“Nurses' attitudes regarding postoperative pain management at Tikrit teaching hospital” cross-sectional study
Keywords:
Nurses, postoperative pain, teaching hospitalAbstract
Postoperative pain management POP is one of the vital roles of nurses who are working at surgical units, which demands accurate information and attitudes to complete it. Pain management is crucial for patients after surgery to prevent prolonged hospitalization, complications, and to increase patient satisfaction, facilitate early mobilization, and reduce costs. The present study aims to assess nurses’ knowledge regarding postoperative pain management and identify the influence of pain management knowledge on attitudes. A qualitative cross-sectional study conducted at Tikrit teaching hospital involves nurses who are working in surgical units from the 20th of November to the 20th of April to assess nurses’ attitudes regarding postoperative pain management. Non- probability (purposive) type of sampling was used to reach the objectives of the study, which included 100 nurses by using self-administration of a questionnaire (KRASP). The results of the study found 71% of the sample were male, 81% were between 21 and 29 years old, 77% had diplomas in nursing, 92% were nurses, not midwives, 80% nurses had 1-5 years of experience, and 64% of them had 1-5 years of experience in surgical units. Generally, nurses respond at a moderate level of attitude questions. We concluded that the questionnaire have similar results for both genders.
Downloads
References
Abojedi, A., & Al Nazly, E. (2018). Jordanian Nurses’ Knowledge and Attitudes Regarding Pain Management Principles for Hospitalized Patients. Al-Balqa Journal for Research and Studies, 21, 43–59. https://doi.org/10.35875/1105-021-001-006.
Adams, S.-D. M., Varaei, S., &Jalalinia, F. (2020). Nurses’ Knowledge and Attitude towards Postoperative Pain Management in Ghana. Pain Research and Management, 2020(1), 4893707. https://doi.org/10.1155/2020/4893707.
Afshan, G., Khan, R. I., Ahmed, A., Siddiqui, A. S., Rehman, A., Raza, S. A., Kerai, R., & Mustafa, K. (2021). Post-operative pain management modalities employed in clinical trials for adult patients in LMIC; a systematic review. BMC Anesthesiology, 21(1), 160. https://doi.org/10.1186/s12871-021-01375-w.
Ahmadi, S., Vojdani, P., &MortezaBagi, H. (2023a). The study of nurses’ knowledge and attitudes regarding pain management and control in emergency departments. BMC Emergency Medicine, 23. https://doi.org/10.1186/s12873-023-00793-y.
Allene, M., Alimawu, A., Belayneh, T., Enyew, H., &Gebregzi, A. (2019). Knowledge and Attitudes of Ethiopian Nursing Staff Regarding Post-Operative Pain Management: A Cross-Sectional Multicenter Study. Patient Related Outcome Measures, 10, 395–403.
Alnajar, M., Darawad, M., Alshahwan, S., &Samarkandi, O. (2017). Knowledge and Attitudes Toward Cancer Pain Management Among Nurses at Oncology Units. Journal of Cancer Education, 34, 1–8. https://doi.org/10.1007/s13187-017-1285-5.
Alzaabi, A., Al-Saadi, M., Alaswami, H., & Al-Musalami, A. (2023). Assessing Nurses’ Knowledge and Attitudes towards Cancer Pain Management in Oman. Cancers, 15, 3925. https://doi.org/10.3390/cancers15153925.
Craig, J. (2014). Nursing Knowledge and Attitudes toward Pain Management. Nursing Theses and Capstone Projects. https://digitalcommons.gardner-webb.edu/nursing_etd/8.
Dea, B., & Ye, M. (2025). Knowledge, Attitude, Practice, and Associated Factors of Postoperative Pain Management Among Nurses. Pain Research and Management, 2025. https://doi.org/10.1155/prm/6653069.
Dessie, M., Asichale, A., Belayneh, T., Enyew, H., &Hailekiros, A. (2019). Knowledge and Attitudes of Ethiopian Nursing Staff Regarding Post-Operative Pain Management: A Cross-Sectional Multicenter Study. Patient Related Outcome Measures, Volume 10, 395–403. https://doi.org/10.2147/PROM.S234521.
