Enhancing Nursing Staff Clinical Skills of Pain Assessment: Impact of the Educational Course
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Abstract
Objective: To assess the impact of a newly developed educational course in terms of improvement in post-test scores in clinical skills assessment of patients with patient-controlled intravenous analgesia (PCIA) and epidural analgesia using the Likert scale among nursing staff working in a tertiary care teaching hospital.
Introduction: Nurses require certain clinical skills to assess patient’s pain adequately. This can be achieved through regular on-the-job training and educational workshops. This will enhance nurses’ clinical practice regarding pain assessment and improve pain treatment and patient satisfaction.
Methods: After getting approval from the Institutional Review Committee an education course was developed and implemented. A total of 86 nursing staff attended the course. Teaching methodologies included online lectures, small group tutorials, and hands-on workshops using demonstrations of locally developed videos. Pain assessment skills were assessed at the start of the workshop and the end of the session using PCIA and Epidural Likert scale assessment forms on simulated patients in this experimental, pre-and post- (single-arm) study.
Results: Eighty-six participants completed the course, of which 50 (58.1%) were female. In the clinical skill assessment of patients using PCIA, the mean difference in PCIA assessment scores of participants before and after the workshop was 13.88 (90.79%), which was statistically significant (p=<0.001). In the epidural skills assessment, the mean difference in the score of participants before and after the workshop was 15.09 (79.47%), which was statistically significant (p=<0.001).
Conclusion: The educational course had a significant impact on increasing the understanding of pain assessment among nursing staff with statistically significant improvement in their clinical skills.
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Al-Sayaghi KM, Fadlalmola HA, Aljohani WA, Alenezi AM, Aljohani DT, Aljohani TA, et al. Nurses' Knowledge and Attitudes Regarding Pain Assessment and Management in Saudi Arabia. Healthcare (Basel). 2022;10(3):528. doi:10.3390/healthcare10030528
Eaton LH, Meins AR, Mitchell PH, Voss J, Doorenbos AZ. Evidence-based practice beliefs and behaviours of nurses providing cancer pain management: a mixed-methods approach. Oncol Nurs Forum. 2015;42(2):165-173.doi:10.1188/15.ONF.165-173
Sayed SM, Abo Zead SE, Ayoub MT, Desouky AA. Awareness of Surgical Nurses Regarding Pain Assessment and Management (Suggested Nursing Guidelines). Assiut sci. nurs. j. 2019 ;7(16):157-65. doi: 10.21608/asnj.2019.61534
Junkins S, Goloshchapov D, Sindt JE. Pain in low resource environments. Curr Anesthesiol Rep. 2017 ;7:23-9. doi: 10.1007/s40140-017-0193-x
Ismail S, Siddiqui AS, Rehman A. Postoperative pain management practices and their effectiveness after major gynecological surgery: An observational study in a tertiary care hospital. J Anaesthesiol Clin Pharmacol. 2018 (4):478-484.doi:10.4103/joacp.JOACP_387_17
Ferreyra G, Long Y, Ranieri VM. Respiratory complications after major surgery. Curr Opin Crit Care. 2009 Aug;15(4):342-8.doi:10.1097/MCC.0b013e32832e0669
Ali KA, Khalil HE, El-Sharkawy FM. Impact of online remote education on the learning process among nursing students. Open J. Nurs. 2020 ;10(9):810-30.doi: 10.4236/ojn.2020.109057
Pires SM, Monteiro SO, Pereira AM, Stocker JN, Chaló D de, Melo EM. Non-technical Skills Assessment Scale in Nursing: Construction, development and validation. Rev Lat Am Enfermagem. 2018;26(0). doi:10.1590/1518-8345.2383.3042
Thienthong S. Clinical guidance for acute postoperative pain management 2019 The Royal College of Anesthesiologists of Thailand (RCAT) and The Thai Association for the Study of Pain (TASP). Thai J Anesthesiol. 2020;46(1):47-70.
