Factors Associated with Nurses'' Postoperative Pain Management in Vietnam

• Main Author: Nguyen Thi Thu Trang
• Other Authors: Huey Lan Hu
• Format: Others
• Language: en_US
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/c5cg6a

碩士 === 臺北醫學大學 === 護理學系碩士暨碩士在職專班 === 104 === Abstract Title: Factors associated with nurses’ postoperative pain management in Vietnam. Institution: Graduate Institute of Nursing, Taipei Medical University. Author: Nguyen Thi Thu Trang. Thesis Advisor: Assistant Professor, Huey-Lan Hu. Background: Unrelieved postoperative pain is a consistent problem throughout the world and can result in poor patient outcomes. Nurses play a critical role in proper postoperative pain management. However, studies of nurses’ practice regarding postoperative pain surgery and barriers they encountered in Vietnam are lacking. Aim: This study investigated knowledge, practices, perceived barriers and factors associated with postoperative pain management among Vietnamese surgical nurses. Method: This was a cross – sectional study that took place in the general and subspecialty surgical departments at six Vietnamese hospitals. Questionnaire items covered nurses’ knowledge, the perceived barriers, practice related to postoperative pain management and nurses’ characteristics as well as their working environment. Results: 310 (88.57%) questionnaires were completed. Average correct rate was 44.1% for proper pain management knowledge. The most commonly missed items were questionnaires regarding to pain assessment and opioid use. More than half of nurses assessed patients’ postoperative pain and did documentation after the assessment. Nurses rarely used validated tools to assess patient’s postoperative pain. A vast majority of participants gave pain medication on a fixed-order and non – pharmacological interventions were the most common methods provided. Reluctance opioids; limited nurses–patients relationship; patients lacked report pain and take opioids as well as hospitalorganization were barriers to postoperative pain manage. Having more knowledge, lower workload, higher job satisfaction, more frequently in continuing education and working on higher hospital level were independently associated with higher nurses’ practice score. Conclusions: Knowledge gaps continue to exist in postoperative pain management, necessitating the need for the development of effective method (such as continuing education) to improve staffs'' knowledge. Authentic leaders and hospitals administrators need to pay more attention to increase satisfaction of the nurses and work environment, as well as support a standard protocol for acute pain management and implemented in hospital.