Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge

Nabeeha Tashkandi; Laura Taylor; Litaba Efraim Kolobe; Sharon Chellan; Loh Cheng Cheng

doi:doi:10.11648/j.ajns.20221102.14

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Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge

Nabeeha Tashkandi, Laura Taylor, Litaba Efraim Kolobe, Sharon Chellan, Loh Cheng Cheng

Published in American Journal of Nursing Science (Volume 11, Issue 2)

Received: 17 March 2022 Accepted: 6 April 2022 Published: 14 April 2022

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Abstract

Context: There is a surplus of contemporary scientific evidence-based indicated numerous precarious positions with inadequate post-surgical pain management in adult surgical patients. The most important barrier in this context was suboptimal postsurgical pain interventions. Aim: This nursing improvement initiative aimed to optimize post-surgical pain nursing interventions in adult surgical patients by training surgical nurses the strategies to enhance their pain management competencies in one teaching hospital in Saudi Arabia. Materials and methods: A descriptive, cross-sectional pain prevalence survey was conducted quarterly in all eight adult surgical inpatients wards to determine and assess if their pain was controlled to a satisfactory level of less than moderate pain. Secondly, pre-and post-test surgical nurses’ knowledge assessment surveys were conducted. Descriptive statistics were used to analyze and interpret and present the data. Results: The outcomes demonstrated that through the improvement nursing initiative strategies implemented, the pain prevalence survey in February 2020 improved by more than 9% with an average of 93.4% (n=142; N=152) of patients with pain intensity less than moderate pain, while in September after omitting quarter three due to Covid-19 surge, all eight surgical wards achieved an average of 88% (n=152; N=173), thus improved by 3,6% compared to the results of November 2019. The average pretest pain knowledge assessment survey taken in January 2020 by 103 surgical nurses in all eight surgical wards was 71%. In October 2020, 114 surgical nurses participated in the post-test and achieved 83%, demonstrated an increase of more than 12% from all 20 questions. Conclusion: The eight surgical wards substantially achieved more than 80% of patients with controlled postsurgical pain levels of less than moderate pain during the last two prevalence cycles, and the posttest revealed pain management knowledge acquisition from the baseline of the pretest conducted. It is therefore postulated that it is essential to monitor the pain management quality of delivered patient nursing care interventions based on the type of pain and consider the provision of refresher training sessions to influence practical skills of pain management competencies.

Published in	American Journal of Nursing Science (Volume 11, Issue 2)
DOI	10.11648/j.ajns.20221102.14
Page(s)	70-76
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Prevalence Surveys, Pain Management Training, Post-surgical Pain, Surgical Nurses

References

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APA Style

Nabeeha Tashkandi, Laura Taylor, Litaba Efraim Kolobe, Sharon Chellan, Loh Cheng Cheng. (2022). Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge. American Journal of Nursing Science, 11(2), 70-76. https://doi.org/10.11648/j.ajns.20221102.14

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ACS Style

Nabeeha Tashkandi; Laura Taylor; Litaba Efraim Kolobe; Sharon Chellan; Loh Cheng Cheng. Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge. Am. J. Nurs. Sci. 2022, 11(2), 70-76. doi: 10.11648/j.ajns.20221102.14

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AMA Style

Nabeeha Tashkandi, Laura Taylor, Litaba Efraim Kolobe, Sharon Chellan, Loh Cheng Cheng. Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge. Am J Nurs Sci. 2022;11(2):70-76. doi: 10.11648/j.ajns.20221102.14

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@article{10.11648/j.ajns.20221102.14,
  author = {Nabeeha Tashkandi and Laura Taylor and Litaba Efraim Kolobe and Sharon Chellan and Loh Cheng Cheng},
  title = {Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge},
  journal = {American Journal of Nursing Science},
  volume = {11},
  number = {2},
  pages = {70-76},
  doi = {10.11648/j.ajns.20221102.14},
  url = {https://doi.org/10.11648/j.ajns.20221102.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20221102.14},
  abstract = {Context: There is a surplus of contemporary scientific evidence-based indicated numerous precarious positions with inadequate post-surgical pain management in adult surgical patients. The most important barrier in this context was suboptimal postsurgical pain interventions. Aim: This nursing improvement initiative aimed to optimize post-surgical pain nursing interventions in adult surgical patients by training surgical nurses the strategies to enhance their pain management competencies in one teaching hospital in Saudi Arabia. Materials and methods: A descriptive, cross-sectional pain prevalence survey was conducted quarterly in all eight adult surgical inpatients wards to determine and assess if their pain was controlled to a satisfactory level of less than moderate pain. Secondly, pre-and post-test surgical nurses’ knowledge assessment surveys were conducted. Descriptive statistics were used to analyze and interpret and present the data. Results: The outcomes demonstrated that through the improvement nursing initiative strategies implemented, the pain prevalence survey in February 2020 improved by more than 9% with an average of 93.4% (n=142; N=152) of patients with pain intensity less than moderate pain, while in September after omitting quarter three due to Covid-19 surge, all eight surgical wards achieved an average of 88% (n=152; N=173), thus improved by 3,6% compared to the results of November 2019. The average pretest pain knowledge assessment survey taken in January 2020 by 103 surgical nurses in all eight surgical wards was 71%. In October 2020, 114 surgical nurses participated in the post-test and achieved 83%, demonstrated an increase of more than 12% from all 20 questions. Conclusion: The eight surgical wards substantially achieved more than 80% of patients with controlled postsurgical pain levels of less than moderate pain during the last two prevalence cycles, and the posttest revealed pain management knowledge acquisition from the baseline of the pretest conducted. It is therefore postulated that it is essential to monitor the pain management quality of delivered patient nursing care interventions based on the type of pain and consider the provision of refresher training sessions to influence practical skills of pain management competencies.},
 year = {2022}
}

