Nurses knowledge about and attitude toward pediatrics pain management in public hospitals in Nekemte City, Ethiopia 2023

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-05-24 DOI:10.1016/j.pedn.2025.05.013

Wandimu Muche Mekonen , Werku Etafa Ebi , Bizuneh Wakuma Efa , Ashenafi Zawudie Kumbi , Garoma Gemechu Tolera , Amanuel Tesfaye Haile , Befirdu Mulatu Jima , Bruck Tesfaye Legesse , Dawit Tesfaye Daka

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引用次数: 0

Abstract

Background

Pain is a significant concern for pediatric patients but is often poorly managed in low- and middle-income countries (LMICs). Therefore, this study aimed to assess nurses' knowledge and attitudes regarding pediatric pain management in public hospitals in Nekemte City, Ethiopia.

Methods

A cross-sectional survey was conducted among 272 nurses at a hospital in Nekemte, Ethiopia. Nurses completed a self-administered questionnaire assessing their knowledge and attitudes toward pediatric pain management. The data were entered into Epi-Data version 4.6 and analyzed using Statistical Package for the Social Science Software (SPSS) version 27 (IBM Corporation). Binary logistic regression analyses were used to determine the associations between dependent and explanatory variables. An adjusted odds ratio (OR) with a corresponding confidence interval (CI) was used to assess the strength of association, and statistical significance was declared at P-value <0.05.

Results

In total, 266 nurses participated in this study, yielding a response rate of 97.8 %. Only 33.1 % demonstrated good knowledge and 44.0 % had favorable attitudes regarding pediatric pain management. Nurses who had experience 5–10 years (AOR = 2.20, 1.06–4.56) and nurses working in emergency units (AOR = 4.01, 1.31–12.26) were significantly and positively associated with nurses' knowledge about pediatric pain management. Nurses with more than 10 years of experience (AOR = 2.18, 1.01–4.65) and working in outpatient units (AOR = 0.238, 0.08–0.69) were significantly associated with their attitudes toward pediatric pain management.

Conclusions

Knowledge and attitudes regarding pediatric pain management were inadequate among more than half of the nurses. In-service training may address this issue. Experience level and clinical area impacted nurses' knowledge and attitudes. Hence, it is important for health care institutions to consider these factors when designing training programs and assignments for nurses.

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埃塞俄比亚Nekemte市公立医院护士对儿科疼痛管理的知识和态度

背景疼痛是儿科患者的一个重要问题，但在低收入和中等收入国家（LMICs）往往管理不善。因此，本研究旨在评估埃塞俄比亚Nekemte市公立医院护士对儿科疼痛管理的知识和态度。方法对埃塞俄比亚Nekemte某医院的272名护士进行横断面调查。护士完成了一份自我管理的问卷，评估他们对儿科疼痛管理的知识和态度。数据输入Epi-Data 4.6版，使用SPSS 27版（IBM Corporation）进行分析。二元逻辑回归分析用于确定因变量和解释变量之间的关联。采用校正优势比（OR）和相应的置信区间（CI）来评估关联强度，p值为<；0.05，具有统计学意义。结果共有266名护士参与本研究，有效率为97.8%。只有33.1%的人对儿童疼痛管理有良好的认识，44.0%的人对儿童疼痛管理有良好的态度。工作经验5 ~ 10年的护士（AOR = 2.20, 1.06 ~ 4.56）和急诊科工作的护士（AOR = 4.01, 1.31 ~ 12.26）与护士对小儿疼痛管理知识的了解呈显著正相关。10年以上护理经验（AOR = 2.18, 1.01-4.65）和门诊工作经验（AOR = 0.238, 0.08-0.69）的护士对儿童疼痛管理的态度显著相关。结论半数以上护士对小儿疼痛管理知识和态度不足。在职培训可以解决这个问题。经验水平和临床领域影响护士的知识和态度。因此，卫生保健机构在设计护士培训计划和任务时考虑这些因素是很重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.