A pain monitoring program for nurses: Effects on nurses' pain knowledge and attitude

One of the reasons for inadequate pain treatment in hospitalised patients is that nurses have insufficient knowledge about pain and pain management. To address this problem a Pain Monitoring Program (PMP) for nurses was developed, implemented, and evaluated. The PMP consisted of two components: educating nurses about pain, pain assessment, and pain management, and implementing daily pain assessment by means of a numeric rating scale. The effects of the PMP were measured in a one-group pretest-post-test design. The results show that nurses have knowledge deficits and prejudices with regard to pain and pain management. Age and additional pain courses in pain partly predict nurses' pain knowledge. After nurses were educated, the average score on the Pain Knowledge Questionnaire increased from 69.1 % (SD = 13.2) at pretest to 75.8% (SD = 11.5) at post-test (P < 0.001). Nurses' attitudes changed with regard to their level of knowledge and skills in relieving pain, willing-ness to assess pain on a daily basis, and attention to patients' pain complaints. It can be concluded that the PMP is effective in improving nurses' Knowledge of pain management and focusing nurses' attention to patients' pain complaints. (C) U.S. Cancer Pain Relief Committee, 2000.