Attitudes, beliefs and self-reported competence about postoperative pain among physicians and nurses working on surgical wards

Scand J Caring Sci; 2012; 26; 545–552 Attitudes, beliefs and self‐reported competence about postoperative pain among physicians and nurses working on surgical wards Aims:  To investigate attitudes, beliefs and self‐reported competence with regard to pain management in nurses and physicians on surgic...

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Veröffentlicht in:Scandinavian journal of caring sciences 2012-09, Vol.26 (3), p.545-552
Hauptverfasser: Rognstad, May-Karin, Fredheim, Olav Magnus S., Johannessen, Tone E.B., Kvarstein, Gunnvald, Skauge, Marta, Undall, Eva, Rustøen, Tone
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container_end_page 552
container_issue 3
container_start_page 545
container_title Scandinavian journal of caring sciences
container_volume 26
creator Rognstad, May-Karin
Fredheim, Olav Magnus S.
Johannessen, Tone E.B.
Kvarstein, Gunnvald
Skauge, Marta
Undall, Eva
Rustøen, Tone
description Scand J Caring Sci; 2012; 26; 545–552 Attitudes, beliefs and self‐reported competence about postoperative pain among physicians and nurses working on surgical wards Aims:  To investigate attitudes, beliefs and self‐reported competence with regard to pain management in nurses and physicians on surgical wards. Interprofessional differences between physicians and nurses were also examined. Methods:  A total of 795 physicians and nurses from different surgical departments in Norway were invited to complete a questionnaire measuring attitudes, beliefs and self‐reported competence about postoperative pain. Findings:  In total, 128 physicians and 407 nurses completed the questionnaire (response rate 68%). Of these, 77% of physicians and 57% of nurses reported more than 4 years’ work experience with postoperative pain. Most of the physicians (95%) and nurses (86%) reported that patients ‘often’ or ‘very often’ achieved satisfactory pain relief. Overall, 69% of the sample evaluated themselves as being highly competent or competent in treating nociceptive pain, while only 16% reported they were highly competent or competent in treating neuropathic pain. There were no statistically significant differences between the professions regarding their self‐reported competence in pain management, and nurses and physicians only differed on three out of 18 conditions regarding their appraisal of conditions related to postoperative pain management after controlling for years of experience. Only 20% of respondents were satisfied with the annual updates for staff about pain relief for patients with postoperative pain. Conclusions:  Even though the majority of physicians and nurses described themselves as competent in management of nociceptive pain, and thought that patients often or very often achieved satisfactory pain relief, the respondents reported dissatisfaction with the annual updates in pain management and poor competence in treatment of neuropathic pain.
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Interprofessional differences between physicians and nurses were also examined. Methods:  A total of 795 physicians and nurses from different surgical departments in Norway were invited to complete a questionnaire measuring attitudes, beliefs and self‐reported competence about postoperative pain. Findings:  In total, 128 physicians and 407 nurses completed the questionnaire (response rate 68%). Of these, 77% of physicians and 57% of nurses reported more than 4 years’ work experience with postoperative pain. Most of the physicians (95%) and nurses (86%) reported that patients ‘often’ or ‘very often’ achieved satisfactory pain relief. Overall, 69% of the sample evaluated themselves as being highly competent or competent in treating nociceptive pain, while only 16% reported they were highly competent or competent in treating neuropathic pain. There were no statistically significant differences between the professions regarding their self‐reported competence in pain management, and nurses and physicians only differed on three out of 18 conditions regarding their appraisal of conditions related to postoperative pain management after controlling for years of experience. Only 20% of respondents were satisfied with the annual updates for staff about pain relief for patients with postoperative pain. Conclusions:  Even though the majority of physicians and nurses described themselves as competent in management of nociceptive pain, and thought that patients often or very often achieved satisfactory pain relief, the respondents reported dissatisfaction with the annual updates in pain management and poor competence in treatment of neuropathic pain.</description><identifier>ISSN: 0283-9318</identifier><identifier>EISSN: 1471-6712</identifier><identifier>DOI: 10.1111/j.1471-6712.2011.00964.x</identifier><identifier>PMID: 22272649</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Attitude of Health Personnel ; attitudes ; beliefs ; Clinical Competence ; competence ; Cross-Sectional Studies ; health professionals ; Humans ; Norway ; Nurses ; Nursing ; pain management ; Pain, Postoperative ; Physicians ; postoperative pain ; Surgery Department, Hospital</subject><ispartof>Scandinavian journal of caring sciences, 2012-09, Vol.26 (3), p.545-552</ispartof><rights>2012 The Authors. 