Pain Management Practice and Associated Factors among Nurses Working At Jimma University Medical Center, Jimma, Ethiopia, 2022

Abstract

Introduction: A multidisciplinary team approach, incorporating non-pharmacological and pharmacological pain management strategies, using procedural sedation before carrying out extremely painful procedures, using pain medications during painful procedures, and observing the side effects of pain medications are all part of appropriate pain management practice, which is the cornerstone for the management of pain. Staff-related hurdles and healthcare system barriers are some of the linked factors or impediments that might directly or indirectly affect adequate pain management practice. Objective: To assess pain management practice and associated factors among nurses working at Jimma University Medical Center, Jimma, Ethiopia, 2022. Methods: Institution-based Cross-sectional study design was conducted at Jimma University Medical Center from July 20_ to Dec 30. A total of 241 selected Nurses were included. The participants were selected using systematic random sampling after determining the sampling interval (K) by dividing the number of units in the population by the desired sample size and the (K) value becomes 2. The random start number was 3 for each cluster and collected samples every 2 intervals from each unit until the desired sample was collected. Data was collected using a pretested questionnaire. Descriptive statistics were computed to present the data and describe the study participants. Logistic regression analysis was done to identify factors associated with the outcome. Results: A total of 241 nurses participated in the study, giving a response rate of 100%. Less than two thirds (61.60%) of the study nurses reported that they have practiced about pain management. The respondents had a mean of 6.54 years (3.41 SD) of work experience with a minimum and maximum of 1 and 20years, respectively. The Pain scoring techniques (AOR=0.040, 95%CI=0.017, 0.096), inadequate assess the pain due to lack of time (AOR=0.299, 95%CI=0.102, 0.774), and educate Patient about pain management (AOR=0.099, 95%CI=0.032, 0.304) were statistically significant with pain management practice. Conclusion: The overall pain management practice of the nurses in the study area was poor. Pain scoring techniques, inadequate assess the pain due to lack of time, and educate the patient about pain management were statistically associated with pain management practice.