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Does Education Improve Nurses’ Knowledge, Attitudes, Skills, and Practice in Relation to Pain Management? An Integrative Review

  • Francisca Achaliwie
    Correspondence
    Address correspondence to Francisca Achaliwie, Department of Nursing, School of Nursing and Midwifery, CK Tedam University of Technology and Applied Sciences, P. O. Box 24, Navrongo, Ghana
    Affiliations
    Department of Nursing, School of Nursing and Midwifery, CK Tedam University of Technology and Applied Sciences, Navrongo, Ghana

    Division of Nursing, Midwifery, and Social Work, School of Health Sciences, Faculty of Biology, Medicine, and Health, The University of Manchester, UK
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  • Ann B. Wakefield
    Affiliations
    Division of Nursing, Midwifery, and Social Work, School of Health Sciences, Faculty of Biology, Medicine, and Health, The University of Manchester, UK
    Search for articles by this author
  • Carolyn Mackintosh-Franklin
    Affiliations
    Division of Nursing, Midwifery, and Social Work, School of Health Sciences, Faculty of Biology, Medicine, and Health, The University of Manchester, UK
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Published:January 04, 2023DOI:https://doi.org/10.1016/j.pmn.2022.12.002

      Abstract

      Background

      Pain is undertreated in both adults and children and a major factor linked to this is nurses’ lack of knowledge as evidenced by studies undertaken globally.

      Objective

      This review sought to explore the effects educational interventions can have on nurses’ knowledge, attitudes, skills, and practice regarding pain management.

      Design

      An integrative review

      Data sources

      Systematic search of CINAHL, MEDLINE, AMED, EMBASE, and Psych INFO.

      Review/Analysis Methods

      Five major databases were systematically searched from the year 2000-December 2019 with a total of 33 studies included in the final review.

      Results

      The literature revealed that many nurses had inadequate knowledge and a poor attitude towards pain at baseline, which may be improved through educational intervention. However, misconceptions remained at post-intervention, particularly regarding pharmacological pain management.

      Conclusions

      Education is a possible means to enhance nurses’ knowledge and improve attitudes and practices in pain management. However, there was some evidence that this may decline over time, and continuous professional updates are likely required.
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