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Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study
Background. Pain is a major source of distress for children on admission, parents, and clinician. Hospitalized children continuously experience unrelieved pain; hence, the provision of effective pain management is an integral and important part of the nurse’s role. Adequate knowledge and positive pr...
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Published in: | Pain research & management 2020-11, Vol.2020 (2020), p.1-11 |
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description | Background. Pain is a major source of distress for children on admission, parents, and clinician. Hospitalized children continuously experience unrelieved pain; hence, the provision of effective pain management is an integral and important part of the nurse’s role. Adequate knowledge and positive practices of nurses regarding pain management among children are key if optimal pain management is to be achieved among paediatric cases. However, there is a paucity of published data on paediatric management among nurses in the northern part of Ghana. Aim. The current study, therefore, evaluated nurse’s knowledge and practices and identified the barriers to paediatric pain management in the Tamale Teaching Hospital, Ghana. Methodology. This was a descriptive cross-sectional facility-based study that employed a quantitative approach to data collection. A total of 180 nurses were selected conveniently from 10 selected wards of the hospital for the study. Data were collected using a questionnaire. The data were subsequently analyzed using the Statistical Package for Social Sciences version 23.0. Logistic regression analysis was done to determine the association between the dependent and independent variables of interest. Results. The findings revealed that the majority (61.1%) of all the nurses had an overall good knowledge of paediatric pain management while 57.8% demonstrated good practices of pain management. From the study, the most reported barriers to paediatric pain management by the nurses were insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate staffing (72.2%). In further analysis, critical care nurses were 5.87 times more likely to engage in good practices of paediatric pain management than paediatric nurses (OR = 5.87 (95% CI : 1.07–32.00), p=0.041). Conclusion. The majority (61.1%) of all the respondents showed good knowledge of pain management and 57.8% demonstrated good pain management practices. Despite the high knowledge and practice, factors such as insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate nurse staffing (72.2%) affect effective pain management. Paediatric pain management should be treated as a priority, and hence more efforts should be put in place to curtail the barriers that hinder its practice. |
doi_str_mv | 10.1155/2020/8846599 |
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Pain is a major source of distress for children on admission, parents, and clinician. Hospitalized children continuously experience unrelieved pain; hence, the provision of effective pain management is an integral and important part of the nurse’s role. Adequate knowledge and positive practices of nurses regarding pain management among children are key if optimal pain management is to be achieved among paediatric cases. However, there is a paucity of published data on paediatric management among nurses in the northern part of Ghana. Aim. The current study, therefore, evaluated nurse’s knowledge and practices and identified the barriers to paediatric pain management in the Tamale Teaching Hospital, Ghana. Methodology. This was a descriptive cross-sectional facility-based study that employed a quantitative approach to data collection. A total of 180 nurses were selected conveniently from 10 selected wards of the hospital for the study. Data were collected using a questionnaire. The data were subsequently analyzed using the Statistical Package for Social Sciences version 23.0. Logistic regression analysis was done to determine the association between the dependent and independent variables of interest. Results. The findings revealed that the majority (61.1%) of all the nurses had an overall good knowledge of paediatric