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Scandinavian Journal of Caring Sciences © 2012 Nordic College of Caring Science.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4394-a9f6dca7cc5e02e405f2996f2c80503c9eb2a96a61fab36cbdf4eb74c6fb78423</citedby><cites>FETCH-LOGICAL-c4394-a9f6dca7cc5e02e405f2996f2c80503c9eb2a96a61fab36cbdf4eb74c6fb78423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1471-6712.2011.00964.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1471-6712.2011.00964.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22272649$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rognstad, May-Karin</creatorcontrib><creatorcontrib>Fredheim, Olav Magnus S.</creatorcontrib><creatorcontrib>Johannessen, Tone E.B.</creatorcontrib><creatorcontrib>Kvarstein, Gunnvald</creatorcontrib><creatorcontrib>Skauge, Marta</creatorcontrib><creatorcontrib>Undall, Eva</creatorcontrib><creatorcontrib>Rustøen, Tone</creatorcontrib><title>Attitudes, beliefs and self-reported competence about postoperative pain among physicians and nurses working on surgical wards</title><title>Scandinavian journal of caring sciences</title><addtitle>Scand J Caring Sci</addtitle><description>Scand J Caring Sci; 2012; 26; 545–552 Attitudes, beliefs and self‐reported competence about postoperative pain among physicians and nurses working on surgical wards Aims:  To investigate attitudes, beliefs and self‐reported competence with regard to pain management in nurses and physicians on surgical wards. Interprofessional differences between physicians and nurses were also examined. Methods:  A total of 795 physicians and nurses from different surgical departments in Norway were invited to complete a questionnaire measuring attitudes, beliefs and self‐reported competence about postoperative pain. Findings:  In total, 128 physicians and 407 nurses completed the questionnaire (response rate 68%). Of these, 77% of physicians and 57% of nurses reported more than 4 years’ work experience with postoperative pain. Most of the physicians (95%) and nurses (86%) reported that patients ‘often’ or ‘very often’ achieved satisfactory pain relief. Overall, 69% of the sample evaluated themselves as being highly competent or competent in treating nociceptive pain, while only 16% reported they were highly competent or competent in treating neuropathic pain. There were no statistically significant differences between the professions regarding their self‐reported competence in pain management, and nurses and physicians only differed on three out of 18 conditions regarding their appraisal of conditions related to postoperative pain management after controlling for years of experience. Only 20% of respondents were satisfied with the annual updates for staff about pain relief for patients with postoperative pain. 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2012; 26; 545–552 Attitudes, beliefs and self‐reported competence about postoperative pain among physicians and nurses working on surgical wards Aims:  To investigate attitudes, beliefs and self‐reported competence with regard to pain management in nurses and physicians on surgical wards. Interprofessional differences between physicians and nurses were also examined. Methods:  A total of 795 physicians and nurses from different surgical departments in Norway were invited to complete a questionnaire measuring attitudes, beliefs and self‐reported competence about postoperative pain. Findings:  In total, 128 physicians and 407 nurses completed the questionnaire (response rate 68%). Of these, 77% of physicians and 57% of nurses reported more than 4 years’ work experience with postoperative pain. Most of the physicians (95%) and nurses (86%) reported that patients ‘often’ or ‘very often’ achieved satisfactory pain relief. Overall, 69% of the sample evaluated themselves as being highly competent or competent in treating nociceptive pain, while only 16% reported they were highly competent or competent in treating neuropathic pain. There were no statistically significant differences between the professions regarding their self‐reported competence in pain management, and nurses and physicians only differed on three out of 18 conditions regarding their appraisal of conditions related to postoperative pain management after controlling for years of experience. Only 20% of respondents were satisfied with the annual updates for staff about pain relief for patients with postoperative pain. Conclusions:  Even though the majority of physicians and nurses described themselves as competent in management of nociceptive pain, and thought that patients often or very often achieved satisfactory pain relief, the respondents reported dissatisfaction with the annual updates in pain management and poor competence in treatment of neuropathic pain.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22272649</pmid><doi>10.1111/j.1471-6712.2011.00964.x</doi><tpages>8</tpages></addata></record>
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subjects Attitude of Health Personnel
attitudes
beliefs
Clinical Competence
competence
Cross-Sectional Studies
health professionals
Humans
Norway
Nurses
Nursing
pain management
Pain, Postoperative
Physicians
postoperative pain
Surgery Department, Hospital
title Attitudes, beliefs and self-reported competence about postoperative pain among physicians and nurses working on surgical wards
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