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TY  - JOUR
T1  - Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge
AU  - Nabeeha Tashkandi
AU  - Laura Taylor
AU  - Litaba Efraim Kolobe
AU  - Sharon Chellan
AU  - Loh Cheng Cheng
Y1  - 2022/04/14
PY  - 2022
N1  - https://doi.org/10.11648/j.ajns.20221102.14
DO  - 10.11648/j.ajns.20221102.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 70
EP  - 76
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20221102.14
AB  - Context: There is a surplus of contemporary scientific evidence-based indicated numerous precarious positions with inadequate post-surgical pain management in adult surgical patients. The most important barrier in this context was suboptimal postsurgical pain interventions. Aim: This nursing improvement initiative aimed to optimize post-surgical pain nursing interventions in adult surgical patients by training surgical nurses the strategies to enhance their pain management competencies in one teaching hospital in Saudi Arabia. Materials and methods: A descriptive, cross-sectional pain prevalence survey was conducted quarterly in all eight adult surgical inpatients wards to determine and assess if their pain was controlled to a satisfactory level of less than moderate pain. Secondly, pre-and post-test surgical nurses’ knowledge assessment surveys were conducted. Descriptive statistics were used to analyze and interpret and present the data. Results: The outcomes demonstrated that through the improvement nursing initiative strategies implemented, the pain prevalence survey in February 2020 improved by more than 9% with an average of 93.4% (n=142; N=152) of patients with pain intensity less than moderate pain, while in September after omitting quarter three due to Covid-19 surge, all eight surgical wards achieved an average of 88% (n=152; N=173), thus improved by 3,6% compared to the results of November 2019. The average pretest pain knowledge assessment survey taken in January 2020 by 103 surgical nurses in all eight surgical wards was 71%. In October 2020, 114 surgical nurses participated in the post-test and achieved 83%, demonstrated an increase of more than 12% from all 20 questions. Conclusion: The eight surgical wards substantially achieved more than 80% of patients with controlled postsurgical pain levels of less than moderate pain during the last two prevalence cycles, and the posttest revealed pain management knowledge acquisition from the baseline of the pretest conducted. It is therefore postulated that it is essential to monitor the pain management quality of delivered patient nursing care interventions based on the type of pain and consider the provision of refresher training sessions to influence practical skills of pain management competencies.
VL  - 11
IS  - 2
ER  -

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Author Information

Nabeeha Tashkandi

Nursing Administration, King Abdulaziz Medical City Hospital, Riyadh, Saudi Arabia
Laura Taylor

Nursing Surgical Care and Business Center, King Abdulaziz Medical City Hospital, Riyadh, Saudi Arabia
Litaba Efraim Kolobe

Nursing Pain Management, King Abdulaziz Medical City Hospital, Riyadh, Saudi Arabia
Sharon Chellan

Nursing Surgical Care and Business Center, King Abdulaziz Medical City Hospital, Riyadh, Saudi Arabia
Loh Cheng Cheng

Nursing Surgical Care and Business Center, King Abdulaziz Medical City Hospital, Riyadh, Saudi Arabia

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Nabeeha Tashkandi, Laura Taylor, Litaba Efraim Kolobe, Sharon Chellan, Loh Cheng Cheng. (2022). Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge. American Journal of Nursing Science, 11(2), 70-76. https://doi.org/10.11648/j.ajns.20221102.14

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ACS Style

Nabeeha Tashkandi; Laura Taylor; Litaba Efraim Kolobe; Sharon Chellan; Loh Cheng Cheng. Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge. Am. J. Nurs. Sci. 2022, 11(2), 70-76. doi: 10.11648/j.ajns.20221102.14

