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Postoperative Pain Management Practice and Associated Factors Among Health Professionals Working in Governmental Hospitals in South Wollo Zone, Ethiopia

Received: 22 February 2022    Accepted: 29 March 2022    Published: 8 April 2022
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Abstract

Introduction: Pain results from real or potential tissue damage that involves a disagreement sensory and emotional experience. Poor practice in post-operative pain management results in negative clinical outcomes, chronic pain, financial burden, and a reduction in patient functionality and productivity. The study was used for the hospitals administrations, health professionals, committee that develop the pain management guideline, researcher, and governmental health institutions regarding the practice of postoperative pain management. Objective: To assess postoperative pain management practices and associated factors towards healthcare professionals working in governmental hospitals in South Wollo Zone, Northeast Ethiopia, 2020. Method and Materials:- Cross-sectional study design was conducted from 20/02/2020 to 25/03/2020. The study population was selected from south Wollo zone governmental hospitals and 386 samples were collected using a self-administered tool and verified, coded, and entered to Epi-data software version 3.1 and exported to SPSS software version 23 for analysis. To summarize descriptive statistics frequencies, percentages, and mean were used and presented with tables, charts, and figures. Result: The response rate of the study participants were 95.8%. Among the participants 57.5%, of the study respondents had good practice and 42.5% had poor practice of postoperative pain management. The variable, working intensive care unit (AOR (95%CI)=14.5 (1.503-139.93)), using assessment tool (AOR (95%CI)=10.622 (4.776-23.621)), using Pain scale (AOR (95%CI)=10.614 (4.803-23.456)), Do documentation (AOR (95%CI)=6.748 (2.977-15.294)), take training (AOR (95%CI)=4.126 (1.707-9.977)), had past pain experience (AOR (95%CI)=4.174 (1.821-9.564)), favorable attitude (AOR (95%CI)=2.592 (1.191-5.643)); such independent variables were significantly association with the postoperative pain management practice. Conclusion: The overall level of poor postoperative pain management practice among health professionals in the study area was low.

Published in American Journal of Nursing Science (Volume 11, Issue 2)
DOI 10.11648/j.ajns.20221102.13
Page(s) 62-69
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Postoperative Pain, Management, Practice

