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Pain Management by Nurses in Level 2 and Level 3 Hospitals in China
Yunxia Li1, Kangmao Huang1, Yan Cheng2
1Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Background:
Pain management practice differs among hospitals in China; however, no studies have examined the association between hospital level and nursing practice of pain management.
Aims:
To evaluate the nursing practice of pain management in orthopedics wards of level 3 and 2 hospitals and compare the differences in pain management regulations, policies, and perceived barriers.
Design:
This was a cross-sectional descriptive study.
Setting:
This study was conducted during the 10th International Congress of the Chinese Orthopedic Association, November 19-22, 2015.
Participants:
Subjects: The sample included 121 nurses from China.
Methods:
Quantitative research methods were used to assess pain management practice by 121 Chinese nurses as well as barriers to nursing practice.
Results:
Nurses in level 3 hospitals were more likely to evaluate patients' pain intensity (85.23% vs. 65.38%, p < .05) and quality (77.27% vs. 53.85%, p < .05) than those in level 2 hospitals. Compared with level 2 hospitals, level 3 hospitals were more likely to participate in the Painless Orthopedics Ward program (53.41% vs. 23.08%, p < .01), conduct pain management knowledge training (88.64% vs. 69.23%, p < .05), and establish pain management regulations (68.18% vs. 34.62%, p < .01). Level 2 hospital nurses reported a higher score for barriers than level 3 hospital nurses (3.27 vs. 2.45, p < .05).
Conclusions:
Nurses from level 2 hospitals received less education on pain management and also paid less attention to and faced more restrictions for pain management than nurses from level 3 hospitals.
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