Sawhney M, Wong M, Luctkar-Flude M, Jussaume L, Eadie C, Bowry R, et al. Using Simulation to Enhance Education Regarding Epidural Analgesia for Registered Nurses. Pain Manag Nurs. 2018;19(3):246-255. doi:10.1016/j.pmn.2017.10.011
Kasahun HG, Agizew TB, Temesgen MM, Ashagrie HE. Assessment of acute postoperative pain management and associated factors after elective surgery among adult surgical patients: a prospective cross-sectional study. IJS Short Rep. 2022 ;7(1):e37. doi:10.1097/SR9.0000000000000037
Baratta JL, Schwenk ES, Viscusi ER. Clinical consequences of inadequate pain relief: barriers to optimal pain management. Plast Reconstr Surg. 2014;134(4 Suppl 2):15S-21S.doi:10.1097/PRS.0000000000000681
Sharma SK, Thakur K, Mudgal SK, Payal YS. Acute postoperative pain experiences and satisfaction with its management among patients with elective surgery: An observational study. Indian J Anaesth. 2020;64(5):403-408.doi:10.4103/ija.IJA_33_20
Elshamy K, Ramzy E. The effect of postoperative pain assessment and management monitoring program on surgical nurses’ documentation, knowledge, attitudes, and patients’ satisfaction at Mansoura University Hospitals. J. Am. sci. 2011;7(10):500-16.
Latina R, Mauro L, Mitello L, D'Angelo D, Caputo L, De Marinis MG, et al. Attitude and knowledge of pain management among Italian nurses in hospital settings. Pain Manag Nurs. 2015;16(6):959-67. doi:10.1016/j.pmn.2015.10.002
Liu X, Li L, Wang L, Herr K, Chen Q. Implementation and evaluation of a pain management core competency education program for surgical nurses. Int J Nurs Sci. 2020;8(1):51-57.doi:10.1016/j.ijnss.2020.09.008
Hong SJ, Lee E. Effect of evidence-based postoperative pain guidelines via web for patients undergoing abdominal surgery in South Korea. Asian Nurs Res (Korean Soc Nurs Sci). 2014;8(2):135-42.doi:10.1016/j.anr.2014.05.005
El-Aqoul A, Obaid A, Jarrah I, Al-Rawashdeh K, Al Hroub A. Effectiveness of Education Program on Nursing Knowledge and Attitude toward Pain Management. Asia Pac J Oncol Nurs. 2020;7(4):382-388.doi:10.4103/apjon.apjon_17_20
Muñoz-Narbona L, Cabrera-Jaime S, Lluch-Canut T, Castaño PB, Roldán-Merino J. E-Learning course for nurses on pain assessment in patients unable to self-report. Nurse Educ Pract. 2020;43:102728. doi:10.1016/j.nepr.2020.102728
Salim NA, Joshua R, AbuBaker NA, Chehab F, Jose A. Effect of a nursing in-service education program on nurses’ knowledge and attitudes towards pain management in a governmental hospital in the United Arab Emirates: experimental random assignment study. Dubai Medical Journal. 2020;2(4):146-52. doi: 10.1159/000503560
Drake G, de C Williams AC. Nursing Education Interventions for Managing Acute Pain in Hospital Settings: A Systematic Review of Clinical Outcomes and Teaching Methods. Pain Manag Nurs. 2017;18(1):3-15. doi:10.1016/j.pmn.2016.11.001
Parvizy S, Tarvirdinasab S, Raznahan R, Aliakbari M. The effect of pain management training in workshop on the knowledge, attitude and self-efficacy of pediatric nurses. J Family Med Prim Care. 2020;9(6):2880-2884.doi:10.4103/jfmpc.jfmpc_92_20
Zhang CH, Hsu L, Zou BR, Li JF, Wang HY, Huang J. Effects of a pain education program on nurses' pain knowledge, attitudes and pain assessment practices in China. J Pain Symptom Manage. 2008;36(6):616-27.doi:10.1016/j.jpainsymman.2007.12.020
Germossa GN, Sjetne IS, Hellesø R. The Impact of an In-service Educational Program on Nurses' Knowledge and Attitudes Regarding Pain Management in an Ethiopian University Hospital. Front Public Health. 2018;6:229.doi:10.3389/fpubh.2018.00229
Ogrinc G, Davies L, Goodman D, Batalden P, Davidoff F, Stevens D. SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. BMJ Qual Saf. 2016;25(12):986-992. doi:10.1136/bmjqs-2015-004411