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Perceived Barriers, Pain Management, Health care Professionals
Background: A key element of healthcare is effective pain management because it immediately improves patients' comfort and general well-being. Objective: This study identifies perceived barriers to pain management among healthcare professionals. Methodology: A cross-sectional survey involving 120 healthcare professionals was carried out at the tertiary care hospital in Karachi, Pakistan. This investigation used a convenient sampling strategy. A valid and reliable instrument was employed to gather the data. Result: The survey data reveals significant barriers healthcare professionals face in pain management. These include patient hemodynamic instability (10.8%), patient communication issues (18.3%), high workload (15.8%), sedation interference (26.7%), lack of familiarity with assessment tools (27.5%), absence of protocols (19.2%), and unavailability of pain assessment tools (37.5%). Conclusion: In summary, there are numerous important obstacles that healthcare providers must overcome in order to effectively treat pain. Patient hemodynamic instability, difficulty communicating, a severe workload, interference from sedation, unfamiliarity with assessment tools, unclear protocols and guidelines, and a lack of pain assessment tools are all examples of these hurdles. In order to guarantee the best possible patient care, these issues must be resolved. A crucial suggestion to address these obstacles is the execution of all-encompassing pain management instruction and training initiatives for medical practitioners.
2. Salim NA, Tuffaha MG, Brant JM. Impact of a pain management program on nurses' knowledge and attitude toward pain in United Arab Emirates: Experimental-four Solomon group design. Applied Nursing Research. 2020;54:151314.
3. Kahsay DT, Pitkäjärvi M. Emergency nurses' knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study. BMC Nursing. 2019;18(1):56.
4. Wichman CL. Managing Your Own Mood Lability: Use of Mood Stabilizers and Antipsychotics in Pregnancy. Current psychiatry reports. 2016;18(1):1.
5. Dharsee N, Haule M, Mlawa G, Lwanga T. Identifying Training Needs in Pain Management—A Survey of Staff at a Tertiary Cancer Care Centre. Pain Studies and Treatment. 2022;10(2):9-20.
6. Smith TO, Purdy R, Latham SK, Kingsbury SR, Mulley G, Conaghan PG. The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review. Rheumatology international. 2016;36(1):55-64.
7. Toba HA, Samara AM, Zyoud SeH. Nurses' knowledge, perceived barriers, and practices regarding cancer pain management: a cross-sectional study from Palestine. BMC Medical Education. 2019;19(1):167.
8. Brunkert T, Simon M, Ruppen W, Zuniga F. A contextual analysis to explore barriers and facilitators of pain management in Swiss nursing homes. Journal of Nursing Scholarship. 2020;52(1):14-22.
9. Darawad M, Alnajar MK, Abdalrahim MS, El-Aqoul AM. Cancer Pain Management at Oncology Units: Comparing Knowledge, Attitudes and Perceived Barriers Between Physicians and Nurses. Journal of Cancer Education. 2019;34(2):366-74.
10. Kweh T-Y, Yeoh C-H, Chan H-K, Ahmad F. Knowledge, Perception and Barriers to Cancer Pain Management among Doctors in Malaysia. The Malaysian journal of medical sciences: MJMS. 2023;30(3):184.
11. Thearachote T. Knowledge, Attitude and Barriers toward Cancer Pain Management with Opioids among Resident and Intern Physicians in Chonburi Hospital. Chonburi Hospital Journal-วารสาร โรง พยาบาล ชลบุรี. 2020;45(2):115-24.
12. Tagele TD, Berhe YW, Lema GF. Knowledge and attitude towards pediatric pain management among nurses at Ethiopian tertiary hospitals; a multi-center study. BMC Nursing. 2023;22(1):84.
13. Alkhatib GS, Al Qadire M, Alshraideh JA. Pain Management Knowledge and Attitudes of Healthcare Professionals in Primary Medical Centers. Pain Management Nursing. 2020;21(3):265-70.
14. Rose L, Haslam L, Dale C, Knechtel L, Fraser M, Pinto R, et al. Survey of assessment and management of pain for critically ill adults. Intensive & critical care nursing. 2011;27(3):121-8.
15. Jonsdottir T, Gunnarsson EC. Understanding nurses' knowledge and attitudes toward pain assessment in dementia: a literature review. Pain Management Nursing. 2021;22(3):281-92.
16. Lokapur MA, Vasani PP, Page ND. Evaluation of knowledge, attitude, and practices of nurses regarding pain management in tertiary care hospitals of Pune, India. Indian Journal of Pain. 2018;32(1):30-5.
17. Wang HL, Tsai YF. Nurses' knowledge and barriers regarding pain management in intensive care units. Journal of clinical nursing. 2010;19(21‐22):3188-96.
18. Bullock L, Bedson J, Jordan JL, Bartlam B, Chew‐Graham CA, Campbell P. Pain assessment and pain treatment for community‐dwelling people with dementia: A systematic review and narrative synthesis. International journal of geriatric psychiatry. 2019;34(6):807-21.
19. Griffiths P, Saville C, Ball J, Jones J, Pattison N, Monks T. Nursing workload, nurse staffing methodologies and tools: A systematic scoping review and discussion. International Journal of Nursing Studies. 2020;103:103487.
20. Herr K, Coyne PJ, Ely E, Gélinas C, Manworren RC. Pain assessment in the patient unable to self-report: clinical practice recommendations in support of the ASPMN 2019 position statement. Pain Management Nursing. 2019;20(5):404-17.