Anesthésie et recherche clinique
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Practice towards Postoperative Pain Management and Associated Factors among Nurses Working in Referral Hospitals: A Cross-sectional Study

Jaleta DT, Tuji TS, Wake AD

Introduction: The proportion of surgical operations conducted is rising globally. There is a challenge of effectively managing Postoperative Pain (POP) because of the increase in the figure of surgical operations conducted. POP management is a major responsibility of all healthcare providers, but nurses in particular. This is because the nurses are the frontlines for the patient care. So that, knowing the nurses level of practice towards POP management and associated factors is a critical and significant issues to sthreangthen the recovery of the patients from their pain earlier. However the practice towards POP management and associated factors among nurses working in a surgical track in the study area is unknown.

Objectives: The aim of the present study was to assess practice towards POP management and associated factors among nurses working in Amhara Regional State Referral hospitals, northwest Ethiopia.

Methods: A cross-sectional study was conducted on 405 working in the surgical track at five refereal hospitals in Amhara Regional State in northwest Ethiopia. The data were collected from March 8 to April 23, 2019 by self-administered questionary and observational technique. The data were analyzed by using SPSS version 20 Software.

Result: The present study showed that the prevalence of nurse’s good practice towards POP management was 47.65% (95%CI, [42.5, 52.8]). The multivariable logistic regression analysis showed: having BSc educational qualification (AOR= 2.774, 95% CI [1.284, 5.99]), having MSc educational qualification (AOR=4.546, 95% CI [1.53, 13.47]), having good level of knowledge regarding POP management (AOR=2.02, 95% CI [1.33, 3.06]), lack of workload (AOR=1.794, 95% CI [1.185, 2.718]) and receiving training about POP management (AOR=1.877, 95% CI [1.259, 2.80]) were factors significantly associated with nurses level of practice towards POP management.

Conclusion: The present study showed that the prevalence of nurse’s good practice towards POP management was low. Educational level, level of knowledge, training about POP management and lack of workload were factors significantly associated with nurses level of practice towards POP management. Finally, training for nurses on POP management is recommended to be considered. Further, health educational program is also required to take place for nurses on this area in order to improve their level of practice.