Din, S., Saddique, H., &Tasneem, S. (2024). KNOWLEDGE, ATTITUDE AND PRACTICE OF NURSES REGARDING POST-OPERATIVE PAIN MANAGEMENT AT THE HOSPITAL. Biological and Clinical Sciences Research Journal, 2024(1), 1428. https://doi.org/10.54112/bcsrj.v2024i1.1428.
Gordon, D. B., de Leon-Casasola, O. A., Wu, C. L., Sluka, K. A., Brennan, T. J., & Chou, R. (2016). Research Gaps in Practice Guidelines for Acute Postoperative Pain Management in Adults: Findings From a Review of the Evidence for an American Pain Society Clinical Practice Guideline. The Journal of Pain, 17(2), 158–166. https://doi.org/10.1016/j.jpain.2015.10.023.
Hançer, A., Yilmaz, M., &Eker, P. (2023). Determination of Knowledge and Attitudes of Nurses About Pain Management: A Cross-Sectional Study. OrduÜniversitesiHemşirelikÇalışmalarıDergisi, 6. https://doi.org/10.38108/ouhcd.1228651.
Jawad, A. K. (2024). Knowledge, attitudes and practices of nursing staff towards postoperative pain management at hospitals in Al-Kut city. International Journal of Advanced Community Medicine, 7(1), 129–135. https://doi.org/10.33545/comed.2024.v7.i1b.301.
Jemebere, W. (2020). Knowledge and Attitudes of Nurses towards Postoperative Pain Management in Southern Ethiopia (SSRN Scholarly Paper No. 3693030). Social Science Research Network. https://doi.org/10.2139/ssrn.3693030.
Kang, M.-R., & Kwon, Y.-J. (2022). Nurses’ knowledge and attitudes toward patient-controlled analgesia for postoperative pain control in a tertiary hospital in South Korea. BMC Nursing, 21(1), 319. https://doi.org/10.1186/s12912-022-01106-7.
Kumara, G., Hindagoda, H., Indika, M., Marikar, M., & De Silva, B. S. (2020). Nurses’ Knowledge, Attitudes, and Practices Regarding Postoperative Pain Management in Sri Lanka. The Philippine Journal of Nursing, 90, 68–75.
Majeed, H., Hassan, A., &Abid, R. (2020). Evaluation of Nurses’ Knowledge and Attitudes toward Pain Management at Baghdad Teaching Hospitals. Indian Journal of Forensic Medicine and Toxicology, 14, 1505–1510. https://doi.org/10.37506/ijfmt.v14i2.3150
Mazilu, D., Zazu, M., Nedelcu, V., Sfetcu, R., &Armean, P. (2017). THE ASSESSMENT OF NURSES’KNOWLEDGE AND ATTITUDES TOWARD POSTOPERATIVE PAIN. DESCRIBING THE PROCESS OF DEVELOPING AND CULTURALLY ADAPTING A STANDARDIZED TOOL. Management in Health, 21.
Menlah, A., Garti, I., Amoo, S. A., Atakro, C. A., Amponsah, C., &Agyare, D. F. (2018a). Knowledge, Attitudes, and Practices of Postoperative Pain Management by Nurses in Selected District Hospitals in Ghana. SAGE Open Nursing, 4, 2377960818790383. https://doi.org/10.1177/2377960818790383.
Mitra, S., Carlyle, D., Kodumudi, G., Kodumudi, V., &Vadivelu, N. (2018b). New Advances in Acute Postoperative Pain Management. Current Pain and Headache Reports, 22(5), 35. https://doi.org/10.1007/s11916-018-0690-8.
