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Glazov, What Color is Your Brain?

CNE Article
Influences of Patient Behavior on Clinical Nurses’ Pain Assessment: Implications for Continuing Education

The Journal of Continuing Education in Nursing    Vol. 36  No. 1    January/February 2005

By Carol Horbury, RN; Neuro Cert., BSc; Amanda Henderson, RN, PhD; Belinda Bromley, RN, BN

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ABSTRACT

Pain management is an important consideration in the promotion of patients’ comfort. However, research continues to indicate patients’ pain management is poor. The nursing literature cites nurses’ lack of knowledge as a significant determinant of poor pain management practices. The impetus for this study arose from poor attendance by nurses at inservice sessions discussing pain assessment and management. Knowledge of existing nursing practice and accompanying beliefs and attitudes in relation to pain management is paramount in the development of relevant continuing education for registered nurses. The aim of this investigation was to study nurses’ intention to treat pain in different patients. A 10-page questionnaire with eight different patient scenarios was distributed to 886 nurses across all clinical divisions of an acute tertiary facility. Results indicate knowledge deficits regarding optimum pain relief for patients. This article highlights the need for innovative teaching strategies and approaches in the clinical context to heighten nurses’ awareness of their lack of knowledge of pain assessment and management.

AUTHORS

At the time of the study, Ms. Horbury was Clinical Nurse, Acute Pain Service, and Ms. Bromley was Clinical Nurse, Division of Surgery, Royal Brisbane Hospital, Brisbane, Australia. Ms. Horbury is currently an advisor to the Minister of Health, Queensland, Australia. Dr. Henderson is Nursing Director (Education), Princess Alexandra Hospital, Woolloongabba, Australia.

Address correspondence to Amanda Henderson, RN, PhD, Nursing Director (Education), Princess Alexandra Hospital, Woolloongabba, 4102, QLD, Australia.