Implementation Evaluation of Pain Free Hospital Initiative in Seka Chekorsa Primary Hospital, Oromia Regional State, South West of Ethiopi

Abstract

Back ground: Pain is an unpleasant sensory and emotional experience which is described in relation to tissue or organ damage. In Ethiopia, many people are affected each year by unnecessary moderate or severe pain. Although the need for proper pain management is increasing in Ethiopia, it has yet to get the attention it deserves apart from the attempt to develop a national guideline. Therefore, it was imperative to conduct this assessment to identify the implementation of pain free hospital. Objective: To evaluate the implementation status of Pain free Hospital initiatives in Seka Primary Hospital, Oromia Reginal state, south west Ethiopia, 2021. Method: A single case study design was conducted from May 03-24/2021at Seka Chekorsa Primary Hospital, Oromia Regional state using both qualitative and quantitative data collection methods. Sample of 422 patients who was selected proportionally, 40 patient cards were selected randomly and 20 key informant interviews were selected purposively. Quantitative data were analyzed using SPSS version 25 software. Missing value and outlier were cheeked. Recoding, categorizing, computing, counting and other statistical analysis were done. Qualitative data were analyzed manuall. Thematic analysis technique was used. The collected Qualitative data were transcribed, translated to English language then coded, code was thematized and summarized to respective dimension. After analysis, triangulatuons of qualitative and quantitative data were done.The conclusion were given based on pre defined judgement parameter.Finally the data were presented using narration and tables. Result: The availability of resource for implementation of pain free Hospital initiatives; Compliance of health care providers to manage pain with guideline and the mean satisfaction of patients with pain management were good. Conclusion and recommendation: Overall process of pain management program implementation in seka hospital were well implemented. Nearly greater than half of patients who got service in hospital were assessed for pain level. Clinical audit for pain management was not performed in the Hospital. So, healthcare provider should have to assess pain for all patients and further more pain clinical audit should have to be performed