Evaluation of Postoperative Pain Management Practices from Senior Nursing Students' Care Plans

Year 2024, Volume: 6 Issue: 2, 216 - 224, 25.08.2024

Gülümser Durgun , Sevilay Erden

Abstract

To determine the practices of senior nursing students for pain management. The sample of this descriptive, retrospective study consisted of 108 care plans prepared by senior nursing students in a tertiary care center in 2017-2018 within the scope of Surgical Diseases Nursing clinical practices. Research data were collected from the determined care plans by using the "Patient Information Form" and "Pain Management Application Form for Students". The form consists of questions answered as yes/no, and the total score was calculated by giving a score of '1' for the answer of "yes", and '0' for the answers that were not specified. Each student's score was evaluated out of 100. When the pain management practices and care plan mean scores of the nursing students were evaluated, the nursing students who scored ≥70 were considered successful. Including the patient or family in the pain assessment (100%), describing pain symptoms (100%), using a valid/reliable pain scale (98.1%), severity of pain (98.1%), recording of pain assessment (%) 100) were the apps with the highest success rates. Expressing pain duration (3.7%), transmitting pain management data (1.9%), and diagnosing pain by cause (14%) were the least effective practices. Only 27.8% of the students scored ≥70. It has been seen that the application information scores of students for pain management were low. In undergraduate nursing programs, Pain Management should be discussed through case studies within the framework of acute pain guides and awareness of the students in pain management should be increased.

Keywords

Pain Management, Nursing Care, Nursing Students, Nursing Diagnosis.

Hemşirelik Son Sınıf Öğrencilerinin Bakım Planlarından Postoperatif Ağrı Yönetimi Uygulamalarının Değerlendirilmesi

Abstract

Son sınıf hemşirelik öğrencilerinin ağrı yönetimine yönelik uygulamalarını belirlemektir. Tanımlayıcı, retrospektif tipteki bu çalışmanın örneklemini, Üçüncü basamak bir bakım merkezinde son sınıf hemşirelik öğrencilerinin 2017-2018 yılında, Cerrahi Hastalıklar Hemşireliği klinik uygulamaları kapsamında hazırladıkları 108 bakım planı oluşturmuştur. Araştırma verileri, belirlenen bakım planlarından, “Hasta Bilgilendirme Formu” ve “Öğrencilerin Ağrı Yönetimi Uygulama Formu” kullanılarak toplanmıştır. Form evet/hayır şeklinde yanıtlanan sorulardan oluşmakta olup, “evet” yanıtı için ‘1’, “hayır” ve “belirtilmeyen” yanıtlar için ‘0’ puan verilerek toplam puan hesaplanmıştır. Her öğrencinin puanı 100 üzerinden değerlendirilmiştir. Hemşirelik öğrencilerinin ağrı yönetimi uygulamaları ve bakım planı puan ortalamaları değerlendirildiğinde ≥70 puan alan hemşirelik öğrencileri başarılı kabul edildi. Ağrı değerlendirmesine hasta veya aileyi dahil etmek (%100) ağrı semptomlarını tanımlamak (%100), geçerli/güvenilir ağrı ölçeği kullanmak (%98.1), ağrının şiddetini (%98.1), ağrı değerlendirmesinin kaydı (%100) en yüksek başarı oranlarına sahip uygulamalardı. Ağrı süresinin ifade edilmesi (%3.7), ağrı yönetimi verilerinin iletilmesi (%1.9), ağrının nedeni ile teşhis edilmesi (%14) en az etkili uygulamalardı. Öğrencilerin sadece %27.8'i ≥70 puan almıştır. Öğrencilerin ağrı yönetimi uygulama bilgi puanlarının düşük olduğu görülmüştür. Lisans hemşirelik programlarında ağrı yönetimi akut ağrı kılavuzları çerçevesinde vaka çalışmaları üzerinden tartışılmalı ve öğrencilerin ağrı yönetimi konusunda farkındalıkları arttırılmalıdır.

Keywords

Ağrı Yönetimi, Hemşirelik Bakımı, Hemşirelik Öğrencileri, Hemşirelik Tanısı

Supporting Institution

yok

Thanks

Bu çalışmaya katılan tüm hemşirelik öğrencilerine teşekkür ederiz.

