Attitudes of surgical nurses toward postoperative opioid use: A qualitative study

Authors

DOI:

https://doi.org/10.14687/jhs.v17i3.5977

Keywords:

Opioid, attitude of health personnel, pain management, nurses

Abstract

Aim: This study was aimed to investigate the attitudes of surgical nurses toward postoperative opioid use.

Method: The descriptive phenomenological study consists of 30 surgical nurses in two hospitals in Turkey.  Data were collected by semi-structured face to face interviews. Data analyses were done by qualitative theme analysis. 

Findings: As a result of the theme analysis, six themes related to surgical nurses' attitudes of postoperative opioid analgesic use were identified. These themes are named as follows: primary indications for opioids, safest route for opioid administration, complications observed following opioid administration, opioid addiction, opioid safety, feeling stressed while administrating opioids. Nurses (13/30) stated that intravenous way is safer as it affects fast, and it is easy to control; while 12 nurses said that intramuscular application is safer as there are few possibilities for complications. While all of the nurses were agreed on that opioids are addictive, eighteen of them think that opioid drugs are safe, and 16 stated that administering opioids did not create stress.

Conclusions: Nurses face some obstacles related to the use of opioids in the process of pain management, such as the abuse of opioids and encountering side effects. Pain management and opioid use should be given a great place in nursing education.

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Author Biographies

Sevim Şen, Kahramanmaraş Sütçü İmam University

Asst. Prof. Dr., Kahramanmaraş Sütçü İmam University, Afşin School of Health, Department of Nursing

Esra Usta, Düzce University

Dr., Lecturer, Düzce University, Vocational School of Health Services

Dilek Aygin, Sakarya University

Prof. Dr., Sakarya University, Faculty of Health Sciences, Department of Nursing

References

Alexander, S. A. (2016). Project to improve nurses’ knowledge of, and attitudes towards, pain management at end of life. Dissertion. University of Massachuses Amherst, Massachuses.

Bookbinder, M., Coyle, N., Kiss, M., Goldstein, M.L., Holritz, K., Thaler, H., … Portenoy, R.K. (1996). Implementing national standards for cancer pain management: program model and evaluation. Journal of Pain and Symptom Management, 12(6), 334-347.

Bozdağ, Z., Şamdancı, E.T., Şahin, N., Aydın, NE, Sayın, S. (2013). Pethidine related sudden death. Journal of Forensic Medicine, 27(1), 75-79.

Büyük, Y., Üzün, İ., Koçak, U., Özer, E. (2005). Sudden death of a health worker due to pethidine abuse: a case report. Journal of Forensic Medicine,19(1), 33-36

Christensen, M., Welch, A., Barr, J. (2017). Husserlian Descriptive Phenomenology: A review of intentionality, reduction and the natural attitude. Journal of Nursing Education and Practice, 7(8), 113–118. doi: 10.5430/jnep.v7n8p113

Clarke, E.B., French, B., Bilodeau, M.L., Capasso, V.C., Edwards, A., Empoliti, J. (1996). Pain management knowledge, attitudes and clinical practice: the impact of nurses' characteristics and education. Journal of Pain and Symptom Management, 11(1), 18-31.

Corbin, J., Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory (p. 61-74). USA: San Jose State University.

Corke, P. (2013). Postoperative pain management. Australian Prescribe, 36(6), 202-205. doi: 10.18773/austprescr.2013.085

Cowan, D.T., Wilson-Barnett, J., Griffiths, P., Allan, L.G. (2003). A survey of chronic noncancer pain patients prescribed opioid analgesics. Pain Medicine, 4(4), 340-351.

de Rond, M.E., de Wit, R., van Dam, F.S., van Campen, B.T.M., den Hartog, Y.M., Klievink, R.M. (2000). A pain monitoring program for nurses: effects on nurses' pain knowledge and attitude. Journal of Pain and Symptom Management, 19(6), 457-467. doi:10.1016/S0885-3924(00)00128-7

de Rond, M.E., de Wit, R., van Dam, F.S., Muller, M.J. (2000). A Pain monitoring program for nurses: Effect on the administration of analgesics. Pain, 89(1), 25-38. doi:10.1016/S0304-3959(00)00344-4

Edwards, H.E., Nash, R.E., Najman, J.M., Yates, P.M., Fentiman, B.J., Dewar, A., … Skerman, H.M. (2001). Determinants of nurses' intention to administer opioids for pain relief. Nursing & Health Science, 3(3), 149-159. doi: 10.1046/j.1442-2018.2001.00080.x

Eid, T., Manias, E., Bucknall, T., Almazrooa, A. (2014). Nurses' knowledge and attitudes regarding pain in Saudi Arabia. Pain Management Nursing, 15(4), 25-36. doi: 10.1016/j.pmn.2014.05.014.

Eti Aslan, F. (2011). Ameliyat sonrası bakım. A. Karadakovan & F. Eti Aslan, In: Dahili ve Cerrahi Hastalıklarda Bakım (p. 107-123). Adana: Nobel Tıp Kitabevi.

Food&Drug Asministration. (2017). Training health care providers on pain management and safe use of opioid analgesics–exploring the path forward. 31.10.2017, https://www.fda.gov/drugs/newsevents/ucm538047.htm .