pain management while 57.8% demonstrated good practices of pain management. From the study, the most reported barriers to paediatric pain management by the nurses were insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate staffing (72.2%). In further analysis, critical care nurses were 5.87 times more likely to engage in good practices of paediatric pain management than paediatric nurses (OR = 5.87 (95% CI : 1.07–32.00), p=0.041). Conclusion. The majority (61.1%) of all the respondents showed good knowledge of pain management and 57.8% demonstrated good pain management practices. Despite the high knowledge and practice, factors such as insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate nurse staffing (72.2%) affect effective pain management. Paediatric pain management should be treated as a priority, and hence more efforts should be put in place to curtail the barriers that hinder its practice.</description><identifier>ISSN: 1203-6765</identifier><identifier>EISSN: 1918-1523</identifier><identifier>DOI: 10.1155/2020/8846599</identifier><identifier>PMID: 33312317</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Care and treatment ; Cross-sectional studies ; Data collection ; Evaluation ; Health facilities ; Intensive care ; Knowledge ; Nurses ; Nursing care ; Pain ; Pain in children ; Pain management ; Pediatric nursing ; Pediatrics ; Practice ; Questionnaires ; R&D ; Research & development ; Sample size ; Sociodemographics ; Teaching hospitals</subject><ispartof>Pain research & management, 2020-11, Vol.2020 (2020), p.1-11</ispartof><rights>Copyright © 2020 Abubakari Wuni et al.</rights><rights>COPYRIGHT 2020 John Wiley & Sons, Inc.</rights><rights>Copyright © 2020 Abubakari Wuni et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2020 Abubakari Wuni et al. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c635t-c6935648fd61db21bf82e4e19654c886d6c98c46aeadd4f8dba2a769d60cb643</citedby><cites>FETCH-LOGICAL-c635t-c6935648fd61db21bf82e4e19654c886d6c98c46aeadd4f8dba2a769d60cb643</cites><orcidid>0000-0003-0603-137X ; 0000-0003-3092-6384 ; 0000-0001-9329-8368 ; 0000-0001-7210-6136 ; 0000-0002-9049-8222</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2469678799/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2469678799?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids></links><search><contributor>Carotenuto, Marco</contributor><contributor>Marco Carotenuto</contributor><creatorcontrib>Mohammed, Jauharatu</creatorcontrib><creatorcontrib>Nabila Seini, Samaku</creatorcontrib><creatorcontrib>Abena Nyarko, Brenda</creatorcontrib><creatorcontrib>Iddriss, Iman</creatorcontrib><creatorcontrib>Mohammed Ibrahim, Mudasir</creatorcontrib><creatorcontrib>Salia, Solomon Mohammed</creatorcontrib><creatorcontrib>Wuni, Abubakari</creatorcontrib><creatorcontrib>Tonsagri, Imoro</creatorcontrib><title>Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study</title><title>Pain research & management</title><description>Background. Pain is a major source of distress for children on admission, parents, and clinician. Hospitalized children continuously experience unrelieved pain; hence, the provision of effective pain management is an integral and important part of the nurse’s role. Adequate knowledge and positive practices of nurses regarding pain management among children are key if optimal pain management is to be achieved among paediatric cases. However, there is a paucity of published data on paediatric management among nurses in the northern part of Ghana. Aim. The current study, therefore, evaluated nurse’s knowledge and practices and identified the barriers to paediatric pain management in the Tamale Teaching Hospital, Ghana. Methodology. This was a descriptive cross-sectional facility-based study that employed a quantitative approach to data collection. A total of 180 nurses were selected conveniently from 10 selected wards of the hospital for the study. Data were collected using a questionnaire. The data were subsequently analyzed using the Statistical Package for Social Sciences version 23.0. Logistic regression analysis was done to determine the association between the dependent and independent variables of interest. Results. The findings revealed that the majority (61.1%) of all the nurses had an overall good