Mediating Effect of Self-Efficacy in Pain Management between Knowledge and Attitude of Pain toward Pain Management Practice among Nurses in Indonesia

Herry Susanto(1), Tzu-Ying Lee(2*)


(1) National Taipei University of Nursing and Health Sciences Universitas Islam Sultan Agung
(2) National Taipei University of Nursing and Health Sciences
(*) Corresponding Author

Abstract


Nurses' knowledge and attitudes significantly influence pain management practices. Higher levels of self-efficacy in pain management are associated with improved pain. This study explored the relationships between nurses’ knowledge and attitudes toward pain, self-efficacy in pain management, and actual pain management practices. This study employed a cross-sectional study which conducted at Sultan Agung Islamic Hospital, Indonesia, involving 249 nurses selected based on predefined criteria. Participants responded to an online survey encompassing demographic queries and standardized tools, namely the Knowledge and Attitude Survey Regarding Pain (KASRP-IDN), the Pain Management Self-Efficacy Questionnaire (PMSEQ-IDN), and the Nurse Behavior Questionnaire in Pain Management (NBQ-P). Mediation analysis was further conducted using the PROCESS add-on to discern the mediating effect of self-efficacy in pain management between knowledge and attitude of pain toward pain management practice among nurses. The study showed significant positive relationships among Knowledge and Attitude Survey Regarding Pain (KASRP), Pain Management Self-Efficacy (PMSE), and Pain Management Practice. However, the mediation analysis depicted that self-efficacy exerted a relatively modest mediating effect between KASRP and pain management practice (K2=0.17, CI= 0.05-0.27). The findings manifest the positive associations between knowledge-attitude regarding pain, self-efficacy in pain management, and pain management practices among nurses. In the future, in-service programs related to pain management should increase the nurses’ knowledge and attitude and enhance their confidence, resulting in actual practice in pain management. However, the mediation effect of self-efficacy is modest, indicating the plausible existence of other contributory variables or factors warranting further exploration and elucidation.


Keywords


self-efficacy; pain management; knowledge; attitude; practice

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References


Adams, S. M., Varaei, S., & Jalalinia, F. (2020). Nurses' Knowledge and Attitude towards Postoperative Pain Management in Ghana. Pain Res Manag, 2020, 4893707. https://doi.org/10.1155/2020/4893707

Alzghoul, B. I., & Chew Abdullah, N. A. (2020). Pain Management Practices by Nurses: Application of the Self-Efficacy Theory. Global Journal of Health Science, 12(9). https://doi.org/10.5539/gjhs.v12n9p44

Brike, S., & Melnikov, S. (2023). Factors affecting how parents cope with their preterm infant's pain: A cross-sectional study. J Clin Nurs, 32(11-12), 2802-2812. https://doi.org/10.1111/jocn.16385

Buchan, J., Duffield, C., & Jordan, A. (2015). 'Solving' nursing shortages: do we need a New Agenda? J Nurs Manag, 23(5), 543-545. https://doi.org/10.1111/jonm.12315

Cassiani, S. H. B., Lecorps, K., Rojas Cañaveral, L. K., da Silva, F. A. M., & Fitzgerald, J. (2020). Regulation of nursing practice in the Region of the Americas. Rev Panam Salud Publica, 44, e93. https://doi.org/10.26633/rpsp.2020.93

Darjee, D., Dungpaeng, S., & Masingboon, K. (2013). Factors related to postoperative pain management among nurses in Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan. Journal of Science, Technology, and Humanities, 11(1), 43-48.

Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149

Freimann, T., Pääsuke, M., & Merisalu, E. (2016). Work-Related Psychosocial Factors and Mental Health Problems Associated with Musculoskeletal Pain in Nurses: A Cross-Sectional Study. Pain Res Manag, 2016, 9361016. https://doi.org/10.1155/2016/9361016

Gede Juanamasta, I., Iblasi, A. S., Aungsuroch, Y., & Yunibhand, J. (2021). Nursing Development in Indonesia: Colonialism, After Independence and Nursing act. SAGE Open Nurs, 7, 23779608211051467. https://doi.org/10.1177/23779608211051467

Häggman-Laitila, A., Mattila, L. R., & Melender, H. L. (2017). A systematic review of the outcomes of educational interventions relevant to nurses with simultaneous strategies for guideline implementation. J Clin Nurs, 26(3-4), 320-340. https://doi.org/10.1111/jocn.13405

Kahsay, D. T., & Pitkajarvi, M. (2019). Emergency nurses knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study. BMC Nurs, 18, 56. https://doi.org/10.1186/s12912-019-0380-9

Lui, L. Y., So, W. K., & Fong, D. Y. (2008). Knowledge and attitudes regarding pain management among nurses in Hong Kong medical units. J Clin Nurs, 17(15), 2014-2021. https://doi.org/10.1111/j.1365-2702.2007.02183.x

Manias, E., Botti, M., & Bucknall, T. (2002). Observation of pain assessment and management--the complexities of clinical practice. J Clin Nurs, 11(6), 724-733. https://doi.org/10.1046/j.1365-2702.2002.00691.x

Nicholas, M. K. (2007). The pain self-efficacy questionnaire: Taking pain into account. Eur J Pain, 11(2), 153-163. https://doi.org/10.1016/j.ejpain.2005.12.008

Porter, L. S., Keefe, F. J., Garst, J., McBride, C. M., & Baucom, D. (2008). Self-efficacy for managing pain, symptoms, and function in patients with lung cancer and their informal caregivers: associations with symptoms and distress. Pain, 137(2), 306-315. https://doi.org/10.1016/j.pain.2007.09.010

Rahimi-Madiseh, M., Tavakol, M., & Dennick, R. (2010). A quantitative study of Iranian nursing students' knowledge and attitudes towards pain: implication for education. Int J Nurs Pract, 16(5), 478-483. https://doi.org/10.1111/j.1440-172X.2010.01872.x

Saleh, A. M. (2023). Nurses' assessment and management practices of pain among intensive care patients in King Khalid Hospital, Kharj, Riyadh. Heliyon, 9(9), e19986. https://doi.org/10.1016/j.heliyon.2023.e19986

Samarkandi, O. A. (2018). Knowledge and attitudes of nurses toward pain management. Saudi J Anaesth, 12(2), 220-226. https://doi.org/10.4103/sja.SJA_587_17

Somers, T. J., Wren, A. A., & Shelby, R. A. (2012). The context of pain in arthritis: self-efficacy for managing pain and other symptoms. Curr Pain Headache Rep, 16(6), 502-508. https://doi.org/10.1007/s11916-012-0298-3

Vallerand, A. H., Musto, S., & Polomano, R. C. (2011). Nursing's role in cancer pain management. Curr Pain Headache Rep, 15(4), 250-262. https://doi.org/10.1007/s11916-011-0203-5

WHO. (2020). State of the world’s nursing 2020: Investing in education, jobs and leadership. W. H. Organization. https://www.who.int/publications/i/item/9789240003279

Wilson, B. (2007). Nurses' knowledge of pain. J Clin Nurs, 16(6), 1012-1020. https://doi.org/10.1111/j.1365-2702.2007.01692.x


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DOI: https://doi.org/10.26714/seanr.6.1.2024.7-16

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