Nguyen, A., Dang, A., Huong, N., Xuan Nguyen, T., Nguyen, T., Nguyen ThiHoai, T., Pham, T., Nguyễn, A., Nguyen, T., Thi, H., Nguyen, T., Nguyen, S., Tran, B., Latkin, C., Ho, R., Ho, C., &Huyen, V. (2021). Assessing Knowledge and Attitudes Regarding Pain Management Among Nurses Working in a Geriatric Hospital in Vietnam. Journal of Multidisciplinary Healthcare, 14, 799–807. https://doi.org/10.2147/JMDH.S285044.
Omer, B., &Hussain, R. (2025). Nurses’ Knowledge, Attitude, and Practice regarding Pain Management for Cancer Patients in Erbil City. Erbil Journal of Nursing and Midwifery, 8, 86–97. https://doi.org/10.15218/ejnm.2025.10.
Omran, S., Qadire, M., Ali, N., & Hayek, M. (2014). Knowledge and Attitudes about Pain Management: A Comparison of Oncology and Non-Oncology Jordanian Nurses. Nursing and Health, 2, 73–80.
Samad, N. B., Ahmad, A., Yusof, P., &Kunjukunju, A. (2023). Knowledge, attitudes and practices on postoperative pain management among registered nurses in a private hospital in Selangor-Malaysia. Malahayati International Journal of Nursing and Health Science, 6(2), 135–147. https://doi.org/10.33024/minh.v6i2.10778.
Samara, H., O’Hara, L., & Singh, K. (2024a). Nurses’ Knowledge and Attitudes about Adult Post-Operative Pain Assessment and Management: Cross Sectional Study in Qatar. Nursing Reports, 14(3), 2061–2071. https://doi.org/10.3390/nursrep14030153
Samarkandi, O. (2018). Knowledge and attitudes of nurses toward pain management. Saudi Journal of Anaesthesia, 12, 220–226. https://doi.org/10.4103/sja.SJA_587_17.
Samuel, B., & Ye, M. (2025). Knowledge, Attitude, Practice, and Associated Factors of Postoperative Pain Management Among Nurses. Pain Research and Management, 2025(1), 6653069. https://doi.org/10.1155/prm/6653069.
Smeland, A., Twycross, A., Lundeberg, S., &Rustøen, T. (2018). Nurses’ Knowledge, Attitudes and Clinical Practice in Pediatric Postoperative Pain Management. Pain Management Nursing, 19. https://doi.org/10.1016/j.pmn.2018.04.006.
Taínta, M. (2020). Knowledge and attitudes of intensive care unit nurses regarding pain in patients. Anales Del SistemaSanitario de Navarra, 43,, 177–187. https://doi.org/10.23938/ASSN.0872.
Teshome, Z. B., Aychew, Y., Mitiku, W., &Guta, B. (2022). Level of attitude, knowledge and practice of nurses toward postoperative pain management, cross-sectional study. Annals of Medicine & Surgery, 84. https://doi.org/10.1016/j.amsu.2022.104902177–187. https://doi.org/10.23938/ASSN.0872.
Thurston, K. L., Zhang, S. J., Wilbanks, B. A., Billings, R., &Aroke, E. N. (2023). A Systematic Review of Race, Sex, and Socioeconomic Status Differences in Postoperative Pain and Pain Management. Journal of PeriAnesthesia Nursing, 38(3), 504–515. https://doi.org/10.1016/j.jopan.2022.09.004.
Wu, L., Chen, X., Jia, S., Yan, L., Li, J., Zhang, L., Guo, Y., Lu, J., & Li, W. (2023). Evaluating the relationship between pain empathy, knowledge and attitudes among nurses in North China: A cross-sectional study. BMC Nursing, 22. https://doi.org/10.1186/s12912-023-01577-2.
Yassin, K., Al Bulushi, A., Ali, N., Idris, Z., Abuessa, Z., Yassin, M., &Mahfoud, Z. (2020). THE KNOWLEDGE AND ATTITUDE REGARDING CANCER PAIN MANAGEMENT AMONG NURSES WORKING IN CANCER CENTER; AN EXPERIENCE FROM QATAR. Middle East Journal of Nursing. https://doi.org/10.5742/MEJN2020.93788.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Current Clinical and Medical Education
