Nursing practices for pain management in hospitals of a city of Santa Catarina

Kipel, Anna Geny Batalha; Franco, Selma Cristina; Muller, Luciane Aparecida

doi:10.5935/1806-0013.20150040

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ARTIGOS ORIGINAIS • Rev. dor 16 (3) • Jul-Sep 2015 • https://doi.org/10.5935/1806-0013.20150040 copy

Nursing practices for pain management in hospitals of a city of Santa Catarina^* * Received from the University of the Joinville Region, Joinville, SC, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

BACKGROUND AND OBJECTIVES:

Pain is the fifth vital sign and requires from health professionals specific skills and knowledge for its management. This study aimed at evaluating nursing practices for pain management in hospitals of a city in Southern Brazil.

METHODS:

This was a cross-sectional and quantitative study carried out by means of a structured questionnaire to evaluate professional characteristics and knowledge about pain in a sample of 418 professionals: 63 nurses and 355 nursing technicians from three hospitals, two public and one private, between July 2012 and August 2013. Chi-square and Fisher Exact tests were used to evaluate associations between explanatory variables and groups (professional category, type of hospital and time of professional exercise), with significance level of 5%.

RESULTS:

From all participants, 27.5% have attended specific discipline in their qualification; 30.6% have attended pain qualification courses; 66.7% know about pain evaluation methods and 58.6% use them. Private hospital professionals are more skilled in pain evaluation methods (p<0.001), as well as more recently graduated professionals (p=0.005). These methods were more broadly used by nurses (p=0.036); private hospital professionals (p<0.001) and those more recently graduated (p<0.001). Nurses better understand the concept of transduction (p<0.001); private hospital professionals follow more pain evaluation protocols (p<0.001) as well as those more recently graduated (p=0.013).

CONCLUSION:

Health professionals must improve their knowledge in this area so that nursing practices for pain management are adequately followed in hospitals of a city of Santa Catarina.

Keywords:
Hospitals; Nursing care; Pain management; Practices

Characteristics	Studied specific discipline					Attended qualification course
	Yes		No		p value	Yes		No		p value^* * Chi-square test.
	n	%	n	%		N	%	n	%
Category
Nurse	12	19.0	51	81.0	0.139	16	25.4	47	74.6	0.408
Nursing technician	103	29.0	252	71.0		112	31.5	243	68.5
Type of hospital
H1 (municipal)	27	25.2	80	74.8		28	26.2	79	73.8
H2 (state)	51	27.7	133	72.3	0.799	57	31.0	127	69.0	0.441
H3 (private)	37	29.1	90	70.9	0	43	33.9	84	66.1
Experience (years)
Less than 1	10	31.2	22	68.8		10	31.2	22	68.8
1 to 5	47	35.6	85	64.4	0.052	51	38.6	81	61.4	0.104
6 to 10	25	21.0	94	79.0		31	26.0	88	74.0
More than 10	33	24.4	102	75.6		36	26.7	99	73.3

Charcteristics	Know some method					Use some method
	Yes		No		p value	Yes		No		p value^* * Chi-square test.
	n	%	n	%		n	%	n	%
Category
Nurse	48	76.2	15	23.8	0.114	45	71.4	18	28.6	0.036
Nursing technician	231	65.1	124	34.9		200	56.3	155	43.7
Type of hospital
H1 (municipal)	62	57.9	45	42.1		53	49.5	54	50.5
H2 (state)	95	51.6	89	48.4	<0.001	73	39.7	111	60.3	<0.001
H3 (private)	122	96.1	5	3.9		119	93.7	8	6.3
Experience (years)
Less than 1	27	84.4	5	15.6		28	87.5	4	12.5
1 to 5	95	72.0	37	28.0	0.005	83	62.9	49	37.1	<0.001
6 to 10	81	68.1	38	31.9		70	58.8	49	41.2
More than 10	76	56.3	59	43.7		64	47.4	71	52.6

Characteristics	Better not medicate					Know transduction concept
	Yes		No		p value	Yes		No		p value
	n	%	n	%		n	%	n	%
Category
Nurse	40	63.5	23	36.5	1.00	16	25.4	47	74.6
Nursing technician	223	62.8	132	37.2		33	9.3	322	90.7	<0.001^* * Fisher Exact test;
Type of hospital
H1 (municipal)	63	58.9	44	41.1		8	7.5	99	92.5
H2 (state)	118	64.1	66	35.9	0.603	26	14.1	158	85.9	0.235^ Chi-square test.
H3 (private)	82	64.6	45	35.4		15	11.8	112	88.2
Experience (years)
Less than 1	24	75.0	8	25.0		6	18.8	26	81.2
1 to 5	87	65.9	45	34.1	0.211	15	11.4	117	88.6
6 to 10	75	63.0	44	37.0		15	12.6	104	87.4	0.521^* * Fisher Exact test;
More than 10	77	57.0	58	43.0		13	9.6	122	90.4

Characteristics	Patients’ history interferes with pain						Follow pain evaluation protoco
	Yes		No		p value		Yes	No		p value^* * Chi-square test.
	n	%	n	%		n	%	n	%
Category
Nurse	54	85.7	9	14.3		45	71.4	18	28.6	0.295
Nursing technician	273	76.9	82	23.1	0.163	226	63.7	129	36.3
Type of hospital
H1 (municipal)	83	77.6	24	22.4		62	57.9	45	42.1	<0.001
H2 (state)	142	77.2	42	22.8	0.790	105	57.1	79	42.9
H3 (private)	102	80.3	25	19.7		104	81.9	23	18.1
Experience (years)
Less than 1	26	81.2	6	18.8		24	75.0	8	25.0
1 to 5	110	83.3	22	16.7	0.246	95	72.0	37	28.0	0.013
6 to 10	92	77.3	27	22.7		64	53.8	55	46.2
More than 10	99	73.3	36	26.7		88	65.2	47	34.8

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[1] Correspondence to: Anna Geny Batalha KIpel, Rua Paulo Malschitzki, 10 – Campus Universitário, Zona Industrial, 89219-710 Joinville, SC, Brasil. E-mail: anna@ifsc.edu.br

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Nursing practices for pain management in hospitals of a city of Santa Catarina* * Received from the University of the Joinville Region, Joinville, SC, Brazil.

ABSTRACT

BACKGROUND AND OBJECTIVES:

METHODS:

RESULTS:

CONCLUSION:

Nursing practices for pain management in hospitals of a city of Santa Catarina^* * Received from the University of the Joinville Region, Joinville, SC, Brazil.