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Original Article| Volume 21, ISSUE 3, P265-270, June 2020

Pain Management Knowledge and Attitudes of Healthcare Professionals in Primary Medical Centers

Published:September 25, 2019DOI:https://doi.org/10.1016/j.pmn.2019.08.008

      Abstract

      Background/Aim

      To investigate the level of knowledge and attitudes related to pain management among nurses and physicians working in primary medical centres in Jordan.

      Design

      A descriptive cross-sectional design was used.

      Settings

      Study was conducted in seven medical centres affiliated to the Royal Military Medical Services.

      Participants/Subjects

      A sample of 56 physicians and 81 nurses were recruited.

      Methods

      The Knowledge and Attitudes Survey Regarding Pain questionnaire was used to assess participants knowledge and attitudes regarding pain management.

      Results

      Total knowledge scores were calculated and converted to a percentage for each participant, resulting in scores for nurses ranging from 9.51% to 90.24% (mean 45.26%, SD 9.9), and for physicians of 31.7% to 97.56%, (mean 50.6%, SD 13.6). The difference in the total mean scores between nurses and physicians was significant (t = −2.63, df = 135, P = .009), physicians having more knowledge of pain management than nurses.

      Conclusions

      The result of this study indicated that Jordanian healthcare professionals have a low level of knowledge and negative attitudes toward pain management, so educational programmes related to the topic are strongly recommended. The findings also revealed a discrepancy between knowledge and practice. Therefore, guidelines and protocols related to pain assessment and management should be designed and implemented to bridge the gap between knowledge and practice.
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      References

        • Abdalrahim M.S.
        • Majali S.A.
        • Stomberg M.W.
        • Bergbom I.
        The effect of postoperative pain management program on improving nurses’ knowledge and attitudes toward pain.
        Nurse Education in Practice. 2011; 11: 250-255
        • Al Qadire M.
        • Al Khalaileh M.
        Jordanian nurses knowledge and attitude regarding pain management.
        Pain Management Nursing. 2014; 15: 220-228
        • Al-Quliti K.W.
        • Alamri M.S.
        Assessment of pain: Knowledge, attitudes, and practices of health care providers in Almadinah Almunawwarah, Saudi Arabia.
        Neurosciences. 2015; 20: 131
        • Brown M.A.
        The role of nurses in pain and palliative care.
        Journal of Pain & Palliative Care Pharmacotherapy. 2013; 27: 300-302
        • Cox F.
        Basic principles of pain management: Assessment and intervention.
        Nursing Standard. 2010; 25: 36
        • Dedeli O.
        • Kaptan G.
        Spirituality and religion in pain and pain management.
        Health Psychology Research. 2013; 1: e29
        • D’emeh W.M.
        • Yacoub M.I.
        • Darawad M.W.
        • Al-Badawi T.H.
        • Shahwan B.
        Pain-related knowledge and barriers among Jordanian nurses: A national study.
        Health. 2016; 8: 548
        • Dorflinger L.M.
        • Ruser C.
        • Sellinger J.
        • Edens E.L.
        • Kerns R.D.
        • Becker W.C.
        Integrating interdisciplinary pain management into primary care: Development and implementation of a novel clinical program.
        Pain Medicine. 2014; 15: 2046-2054
        • El-Rahman M.A.
        • Al Kalaldeh M.T.
        • Muhbes F.J.
        Knowledge and attitude towards pain management. A comparison between oncology and non-oncology nurses in Jordan.
        International Journal of Advanced Nursing Studies. 2013; 2: 95
        • Kassa R.N.
        • Kassa G.M.
        Nurses’ attitude, practice and barriers toward cancer pain management, Addis Ababa, Ethiopia.
        Journal of Cancer Science & Therapy. 2014; 6: 483-487
        • Kim M.H.
        • Park H.
        • Park E.C.
        • Park K.
        Attitude and knowledge of physicians about cancer pain management: Young doctors of South Korea in their early career.
        Japanese Journal of Clinical Oncology. 2011; 41: 783-791
        • Kwon J.H.
        Overcoming barriers in cancer pain management.
        Journal of Clinical Oncology. 2014; 32: 1727-1733
        • McCaffery M.
        Nursing approaches to nonpharmacological pain control.
        International Journal of Nursing Studies. 1990; 27: 1-5
        • Moceri J.T.
        • Drevdahl D.J.
        Nurses’ knowledge and attitudes toward pain in the emergency department.
        Journal of Emergency Nursing. 2014; 40: 6-12
        • Nasser S.C.
        • Nassif J.G.
        • Saad A.H.
        Physicians’ attitudes to clinical pain management and education: Survey from a Middle Eastern country.
        Pain Research and Management. 2016; 2016: 1358593
        • Nuseir K.
        • Kassab M.
        • Almomani B.
        Healthcare providers’ knowledge and current practice of pain assessment and management: How much progress have we made?.
        Pain Research and Management. 2016; 2016: 8432973
        • Omran S.
        • Al Qadire M.
        • Ali N.A.
        • Al Hayek M.F.
        Knowledge and attitudes about pain management: A comparison of oncology and non-oncology Jordanian nurses.
        Nursing and Health. 2014; 2: 73-80
        • Peker L.
        • Celebi N.
        • Canbay O.
        • Sahin A.
        • Cakir B.
        • Uzun S.
        • Aypar U.
        Doctors' opinions, knowledge and attitudes towards cancer pain management in a university hospital.
        Agri. 2008; 20: 20-30
        • Pretorius A.
        • Searle J.
        • Marshall B.
        Barriers and enablers to emergency department nurses' management of patients' pain.
        Pain Management Nursing. 2015; 16: 372-379
        • Razeq N.M.A.
        Barriers that impede the provision of pain care to neonates by nurses in Jordan.
        Journal of Obstetric, Gynecologic & Neonatal Nursing. 2016; 45: 371-377
        • Srisawang P.
        • Harun-Or-Rashid M.
        • Hirosawa T.
        • Sakamoto J.
        Knowledge, attitudes and barriers of physicians, policy makers/regulators regarding use of opioids for cancer pain management in Thailand.
        Nagoya Journal of Medical Science. 2013; 75: 201
        • Thomas L.
        • Lohman D.
        • Amon J.
        Access to pain treatment and palliative care: A human rights analysis.
        Temple International and Comparative Law Journal. 2010; 24: 365
        • Tufekci F.G.
        • Ozlu Z.K.
        • Arslan S.
        • Gumus K.
        Knowledge and attitudes regarding pain management of oncology and non-oncology nurses in Turkey.
        Global Advanced Research Journal of Nursing and Midwifery. 2013; 2: 1-8
        • Wells N.
        • Pasero C.
        • McCaffery M.
        Improving the quality of care through pain assessment and management.
        in: Hughes R.G. Patient safety and quality: An evidence-based handbook for nurses (Chapter 17). Agency for Healthcare Research and Quality, Rockville, MD2008
        • Wolfert M.Z.
        • Gilson A.M.
        • Dahl J.L.
        • Cleary J.F.
        Opioid analgesics for pain control: Wisconsin physicians' knowledge, beliefs, attitudes, and prescribing practices.
        Pain Medicine. 2010; 11: 425-434
        • Yildirim Y.K.
        • Cicek F.
        • Uyar M.
        Knowledge and attitudes of Turkish oncology nurses about cancer pain management.
        Pain Management Nursing. 2008; 9: 17-25