Nurses knowledge and attitude regarding pain: A systematic review and meta-analysis

荟萃分析 科克伦图书馆 系统回顾 梅德林 医学 斯科普斯 协议(科学) 批判性评价 家庭医学 护理部 物理疗法 替代医学 病理 政治学 法学
作者
Mario I. Ortiz,Carlos Enrique Cuevas‐Suárez,Raquel Cariño‐Cortés,José de Jesús Navarrete-Hernández,César A. González-Montiel
出处
期刊:Nurse Education in Practice [Elsevier]
卷期号:63: 103390-103390 被引量:11
标识
DOI:10.1016/j.nepr.2022.103390
摘要

To determine through a systematic review and meta-analysis the level of knowledge about pain of nursing health professionals based on their scores on the Knowledge and Attitudes Survey Regarding Pain tool and its subdimensions in different settings.Adequate pain management is closely related to the degree of knowledge about pain of the healthcare personnel. Therefore, pedagogical programs on pain have been implemented in diverse health setting. However, several studies have found significant deficiencies in the knowledge of pain in health professionals, including nurses.Systematic review and meta-analysis. The study protocol was developed, registered and published in the international prospective register of systematic reviews (PROSPERO).Scopus, PubMed, Embase, Web of Science, Cochrane Library and Google Scholar databases were searched up to June 2021. Studies from 2010 to 2021 were included in the analysis.This study was conducted according to the Report Article for Systematic Reviews and Meta-analysis (PRISMA) guidelines and the quality evaluation was realized by the Mix Methods Appraisal Tool (MMAT). A random effects model analyzed the data, due on the heterogeneity among the studies. The I2 index and Cochran's Q test were employed to inspect the heterogeneity between the studies. For the Cochran's Q test, the P-value was set at 0.05.Eighteen studies with 7942 nurses were included in the systematic review and meta-analysis. The percentage of total pain knowledge was 52.9 % (95 % CI: 47.2-58.6). The highest and the lowest knowledge scores were for the spiritual/cultural dimension (69.9 %, 95 % CI: 63.4-76.0) and the intervention dimension (36.8 %, 95 % CI: 28.1-45.9), respectively. The score of total knowledge of the six domains in nurses in the area of oncology (58.6 %, 95 % CI: 45.3-71.2) was higher than that of nurses of the other areas.The knowledge of the nursing professionals about pain was lower that the suggested level of 80 %. Our study found that the pain knowledge is positively related to the prior pain training. Therefore, there is an urgent need to include continuing educational initiatives to improve the knowledge level about pain management in all the health personnel, including the nursing professionals.
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