References

• Kadriye, A. C. A. R., Hüseyin, A. C. A. R., DEMİR, F., & ASLAN, F. E. (2016). Determining the Satisfaction Level of Patients After Postsurgical Pain Treatment. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 19(2). https://dergipark.org.tr/en/download/article-file/224254
• Adams, S. D. M., Varaei, S., & Jalalinia, F. (2020). Nurses’ knowledge and attitude towards postoperative pain management in Ghana. Pain Research and Management, 2020. https://www.hindawi.com/journals/prm/2020/4893707/
• Alsaqri SH. (2018).Nursing student’s knowledge and attitudes toward pain management at Hail University, Saudi Arabia. International Journal of Advanced and Applied Sciences, 5(3):75-81. http://www.science-gate.com/IJAAS.html
• Aslan, F, Dikmen BT. (2020). The Knowledge of Pain Management among Nursing Students. Med Sci, 5:1. DOI: 10.5152/cjms.2020.883
• Aydın B., & Bektaş M. (2019). Examination of Nursing Students' Care Plans in Terms of Pediatric Pain Management. Dokuz Eylul University Faculty of Nursing Electronic Journal , 12(4):243-254. https://dergipark.org.tr/en/download/article-file/831166
• Bölükbaş N, Irmak B, Bulut G, Özdemir DA Ö, Bayrak HY. (2020).Evaluation of Nursing Diagnoses and Interventions Determined by Students in Surgical Diseases Nursing Summer Internship Files. Ordu University Journal of Nursing Studies,3 (1), 1-9. DOI:10.38108/ouhcd.715689
• Campbell, E. (2020). Faculty perspectives of teaching pain management to nursing students. Pain Management Nursing, 21(2), 179-186. DOİ:https://doi.org/10.1016/j.pmn.2019.07.010
• Card, E. B., Wells, N., Mesko, P., Eliades, A., MacDonald, R., & Krenzischek, D. A. (2021). Perianesthesia nurses pain management practices: Findings and recommendations from a National Descriptive Study of Members of the AmericanSociety of Perianesthesia Nurses. Journal of PeriAnesthesia Nursing, 36(2), 128-135. DOI:https://doi.org/10.1016/j.jopan.2020.07.007
• Chan JC., Hamamura T. (2016). Emotional intelligence, pain knowledge, and attitudes of nursing students in Hong Kong. Pain Management Nursing, 17(2):159-168. DOİ:https://doi.org/10.1016/j.pmn.2016.02.001
• Cousins, M., Lane-Krebs, K., Matthews, J., & Johnston-Devin, C. (2021). Student nurses' pain knowledge and attitudes towards pain management over the last 20 years: A systematic review. Nurse Education Today, 105169. DOİ:https://doi.org/10.1016/j.nedt.2021.105169
• Çelik S, Baş BK, Korkmaz ZN, Karaşahin H, Yıldırım S. (2018).Determination of nurses' knowledge and behavior on pain management. Bakırköy Medical Journal ,14:17-23. DOI: 10.5350/BTDMJB.20160905103604
• Erden S, Akcali D, Cizmeci P, Inan N, Babacan A. (2015a). Comparison of One Day Pain Evaluation Questionnaireof Inpatients in 2007 and 2012 in a University Hospital. Gazi Medical Journal, 26(2):52-55. DOİ:http://doi.org/10.12996/gmj.2015.17
• Erden, S., Akçalı, D., Bulut, H., & Babacan, A. (2015b). Determining the Knowledge Levels of Surgical Nurses on Pain and Postoperative Pain Management: A Pilot Study. Gumushane University Journal of Health Sciences, 4(1), 53-69. https://dergipark.org.tr/en/pub/gumussagbil/issue/23835/253923
• Erden S, Arslan S, Deniz S, Kaya P, Gezer D. (2018b). A review of postoperative pain assessment of nurses. Applied nursing research: ANR, 38(1). DOI: 10.1016/j.apnr.2018.01.001
• Erden, S., Karadaǧ, M., Güler Demir, Sevil., Atasayar, S., Opak Yücel, B., Kalkan, N., ... & Ay, A. (2018a).Cross-cultural adaptation, validity, and reliability of the Turkish version of revised American Pain Society patient outcome questionnaire for surgical patients. 30(2):39-50.DOI: 10.5505/agri.2018.21548
