Knowledge and Attitudes of Turkish Medical Staff Toward Pain in Emergency Department

Monday, 22 July 2013

Aysel Gurkan, PhD1
Meftun Akgun, PhD2
Yesim Dikmen, MSc3
Aylin Erdim, PhD3
(1)Health Science Faculty, Department of Nursing, Marmara University, İstanbul, Turkey
(2)Health Science Faculty, Nursing Department, Marmara University, İstanbul, Turkey
(3)Health Science Faculty, Nursing Department, Marmara University, İstanbul, Turkey

Learning Objective 1: This study provides an overview of the professional preparation and attitudes of medical staff with regard to pain.

Learning Objective 2: It will be help in conducting educational programs aimed at improving pain treatment towards medical staff.

Purpose: Pain constitutes the vast majority of all referrals in the emergency setting per se. The purpose of this study was to explore nurses’ and doctors’ knowledge of and attitutes towards pain in emergency department.

Methods: The sample consisted of 279 nurses and 157 physicians employed in emergency departments of thirteen teaching and research hospitals located in Istanbul, Turkey. In total 436 medical staff completed a 20 item questionnaire evaluating knowledge and beliefs about pain. Questionnaire is designed to based on literature findings and our experiences. Data were analyzed by using descriptive statistics, t test, x2 test, and Kruskal-Wallis analysis. A p value lower than 0.05 was considered significant.

Results: The average age of participants was 29±5 (median 29), 55% were female.  The overall percentage of correct answers was 49% (9.12/20). Physicians scored 51,8% and nurses 47,2% (p<0,05). The percentage of correct answers varied widely  among the different items (from 9,2% to 95%). The question that had the lowest percentage of correct answers (9,2%) was No.1 (“Pain relief should be the first priority in the management of pain in the emergency department;” correct answer; “I agree”).

Conclusion: From these results, we conclude that there are still significant knowledge deficits and erroneous beliefs that may hamper treatment of the patient in pain. These results will help in conducting educational programs aimed at improving pain treatment in the emergency departments of the hospitals.