Evaluation of Future Nurses' Beliefs and Fears About Pain: A Descriptive and Correlational Study

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-05-06 DOI:10.1111/jep.70058

Kamile Kırca, Hüsna Özveren, Tuba Karabey

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Abstract

Background

How nurses manage pain and their decisions to treat it depend on their attitudes, beliefs, and misconceptions about pain. Therefore, the first step to promoting positive behaviour change in nurses is to determine their attitudes, beliefs, fears, knowledge, and behaviour towards pain management. Nurses with negative or false beliefs about pain are likely to provide inadequate pain management and care. Nursing students are the nurses of tomorrow who will play a key role in pain management and treatment. This study aimed to evaluate nursing students' beliefs and fears about pain.

Methods

This descriptive and correlational study was carried out on 342 nursing students of a university in Türkiye. Data were collected using an individual information form, the Fear of Pain Questionnaire-III (FPQ-III), and the Pain Beliefs Questionnaire (PBQ).

Results

The mean scores of the participants from FPQ-III, Severe Pain, Minor Pain, Medical Pain subscales were 83.71 ± 19.14, 32.54 ± 7.97, 24.48 ± 6.89 and 26.68 ± 7.92, respectively. The participants' mean scores on the Organic Beliefs and Psychological Beliefs subscales were 3.50 ± 0.72 and 4.60 ± 0.96, respectively. There was a positive correlation between FPQ-III and PBQ scores. The psychological belief subscale explained only 2.1% of the total change in the fear of pain score (R² = 0.021, p < 0.05).

Conclusion

Participants had high ‘psychological beliefs’ and ‘severe pain’ scores. It may be recommended to use interactive education methods such as case-based teaching for students to learn effective methods of coping with pain and realise their own beliefs and attitudes. Establishing simulation laboratories where students can experience all pain-related processes is also important in gaining knowledge and skills on pain management.

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未来护士对疼痛的信念和恐惧的评估：一项描述性和相关性研究

护士如何管理疼痛和决定治疗疼痛取决于他们对疼痛的态度、信念和误解。因此，促进护士积极行为改变的第一步是确定他们对疼痛管理的态度、信念、恐惧、知识和行为。对疼痛有消极或错误信念的护士可能会提供不充分的疼痛管理和护理。护理专业的学生是未来的护士，他们将在疼痛管理和治疗中发挥关键作用。本研究旨在评估护生对疼痛的信念与恐惧。方法对云南省某高校342名护生进行描述性和相关性研究。数据收集采用个人信息表，疼痛恐惧问卷- iii （FPQ-III）和疼痛信念问卷（PBQ）。结果FPQ-III、重度疼痛、轻度疼痛、医用疼痛量表的平均得分分别为83.71±19.14、32.54±7.97、24.48±6.89和26.68±7.92。参与者在“有机信念”和“心理信念”分量表上的平均得分分别为3.50±0.72和4.60±0.96。FPQ-III与PBQ得分呈正相关。心理信念分量表仅解释了疼痛恐惧评分总变化的2.1% （R2 = 0.021, p < 0.05）。结论：参与者的“心理信念”和“剧烈疼痛”得分较高。建议采用案例教学等互动式教学方法，让学生学习应对痛苦的有效方法，实现自己的信念和态度。建立模拟实验室，让学生体验所有与疼痛相关的过程，对于获得疼痛管理的知识和技能也很重要。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.