knowledge of paediatric pain management while 57.8% demonstrated good practices of pain management. From the study, the most reported barriers to paediatric pain management by the nurses were insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate staffing (72.2%). In further analysis, critical care nurses were 5.87 times more likely to engage in good practices of paediatric pain management than paediatric nurses (OR = 5.87 (95% CI : 1.07–32.00), p=0.041). Conclusion. The majority (61.1%) of all the respondents showed good knowledge of pain management and 57.8% demonstrated good pain management practices. Despite the high knowledge and practice, factors such as insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate nurse staffing (72.2%) affect effective pain management. Paediatric pain management should be treated as a priority, and hence more efforts should be put in place to curtail the barriers that hinder its practice.</description><subject>Care and treatment</subject><subject>Cross-sectional studies</subject><subject>Data collection</subject><subject>Evaluation</subject><subject>Health facilities</subject><subject>Intensive care</subject><subject>Knowledge</subject><subject>Nurses</subject><subject>Nursing care</subject><subject>Pain</subject><subject>Pain in children</subject><subject>Pain management</subject><subject>Pediatric nursing</subject><subject>Pediatrics</subject><subject>Practice</subject><subject>Questionnaires</subject><subject>R&D</subject><subject>Research & development</subject><subject>Sample size</subject><subject>Sociodemographics</subject><subject>Teaching hospitals</subject><issn>1203-6765</issn><issn>1918-1523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqFkl1r1TAYgIsobk7vvJaAIII7W9I0aboLYc594ZzD7b68Td72ZPQkx6Td2G_zz5nuDOcRQQpNSJ48yfuRZa8Z3WFMiN2c5nRXqUKKqnqSbbKKqRkTOX-a5jnlM1lKsZG9iPGa0oIpyp9nG5xzlnNWbmY_D2-gH2GwriNfnL_t0XS4TS4C6MFqjNsEnCGfIASLIRLfkgtAY2EIVqepdeQrOOhwgW4gsPBJcz6GiJGkLSBXGAYL4Y6cIPTDnByBtr0d7qbdYY7k3Ic0BEe-Y2e9m_zH8yTcI_vkM0Yd7HKwN0gOgo9xdonpUd5BTy6H0dy9zJ610Ed89TBuZVdHh1cHJ7Ozb8enB_tnMy25GNK_4kIWqjWSmSZnTatyLJBVUhRaKWmkrpQuJCAYU7TKNJBDKSsjqW5kwbey05XWeLiul8EuUkC1B1vfL_jQ1ZCi1D3WugLFuRasLYoCFFOMNqLSTS5ak8ogkuvjyrUcmwUanbIWoF-Tru84O687f1OXZc4E5Unw_kEQ_I8R41AvbNTY9-DQj7HOi5LSXKUuSOjbv9BrP4aUvYmSlSxVWVWPVAcpAOtan-7Vk7TeV6yQSnI2XbvzDyp9BhdWe4etTetrB979cWB-X_3o-3GqX1wHt1egnkocsP2dDEbrqcHrqcHrhwZP-IcVPrfOwK39H_1mRWNisIVHOqclFZz_ApMjAp4</recordid><startdate>20201130</startdate><enddate>20201130</enddate><creator>Mohammed, Jauharatu</creator><creator>Nabila Seini, Samaku</creator><creator>Abena Nyarko, Brenda</creator><creator>Iddriss, Iman</creator><creator>Mohammed Ibrahim, Mudasir</creator><creator>Salia, Solomon Mohammed</creator><creator>Wuni, Abubakari</creator><creator>Tonsagri, Imoro</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M3G</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-0603-137X</orcidid><orcidid>https://orcid.org/0000-0003-3092-6384</orcidid><orcidid>https://orcid.org/0000-0001-9329-8368</orcidid><orcidid>https://orcid.org/0000-0001-7210-6136</orcidid><orcidid>https://orcid.org/0000-0002-9049-8222</orcidid></search><sort><creationdate>20201130</creationdate><title>Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study</title><author>Mohammed, Jauharatu ; Nabila Seini, Samaku ; Abena Nyarko, Brenda ; Iddriss, Iman ; Mohammed Ibrahim, Mudasir ; Salia, Solomon Mohammed ; Wuni, Abubakari ; Tonsagri, Imoro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c635t-c6935648fd61db21bf82e4e19654c886d6c98c46aeadd4f8dba2a769d60cb643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Care and treatment</topic><topic>Cross-sectional studies</topic><topic>Data collection</topic><topic>Evaluation</topic><topic>Health facilities</topic><topic>Intensive care</topic><topic>Knowledge</topic><topic>Nurses</topic><topic>Nursing care</topic><topic>Pain</topic><topic>Pain in children</topic><topic>Pain management</topic><topic>Pediatric nursing</topic><topic>Pediatrics</topic><topic>Practice</topic><topic>Questionnaires</topic><topic>R&D</topic><topic>Research & development</topic><topic>Sample size</topic><topic>Sociodemographics</topic><topic>Teaching hospitals</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mohammed, Jauharatu</creatorcontrib><creatorcontrib>Nabila