Knowledge, Practice and Factors Associated with Pain Management for Adult Critical Ill Patients Among Nurses Working in Federal Hospitals of Addis Ababa Ethiopia 2020

Zewdu Gelaye Wondimagegn; Hana Abera Hailemariam; Tesfahun Abye Meshesha; Solomon Olijra

doi:doi:10.11648/j.ajcem.20210902.12

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Knowledge, Practice and Factors Associated with Pain Management for Adult Critical Ill Patients Among Nurses Working in Federal Hospitals of Addis Ababa Ethiopia 2020

Zewdu Gelaye Wondimagegn, Hana Abera Hailemariam, Tesfahun Abye Meshesha, Solomon Olijra

Published in American Journal of Clinical and Experimental Medicine (Volume 9, Issue 2)

Received: 2 February 2021 Accepted: 29 March 2021 Published: 16 April 2021

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Abstract

Background: Effective pain management requires precise knowledge and competent skills in practice. Nurses should have a solid foundation of pain knowledge and develop good practice pain management. Little is documented towards nurse’s knowledge and practice of pain management among critical ill patients in the study area. Objective: To examine the level of knowledge, practice & associated factors of nurses towards critically ill patients pain management at federal hospitals, Addis Ababa, Ethiopia September to October 2020. Method: A cross-sectional study design was conducted among nurses, who work at federal hospitals of Addis Ababa, Ethiopia from September 15 to October 15, 2020. All intensive care unit nurses was participated in the study. Data was collected by using self-administered structured questionnaire and entered into Epi info version 7 and imported to SPSS version 23.0 software for analysis. Associations was analyzed by using bivariate and multivariate logistic regression model. The findings were expressed with 95% CI and odd ratio and P-value<0.05. Result: Knowledge of nurses towards pain management in the study area is 64.9%. Among many factors contributed to the nurses’ pain management knowledge in the Multivariate logistic regression: work load (AOR, 8.8, CI95%, 1.45-53.39), training related to ICU (AOR, 10.8, CI95%, 1.07-109.42), reading of guidelines (AOR, 10.11, CI95%, 1.36-75.22), educational status (AOR, 16.38, CI95%, 1.02-261.9), and practice of nurse towards pain management (AOR, 6.17, CI95%; 1.38-27.56) were associated with knowledge of pain management. Nurses’ practice of pain management in the study area is 56.5%. Similarly having a training related to intensive care unit (AOR, 19.95, CI95%, 3.03-130.9), and knowledge of nurse towards pain management (AOR, 5.30, CI95%; 1.3-21.68) were significantly associated with practice of nurses on pain management. Conclusion and recommendation: The overall nurses’ pain management knowledge in federal hospitals of Addis Ababa relative to Mekelle hospitals is good. Taking training, reading guidelines and level of education of nurses were significant predictors of nurse’s knowledge. Receiving a training related to intensive care unit and having adequate knowledge of pain management were also associated with practice of pain management. Therefore, the need to give trainings and prepare guideline regarding pain assessment and management might escalate to address pain management among nurses.

Published in	American Journal of Clinical and Experimental Medicine (Volume 9, Issue 2)
DOI	10.11648/j.ajcem.20210902.12
Page(s)	28-39
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

Knowledge, Practices, Factors, Pain Management, Critically Ill Patients

References

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APA Style

Zewdu Gelaye Wondimagegn, Hana Abera Hailemariam, Tesfahun Abye Meshesha, Solomon Olijra. (2021). Knowledge, Practice and Factors Associated with Pain Management for Adult Critical Ill Patients Among Nurses Working in Federal Hospitals of Addis Ababa Ethiopia 2020. American Journal of Clinical and Experimental Medicine, 9(2), 28-39. https://doi.org/10.11648/j.ajcem.20210902.12

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ACS Style

Zewdu Gelaye Wondimagegn; Hana Abera Hailemariam; Tesfahun Abye Meshesha; Solomon Olijra. Knowledge, Practice and Factors Associated with Pain Management for Adult Critical Ill Patients Among Nurses Working in Federal Hospitals of Addis Ababa Ethiopia 2020. Am. J. Clin. Exp. Med. 2021, 9(2), 28-39. doi: 10.11648/j.ajcem.20210902.12

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AMA Style

Zewdu Gelaye Wondimagegn, Hana Abera Hailemariam, Tesfahun Abye Meshesha, Solomon Olijra. Knowledge, Practice and Factors Associated with Pain Management for Adult Critical Ill Patients Among Nurses Working in Federal Hospitals of Addis Ababa Ethiopia 2020. Am J Clin Exp Med. 2021;9(2):28-39. doi: 10.11648/j.ajcem.20210902.12