References
[1] Gupta, A., et al., Clinical aspects of acute post-operative pain management & its assessment. Journal of advanced pharmaceutical technology & research, 2010. 1 (2): p. 97.
[2] Bédard, D., et al., The pain experience of post surgical patients following the implementation of an evidence-based approach. Pain Management Nursing, 2006. 7 (3): p. 80-92.
[3] Williams, A. C. d. C. and K. D. Craig, Updating the definition of pain. Pain, 2016. 157 (11): p. 2420-2423.
[4] Berry, P. H. and J. L. Dahl, The new JCAHO pain standards: implications for pain management nurses. Pain Management Nursing, 2000. 1 (1): p. 3-12.
[5] Dessie, M., et al., Knowledge and Attitudes of Ethiopian Nursing Staff Regarding Post-Operative Pain Management: A Cross-Sectional Multicenter Study. Dove Medical Press Limited, 2019. 10: p. 395–403.
[6] Ozga, D., et al., The assesment of the quality of postoperative pain management in patients with maxillofacial injury. Dental and Medical Problems, 2017. 54 (2): p. 135-141.
[7] Basak, S., Knowledge and attitudes of nurses and their practices regarding post-operative pain management in Bangladesh. 2015, Prince of Songkla University.
[8] El-Aqoul, A., et al., Factors associated with inadequate pain control among postoperative patients with cancer. Pain Management Nursing, 2018. 19 (2): p. 130-138.
[9] Yang, M.-H. M., Predicting poor postoperative pain control after elective spine surgery. 2019, Cumming School of Medicine.
[10] Basak, S., Knowledge and attitudes of nurses and their practices regarding post-operative pain management in Bangladesh. 2010, Prince of Songkla University.
[11] Argaw, F., et al., Acute postoperative pain management at a tertiary hospital in Addis Ababa, Ethiopia: A prospective cross-sectional study. East and Central African Journal of Surgery, 2019. 24 (2): p. 82-88.
[12] Dr. Ramesh Shanmugam, K. A., H., Aznanash Tsegay, Abdukadir Shumbahri, Ahmed and A. Y. Mohammed Asir, Tewelde Hailu and Ahmed Mohammed, ASSESSMENT OF POSTOPERATIVE PAIN MANAGEMENT IN MEKELLE PUBLIC HOSPITALS, ETHIOPIA. International Journal of Development Research, 2018. 08 (10): p. pp. 23843-23849.
[13] Samwel, R. and R. Boniface, Pain Management and Factors Associated with Its Severity among Post Surgical Patients Admitted in the Intensive Care Unit at Muhimbili National Hospital, Tanzania. Open Journal of Anesthesiology, 2019. 9 (2): p. 23-33.
[14] Wurjine, T. and B. Nigussie, Knowledge, attitudes and practices of nurses regarding to post-operative pain management at hospitals of Arsi zone, Southeast Ethiopia, 2018. MOJ Womens Health, 2018. 7 (5): p. 130-135.
[15] Emiru, M., Assessment of Adult Postoperative Pain Management Practice Among Nurses Working in Addis Ababa Public Hospitals, Addis Ababa, Ethiopia, 2015. 2015, Addis Ababa University.
[16] Association, T. E. P. H., Baseline Evaluation of Pain Management Practices and Teaching in Health Facilities and Health Training Schools in Ethiopia. 2011.
[17] Maija Rantala, Päivi Kankkunen, Tarja Kvist and Sirpa Hartikainen, Post-Operative Pain Management Practices in Patients with Dementia -The Current Situation in Finland. The Open Nursing Journal, 2012. 6: p. 71-81.
[18] Abdullah, B. I. A. N. A. C., Pain Management Practices by Nurses: An Application of the Knowledge, Attitude and Practices (KAP) Model. Global Journal of Health Science, 2015. 8.
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  • APA Style

    Mulusew Zeleke, Yemiamrew Getachew, Mekuriaw Wuhib. (2022). Postoperative Pain Management Practice and Associated Factors Among Health Professionals Working in Governmental Hospitals in South Wollo Zone, Ethiopia. American Journal of Nursing Science, 11(2), 62-69. https://doi.org/10.11648/j.ajns.20221102.13

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    ACS Style

    Mulusew Zeleke; Yemiamrew Getachew; Mekuriaw Wuhib. Postoperative Pain Management Practice and Associated Factors Among Health Professionals Working in Governmental Hospitals in South Wollo Zone, Ethiopia. Am. J. Nurs. Sci. 2022, 11(2), 62-69. doi: 10.11648/j.ajns.20221102.13

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    AMA Style

    Mulusew Zeleke, Yemiamrew Getachew, Mekuriaw Wuhib. Postoperative Pain Management Practice and Associated Factors Among Health Professionals Working in Governmental Hospitals in South Wollo Zone, Ethiopia. Am J Nurs Sci. 2022;11(2):62-69. doi: 10.11648/j.ajns.20221102.13

