Effect of web-based pediatric pain management education on nursing student knowledge levels
DOI:
https://doi.org/10.15584/ejcem.2025.1.2Keywords:
pain management, pediatric nursing, students, web-based educationAbstract
Introduction and aim. Pain is a common symptom in children. Studies indicate that nurses and student nurses lack knowledge about pediatric pain. This study was designed to determine the level of knowledge of pediatric pain management for nursing students and to evaluate the effectiveness of the web-based pediatric pain management education (PPME) program.
Material and methods. This study used a pre/post-test quasi-experimental design before/after the test. It was carried out with 84 pediatric nursing internship students (39 control, 45 intervention) in a nursing school. The control group received routine training, and the intervention group received web-based modules. Data were collected using the questionnaire developed by the researchers and evaluated using the paired sample t-test, independent samples t-test, Spearman’s correlation and regression analysis. A structural equation model (SEM) was used.
Results. The level of knowledge of the intervention group was significantly higher than that of the control group in terms of the total score and sub-dimension scores of awareness, physiopathology and ‘control’ (p<0.05). A moderate, positive and significant correlation was observed between PPME and knowledge levels. Web-based education accounted for 56.6% of the in crease in knowledge level, resulting in an improvement of 11.062 points. A notable positive correlation was observed between PPME and control scores in SEM.
Conclusion. The conclusion drawn is that the web-based PPME effectively increased student knowledge scores.
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References
Ameringer S, Fisher D, Sreedhar S, Ketchum JM, Yanni L. Pediatric pain management education in medical students: Impact of a web-based module. J Palliat Med. 2012;15(9):978-983. doi: 10.1089/jpm.2011.0536
Twycross A, Dowden S, Stinson J. Managing pain in children. A clinical guide for nurses and healthcare professionals. Translation from 2nd ed. Ankara: Nobel Academic Publishing; 2018:1-17.
WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses. Geneva: World Health Organization; 2012.
Price C, Hoggart B, Olukoga O, Williams ACdC, Bottle A. National pain audit final report 2010-2012. The British Pain Society; 2012. https://www.britishpainsociety.org/static/uploads/resources/files/members_articles_npa_2012_1.pdf. Accessed June 2, 2024.
Shomaker K, Dutton S, Mark M. Pain prevalence and treatment patterns in a US Children’s Hospital. Hosp Pediatr. 2015;5(7):363-370. doi: 10.1542/hpeds.2014-0195
Ekim A, Ocakcı AF. Knowledge and attitudes regarding pain management of pediatric nurses in Türkiye. Pain Manag Nurs. 2013;14(4):262-297. doi: 10.1016/j.pmn.2012.02.004.
Göl İ, Onarici M. Nurses’ knowledge and practicesabout pain and pain control inchildren. JOHUFON. 2015;2(3):20-29.
Ortiz MI, Ponce-Monter HA, Rangel-Flores E, et al. Nurses’ and nursing students’ knowledge and attitudes regarding pediatric pain. Nursing Research and Practice. 2015;2015:1-8. doi: 10.1155/2015/210860
Dirimeşe E, Özdemir FK, Şahin ZA. Nursing students’ knowledge of related to painmanagement, cultural awareness and competence. GUSBD. 2016;5(3):1-6.
Verkuyl M, Romaniuk D, Atack L, Mastrilli P. Virtual gaming simulation for nursing education: An experiment. Clin Simul Nurs. 2017;13(5):238-244. doi: 10.1016/j.ecns.2017.02.004
Gaberson KB, Oermann MH, Shellenbarger T. Clinical teaching strategies in nursing. Translation from 4th ed. Ankara: Nobel Academic Publishing; 2016:3-4.
Romero-Hall E. Pain assessment and management in nursing education using computer-based simulations. Pain Manag Nurs. 2015;16(4):609-616. doi: 10.1016/j.pmn.2014.11.001
Purnell L, Rastinehad D, Nettleton B. Getting started with web-based learning in nursing: The essentials. DEUHYO ED. 2012;5(1):23-27.
Button D, Harrington A, Belan I. E-learning & information communication technology (ICT) in nursing education: A review of the literature. Nurse Educ Today. 2014; 34(10):1311-1323. doi: 10.1016/j.nedt.2013.05.002
Clark GT, Mulligan R, Baba K. Developing and providing an online (web-based) clinical research design course in Japan: Lessons learned. J Prosthodont Res. 2011;55(2):61-68. doi: 10.1016/j.jpor.2011.01.004
Liaw SY, Wong LF, Chan SW-C, et al. Designing and evaluating an interactive multimedia web-based simulation for developing nurses’ competencies in acute nursing care: Randomized controlled trial. J Med Internet Res. 2015;17(1):e5. doi:10.2196/jmir.3853
Keefe G, Wharrad HJ. Using e-learning to enhance nursing students’ pain management education. Nurse Educ Today. 2012;32(8):66-72. doi: 10.1016/j.nedt.2012.03.018
Puljak L, Sapunar D. Web-based elective courses for medical students: An example in pain. Pain Med. 2011;12(6):854-863. doi: 10.1111/j.1526-4637.2011.01104.x
The assessment and management of acute pain in infants, children, and adolescents. American academy of pediatrics. Committee on psychosocial aspects of child and family health. American pain society. Task force on pain in infants, children, and adolescents. Pediatrics. 2001;108(3):793-797. doi: 10.1542/peds.108.3.793
Pain knowledge and skills framework for the nursing team. UK: Royal College of Nursing; 2015:12-46. https://www.britishpainsociety.org/static/uploads/resources/files/RCN_KSF_2015.pdf Accessed October 12, 2016.
