Nurses' Knowledge and Attitude About Opioids

Nurse's Role Clinical Trial

Official title:

Nurses' Knowledge and Attitudes Towards Opioids in Pain Management in North Cyprus

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04252443
• Other study ID #: opioid
• Status: Completed
• Phase: N/A
• Start date: June 1, 2018
• Est. completion date: June 5, 2018

Study information

• Verified date: January 2020
• Source: European University of Lefke
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Opioid analgesics used in moderate or severe pain have potential side effects and addiction. Therefore, nurses have hesitations about opioid administration.This descriptive study aimed to evaluate the attitude and knowledge of nurses working in a university hospital about opioids. One hundred twenty-seven nurses were interviewed in the research population. The research data were obtained from the questionnaire, prepared by the researchers, between 01-05 June 2018. It consisted of three parts: descriptive characteristics, attitudes, and knowledge on opioid administration, and evaluation of basic nursing skills and pharmacology about opioids. Statistical Package for Social Sciences (SPSS) 24.0 package program was used for statistical analysis.

Description:

Analgesics do not eliminate the cause of pain but reduce or eliminate that feeling. Non-steroid analgesics are preferred in mild and moderate, and opioids are used to moderate or severe pain that does not respond to anti-inflammatory agents. However, nurses avoid the administration of opioids because of side effects and addiction risk.The first step in the effectiveness of pain management in the emergency department is evaluation and control. Pain control should be included in the emergency management system from the stage of triage assessment of the patient and should be concluded with the correct analgesic use, if necessary. In emergency departments, waiting for analgesia can be prolonged unnecessarily, and mostly insufficient doses of analgesics administered.Mainly the use of opioids in the emergency department is not preferred much because it reduces the symptoms and masks the examination findings. However, against this conventional idea, recent studies have shown that opioids use reduces pain-related anxiety.Also, it increases the patients' participation in the examination, thus making it more effective. While patients feel better, symptoms such as tenderness and defense were generally not affected by analgesia.This descriptive study was conducted to evaluate the attitude and knowledge of nurses working in a university hospital about opioid analgesic administration, after the ethical committee approved.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 127
• Est. completion date: June 5, 2018
• Est. primary completion date: June 5, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria: Nurses, working university hospital, accepted to join to study

-

Exclusion Criteria:

• Other health care personnel, did not accept to join to study, long term leaving from job

Related Conditions & MeSH terms

• Knowledge, Attitudes, Practice
• Nurse's Role
• Opioid Use, Unspecified

Intervention

Other:
• Evaluation of nurses' knowledge and attitudes about opioid analgesics working in a university hospital
Interventions involving nurses' pharmacological level

Locations

Country	Name	City	State
Turkey	European University of Lefke	Mersin

Sponsors (1)

Lead Sponsor	Collaborator
European University of Lefke

Country where clinical trial is conducted

Turkey, 

References & Publications (23)

Abdolrazaghnejad A, Banaie M, Tavakoli N, Safdari M, Rajabpour-Sanati A. Pain Management in the Emergency Department: a Review Article on Options and Methods. Adv J Emerg Med. 2018 Jun 24;2(4):e45. doi: 10.22114/AJEM.v0i0.93. eCollection 2018 Fall. Review. — View Citation

Akbas M, Oztunç G. Examination of knowledge about and nursing interventions for the care of patients in pain of nurses who work at Cukurova University medical faculty Balcali hospital. Pain Manag Nurs. 2008 Sep;9(3):88-95. doi: 10.1016/j.pmn.2008.02.004. — View Citation

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Chapman CR, Lipschitz DL, Angst MS, Chou R, Denisco RC, Donaldson GW, Fine PG, Foley KM, Gallagher RM, Gilson AM, Haddox JD, Horn SD, Inturrisi CE, Jick SS, Lipman AG, Loeser JD, Noble M, Porter L, Rowbotham MC, Schoelles KM, Turk DC, Volinn E, Von Korff MR, Webster LR, Weisner CM. Opioid pharmacotherapy for chronic non-cancer pain in the United States: a research guideline for developing an evidence-base. J Pain. 2010 Sep;11(9):807-29. doi: 10.1016/j.jpain.2010.02.019. Epub 2010 Apr 28. — View Citation

Charalambous A, Zorpas M, Cloconi C, Kading Y. Healthcare professionals' perceptions on the use of opioid analgesics for the treatment of cancer-related pain in Cyprus: A mixed-method study. SAGE Open Med. 2019 Apr 4;7:2050312119841823. doi: 10.1177/2050312119841823. eCollection 2019. — View Citation

