Nurses’ Knowledge and Educational Needs Regarding Pain Management of Patients on Maintenance Hemodialysis at Edward Francis Small Teaching Hospital, The Gambia

Abstract:
Primary care for pain patients is provided by nurses. Hemodialysis nurses can provide excellent pain relief by understanding pain management. This qualitative study examines hemodialysis nurses' pain management experiences, opinions, and beliefs and their training needs. Fifteen nurses working at Edward Francis Small Teaching Hospital hemodialysis unit were recruited. The data came from semi-structured interviews. The interviews were recorded and transcribed. This data was crucial for analyzing pain management treatments for maintenance hemodialysis patients, creating educational programs for nurses, and teaching about these topics. Five themes and fifteen sub-themes emerged from nurses' pain treatment experiences. The five themes that emerged from the analysis entailed: Nurses' pain management knowledge, self-directed learning methodologies, approaches, patients with unrelieved pain, and educational requirements. A qualitative investigation showed that nurses are unaware of all pain management methods. Nurses' pain treatment knowledge was limited to evaluation and non-pharmacological methods. In practice, nurses need pain management education, to better comprehend pain in maintenance hemodialysis patients.
References:
[1].
Abdelmalik, M., Rahama, E., Abbakr, I.,
Hamed, A., Higazy, O., Mohammed, A., Mohammed, I., Nour, S., Mariod, A., Osman,
E., Mohammaed, M. O., & Saeed, A. 2024. Nurses’ Awareness and Practice
Toward Pain Assessment and Management as Fifth Vital Sign in Sudan: A
Cross-sectional Study. Sudan Journal of Medical Sciences, 19(2). https://doi.org/10.18502/sjms.v19i2.12686
[2].
Dai, L., Lu, C., Liu,
J., Li, S., Jin, H., Chen, F., Xue, Z., & Miao, C. 2020. Impact
of twice- or three-times-weekly maintenance hemodialysis on patient outcomes: A
multicenter randomized trial. Medicine, 99(20), e20202. https://doi.org/10.1097/MD.0000000000020202
[3].
1-s2.0-S2214139120301396-main. (n.d.).
[4].
Halle, M. P., Ashuntantang, G., Kaze, F.
F., Takongue, C., & Kengne, A.-P. 2016. Fatal outcomes among patients on
maintenance haemodialysis in sub-Saharan Africa: A 10-year audit from the
Douala General Hospital in Cameroon. BMC Nephrology, 17(1), 165. https://doi.org/10.1186/s12882-016-0377-5
[5].
Omotosho, T. O. A., Sey-Sawo, J.,
Omotosho, O. F., & Njie, Y. 2023. Knowledge and attitudes of nurses towards
pain management at Edward Francis Small Teaching Hospital, Banjul. International
Journal of Africa Nursing Sciences, 18, 100534. https://doi.org/10.1016/j.ijans.2023.100534
[6].
TONURSJ-15-93. (n.d.).
[7].
Mathew, R. O., Bettinger, J., Wegrzyn, E.,
& Fudin, J. 2016. Pharmacotherapeutic considerations for chronic pain in
chronic kidney and end-stage renal disease. Journal of Pain Research,
Volume 9, 1191–1195. https://doi.org/10.2147/JPR.S125270
[8].
Qadire472013BJMMR5241. (n.d.).
[9].
Burns, M., & McIlfatrick, S. 2015.
Palliative care in dementia: Literature review of nurses’ knowledge and
attitudes towards pain assessment. International Journal of Palliative
Nursing, 21(8), 400–407. https://doi.org/10.12968/ijpn.2015.21.8.400
[10]. Erlingsson,
C., & Brysiewicz, P. 2017. A hands-on guide to doing content analysis. African
Journal of Emergency Medicine, 7(3), 93–99. https://doi.org/10.1016/j.afjem.2017.08.001
[11]. Prasad,
B. D. (n.d.). Qualitative Content Analysis: Why is it Still a Path Less Taken?
[12]. Mekonen,
W. M., Muhye, A. B., & Gobeza, M. B. 2024. Nurses′ knowledge and practice
about neonatal pain management in public hospitals in West Oromia, Ethiopia,
2022: Multi-centered cross-sectional study. BMC Nursing, 23(1), 292. https://doi.org/10.1186/s12912-024-01972-3
[13]. Apuleni, R., Mukwato, P. K., Phiri, F., & Lubinda, L. 2024. Pediatric
Pain Management Practice among Nursing Students at Gateway to Better Living and
Monze College of Nursing in Zambia. Journal of Biosciences and Medicines,
12(12), 510–537. https://doi.org/10.4236/jbm.2024.1212039
[14]. Draft-Ethical
ResponsibilityM. (n.d.).
[15]. Medrzycka-Dabrowka,
W., Dąbrowski, S., Gutysz-Wojnicka, A., Gawroska-Krzemińska, A., & Ozga, D.
2017. Barriers perceived by nurses in the optimal treatment of postoperative
pain. Open Medicine, 12(1), 239–246. https://doi.org/10.1515/med-2017-0037
[16]. Cox, K. J., Parshall, M. B., Hernandez, S. H. A., Parvez, S. Z., &
Unruh, M. L. 2017. Symptoms among patients receiving in‐center
hemodialysis: A qualitative study. Hemodialysis International, 21(4), 524–533. https://doi.org/10.1111/hdi.12521
[17]. Melile Mengesha, B., Moga Lencha, F., & Ena Digesa, L. 2022. Pain
assessment practice and associated factors among nurses working at adult care
units in public hospitals in Wolaita Zone, Southern Ethiopia, 2021. BMC
Nursing, 21(1), 115. https://doi.org/10.1186/s12912-022-00892-4
[18]. Butti, L., Bierti, O., Lanfrit, R., Bertolini, R., Chittaro, S., Delli
Compagni, S., Del Russo, D., Mancusi, R. L., & Pertoldi, F. 2017. Evaluation
of the effectiveness and efficiency of the triage emergency department nursing
protocol for the management of pain. Journal of Pain Research, 10,
2479–2488. https://doi.org/10.2147/JPR.S138850
[19]. Li, M. M. J., Larche, C. L., Vickers, K., Vigouroux, M., Ingelmo, P. M.,
Hovey, R., & Ferland, C. E. 2022. Experience and Management of the
Adverse Effects of Analgesics After Surgery: A Pediatric Patient Perspective. Journal
of Patient Experience, 9, 23743735221092632. https://doi.org/10.1177/23743735221092632
[20]. Improving the Quality of Pain Management Through Measurement and Action. (n.d.).