The Hospital for Sick Children ‘SickKids’. Pain Management. 2015. https://childkindinternational.org/wp-content/uploads/Pain-Management.pdf Accessed May 5, 2016.
Registered Nurses’ Association of Ontario. Assessment and Management of Pain (3rd ed.). Toronto; 2013:17-101. https://rnao.ca/sites/rnao-ca/files/AssessAndManagementOfPain2014.pdf Accessed May 5, 2016.
Toronto (ON): Cancer Care Ontario. Cancer-related Pain Management. Program in Evidence-based Care Evidence-based Series No: 16-2: Education And Information 2011;2012:1-7. https://www.cancercareontario.ca/en/guidelines-advice/types-of-cancer/2271 Accessed May 14, 2016.
British Pain Society. E-pain Modules and Sessions Update. E-Learning for Pain Management., https://www.britishpainsociety.org/static/uploads/resources/files/FPM-e-PAIN-Live-sessions-for-website-October-2016.pdf Accessed September 16, 2016.
Uludağ University. Pain Guide. Bursa Uludag University Health Institutions; 2010.
Coté CJ, Wilson S. Guidelines for monitoring and management of pediatric patients before, during, and after sedation for diagnostic and therapeutic procedures: Update 2016. American Academy of Pediatrics and American Academy of Pediatric Dentistry. Pediatrics. 2016;138(1):1-31. doi: 10.1542/peds.2016-1212
Brody AA, Groce-Wofford TM. Feasibility of implementing a web-based education program in geriatric pain and depression for home health care nurses. Home Health Care Manag Pract. 2013;25(6):274-278. doi: 10.1177/1084822313494785
Büyükgönenç L, Kılıçarslan Törüner E. Pediatric pain and nursing management. In: Pediatric nursing. Conk Z, Başbakkal Z, Yılmaz HB, Bolışık B, eds. Ankara: Academician Bookstore; 2018: 893-911.
Aydın B, Bektaş M. Pediatric pain management knowledge levels of intern nursing students. Pain Manag Nurs. 2020;21(3):290-298. doi: 10.1016/j.pmn.2019.06.012
Şenol YY. Determination of goals and objectives in medical education programs. In: Medical Educator’s Handbook. Sayek İ, ed. Ankara: Gunes Medical Bookstores; 2016:85-97.
Yorulmaz G. Evaluation of nursing students’ pain knowledge level. İstanbul, Türkiye: İstanbul Bilim University; 2012.
Tufekci FG, Ozlu ZK, Arslan S, Gumus K. Knowledge and attitudes regarding pain management of oncology and non-oncology nurses in Türkiye. Glo Adv Res J Nurs Midwifery. 2013;2(1):1-8.
Alvarez AG, Dal Sasso GTM, Iyengar MS. Persuasive technology in teaching acute pain assessment in nursing: Results in learning based on pre and post-testing. Nurse Educ Today. 2017;50:109-114. doi: 10.1016/j.nedt.2016.12.019
Özyazıcıoğlu N, Çelebioğlu A. Nursing students’ knowledge and views about neonatal pain. J Anatol Nurs Health Sci. 2008;11(3):9-16.
Czarnecki M, Simon K, Thompson J, et al. Barriers to pediatric pain management: A nursing perspective. Pain Manag Nurs. 2011;12(3):154-162. doi: 10.1016/j.pmn.2010.07.001
Chiang L-C, Chen H-J, Huang L. Student nurses’ knowledge, attitudes, and self-efficacy of children’s pain management: Evaluation of an education program in Taiwan. J Pain Symptom Manage. 2006;32(1):82-89. doi: 10.1016/j.jpainsymman.2006.01.011
Efe E, Dikmen Ş, Altaş N, Boneval C. Turkish pediatric surgical nurses’ knowledge and attitudes regarding pain assessment and nonpharmacological and environmental methods in newborns’ pain relief. Pain Manag Nurs. 2013;14(4):343-350. doi: 10.1016/j.pmn.2011.08.003
Lunsford L. Knowledge and attitudes regarding pediatric pain in Mongolian nurses. Pain Manag Nurs. 2015;16(3): 346-353. doi: 10.1016/j.pmn.2014.08.007
Woldehaimanot TE, Saketa YJ, Zeleke AM, Gesesew HA, Woldeyohanes TR. Pain knowledge and attitude: A survey among nurses in 23 health institutions in Western Ethiopia. Gaziantep Med J. 2014;20(3):254-260. doi: 10.5455/GMJ-30-157196
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