- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04252443
Nurses' Knowledge and Attitude About Opioids
January 31, 2020 updated by: Semra Aslay, European University of Lefke
Nurses' Knowledge and Attitudes Towards Opioids in Pain Management in North Cyprus
Opioid analgesics used in moderate or severe pain have potential side effects and addiction.
Therefore, nurses have hesitations about opioid administration.This descriptive study aimed to evaluate the attitude and knowledge of nurses working in a university hospital about opioids.
One hundred twenty-seven nurses were interviewed in the research population.
The research data were obtained from the questionnaire, prepared by the researchers, between 01-05 June 2018.
It consisted of three parts: descriptive characteristics, attitudes, and knowledge on opioid administration, and evaluation of basic nursing skills and pharmacology about opioids.
Statistical Package for Social Sciences (SPSS) 24.0 package program was used for statistical analysis.
Study Overview
Status
Completed
Detailed Description
Analgesics do not eliminate the cause of pain but reduce or eliminate that feeling.
Non-steroid analgesics are preferred in mild and moderate, and opioids are used to moderate or severe pain that does not respond to anti-inflammatory agents.
However, nurses avoid the administration of opioids because of side effects and addiction risk.The first step in the effectiveness of pain management in the emergency department is evaluation and control.
Pain control should be included in the emergency management system from the stage of triage assessment of the patient and should be concluded with the correct analgesic use, if necessary.
In emergency departments, waiting for analgesia can be prolonged unnecessarily, and mostly insufficient doses of analgesics administered.Mainly the use of opioids in the emergency department is not preferred much because it reduces the symptoms and masks the examination findings.
However, against this conventional idea, recent studies have shown that opioids use reduces pain-related anxiety.Also, it increases the patients' participation in the examination, thus making it more effective.
While patients feel better, symptoms such as tenderness and defense were generally not affected by analgesia.This descriptive study was conducted to evaluate the attitude and knowledge of nurses working in a university hospital about opioid analgesic administration, after the ethical committee approved.
Study Type
Interventional
Enrollment (Actual)
127
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Mersin, Turkey, 99870
- European University of Lefke
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria: Nurses, working university hospital, accepted to join to study
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Exclusion Criteria:
- Other health care personnel, did not accept to join to study, long term leaving from job
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Other: Nurse
The research population consisted of 190 nurses working in a university hospital.
Because all of the nurses in the research population could not be reached, a sample was selected using a simple random sampling method.
One hundred twenty-seven nurses were interviewed in the research population, with a 95% confidence interval and a 5% sampling error.
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Interventions involving nurses' pharmacological level
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Nurses' Knowledge and Attitudes towards Opioids in Pain Management in North Cyprus
Time Frame: Through study completion, an average of 6 months
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Questionnaire, Knowledge scores of the participants were calculated over 100. 4 points were given for each correct answer, and 0 for each wrong or "don't know.
" The range of scores was 0-100.
A high score was a mean high level of knowledge.
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Through study completion, an average of 6 months
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Semra Aslay, MD, European University of Lefke
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Abdolrazaghnejad A, Banaie M, Tavakoli N, Safdari M, Rajabpour-Sanati A. Pain Management in the Emergency Department: a Review Article on Options and Methods. Adv J Emerg Med. 2018 Jun 24;2(4):e45. doi: 10.22114/AJEM.v0i0.93. eCollection 2018 Fall.
- Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, Carter T, Cassidy CL, Chittenden EH, Degenhardt E, Griffith S, Manworren R, McCarberg B, Montgomery R, Murphy J, Perkal MF, Suresh S, Sluka K, Strassels S, Thirlby R, Viscusi E, Walco GA, Warner L, Weisman SJ, Wu CL. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016 Feb;17(2):131-57. doi: 10.1016/j.jpain.2015.12.008. Erratum In: J Pain. 2016 Apr;17(4):508-10. Dosage error in article text.
- Trescot AM, Helm S, Hansen H, Benyamin R, Glaser SE, Adlaka R, Patel S, Manchikanti L. Opioids in the management of chronic non-cancer pain: an update of American Society of the Interventional Pain Physicians' (ASIPP) Guidelines. Pain Physician. 2008 Mar;11(2 Suppl):S5-S62.
- Gomes T, Tadrous M, Mamdani MM, Paterson JM, Juurlink DN. The Burden of Opioid-Related Mortality in the United States. JAMA Netw Open. 2018 Jun 1;1(2):e180217. doi: 10.1001/jamanetworkopen.2018.0217.
- Fein JA, Zempsky WT, Cravero JP; Committee on Pediatric Emergency Medicine and Section on Anesthesiology and Pain Medicine; American Academy of Pediatrics. Relief of pain and anxiety in pediatric patients in emergency medical systems. Pediatrics. 2012 Nov;130(5):e1391-405. doi: 10.1542/peds.2012-2536. Epub 2012 Oct 29.
- Reagan KML, O'Sullivan DM, Gannon R, Steinberg AC. Decreasing postoperative narcotics in reconstructive pelvic surgery: a randomized controlled trial. Am J Obstet Gynecol. 2017 Sep;217(3):325.e1-325.e10. doi: 10.1016/j.ajog.2017.05.041. Epub 2017 May 25.
- Janati M, Kariman H, Memary E, Davarinezhad-Moghadam E, Arhami-Dolatabadi A. Educational Intervention Effect on Pain Management Quality in Emergency Department; a Clinical Audit. Adv J Emerg Med. 2018 Jan 16;2(2):e16. doi: 10.22114/AJEM.v0i0.45. eCollection 2018 Spring.
