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Research article
Betiel Yihdego Kidanemariam
Asmara College of Health Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7681-7856
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and minimizing the need formedication. The aim of the study was to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals.
Methods: A descriptive cross sectional study was conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses' utilization ofselected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVAwere used to analyze the data. Statistical significance level was set at P < 0.05.
Results: The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were the most frequently used methods, while cognitive-behavioral (5.9%) and physical methods (5.8%) had less frequency. The results also showed , such as the nurses' age (p=0.013), education (p=0.012), work experience (p=0.001) and place of work (p=0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals had a statistical significance of (p<0.001) and were the only determinants of the non-pharmacological methods at multivariable level. On the perceived barriers;heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%),nurse’s lack of knowledge (50%) and experience (40.3%) wereidentified.
Conclusion: Non-pharmacological methods on postoperative patients in the studied hospitals varied greatly due to experience and knowledge. The study recommends exposure and training for all health care providers at all level in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management among patients. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.
Keywords
-pharmacological pain management methods, Pain management, Perceived barriers, Postoperative pain
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CURRENT STATUS: Published
View the published article at BMC Nursing.
Community comments: 1
Editorial decision: Accept
On 13 Oct, 2020
Editor assigned
On 12 Oct, 2020
Submission checks complete
On 11 Oct, 2020
Editor invited
On 11 Oct, 2020
Version 2
Posted 30 Sep, 2020
No comments provided
Editorial decision: Minor revision
On 30 Sep, 2020
Reviewer #2 agreed
On 28 Sep, 2020
Review #2 received
Received 28 Sep, 2020
Reviewer #1 agreed
On 27 Sep, 2020
Review #1 received
Received 27 Sep, 2020
Reviewers invited
Invitations sent on 26 Sep, 2020
Editor assigned
On 24 Sep, 2020
Submission checks complete
On 23 Sep, 2020
Editor invited
On 23 Sep, 2020
No comments provided
Review #2 received
Received 23 Aug, 2020
Editorial decision: Major revision
On 23 Aug, 2020
Review #1 received
Received 19 Aug, 2020
Reviewer #2 agreed
On 15 Aug, 2020
Reviewer #1 agreed
On 08 Aug, 2020
Reviewers invited
Invitations sent on 19 Jul, 2020
Editor assigned
On 16 Jul, 2020
Submission checks complete
On 11 Jul, 2020
Editor invited
On 10 Jul, 2020
First submitted
On 30 Jun, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Nursing
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A new preprint design is coming!
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See the published version of this preprint at BMC Nursing.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Betiel Yihdego Kidanemariam
Asmara College of Health Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7681-7856
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Nursing.
Community comments: 1
Editorial decision: Accept
On 13 Oct, 2020
Editor assigned
On 12 Oct, 2020
Submission checks complete
On 11 Oct, 2020
Editor invited
On 11 Oct, 2020
Version 2
Posted 30 Sep, 2020
No comments provided
Editorial decision: Minor revision
On 30 Sep, 2020
Reviewer #2 agreed
On 28 Sep, 2020
Review #2 received
Received 28 Sep, 2020
Reviewer #1 agreed
On 27 Sep, 2020
Review #1 received
Received 27 Sep, 2020
Reviewers invited
Invitations sent on 26 Sep, 2020
Editor assigned
On 24 Sep, 2020
Submission checks complete
On 23 Sep, 2020
Editor invited
On 23 Sep, 2020
No comments provided
Review #2 received
Received 23 Aug, 2020
Editorial decision: Major revision
On 23 Aug, 2020
Review #1 received
Received 19 Aug, 2020
Reviewer #2 agreed
On 15 Aug, 2020
Reviewer #1 agreed
On 08 Aug, 2020
Reviewers invited
Invitations sent on 19 Jul, 2020
Editor assigned
On 16 Jul, 2020
Submission checks complete
On 11 Jul, 2020
Editor invited
On 10 Jul, 2020
First submitted
On 30 Jun, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Nursing
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Nursing.
Background: Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and minimizing the need formedication. The aim of the study was to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals.
Methods: A descriptive cross sectional study was conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses' utilization ofselected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVAwere used to analyze the data. Statistical significance level was set at P < 0.05.
Results: The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were the most frequently used methods, while cognitive-behavioral (5.9%) and physical methods (5.8%) had less frequency. The results also showed , such as the nurses' age (p=0.013), education (p=0.012), work experience (p=0.001) and place of work (p=0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals had a statistical significance of (p<0.001) and were the only determinants of the non-pharmacological methods at multivariable level. On the perceived barriers;heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%),nurse’s lack of knowledge (50%) and experience (40.3%) wereidentified.
Conclusion: Non-pharmacological methods on postoperative patients in the studied hospitals varied greatly due to experience and knowledge. The study recommends exposure and training for all health care providers at all level in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management among patients. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.
This is a list of supplementary files associated with this preprint. Click to download.
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