Kontakt 2022, 24(1):29-35 | DOI: 10.32725/kont.2021.028

Postoperative pain management - knowledge and experiences of general nurses with a multicultural backgroundNursing - Original article

Denisa Porter1, 2, *, Petra Búřilová3, Andrea Pokorná3
1 University of Ostrava, Faculty of Medicine, Department of Nursing and Midwifery, Ostrava, Czech Republic
2 King Abdulaziz Medical City, National Guard Health Affairs, Post Anaesthesia Care Unit, Riyadh, Saudi Arabia
3 Masaryk University, Faculty of Medicine, Department of Nursing and Midwifery, Brno, Czech Republic

Aim: We evaluated the knowledge and experience of general nurses, across multicultural backgrounds, on managing postoperative pain in one healthcare facility in the Kingdom of Saudi Arabia.

Methods: Online cross-sectional questionnaire survey. The data was analysed using the STATA 15 programme at significance level α = 0.05.

Results: In total, 473 general nurses were involved in the survey across 16 different nationalities (average age 35.7 years, 92.4% female). The use of pain scales differs according to the type of department (p = 0.000). The numeric pain scale was most commonly used in the standard surgical department and the FLACC (Face, Legs, Activity, Cry, Consolability) scale in the intensive care units. The type of non-pharmacological treatment method differs according to the type of department (p < 0.05). The application of warm compression is the most commonly used treatment in the surgical department, while psychosocial support was declared most often in day care surgery units.

Conclusions: The results showed inconsistencies in the management of postoperative pain. Different scales are used to assess pain and different procedures of non-pharmacological therapy are used. It is appropriate to establish uniform guidelines and to regularly inform general nurses about new trends in the treatment of postoperative pain, based on international standards.

Keywords: Adult; General nurses; Inpatients; Non-pharmacological treatment; Pain scales; Postoperative pain
Grants and funding:

The study was supported by the project: Pain Management in the Postoperative Period, Knowledge and Experience of General Nurses (Czech Republic and Kingdom of Saudi Arabia), SGS05/LF/2019-2020, Medical Faculty University of Ostrava, Czech Republic.

Conflicts of interest:

The authors declare that they are not aware of any conflict of interests regarding this contribution.

Received: March 18, 2021; Revised: May 18, 2021; Accepted: June 16, 2021; Prepublished online: June 29, 2021; Published: March 15, 2022  Show citation

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Porter D, Búřilová P, Pokorná A. Postoperative pain management - knowledge and experiences of general nurses with a multicultural background. Kontakt. 2022;24(1):29-35. doi: 10.32725/kont.2021.028.
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References

  1. Apfelbaum J, Chen C, Mehta S, Gan TJ (2003). Postoperative Pain Experience: Results from a National Survey suggest postoperative pain continues to be undermanaged. Anesth Analg 97(2): 534-540. DOI: 10.1213/01.ane.0000068822.10113.9e. Go to original source... Go to PubMed...
  2. Beyaz SG, Bayar F, Erdem AF (2011). Acute postoperative pain. J Anesth Clin Res 4(286): 1-8. DOI: 10.4172/2155-6148.1000286. Go to original source...
  3. Borys M, Zyzak K, Hanych A, Domagała M, Gałkin P, Gałaszkiewicz K, et al. (2018). Survey of postoperative pain control in different types of hospitals: a multicenter observational study. BMC Anesthesiol 18(1): 83. DOI: 10.1186/s12871-018-0551-3. Go to original source... Go to PubMed...
  4. Choueiry J, Reszel J, Hamid JS, Wilding J, Martelli B, Harrison D (2020). Development and Pilot Evaluation of anEducational Tool for the FLACC Pain Scale. Pain Manag Nurs 21(6): 523-529. DOI: 10.1016/j.pmn.2020.06.002. Go to original source... Go to PubMed...
  5. Erden S, Arslan S, Deniz S, Kaya P, Gezer D (2017). A review of postoperative pain assessment records of nurses. Appl Nurs Res 38: 1-4. DOI: 10.1016/j.apnr.2017.08.003. Go to original source... Go to PubMed...
  6. Eshete MT, Baeumler PI, Siebeck M, Tesfaye M, Haileamlak A, Michael GG, et al. (2019). Quality of postoperative pain management in Ethiopia: A prospective longitudinal study. PLoS One 14(5): e0215563. DOI: 10.1371/journal.pone.0215563. Go to original source... Go to PubMed...
  7. Fielding R, Irwin MG (2006). The knowledge and perceptions of nurses and interns regarding acute pain and postoperative pain control. Hong Kong Med J 12(Suppl. 1): S31-34.
  8. Gupta A, Kaur K, Sharma S, Goyal S, Arora S, Murthy RSR (2010). Clinical aspects of acute post-operative pain management & its assessment. J Adv Pharm Technol Res 1(2): 97-108. Go to original source...
  9. Ireland CK, Lalkhen AG (2019). Postoperative Analgesia. Anaesth Int Care 20(2): 98-104. DOI: 10.1016/j.mpaic.2018.12.007. Go to original source...
  10. Jensen MJ, Sherlin LH, Askew RL, Witkop FFG, Gianas A, Howe JD, Hakimian S (2013). Effects of non-pharmacological pain treatments on brain states. Clin Neurophysiol 124(10): 2016-2024. DOI: 10.1016/j.clinph.2013.04.009. Go to original source... Go to PubMed...
  11. Kjeldsen HB, Klausen TW, Rosenberg J (2016). Preferred Presentation of the Visual Analog Scale for Measurement of Postoperative Pain. Pain Pract 16(8): 980-984. DOI: 10.1111/papr.12344. Go to original source... Go to PubMed...
  12. Mackova D, Pokorna A (2020). Management of postoperative pain. Kontakt 22(2): 96-103. DOI: 10.32725/kont.2020.018. Go to original source...
  13. Ng L, Cashman J (2018). The management of acute pain. Med J 46(12): 780-785. DOI: 10.1016/j.mpmed.2018.09.009 Go to original source...
  14. Rauh KH, Andersen RS, Rosenberg J (2013). [Visual analogue scale for measuring post-operative pain]. Ugeskr Laeger 175(24): 1712-1716. Go to PubMed...
  15. Rejeh N, Ahmadi F, Mohammadi E, Kazemnejad A, Anoosheh M (2009). Nurses' experiences and perceptions of influencing barriers to postoperative pain management. Scand J Caring Sci 23(2): 274-281. DOI: 10.1111/j.1471-6712.2008.00619.x Go to original source... Go to PubMed...
  16. Tighe P, Buckenmaier CC, 3rd, Boezaart AP, Carr DB, Clark LL, Herring AA, et al. (2015). Acute Pain Medicine in the United States: A status report. Pain Med 16(9): 1806-1826. DOI: 10.1111/pme.12760. Go to original source... Go to PubMed...
  17. Woldehaimanot TE, Eshetie TCH, Kerie MW (2014). Postoperative Pain Management among Surgically Treated Patients in an Ethiopian Hospital. PLoS One 9(7): e102835. DOI: 10.1371/journal.pone.0102835. Go to original source... Go to PubMed...
  18. Xavier AT, de Lima MK, Burgos TMR, De Lira MCC, Serrano SQ (2018). Evaluation of postoperative pain under the nurse's point of view. J Nurs UFPE on Line 12(9): 2436-2441. DOI: 10.5205/1981-8963-v12i9a234730p2436-2441-2018. Go to original source...
  19. Yaban ZS (2019). Usage of Non-Pharmacologic Methods on Postoperative Pain Management by Nurses: Sample of Turkey. Int J Caring Sci 12(1): 529-541.

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