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@article{10.11648/j.ajcem.20210902.12,
  author = {Zewdu Gelaye Wondimagegn and Hana Abera Hailemariam and Tesfahun Abye Meshesha and Solomon Olijra},
  title = {Knowledge, Practice and Factors Associated with Pain Management for Adult Critical Ill Patients Among Nurses Working in Federal Hospitals of Addis Ababa Ethiopia 2020},
  journal = {American Journal of Clinical and Experimental Medicine},
  volume = {9},
  number = {2},
  pages = {28-39},
  doi = {10.11648/j.ajcem.20210902.12},
  url = {https://doi.org/10.11648/j.ajcem.20210902.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20210902.12},
  abstract = {Background: Effective pain management requires precise knowledge and competent skills in practice. Nurses should have a solid foundation of pain knowledge and develop good practice pain management. Little is documented towards nurse’s knowledge and practice of pain management among critical ill patients in the study area. Objective: To examine the level of knowledge, practice & associated factors of nurses towards critically ill patients pain management at federal hospitals, Addis Ababa, Ethiopia September to October 2020. Method: A cross-sectional study design was conducted among nurses, who work at federal hospitals of Addis Ababa, Ethiopia from September 15 to October 15, 2020. All intensive care unit nurses was participated in the study. Data was collected by using self-administered structured questionnaire and entered into Epi info version 7 and imported to SPSS version 23.0 software for analysis. Associations was analyzed by using bivariate and multivariate logistic regression model. The findings were expressed with 95% CI and odd ratio and P-value<0.05. Result: Knowledge of nurses towards pain management in the study area is 64.9%. Among many factors contributed to the nurses’ pain management knowledge in the Multivariate logistic regression: work load (AOR, 8.8, CI95%, 1.45-53.39), training related to ICU (AOR, 10.8, CI95%, 1.07-109.42), reading of guidelines (AOR, 10.11, CI95%, 1.36-75.22), educational status (AOR, 16.38, CI95%, 1.02-261.9), and practice of nurse towards pain management (AOR, 6.17, CI95%; 1.38-27.56) were associated with knowledge of pain management. Nurses’ practice of pain management in the study area is 56.5%. Similarly having a training related to intensive care unit (AOR, 19.95, CI95%, 3.03-130.9), and knowledge of nurse towards pain management (AOR, 5.30, CI95%; 1.3-21.68) were significantly associated with practice of nurses on pain management. Conclusion and recommendation: The overall nurses’ pain management knowledge in federal hospitals of Addis Ababa relative to Mekelle hospitals is good. Taking training, reading guidelines and level of education of nurses were significant predictors of nurse’s knowledge. Receiving a training related to intensive care unit and having adequate knowledge of pain management were also associated with practice of pain management. Therefore, the need to give trainings and prepare guideline regarding pain assessment and management might escalate to address pain management among nurses.},
 year = {2021}
}

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TY - JOUR
T1 - Knowledge, Practice and Factors Associated with Pain Management for Adult Critical Ill Patients Among Nurses Working in Federal Hospitals of Addis Ababa Ethiopia 2020
AU - Zewdu Gelaye Wondimagegn
AU - Hana Abera Hailemariam
AU - Tesfahun Abye Meshesha
AU - Solomon Olijra
Y1 - 2021/04/16
PY - 2021
N1 - https://doi.org/10.11648/j.ajcem.20210902.12
DO - 10.11648/j.ajcem.20210902.12
T2 - American Journal of Clinical and Experimental Medicine
JF - American Journal of Clinical and Experimental Medicine
JO - American Journal of Clinical and Experimental Medicine
SP - 28
EP - 39
PB - Science Publishing Group
SN - 2330-8133
UR - https://doi.org/10.11648/j.ajcem.20210902.12
AB - Background: Effective pain management requires precise knowledge and competent skills in practice. Nurses should have a solid foundation of pain knowledge and develop good practice pain management. Little is documented towards nurse’s knowledge and practice of pain management among critical ill patients in the study area. Objective: To examine the level of knowledge, practice & associated factors of nurses towards critically ill patients pain management at federal hospitals, Addis Ababa, Ethiopia September to October 2020. Method: A cross-sectional study design was conducted among nurses, who work at federal hospitals of Addis Ababa, Ethiopia from September 15 to October 15, 2020. All intensive care unit nurses was participated in the study. Data was collected by using self-administered structured questionnaire and entered into Epi info version 7 and imported to SPSS version 23.0 software for analysis. Associations was analyzed by using bivariate and multivariate logistic regression model. The findings were expressed with 95% CI and odd ratio and P-value<0.05. Result: Knowledge of nurses towards pain management in the study area is 64.9%. Among many factors contributed to the nurses’ pain management knowledge in the Multivariate logistic regression: work load (AOR, 8.8, CI95%, 1.45-53.39), training related to ICU (AOR, 10.8, CI95%, 1.07-109.42), reading of guidelines (AOR, 10.11, CI95%, 1.36-75.22), educational status (AOR, 16.38, CI95%, 1.02-261.9), and practice of nurse towards pain management (AOR, 6.17, CI95%; 1.38-27.56) were associated with knowledge of pain management. Nurses’ practice of pain management in the study area is 56.5%. Similarly having a training related to intensive care unit (AOR, 19.95, CI95%, 3.03-130.9), and knowledge of nurse towards pain management (AOR, 5.30, CI95%; 1.3-21.68) were significantly associated with practice of nurses on pain management. Conclusion and recommendation: The overall nurses’ pain management knowledge in federal hospitals of Addis Ababa relative to Mekelle hospitals is good. Taking training, reading guidelines and level of education of nurses were significant predictors of nurse’s knowledge. Receiving a training related to intensive care unit and having adequate knowledge of pain management were also associated with practice of pain management. Therefore, the need to give trainings and prepare guideline regarding pain assessment and management might escalate to address pain management among nurses.
VL - 9
IS - 2
ER -

