Sutherland, Ida and Lee, Eunyoung and Staykova, Milena and Huson, Christine The Effect of a Pain Management Education Session on Knowledge and Attitude in Managing Nonmalignant Chronic Pain and Safe Opioid Prescribing Practices. 2021. Radford University, Dissertation. Radford University Scholars' Repository.
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Abstract
Background: Chronic pain significantly impacts individuals physically, emotionally, and financially. The management of chronic pain is a complex, multi-faceted issue that includes the risk of opioid addiction and often requires a multi-disciplinary approach. Despite the numerous available treatment options, the number of patients requiring pain medications has continuously increased along with doubling overdose cases. Lack of knowledge and confidence of providers to manage chronic pain effectively and safely have been identified as barriers to poor patient outcomes in this population. Appraisal of the curriculum for healthcare providers, including family nurse practitioners (FNP), identified gaps in pain management content, including addressing various modalities to support successful pain management and appropriate risk mitigation strategies for safe prescribing practices. Purposes/Methods: A quasi-experimental one-group pre-test/post-test study was conducted to evaluate the effects of a 4-hour didactic and hands-on educational session on FNP students’ knowledge and attitude regarding chronic pain management. The effects of the educational session were measured using a modified Knowledge and Attitudes Survey Regarding Pain (KASRP) at both pre- and post-intervention. A paired, two-tailed t-test evaluated the effect of the educational session with a p-value < 0.05. Findings: The total KASRP scores and KASRP knowledge scores improved after the educational session, increasing from 71.7% to 77.7% correct (p = 0.0071) and 62.1% to 71.7% correct, respectively. However, the post KASRP score remained suboptimal, with less than 80% correct, consistent with findings from other studies. Students in the younger age group and those with less RN experience exhibited greater improvement in knowledge and overall KASRP scores than their counterparts. Also, students with prior addiction training had a more significant increase in knowledge (from 57.8% to 75.7%) and overall scores (from 70% to 80%) after the intervention, compared to those without previous addiction training. Clinical Implication/Conclusions: This study concluded that higher overall and knowledge scores of chronic pain management do not correlate to more years of RN experience. Additionally, these findings suggest that a single educational session may not be sufficient to achieve the optimal level of knowledge and skills when managing chronic pain. Repetition of material is critical to achieving optimal knowledge and skill acquisition of chronic pain management. Furthermore, attitude persuasion was more complicated than increasing knowledge. Keywords: chronic pain, chronic pain management, nursing educational interventions, knowledge, attitudes, nurse practitioner students, Knowledge and Attitude Survey Regarding Pain (KASRP)
| Item Type: | Dissertation |
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| Subjects: | R Medicine > RT Nursing |
| Divisions: | Radford University > School of Nursing |
| Date Deposited: | 16 Nov 2021 01:20 |
| Last Modified: | 19 Apr 2023 17:11 |
| URI: | http://wagner.radford.edu/id/eprint/675 |
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