- Costello M, Thompson S. Preventing Opioid Misuse and Potential Abuse: The Nurse's Role in Patient Education. Pain Manag Nurs. 2015 Aug;16(4):515-9. doi: 10.1016/j.pmn.2014.09.008. Epub 2014 Dec 8.
- Hunold KM, Esserman DA, Isaacs CG, Dickey RM, Pereira GF, Fillingim RB, Sloane PD, McLean SA, Platts-Mills TF. Side effects from oral opioids in older adults during the first week of treatment for acute musculoskeletal pain. Acad Emerg Med. 2013 Sep;20(9):872-9. doi: 10.1111/acem.12212. Epub 2013 Aug 27.
- Chapman CR, Lipschitz DL, Angst MS, Chou R, Denisco RC, Donaldson GW, Fine PG, Foley KM, Gallagher RM, Gilson AM, Haddox JD, Horn SD, Inturrisi CE, Jick SS, Lipman AG, Loeser JD, Noble M, Porter L, Rowbotham MC, Schoelles KM, Turk DC, Volinn E, Von Korff MR, Webster LR, Weisner CM. Opioid pharmacotherapy for chronic non-cancer pain in the United States: a research guideline for developing an evidence-base. J Pain. 2010 Sep;11(9):807-29. doi: 10.1016/j.jpain.2010.02.019. Epub 2010 Apr 28.
- Hsaio GY, Chen IJ, Yu S, Wei IL, Fang YY, Tang FI. Nurses' knowledge of high-alert medications: instrument development and validation. J Adv Nurs. 2010 Jan;66(1):177-90. doi: 10.1111/j.1365-2648.2009.05164.x.
- Samarkandi OA. Knowledge and attitudes of nurses toward pain management. Saudi J Anaesth. 2018 Apr-Jun;12(2):220-226. doi: 10.4103/sja.SJA_587_17.
- de Freitas GR, de Castro CG Jr, Castro SM, Heineck I. Degree of knowledge of health care professionals about pain management and use of opioids in pediatrics. Pain Med. 2014 May;15(5):807-19. doi: 10.1111/pme.12332. Epub 2014 Jan 8.
- Gorawara-Bhat R, Wong A, Dale W, Hogan T. Nurses' perceptions of pain management for older-patients in the Emergency Department: A qualitative study. Patient Educ Couns. 2017 Feb;100(2):231-241. doi: 10.1016/j.pec.2016.08.019. Epub 2016 Aug 29.
- Charalambous A, Zorpas M, Cloconi C, Kading Y. Healthcare professionals' perceptions on the use of opioid analgesics for the treatment of cancer-related pain in Cyprus: A mixed-method study. SAGE Open Med. 2019 Apr 4;7:2050312119841823. doi: 10.1177/2050312119841823. eCollection 2019.
- Tomaszek L, Debska G. Knowledge, compliance with good clinical practices and barriers to effective control of postoperative pain among nurses from hospitals with and without a "Hospital without Pain" certificate. J Clin Nurs. 2018 Apr;27(7-8):1641-1652. doi: 10.1111/jocn.14215. Epub 2018 Mar 2.
- Al-Shaer D, Hill PD, Anderson MA. Nurses' knowledge and attitudes regarding pain assessment and intervention. Medsurg Nurs. 2011 Jan-Feb;20(1):7-11.
- Hroch J, VanDenKerkhof EG, Sawhney M, Sears N, Gedcke-Kerr L. Knowledge and Attitudes about Pain Management among Canadian Nursing Students. Pain Manag Nurs. 2019 Aug;20(4):382-389. doi: 10.1016/j.pmn.2018.12.005. Epub 2019 May 15.
- Peker L, Celebi N, Canbay O, Sahin A, Cakir B, Uzun S, Aypar U. Doctors' opinions, knowledge and attitudes towards cancer pain management in a university hospital. Agri. 2008 Apr;20(2):20-30.
- Textor LH, Porock D. The pain management knowledge of nurses practicing in a rural midwest retirement community. J Nurses Staff Dev. 2006 Nov-Dec;22(6):307-12. doi: 10.1097/00124645-200611000-00007.
- Kastanias P, Snaith KE, Robinson S. Patient-controlled oral analgesia: a low-tech solution in a high-tech world. Pain Manag Nurs. 2006 Sep;7(3):126-32. doi: 10.1016/j.pmn.2006.06.003.
- Akbas M, Oztunc G. Examination of knowledge about and nursing interventions for the care of patients in pain of nurses who work at Cukurova University medical faculty Balcali hospital. Pain Manag Nurs. 2008 Sep;9(3):88-95. doi: 10.1016/j.pmn.2008.02.004.
- Karaman E, Vural Dogru B, Yildirim Y. Knowledge and attitudes of nursing students about pain management. Agri. 2019 Apr;31(2):70-78. doi: 10.5505/agri.2018.10437.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 1, 2018
Primary Completion (Actual)
June 5, 2018
Study Completion (Actual)
June 5, 2018
Study Registration Dates
First Submitted
January 29, 2020
First Submitted That Met QC Criteria
January 31, 2020
First Posted (Actual)
February 5, 2020
Study Record Updates
Last Update Posted (Actual)
February 5, 2020
Last Update Submitted That Met QC Criteria
January 31, 2020
Last Verified
January 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- opioid
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
All collected individual participating data
IPD Sharing Time Frame
After published there is no ending frame
IPD Sharing Access Criteria
Nurses working in university hospital in Northern Cyprus included in the study.
In the research, a sample was selected using a simple random sampling method.
One hundred twenty-seven nurses were interviewed in the research population, with a 95% confidence interval and a 5% sampling error.
IPD Sharing Supporting Information Type
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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