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  • @article{10.11648/j.ajns.20221102.13,
      author = {Mulusew Zeleke and Yemiamrew Getachew and Mekuriaw Wuhib},
      title = {Postoperative Pain Management Practice and Associated Factors Among Health Professionals Working in Governmental Hospitals in South Wollo Zone, Ethiopia},
      journal = {American Journal of Nursing Science},
      volume = {11},
      number = {2},
      pages = {62-69},
      doi = {10.11648/j.ajns.20221102.13},
      url = {https://doi.org/10.11648/j.ajns.20221102.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20221102.13},
      abstract = {Introduction: Pain results from real or potential tissue damage that involves a disagreement sensory and emotional experience. Poor practice in post-operative pain management results in negative clinical outcomes, chronic pain, financial burden, and a reduction in patient functionality and productivity. The study was used for the hospitals administrations, health professionals, committee that develop the pain management guideline, researcher, and governmental health institutions regarding the practice of postoperative pain management. Objective: To assess postoperative pain management practices and associated factors towards healthcare professionals working in governmental hospitals in South Wollo Zone, Northeast Ethiopia, 2020. Method and Materials:- Cross-sectional study design was conducted from 20/02/2020 to 25/03/2020. The study population was selected from south Wollo zone governmental hospitals and 386 samples were collected using a self-administered tool and verified, coded, and entered to Epi-data software version 3.1 and exported to SPSS software version 23 for analysis. To summarize descriptive statistics frequencies, percentages, and mean were used and presented with tables, charts, and figures. Result: The response rate of the study participants were 95.8%. Among the participants 57.5%, of the study respondents had good practice and 42.5% had poor practice of postoperative pain management. The variable, working intensive care unit (AOR (95%CI)=14.5 (1.503-139.93)), using assessment tool (AOR (95%CI)=10.622 (4.776-23.621)), using Pain scale (AOR (95%CI)=10.614 (4.803-23.456)), Do documentation (AOR (95%CI)=6.748 (2.977-15.294)), take training (AOR (95%CI)=4.126 (1.707-9.977)), had past pain experience (AOR (95%CI)=4.174 (1.821-9.564)), favorable attitude (AOR (95%CI)=2.592 (1.191-5.643)); such independent variables were significantly association with the postoperative pain management practice. Conclusion: The overall level of poor postoperative pain management practice among health professionals in the study area was low.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Postoperative Pain Management Practice and Associated Factors Among Health Professionals Working in Governmental Hospitals in South Wollo Zone, Ethiopia
    AU  - Mulusew Zeleke
    AU  - Yemiamrew Getachew
    AU  - Mekuriaw Wuhib
    Y1  - 2022/04/08
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajns.20221102.13
    DO  - 10.11648/j.ajns.20221102.13
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 62
    EP  - 69
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20221102.13
    AB  - Introduction: Pain results from real or potential tissue damage that involves a disagreement sensory and emotional experience. Poor practice in post-operative pain management results in negative clinical outcomes, chronic pain, financial burden, and a reduction in patient functionality and productivity. The study was used for the hospitals administrations, health professionals, committee that develop the pain management guideline, researcher, and governmental health institutions regarding the practice of postoperative pain management. Objective: To assess postoperative pain management practices and associated factors towards healthcare professionals working in governmental hospitals in South Wollo Zone, Northeast Ethiopia, 2020. Method and Materials:- Cross-sectional study design was conducted from 20/02/2020 to 25/03/2020. The study population was selected from south Wollo zone governmental hospitals and 386 samples were collected using a self-administered tool and verified, coded, and entered to Epi-data software version 3.1 and exported to SPSS software version 23 for analysis. To summarize descriptive statistics frequencies, percentages, and mean were used and presented with tables, charts, and figures. Result: The response rate of the study participants were 95.8%. Among the participants 57.5%, of the study respondents had good practice and 42.5% had poor practice of postoperative pain management. The variable, working intensive care unit (AOR (95%CI)=14.5 (1.503-139.93)), using assessment tool (AOR (95%CI)=10.622 (4.776-23.621)), using Pain scale (AOR (95%CI)=10.614 (4.803-23.456)), Do documentation (AOR (95%CI)=6.748 (2.977-15.294)), take training (AOR (95%CI)=4.126 (1.707-9.977)), had past pain experience (AOR (95%CI)=4.174 (1.821-9.564)), favorable attitude (AOR (95%CI)=2.592 (1.191-5.643)); such independent variables were significantly association with the postoperative pain management practice. Conclusion: The overall level of poor postoperative pain management practice among health professionals in the study area was low.
    VL  - 11
    IS  - 2
    ER  - 

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Author Information
  • Department of Adult Health Nursing, Wollo University, Dessie, Ethiopia

  • Clinical and Community Mental Health, Wollo University, Dessie, Ethiopia

  • Department of Comprehensive Nursing, Wollo University, Dessie, Ethiopia

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