Knowledge and Attitudes of Critical Care Nurses Regarding Pain Management in Saudi Arabia.

Approximately five million patients on yearly basis are being admitted to the critical care unit around the world. Around (77%) of these patients suffer from pain during their stay in critical care units. Undertreated pain aggravates anxiety, sleep deprivation, agitation, delirium, and depression that often lead to a chronic condition. There are various barriers toward recognition and proper management of pain such as sedation, the presence of endotracheal tube, healthcare providers lack of knowledge etc. Therefore, it becomes essential for the nurses to have the required knowledge related to pain, valid pain assessment tools, and proper management. The present study aimed at investigating the critical care nurses' knowledge and attitude towards pain management at a university hospital in Saudi Arabia. A descriptive cross-sectional design of 112 nurses working at intensive care units and emergency department. The data collected using a knowledge and attitude regarding pain (KASRP) survey. Majority of nurses had inadequate knowledge regarding pain management. Among 112 nurses, only 8 nurses (7.1%) were with good level of knowledge compared by 54 nurses (48.2%) with poor level of knowledge. Results showed significant association between knowledge and attitude and the current position in the ICU (p=0.043). It is mandatory to monitor nurses' pain management knowledge continuously. As well as to emphasis significance of an educational programs that serve nursing practice.

Jamal K ，Alameri RA ，Alqahtani FM ，AlGarni RS ，Alamri NA ，Elshnawie HA ，Badawi SEA ，Hussien AM ... -  《-》

Nurses' Knowledge, Attitudes, and Barriers Toward Pain Assessment and Management in Assir Region, Saudi Arabia.

Maribbay GML ，Bdair IA ，Alalyani MM ，Al-Shloul MN ... -  《-》

Nurses' knowledge and attitudes regarding pain management: Cross-sectional survey in the Eastern Province of Saudi Arabia.

This study aims to investigate the nursing staff's knowledge and attitudes regarding pain management in the Eastern Province of Saudi Arabia. A quantitative descriptive cross-sectional survey. Between January and March of 2020, 183 registered nurses from two hospitals in the Eastern Province of Saudi Arabia completed the Nurses' Knowledge and Attitude Survey Regarding Pain. We determined the average mean score for both the individual and the aggregate scores and the t-test. The nurses had an inadequate level of knowledge and attitudes regarding pain based on the average mean score for this factor. There was a statistically significant correlation between length of time spent working as a registered nurse and the nurses' reported scores on tests measuring their knowledge and attitude toward pain.

Alsalman A ，Mansour M ，Almobarak F 《Nursing Open》

Quantitative study of oncology nurses' knowledge and attitudes towards pain management in Saudi Arabian hospitals.

Pain is an unpleasant human experience, often associated with underlying medical conditions, and a key reason for individuals experiencing pain to seek medical advice. However, the pain experience is unique and subjective, and affects people's quality of life, as well as impacting on their concerned family members. Optimal pain management requires adequate knowledge, a positive attitude, and competent pain assessment measures. It has been reported that oncology nurses in the Kingdom of Saudi Arabia (KSA) have inadequate knowledge, assessment skills and management of pain. This paper aims to examine nurses' knowledge and attitudes regarding pain management in Saudi Arabian hospitals (SA). A cross-sectional survey was administered to 320 nurses exhibiting considerable racial, cultural, religious and professional diversity, working in oncology units at five hospitals in the KSA. Self-completed survey questionnaires were distributed using the 'Knowledge and Attitudes Survey Regarding Pain' (KASRP) tool. The nurses exhibited a relatively poor overall knowledge of pain management (mean score = 45.1%; 95% CI = 43.9%, 46.2%). The mean KASRP scores varied significantly at α = 0.05 with respect to the nurses' nationality, whether they had attended pain-related courses, and whether they had participated in research. The results indicate the urgency needed to reform pain management education for oncology nurses in the KSA.

Alqahtani M ，Jones LK 《-》

Knowledge, attitudes, and perceived barriers regarding pain assessment and management among Thai critical care nurses: A cross-sectional study.

Pain is a distressing problem which commonly occurs among critically ill patients. Nurses' knowledge of, attitudes, and perceived barriers to pain assessment and management can influence the effectiveness of nursing care. To explore the current knowledge of, attitudes, and perceived barriers to pain assessment and management among Thai critical care unit nurses. A cross-sectional survey conducted between November 2022 and January 2023 among 158 Thai nurses working in one of eight adult critical care units in a tertiary hospital, evaluated their knowledge of, attitudes, and perceived barriers to pain assessment and management. Nurses possessed inadequate knowledge and negative attitudes regarding pain assessment and management. The most important barrier to pain assessment and management was "patients are unable to communicate their pain". The results showed a significantly weak positive correlation between nurses' attitudes toward pain assessment and management age (r = 0.26, p = 0.001), year of ICU experience (r = 0.29, p < 0.001), and obtaining a certificate in intensive care nursing (r = 0.37, P < 0.001). Thai critical care unit nurses possessed inadequate knowledge and negative attitudes. Further training and education regarding pain assessment and management could include case studies or simulation and immersive virtual reality to improve critical care unit nurses' knowledge and attitudes as well as identifying potential barriers to pain assessment and management in the critical care settings. The implications for clinical practice recommend that continued quality assurance procedures should be implemented and maintained to evaluate the effectiveness of current pain assessment practices. Additionally, the perceived barriers to effective pain assessment and management should be considered and managed not only through continued education and training but could include using nursing case review, morbidity and mortality data identifying those patients that experience chronic pain post-ICU discharge.

Chaleewong N ，Chaiviboontham S ，Christensen M 《-》