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Improving pain management by nurses: A pilot Peer Intervention Program.

H E Edwards1, R E Nash, P M Yates

  • 1Centre for Nursing Research, Queensland University of Technology, Australia. h.edwards@qut.edu.au

Nursing & Health Sciences
|March 8, 2002
PubMed
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A peer intervention program improved nurses' pain management by addressing their beliefs and attitudes. This approach positively impacted nurses' self-efficacy and intentions when administering pain medication.

Area of Science:

  • Nursing
  • Pain Management
  • Health Psychology

Background:

  • Despite educational efforts, hospitalized patients frequently report significant pain.
  • Existing pain management strategies often fall short, necessitating innovative approaches.

Purpose of the Study:

  • To evaluate a theoretically based Peer Intervention Program designed to enhance nurses' pain management practices.
  • To address nurses' beliefs, attitudes, self-efficacy, and intentions regarding p.r.n. (as required) narcotic analgesia.

Main Methods:

  • A quasi-experimental pre-post test pilot study was conducted.
  • Three conditions were implemented: patient intervention, nurse and patient intervention, and a control group.
  • The study involved 24 nurses in the patient intervention, 18 in the nurse and patient intervention, and 19 in the control group.

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Main Results:

  • Significant differences were observed between the nurse and patient intervention group compared to other conditions.
  • Improvements were noted in nurses' beliefs, self-efficacy, perceived control, attitudes, subjective norms, and intentions.
  • Supportive peer discussions and increased awareness of behavioral influences were key positive outcomes.

Conclusions:

  • The Peer Intervention Program demonstrated effectiveness in modifying nurses' cognitive and intentional aspects of pain management.
  • Peer support and awareness of psychological factors are crucial for improving nursing pain management behaviors.
  • Further research can build upon this model to enhance patient pain relief.