University of Medical Sciences
2019-08-01
|
| Series: | Journal of Client-centered Nursing Care |
| Subjects: | |
| Online Access: | http://jccnc.iums.ac.ir/article-1-227-en.html |
| _version_ | 1819230112317440000 |
|---|---|
| author | Roya Amiri Azadeh Safa Mansour Dianati Fateme Sadat Izadi-Avanji Ismail Azizi-Fini Elham Izadi-Dastjerdi |
| author_facet | Roya Amiri Azadeh Safa Mansour Dianati Fateme Sadat Izadi-Avanji Ismail Azizi-Fini Elham Izadi-Dastjerdi |
| author_sort | Roya Amiri |
| collection | DOAJ |
| description | Background: Pain management is among the key tasks of nurses. Numerous studies have investigated the barriers and facilitators of pain management with conflicting results. The current study investigated the Iranian nurses’ perspectives in terms of the barriers and facilitators of pain management in hospitalized patients.
Methods: This was a cross-sectional study. A total of 321 nurses working in a large general teaching hospital were recruited by the census method. A two-part, self-report questionnaire, including questions on nurses' characteristics and barriers and facilitators of pain management, was applied to collect data. The questionnaire was developed by researchers using a literature review. The questionaries’ reliability was assessed through a test-retest with a correlation coefficient of 0.89. SPSS was used for statistical data analysis. Descriptive statistics (frequency, percentage, mean, and standard deviation) were applied to analyze the data.
Results: Insufficient nurse/patient ratio (Mean±SD: 3.31±0.87), excessive demand for pain medications by the patients (3.12±0.95), the spoken language difference between physician and patient (3.01±0.85), the ignorance of pain as a priority in care (2.94±0.98), and failure to precise pain assessment (2.90±0.89) were determined by the nurses, as the main barriers to pain management, respectively. The studied nurses also perceived the attendance of in-service courses of pain management (3.39±0.63), having sufficient pain management skills (3.24±0.76), motivation for relieving the patient’s pain (3.24±0.81), effective nurse-physician relationship (3.26±0.68), proper supervision of the organization on a timely patient visit by the physician (3.12±0.92), and patient cooperation in pain management (3.21±0.75), as the main facilitators of pain management, respectively.
Conclusion: The establishment of in-service education programs on pain management and strengthening the managerial processes, such as staffing and supervision, can facilitate pain management in hospitalized patients by nurses. |
| first_indexed | 2024-12-23T11:23:53Z |
| format | Article |
| id | doaj.art-95c2f3010b284399abc13bd39f1987c7 |
| institution | Directory Open Access Journal |
| issn | 2476-4132 2476-4132 |
| language | English |
| last_indexed | 2024-12-23T11:23:53Z |
| publishDate | 2019-08-01 |
| publisher | Iran University of Medical Sciences |
| record_format | Article |
| series | Journal of Client-centered Nursing Care |
| spelling | doaj.art-95c2f3010b284399abc13bd39f1987c72022-12-21T17:49:00ZengIran University of Medical SciencesJournal of Client-centered Nursing Care2476-41322476-41322019-08-0153193202Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized PatientsRoya Amiri0Azadeh Safa1Mansour Dianati2Fateme Sadat Izadi-Avanji3Ismail Azizi-Fini4Elham Izadi-Dastjerdi5 Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran. Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran. Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran. Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran. Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran. Department of Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. Background: Pain management is among the key tasks of nurses. Numerous studies have investigated the barriers and facilitators of pain management with conflicting results. The current study investigated the Iranian nurses’ perspectives in terms of the barriers and facilitators of pain management in hospitalized patients. Methods: This was a cross-sectional study. A total of 321 nurses working in a large general teaching hospital were recruited by the census method. A two-part, self-report questionnaire, including questions on nurses' characteristics and barriers and facilitators of pain management, was applied to collect data. The questionnaire was developed by researchers using a literature review. The questionaries’ reliability was assessed through a test-retest with a correlation coefficient of 0.89. SPSS was used for statistical data analysis. Descriptive statistics (frequency, percentage, mean, and standard deviation) were applied to analyze the data. Results: Insufficient nurse/patient ratio (Mean±SD: 3.31±0.87), excessive demand for pain medications by the patients (3.12±0.95), the spoken language difference between physician and patient (3.01±0.85), the ignorance of pain as a priority in care (2.94±0.98), and failure to precise pain assessment (2.90±0.89) were determined by the nurses, as the main barriers to pain management, respectively. The studied nurses also perceived the attendance of in-service courses of pain management (3.39±0.63), having sufficient pain management skills (3.24±0.76), motivation for relieving the patient’s pain (3.24±0.81), effective nurse-physician relationship (3.26±0.68), proper supervision of the organization on a timely patient visit by the physician (3.12±0.92), and patient cooperation in pain management (3.21±0.75), as the main facilitators of pain management, respectively. Conclusion: The establishment of in-service education programs on pain management and strengthening the managerial processes, such as staffing and supervision, can facilitate pain management in hospitalized patients by nurses.http://jccnc.iums.ac.ir/article-1-227-en.htmlpainpain managementbarriersfacilitatorsnurse |
| spellingShingle | Roya Amiri Azadeh Safa Mansour Dianati Fateme Sadat Izadi-Avanji Ismail Azizi-Fini Elham Izadi-Dastjerdi Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized Patients Journal of Client-centered Nursing Care pain pain management barriers facilitators nurse |
| title | Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized Patients |
| title_full | Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized Patients |
| title_fullStr | Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized Patients |
| title_full_unstemmed | Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized Patients |
| title_short | Nurses’ Perspectives on the Barriers and Facilitators of Pain Management in Hospitalized Patients |
| title_sort | nurses perspectives on the barriers and facilitators of pain management in hospitalized patients |
| topic | pain pain management barriers facilitators nurse |
| url | http://jccnc.iums.ac.ir/article-1-227-en.html |
| work_keys_str_mv | AT royaamiri nursesperspectivesonthebarriersandfacilitatorsofpainmanagementinhospitalizedpatients AT azadehsafa nursesperspectivesonthebarriersandfacilitatorsofpainmanagementinhospitalizedpatients AT mansourdianati nursesperspectivesonthebarriersandfacilitatorsofpainmanagementinhospitalizedpatients AT fatemesadatizadiavanji nursesperspectivesonthebarriersandfacilitatorsofpainmanagementinhospitalizedpatients AT ismailazizifini nursesperspectivesonthebarriersandfacilitatorsofpainmanagementinhospitalizedpatients AT elhamizadidastjerdi nursesperspectivesonthebarriersandfacilitatorsofpainmanagementinhospitalizedpatients |