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Healthcare 2018, 6(3), 98; https://doi.org/10.3390/healthcare6030098

Orthopedic Professionals’ Recognition and Knowledge of Pain and Perceived Barriers to Optimal Pain Management at Five Hospitals

1
Department of Orthopedic Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar
2
Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha 3050, Qatar
3
College of Medicine, Qatar University, Doha 2713, Qatar
*
Author to whom correspondence should be addressed.
Received: 26 June 2018 / Revised: 6 August 2018 / Accepted: 9 August 2018 / Published: 13 August 2018
(This article belongs to the Special Issue Chronic Pain and the Aging Population)
Full-Text   |   PDF [263 KB, uploaded 13 August 2018]

Abstract

Pain is a challenge for orthopedic healthcare professionals (OHCP). However, pain studies examined the competencies of a single OHCP category, did not consider various pain management domains or barriers to optimal pain service, and are deficient across the Arabic Eastern Mediterranean region. We surveyed OHCP’s recognition and knowledge of pain and perceived barriers to optimal pain service (361 OHCP, five hospitals). Chi square compared doctors’ (n = 63) vs. nurses/physiotherapists’ (n = 187) views. In terms of pain recognition, more nurses had pain management training, confidently assessed pediatric/elderly pain, were aware of their departments’ pain protocols, and felt that their patients receive proper pain management. More doctors comfortably prescribed opiate medications and agreed that some nationalities were more sensitive to pain. For pain knowledge, more nurses felt patients are accurate in assessing their pain, vital signs are accurate in assessing children’s pain, children feel less pain because of nervous system immaturity, narcotics are not preferred due respiratory depression, and knew pre-emptive analgesia. As for barriers to optimal pain service, less nurses agreed about the lack of local policies/guidelines, knowledge, and skills; time to pre-medicate patients; knowledge about medications; complexity of the clinical environment; and physicians being not comfortable prescribing pain medication. We conclude that doctors required confidence in pain, especially pediatric and geriatric pain, using vital signs in assessing pain and narcotics use. Their most perceived barriers were lack of local policies/guidelines and skills. Nurses required more confidence in medications, caring for patients on narcotics, expressed fewer barriers than doctors, and the complexity of the clinical environment was their highest barrier. Educational programs with clinical application could improve OHCPs’ pain competencies/clinical practices in pain assessment and administration of analgesics. View Full-Text
Keywords: orthopedic; inpatient pain; pain assessment/intensity; pain knowledge/management; pain attitudes; questionnaire; geriatric and pediatric pain orthopedic; inpatient pain; pain assessment/intensity; pain knowledge/management; pain attitudes; questionnaire; geriatric and pediatric pain
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Bouri, F.; El Ansari, W.; Mahmoud, S.; Elhessy, A.; Al-Ansari, A.; Al-Dosari, M.A.A. Orthopedic Professionals’ Recognition and Knowledge of Pain and Perceived Barriers to Optimal Pain Management at Five Hospitals. Healthcare 2018, 6, 98.

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