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Author Information

Zewdu Gelaye Wondimagegn

Emergency Medicine and Critical Care Nursing, St. Paul hospital Millennium Medical College, Addis Ababa, Ethiopia
Hana Abera Hailemariam

Maternal and Child Health Care Nursing, St. Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia
Tesfahun Abye Meshesha

Early Warning and Risk Management, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
Solomon Olijra

Emergency Medicine and Critical Care Nursing, St. Paul hospital Millennium Medical College, Addis Ababa, Ethiopia

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Zewdu Gelaye Wondimagegn, Hana Abera Hailemariam, Tesfahun Abye Meshesha, Solomon Olijra. (2021). Knowledge, Practice and Factors Associated with Pain Management for Adult Critical Ill Patients Among Nurses Working in Federal Hospitals of Addis Ababa Ethiopia 2020. American Journal of Clinical and Experimental Medicine, 9(2), 28-39. https://doi.org/10.11648/j.ajcem.20210902.12

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Zewdu Gelaye Wondimagegn; Hana Abera Hailemariam; Tesfahun Abye Meshesha; Solomon Olijra. Knowledge, Practice and Factors Associated with Pain Management for Adult Critical Ill Patients Among Nurses Working in Federal Hospitals of Addis Ababa Ethiopia 2020. Am. J. Clin. Exp. Med. 2021, 9(2), 28-39. doi: 10.11648/j.ajcem.20210902.12

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AMA Style

Zewdu Gelaye Wondimagegn, Hana Abera Hailemariam, Tesfahun Abye Meshesha, Solomon Olijra. Knowledge, Practice and Factors Associated with Pain Management for Adult Critical Ill Patients Among Nurses Working in Federal Hospitals of Addis Ababa Ethiopia 2020. Am J Clin Exp Med. 2021;9(2):28-39. doi: 10.11648/j.ajcem.20210902.12

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@article{10.11648/j.ajcem.20210902.12,
  author = {Zewdu Gelaye Wondimagegn and Hana Abera Hailemariam and Tesfahun Abye Meshesha and Solomon Olijra},
  title = {Knowledge, Practice and Factors Associated with Pain Management for Adult Critical Ill Patients Among Nurses Working in Federal Hospitals of Addis Ababa Ethiopia 2020},
  journal = {American Journal of Clinical and Experimental Medicine},
  volume = {9},
  number = {2},
  pages = {28-39},
  doi = {10.11648/j.ajcem.20210902.12},
  url = {https://doi.org/10.11648/j.ajcem.20210902.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20210902.12},
  abstract = {Background: Effective pain management requires precise knowledge and competent skills in practice. Nurses should have a solid foundation of pain knowledge and develop good practice pain management. Little is documented towards nurse’s knowledge and practice of pain management among critical ill patients in the study area. Objective: To examine the level of knowledge, practice & associated factors of nurses towards critically ill patients pain management at federal hospitals, Addis Ababa, Ethiopia September to October 2020. Method: A cross-sectional study design was conducted among nurses, who work at federal hospitals of Addis Ababa, Ethiopia from September 15 to October 15, 2020. All intensive care unit nurses was participated in the study. Data was collected by using self-administered structured questionnaire and entered into Epi info version 7 and imported to SPSS version 23.0 software for analysis. Associations was analyzed by using bivariate and multivariate logistic regression model. The findings were expressed with 95% CI and odd ratio and P-value<0.05. Result: Knowledge of nurses towards pain management in the study area is 64.9%. Among many factors contributed to the nurses’ pain management knowledge in the Multivariate logistic regression: work load (AOR, 8.8, CI95%, 1.45-53.39), training related to ICU (AOR, 10.8, CI95%, 1.07-109.42), reading of guidelines (AOR, 10.11, CI95%, 1.36-75.22), educational status (AOR, 16.38, CI95%, 1.02-261.9), and practice of nurse towards pain management (AOR, 6.17, CI95%; 1.38-27.56) were associated with knowledge of pain management. Nurses’ practice of pain management in the study area is 56.5%. Similarly having a training related to intensive care unit (AOR, 19.95, CI95%, 3.03-130.9), and knowledge of nurse towards pain management (AOR, 5.30, CI95%; 1.3-21.68) were significantly associated with practice of nurses on pain management. Conclusion and recommendation: The overall nurses’ pain management knowledge in federal hospitals of Addis Ababa relative to Mekelle hospitals is good. Taking training, reading guidelines and level of education of nurses were significant predictors of nurse’s knowledge. Receiving a training related to intensive care unit and having adequate knowledge of pain management were also associated with practice of pain management. Therefore, the need to give trainings and prepare guideline regarding pain assessment and management might escalate to address pain management among nurses.},
 year = {2021}
}

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