Seini, Samaku</creatorcontrib><creatorcontrib>Abena Nyarko, Brenda</creatorcontrib><creatorcontrib>Iddriss, Iman</creatorcontrib><creatorcontrib>Mohammed Ibrahim, Mudasir</creatorcontrib><creatorcontrib>Salia, Solomon Mohammed</creatorcontrib><creatorcontrib>Wuni, Abubakari</creatorcontrib><creatorcontrib>Tonsagri, Imoro</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access Journals</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>CBCA Reference & Current Events</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Pain research & management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mohammed, Jauharatu</au><au>Nabila Seini, Samaku</au><au>Abena Nyarko, Brenda</au><au>Iddriss, Iman</au><au>Mohammed Ibrahim, Mudasir</au><au>Salia, Solomon Mohammed</au><au>Wuni, Abubakari</au><au>Tonsagri, Imoro</au><au>Carotenuto, Marco</au><au>Marco Carotenuto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study</atitle><jtitle>Pain research & management</jtitle><date>2020-11-30</date><risdate>2020</risdate><volume>2020</volume><issue>2020</issue><spage>1</spage><epage>11</epage><pages>1-11</pages><issn>1203-6765</issn><eissn>1918-1523</eissn><abstract>Background. Pain is a major source of distress for children on admission, parents, and clinician. Hospitalized children continuously experience unrelieved pain; hence, the provision of effective pain management is an integral and important part of the nurse’s role. Adequate knowledge and positive practices of nurses regarding pain management among children are key if optimal pain management is to be achieved among paediatric cases. However, there is a paucity of published data on paediatric management among nurses in the northern part of Ghana. Aim. The current study, therefore, evaluated nurse’s knowledge and practices and identified the barriers to paediatric pain management in the Tamale Teaching Hospital, Ghana. Methodology. This was a descriptive cross-sectional facility-based study that employed a quantitative approach to data collection. A total of 180 nurses were selected conveniently from 10 selected wards of the hospital for the study. Data were collected using a questionnaire. The data were subsequently analyzed using the Statistical Package for Social Sciences version 23.0. Logistic regression analysis was done to determine the association between the dependent and independent variables of interest. Results. The findings revealed that the majority (61.1%) of all the nurses had an overall good knowledge of paediatric pain management while 57.8% demonstrated good practices of pain management. From the study, the most reported barriers to paediatric pain management by the nurses were insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate staffing (72.2%). In further analysis, critical care nurses were 5.87 times more likely to engage in good practices of paediatric pain management than paediatric nurses (OR = 5.87 (95% CI : 1.07–32.00), p=0.041). Conclusion. The majority (61.1%) of all the respondents showed good knowledge of pain management and 57.8% demonstrated good pain management practices. Despite the high knowledge and practice, factors such as insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate nurse staffing (72.2%) affect effective pain management. Paediatric pain management should be treated as a priority, and hence more efforts should be put in place to curtail the barriers that hinder its practice.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>33312317</pmid><doi>10.1155/2020/8846599</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-0603-137X</orcidid><orcidid>https://orcid.org/0000-0003-3092-6384</orcidid><orcidid>https://orcid.org/0000-0001-9329-8368</orcidid><orcidid>https://orcid.org/0000-0001-7210-6136</orcidid><orcidid>https://orcid.org/0000-0002-9049-8222</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Care and treatment Cross-sectional studies Data collection Evaluation Health facilities Intensive care Knowledge Nurses Nursing care Pain Pain in children Pain management Pediatric nursing Pediatrics Practice Questionnaires R&D Research & development Sample size Sociodemographics Teaching hospitals |
title | Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study |
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