Gardiner, C., Gott, M., Ingleton, C., Hughes, P., Winslow, M., Bennett, M.I. (2012). Attitudes of health care professionals to opioid prescribing in end-of-life care: A qualitative focus group study. Journal of Pain and Symptom Management, 44(2), 206-214. doi:10.1016/j.jpainsymman.2011.09.008

Gentle, S.J., Charles, S., Ploeg, J., Mckibbon, K.A. (2015). Sampling in qualitative research: insights from an overview of the methods literature. The Qualitative Report, 20(11), 1772-1789.

Good, M. (1998). A middle-range theory of acute pain management: Use in research. Nursing Outlook, 46(3), 120-124. doi:10.1016/S0029-6554(98)90038-0

Green, C.R., Tait, A.R. (2002). Attitudes of healthcare professionals regarding different modalities used to manage acute postoperative pain. Acute Pain, 4(1), 15-21. doi:10.1016/S1366-0071(02)00005-0

Harsoor, S.S. (2011). Emerging concepts in post-operative pain management. Indian Journal of Anaesthesia, 55(2), 101-103. doi: 10.4103/0019-5049.79872

International Association for the Study of Pain Subcommittee on Taxonomy. (1979). Pain terms: A list with definitions and notes on usage, recommended by the IASP subcommittee on taxonomy. Pain, 6, 249-252.

Jho, H.J., Kim, Y., Kong, K.A., Kim, D.H., Choi, J.Y., Nam, E.J., … Park, E.J. (2014). Knowledge, practices, and perceived barriers regarding cancer pain management among physicians and nurses in Korea: A nationwide multicenter survey. PLoS One, 9(8): e105900. doi: 10.1371/journal.pone.0105900

Krokmyrdal, K.A., Andenæs, R. (2015). Nurses’ competence in pain management in patients with opioid addiction: A cross-sectional survey study. Nurse Education Today, 35(6), 789-794. doi: 10.1016/j.nedt.2015.02.022

Kuhn, S., Cooke, K., Collins, M., Jones, J.M., Mucklow, J.C. (1990). Perceptions of pain relief after surgery. The British Medical Journal‎, 300(6741): 1687-1690.

McCaffrey, M., Ferrell, B.R. (1997). Nurses' knowledge of pain assessment and management: How much progress have we made?. Journal of Pain and Symptom Management, 14(3), 175-188.

McCaffery, M., Ferrell, B.R., Pasero, C. (2000). Nurses' personal opinions about patients' pain and their effect on recorded assessments and titration of opioid doses. Pain Management Nursing, 1(3), 79-87. doi: 10.1053/jpmn.2000.9295

Meissner, W., Coluzzi, F., Fletcher, D., Huygen, F., Morlion, B., Neugebauer, E., … Pergolizzi, J. (2015). Improving the management of post-operative acute pain: Priorities for change. Current Medical Research and Opinion, 31(11), 2131-2143. doi: 10.1185/03007995.2015.1092122.

Misiołek, H., Cettler, M., Woroń, J., Wordliczek, J., Dobrogowski, J., Mayzner-Zawadzka, E. (2014). The 2014 guidelines for post-operative pain management. Anaesthesiology Intensive Therapy, 46(4), 221-244. doi: 10.5603/AIT.2014.0041

Morgan, B.D. (2014). Nursing attitudes toward patients with substance use disorders in pain. Pain Management Nursing, 15(1), 165-175. doi: 10.1016/j.pmn.2012.08.004

Owen, H., McMillan, V., Rogowski, D. (1990). Postoperative pain therapy: A survey of patients' expectations and their experiences. Pain, 41(3), 303-307. doi: 10.1016/0304-3959(90)90007-Z

Pain and Policy Study Groups. (2015). Global Opioid Consumption. 28.12.2016, http://www.painpolicy.wisc.edu/opioid-consumption-data

Plaisance, L., Logan, C. (2006). Nursing students’ knowledge and attitudes regarding pain. Pain Management Nursing, 7(4), 167-175. doi: 10.1016/j.pmn.2006.09.003

Smith, H., Bruckenthal, P. (2010). Implications of opioid analgesia for medically complicated patients. Drugs & Aging, 27(5), 417-433. doi: 10.2165/11536540-000000000-00000

Taylor, A., Stanbury, L. (2009). A review of postoperative pain management and the challenges. Current Anaesthesia & Critical Care, 20(4), 188-194. doi:10.1016/j.cacc.2009.02.003

The Joint Comission. (2012). Sentinel event alert, Issue 49: Safe use of opioids in hospitals (p. 1-5).

Voshall, B., Dunn, K.S., Shelestak, D. (2013). Knowledge and attitudes of pain management among nursing faculty. Pain Management Nursing, 14(4), 226-235. doi: 10.1016/j.pmn.2012.02.001.

Wels, D. (2012). Management of postoperative pain. South African Family Practice, 54(3), 25-28. doi: 10.1080/20786204.2012.10874233

Wright, E.L., McGuiness, T., Moneyham, L.D., Schumacher, J.E., Zwerling, A., Stullenbarger N.E.N. (2012). Opioid abuse among nurse anesthetists and anesthesiologists. AANA Journal, 80(2), 120-128.

Yargıç, İ. (2009). Sağlık çalışanlarında bağımlılıkla ilgili sorunlar ve çözüm yolları. Klinik Gelişim 22(4), 84-87.

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Published

2020-08-25

How to Cite

Şen, S., Usta, E., & Aygin, D. . (2020). Attitudes of surgical nurses toward postoperative opioid use: A qualitative study. Journal of Human Sciences, 17(3), 911–920. https://doi.org/10.14687/jhs.v17i3.5977

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Section

Nursing and Midwifery