Wednesday, December 12, 2018
'Nurses Knowledge and Attitude Regarding Essay\r'
'A signifi female genital organt consequence of patients continue to construe unrelieved spite during infirmaryization despite decades of research, improved therapeutic measures and advancement in technology. Delays in recoery, decreased patient satisfaction, decreased flavour of life and increased healthc ar costs are some consequences related to poor upset oversight.\r\n limitation in nursesââ¬â¢ familiarity about pain opinion and oversight contributes to poor pain focal point in hospitalized patients. Literature suggests concerns about addiction and respiratory depressive disorder as a likely cause of infra treatment of pain (Lewthwaite et.al, 2011). A culture conducted to explore nursing opinions about pain revealed a object for personal opinion to influence the choice of opioid panelling (Lewthwaite et.al, 2011). The purpose of this study was to better understand the registered nursesââ¬â¢ direct of knowledge of and attitudes toward pain management.\r\nWhe re do nurses receive and modify their knowledge about pain management? A 2007 take after of Canadian university undergraduate programs showed pain instruction virtually n unrivalledxistent in the curricula of health condole with professional faculties (Watt-Watson, McGillion, & Hunter, 2007). Providing adequate pain management depends on the level of knowledge of, skills, and attitudes of nurses. To address larn needs effectively, and prior to planning educational opportunities, it is necessity to pose these knowledge gaps. reproduction completely whitethorn be insufficient to change practice, addicted express improvement in pain management over the last three decades. Some suggest changing the entire culture within any given organization to one that designates and empowers nurses in areas of assessment and management of patientsââ¬â¢ pain experiences , thereby giving the nurse greater influence over these areas (Lewthwaite et al., 2011).\r\nStrong nursing leader ship and support from clinical nurse specialists, educators, and administrators is needed to figure and sustain practice changes.\r\nMethods\r\nDesign and Sample\r\nThis descriptive quantitative study was conducted in an urban 3rd care hospital in Midwestern Canada. A convenience sample include 761 full and part-time registered nurses who administer analgesia as part of their practice. Clinical units included surgery, woman and child, cardiac sciences, medicine, family medicine, geriatric-rehabilitation, emergency, mental health, and the hospital swan pool (Lewthwaite et al., 2011).\r\nA self-administered one-page data inspect was created for the study, which serene demographical information as well as geezerhood of experience and pain knowledge. The abide by included the Ferrell and McCaffery (2008) fellowship and Attitudes Survey Regarding Pain (KASRP) tool. The original KASRP tool would be thought of as too long to tell apart during working hours, so a revised survey us ing only the 22 true and chimerical question on the KASRP tool was used (Lewthwaite et al., 2011).\r\nThe KASRP tool, highly-developed in 1987 and revised in 2008, is used extensively as a pre and posttest evaluation measure for educational programs to assess nurses and other healthcare professionals. The content was reviewed and authorize by pain experts, and content information was launch through current pain management standards derived from organizations including the homo health Organization, American Pain Society, and the Agency for Health Care Policy and Research. Construct rigourousness was open up by comparing scores of nurses at miscellaneous levels of expertise from students, to superior pain experts (Ferrell & McCaffery, 2008).\r\nProcedures\r\nAn alpha level of 0.05 would determine statistical significance. Construct validity was guessd by comparing nurses scores with varying levels of expertise, from students to senior nurses and pain experts. Test-retest reliability was established (r > 0.80) and internal amity was shown, with a coefficient alpha of 0.85 (Lewthwaite et al., 2011).\r\nResults\r\nOut of 761 nurses, 324 participated and backtracked the surveys, for a response rate of 43%. Years of experience ranged from 24% with more than 25 old age of professional experience to 22% with five years or little of professional experience. The majority of nursesââ¬â¢ reported working in surgery, woman and child, and cardiac sciences. Almost half of the participants (48.8%) scored 80% or higher and 66% of the nurses rated their knowledge of pain management as good. Questions relating to pharmacology, in particular those involving knowledge of opioids, scored the lowest. As with similar studies on this subject, this study rig knowledge gaps among acute care nurses. The findings of this study can be used to design continuing educational opportunities in the work place that include pharmacology information to meet specific needs in the workplace. The results also provide a benchmark to evaluate the effectiveness of enhancing pain education in the schoolroom setting.\r\nEthical Considerations\r\nEthics approval was obtained from the study hospital research review committee, and a university research morals board. The list of potential participants was obtained from the human resources department. Hospital volunteers delivered the study packets to unit-based staff mailboxes. The package included a letter of invite to participate, the survey questionnaire, and a self-addressed return envelope. Participation was voluntary, and completion and return of the questionnaire indicated such. In this self-reporting study, participants whitethorn have taken the opportunity to discuss questions or seek answers from other sources, as well as answer questions in a professionally or socially desirable fashion.\r\nConclusion\r\nThe battle to get hold of effective pain management despite years of research and efforts by al l involved continues to be a challenge. Previous nursing studies, along with this study, credit rating a knowledge gap amongst nurses as one reason for poor pain management and identify areas such as pharmacology, where nurses in particular lack knowledge. Continuing education opportunities are essential to action improved pain management skills. Education alone will not improve pain management; optimal quality care is dependent not only on a culture of culture but also on a gummy professional team with inter-professional collaboration to ensure effective, personalised pain management.\r\nReferences\r\nFerrell, B., & McCaffery, M. (2008). Knowledge and attitude survey regarding pain. Retrieved December 12, 2012 from http://prc.coh.org/Knowldege%20%20Attitude%20Survey%20-%20updated%205-08.pdf\r\nLewthwaite,B.J., Jabusch, K.M., Wheeler, B.J., Schnell-Hoehn, K.N., Mills, J., Estrella-Holder, E., & Fedorowicz, A.(2011). Nursesââ¬â¢ knowledge and attitudes regarding pain management in hospitalized adults. Journal of Continuing Education in Nursing, 42(6), 251-7. Retrieved December 12, 2012 from http://ehis.ebscohost.com.library.gcu.edu\r\nWatt-Watson, J., McGillion, M., & Hunter, J. (2007). A survey of pain curricula in pre-licensure health sciences facilities in Canadian Universities. Retrieved December 12, 2012 from http://www.pulsus.com/journals/pdf_frameset.jsp?jnlKy=7&atlKy=9192&isArt=t&jnlAdvert=Pain&adverifHCTp=&sTitle=A%20survey%20of%20prelicensure%20pain%20curricula%20in%20health%20science%20faculties%20in%20Canadian%20universities,%20Pulsus%20Group%20Inc&HCtype=Physician.\r\n'
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