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AMA Style

Nabeeha Tashkandi, Laura Taylor, Litaba Efraim Kolobe, Sharon Chellan, Loh Cheng Cheng. Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge. Am J Nurs Sci. 2022;11(2):70-76. doi: 10.11648/j.ajns.20221102.14

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@article{10.11648/j.ajns.20221102.14,
  author = {Nabeeha Tashkandi and Laura Taylor and Litaba Efraim Kolobe and Sharon Chellan and Loh Cheng Cheng},
  title = {Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge},
  journal = {American Journal of Nursing Science},
  volume = {11},
  number = {2},
  pages = {70-76},
  doi = {10.11648/j.ajns.20221102.14},
  url = {https://doi.org/10.11648/j.ajns.20221102.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20221102.14},
  abstract = {Context: There is a surplus of contemporary scientific evidence-based indicated numerous precarious positions with inadequate post-surgical pain management in adult surgical patients. The most important barrier in this context was suboptimal postsurgical pain interventions. Aim: This nursing improvement initiative aimed to optimize post-surgical pain nursing interventions in adult surgical patients by training surgical nurses the strategies to enhance their pain management competencies in one teaching hospital in Saudi Arabia. Materials and methods: A descriptive, cross-sectional pain prevalence survey was conducted quarterly in all eight adult surgical inpatients wards to determine and assess if their pain was controlled to a satisfactory level of less than moderate pain. Secondly, pre-and post-test surgical nurses’ knowledge assessment surveys were conducted. Descriptive statistics were used to analyze and interpret and present the data. Results: The outcomes demonstrated that through the improvement nursing initiative strategies implemented, the pain prevalence survey in February 2020 improved by more than 9% with an average of 93.4% (n=142; N=152) of patients with pain intensity less than moderate pain, while in September after omitting quarter three due to Covid-19 surge, all eight surgical wards achieved an average of 88% (n=152; N=173), thus improved by 3,6% compared to the results of November 2019. The average pretest pain knowledge assessment survey taken in January 2020 by 103 surgical nurses in all eight surgical wards was 71%. In October 2020, 114 surgical nurses participated in the post-test and achieved 83%, demonstrated an increase of more than 12% from all 20 questions. Conclusion: The eight surgical wards substantially achieved more than 80% of patients with controlled postsurgical pain levels of less than moderate pain during the last two prevalence cycles, and the posttest revealed pain management knowledge acquisition from the baseline of the pretest conducted. It is therefore postulated that it is essential to monitor the pain management quality of delivered patient nursing care interventions based on the type of pain and consider the provision of refresher training sessions to influence practical skills of pain management competencies.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge
AU  - Nabeeha Tashkandi
AU  - Laura Taylor
AU  - Litaba Efraim Kolobe
AU  - Sharon Chellan
AU  - Loh Cheng Cheng
Y1  - 2022/04/14
PY  - 2022
N1  - https://doi.org/10.11648/j.ajns.20221102.14
DO  - 10.11648/j.ajns.20221102.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 70
EP  - 76
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20221102.14
AB  - Context: There is a surplus of contemporary scientific evidence-based indicated numerous precarious positions with inadequate post-surgical pain management in adult surgical patients. The most important barrier in this context was suboptimal postsurgical pain interventions. Aim: This nursing improvement initiative aimed to optimize post-surgical pain nursing interventions in adult surgical patients by training surgical nurses the strategies to enhance their pain management competencies in one teaching hospital in Saudi Arabia. Materials and methods: A descriptive, cross-sectional pain prevalence survey was conducted quarterly in all eight adult surgical inpatients wards to determine and assess if their pain was controlled to a satisfactory level of less than moderate pain. Secondly, pre-and post-test surgical nurses’ knowledge assessment surveys were conducted. Descriptive statistics were used to analyze and interpret and present the data. Results: The outcomes demonstrated that through the improvement nursing initiative strategies implemented, the pain prevalence survey in February 2020 improved by more than 9% with an average of 93.4% (n=142; N=152) of patients with pain intensity less than moderate pain, while in September after omitting quarter three due to Covid-19 surge, all eight surgical wards achieved an average of 88% (n=152; N=173), thus improved by 3,6% compared to the results of November 2019. The average pretest pain knowledge assessment survey taken in January 2020 by 103 surgical nurses in all eight surgical wards was 71%. In October 2020, 114 surgical nurses participated in the post-test and achieved 83%, demonstrated an increase of more than 12% from all 20 questions. Conclusion: The eight surgical wards substantially achieved more than 80% of patients with controlled postsurgical pain levels of less than moderate pain during the last two prevalence cycles, and the posttest revealed pain management knowledge acquisition from the baseline of the pretest conducted. It is therefore postulated that it is essential to monitor the pain management quality of delivered patient nursing care interventions based on the type of pain and consider the provision of refresher training sessions to influence practical skills of pain management competencies.
VL  - 11
IS  - 2
ER  -

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