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Nurses' knowledge and evidence-based practice in pain management for sedated ICU patients: Results of a national
Nurdan Yalçın Atar1, Semra Açıksöz1, Öznur Tuğba Çelebi Dursun2
1Hamidiye Faculty of Nursing, University of Health Sciences (Turkey), Selimiye Mahallesi, Tıbbiye Cd No: 38, 34668, Üsküdar, İstanbul, Türkiye.
Aim:
This study aimed to evaluate intensive care nurses' knowledge and evidence-based practices regarding pain management in sedated patients and to identify influencing factors.
Background:
Pain management is a critical component of nursing care in intensive care units, yet managing pain in sedated patients remains complex and requires specialized competencies. To date, no study has specifically examined ICU nurses' knowledge and practices related to pain management in this population, nor the factors influencing them.
Methods:
A descriptive, cross-sectional study was conducted among 218 ICU nurses using standardized self-report instruments. Data were collected using the "Descriptive Information Form," the "Pain Management Knowledge Test in Sedated Patients," and the "Evidence-based Practices Test for Pain Management in Sedated Patients."
Results:
The mean knowledge score was 26.48 ± 7.01 (range: 0-35), significantly differing by education and professional background (p < 0.05). The mean evidence-based practice score was 27.47 ± 6.74 (range: 13-39), with no significant demographic differences. Although nurses' knowledge varied according to education and experience, their practices were similar across groups.
Conclusion:
Given that sedated ICU patients often receive end-of-life care, improving nurses' pain management competencies may directly enhance palliative outcomes. İnstitutional protocols and ongoing training programs are recommended.
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