아동간호사의 통증관리 수행에 영향을 미치는 요인

Abstract

Purposes: The purposes of this study were to identify the relationship between knowledge, barriers, self-efficacy, and practice of pain management among pediatric nurses, and to identify the predictors of pain management practices among pediatric nurses. Methods: A descriptive correlational study was conducted. Participants were 237 pediatric nurses in G metropolitan city, who completed a self-administered questionnaire. Data were analyzed using descriptive statistics, independent t-test or one-way ANOVA, Pearson's correlation analysis, and multiple regression analysis. Results: The mean percentage of correct answer for children's pain management knowledge scale was 58.8%. The three most significant barriers of children's pain management were parents' reluctance to have children receive medication, children's reluctance to report pain, and insufficient MD orders before procedures. Self-efficacy of children's pain management was generally low. and self-efficacy to assess children’'s pain across developmental stages was especially low. Pain management practices for pharmacological interventions, emotional support and pain assessment using facial scale were relatively high but for non-pharmacological interventions was low. Children's pain management practices were significantly correlated with self-efficacy of pain management. Significant predictors of children's pain management practices were current working department and self-efficacy of pain management and these predictors accounted 37.5% of variance of pain management practices. Conclusion: Results from this study demonstrated that a pain education program for pediatric nurses needs to be developed to improve self-efficacy of children's pain management. Moreover, further research needs to be carried out to identify factors that impact on pain management practices.

Key Words: Pediatric nurses, Pain management, Knowledge, Barriers, Self-efficacy, Practices