• Erden S, Demir S.G, Kanatlı U, Danacı F, Carboga B. (2017). The effect of standard pain assessment on pain and analgesic consumption amount in patients undergoing arthroscopic shoulder surgery. Applied Nursing Research,33:121-126. . DOİ:https://doi.org/10.1016/j.apnr.2016.11.009
• Hancer, A. T., & Yilmaz, M. (2020). Determination of knowledge and attitudes related to pain of nursing students in Turkey. International Journal of Caring Sciences, 13(1), 716. http://www.internationaljournalofcaringsciences.org/docs/79_topal_original_13_1.pdf
• Hroch J, Van Den Kerkhof EG, Sawhney M, Sears N, Gedcke-Kerr L. (2019). Knowledge and attitudes about pain management among Canadian nursing students. Pain Management Nursing, 20(4):382-389. DOİ:https://doi.org/10.1016/j.pmn.2018.12.005
• Karaman E, Doğru BV, Yıldırım Y. (2019). Knowledge and attitudes of nursing students about pain management. Agri-the journal of the Turkish Society of Algology, 31 (2),70-78. doi: 10.5505/agri.2018.10437
• Mıdıllı TS, Eşer İ, Yücel Ş. (2019).The use of non-pharmacological methods in pain management by nurses working in surgical clinics and the factors affecting them. ACU Journal of Health Sciences , 10 (1), 60-66. DOİ:https://doi.org/10.31067/0.2018.72
• Nomura, A. T. G., de Abreu Almeida, M., & Pruinelli, L. (2021). Information model on pain management: An analysis of big data. Journal of Nursing Scholarship, 53(3), 270-277. DOİ:https://doi.org/10.1111/jnu.12638
• Özveren H, Faydalı S, Gülnar E, Dokuz H F. (2018).Nurses' attitudes and practices regarding pain assessment. Contemporary Medicine Journal, 8(1):60-66. DOI:10.16899/gopctd.388195
• Peterson A, Berggården M, Schaller AS, Larsson B. (2019). Nurses’ Advocacy of Clinical Pain Management in Hospitals: A Qualitative Study. Pain Management Nursing,20(2):133-139. DOİ:https://doi.org/10.1016/j.pmn.2018.09.003
• Plaisance, L, Logan C. (2006). Nursing students’ knowledge and attitudes regarding pain. Pain Management Nursing, 7(4), 167-175. DOİ:https://doi.org/10.1016/j.pmn.2006.09.003
• Sılay, F., & Akyol, A. (2018). The Role of Nurses in Pain Control in Intensive Care Units. Journal of Izmir Katip Celebi University Faculty of Health Sciences, 3(3), 31-38. https://dergipark.org.tr/en/pub/ikcusbfd/issue/41014/496387
• Skog, N., Mesic Mårtensson, M., Dykes, A. K., & Vejzovic, V. (2021). Pain assessment from Swedish nurses' perspective. Journal for Specialists in Pediatric Nursing, 26(3), e12317. DOİ:https://doi.org/10.1111/jspn.12317
• Tan M, Law LSC, Gan TJ. (2015).Optimizing pain management to facilitate enhanced recovery after surgery pathways. Canadian Journal of Anesthesia/Journal canadien d'anesthésie, 62 (2), 203-218. DOI 10.1007/s12630-014-0275-x
• Ünver S, Kızılcık Özkan Z, Avcıbaşı İM, Babacan Dığın F. (2016).Evaluation of nursing students' attempts for postoperative pain management. Journal of Nursing Education and Research, 13(2):146-150. doi:10.5222/HEAD.2016.146
• Wooldridge, S.,& Branney, J. (2020). Congruence between nurses' and patients' assessment of postoperative pain: a literature review. British Journal of Nursing, 29(4), 212-220. DOİ:https://doi.org/10.12968/bjon.2020.29.4.212
• Yüceer, S. & Ülker, S. (2011, 29 September - 02 October). Determination of the knowledge level of nursing students about pain and postoperative pain management, which is the fifth vital sign [Poster presentation]. 12. National Regional Anesthesia Congress, Turkey.