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de Freitas GR, de Castro CG Jr, Castro SM, Heineck I. Degree of knowledge of health care professionals about pain management and use of opioids in pediatrics. Pain Med. 2014 May;15(5):807-19. doi: 10.1111/pme.12332. Epub 2014 Jan 8. — View Citation

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Gorawara-Bhat R, Wong A, Dale W, Hogan T. Nurses' perceptions of pain management for older-patients in the Emergency Department: A qualitative study. Patient Educ Couns. 2017 Feb;100(2):231-241. doi: 10.1016/j.pec.2016.08.019. Epub 2016 Aug 29. — View Citation

Hroch J, VanDenKerkhof EG, Sawhney M, Sears N, Gedcke-Kerr L. Knowledge and Attitudes about Pain Management among Canadian Nursing Students. Pain Manag Nurs. 2019 Aug;20(4):382-389. doi: 10.1016/j.pmn.2018.12.005. Epub 2019 May 15. — View Citation

Hsaio GY, Chen IJ, Yu S, Wei IL, Fang YY, Tang FI. Nurses' knowledge of high-alert medications: instrument development and validation. J Adv Nurs. 2010 Jan;66(1):177-90. doi: 10.1111/j.1365-2648.2009.05164.x. Review. — View Citation

Hunold KM, Esserman DA, Isaacs CG, Dickey RM, Pereira GF, Fillingim RB, Sloane PD, McLean SA, Platts-Mills TF. Side effects from oral opioids in older adults during the first week of treatment for acute musculoskeletal pain. Acad Emerg Med. 2013 Sep;20(9):872-9. doi: 10.1111/acem.12212. Epub 2013 Aug 27. — View Citation

Janati M, Kariman H, Memary E, Davarinezhad-Moghadam E, Arhami-Dolatabadi A. Educational Intervention Effect on Pain Management Quality in Emergency Department; a Clinical Audit. Adv J Emerg Med. 2018 Jan 16;2(2):e16. doi: 10.22114/AJEM.v0i0.45. eCollection 2018 Spring. — View Citation

Karaman E, Vural Dogru B, Yildirim Y. Knowledge and attitudes of nursing students about pain management. Agri. 2019 Apr;31(2):70-78. doi: 10.5505/agri.2018.10437. — View Citation

Kastanias P, Snaith KE, Robinson S. Patient-controlled oral analgesia: a low-tech solution in a high-tech world. Pain Manag Nurs. 2006 Sep;7(3):126-32. — View Citation

Peker L, Celebi N, Canbay O, Sahin A, Cakir B, Uzun S, Aypar U. Doctors' opinions, knowledge and attitudes towards cancer pain management in a university hospital. Agri. 2008 Apr;20(2):20-30. — View Citation

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Samarkandi OA. Knowledge and attitudes of nurses toward pain management. Saudi J Anaesth. 2018 Apr-Jun;12(2):220-226. doi: 10.4103/sja.SJA_587_17. — View Citation

Textor LH, Porock D. The pain management knowledge of nurses practicing in a rural midwest retirement community. J Nurses Staff Dev. 2006 Nov-Dec;22(6):307-12. — View Citation

Tomaszek L, Debska G. Knowledge, compliance with good clinical practices and barriers to effective control of postoperative pain among nurses from hospitals with and without a "Hospital without Pain" certificate. J Clin Nurs. 2018 Apr;27(7-8):1641-1652. doi: 10.1111/jocn.14215. Epub 2018 Mar 2. — View Citation

Trescot AM, Helm S, Hansen H, Benyamin R, Glaser SE, Adlaka R, Patel S, Manchikanti L. Opioids in the management of chronic non-cancer pain: an update of American Society of the Interventional Pain Physicians' (ASIPP) Guidelines. Pain Physician. 2008 Mar;11(2 Suppl):S5-S62. Review. — View Citation

* Note: There are 23 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Nurses' Knowledge and Attitudes towards Opioids in Pain Management in North Cyprus	Questionnaire, Knowledge scores of the participants were calculated over 100. 4 points were given for each correct answer, and 0 for each wrong or "don't know. " The range of scores was 0-100. A high score was a mean high level of knowledge.	Through study completion, an average of 6 months

External Links

•   World Health Organization Analgesic Ladder Scheme