Identification of pain management clusters from a pain knowledge and attitudes survey

2.50
Hdl Handle:
http://hdl.handle.net/10755/163292
Category:
Abstract
Type:
Presentation
Title:
Identification of pain management clusters from a pain knowledge and attitudes survey
Author(s):
Bruckenthal, Patricia
Author Details:
Patricia Bruckenthal, PhD, RN, ANP, Stony Brook University, Stony Brook, New York, USA, email: patricia.bruckenthal@stonybrook.edu
Abstract:
Purpose: Members of a chapter of the American Society for Pain Management Nurses (ASPMN) conducted a study to evaluate nurses' pain management knowledge. The 'Pain Knowledge and Attitudes of Health Care Providers Survey' was used to measure this construct. It is based on a review of the literature and previously published pain knowledge and belief measures. Items are reported to measure knowledge and beliefs about addiction, assessment, scheduling, use of analgesics, and pediatric pain. Psychometric properties have not previously been reported. The purpose of this study was to identify factors that compose constructs theorized in this instrument. Theoretical Framework: Greipp's Model of Ethical Decision Making guided this study. This model examines nurses ethical decision making based on learned experiences. Methods (Design, Sample, Setting, Measures, Analysis): 400 nurse surveys were analyzed from 16 regional New York hospitals. An exploratory factor analysis was conducted to evaluate this 17 item self report instrument. Results: Five clusters were identified 1) addiction (15.2% variance explained, a=.67); 2) assessment (11.1% variance explained, a = .42); 3) physical and psychological effects (10.1% variance explained, a = .37); 4) medication scheduling (7.5% variance explained, a = .15); 5) medication dosing (7.5% variance explained, a = .27). Diversional activities for children, loaded on two clusters, but fit best in the physical and psychological effects cluster. The other pediatric item loaded on the assessment cluster. Overall Cronbach's a =.70. Conclusions and Implications: This analysis supports the intent of this instrument to measure pain knowledge concepts. Low alpha's may be due to small number of items per cluster and is a limitation. Two clusters were renamed to represent the meaning of the items. Pediatric items did not load together suggesting pediatric pain knowledge is not measured. Instrument revision is suggested. Analysis of discrete knowledge and attitude clusters in relation to nurse characteristics is the focus of the next phase of this ASPMN chapter study.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleIdentification of pain management clusters from a pain knowledge and attitudes surveyen_GB
dc.contributor.authorBruckenthal, Patriciaen_US
dc.author.detailsPatricia Bruckenthal, PhD, RN, ANP, Stony Brook University, Stony Brook, New York, USA, email: patricia.bruckenthal@stonybrook.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163292-
dc.description.abstractPurpose: Members of a chapter of the American Society for Pain Management Nurses (ASPMN) conducted a study to evaluate nurses' pain management knowledge. The 'Pain Knowledge and Attitudes of Health Care Providers Survey' was used to measure this construct. It is based on a review of the literature and previously published pain knowledge and belief measures. Items are reported to measure knowledge and beliefs about addiction, assessment, scheduling, use of analgesics, and pediatric pain. Psychometric properties have not previously been reported. The purpose of this study was to identify factors that compose constructs theorized in this instrument. Theoretical Framework: Greipp's Model of Ethical Decision Making guided this study. This model examines nurses ethical decision making based on learned experiences. Methods (Design, Sample, Setting, Measures, Analysis): 400 nurse surveys were analyzed from 16 regional New York hospitals. An exploratory factor analysis was conducted to evaluate this 17 item self report instrument. Results: Five clusters were identified 1) addiction (15.2% variance explained, a=.67); 2) assessment (11.1% variance explained, a = .42); 3) physical and psychological effects (10.1% variance explained, a = .37); 4) medication scheduling (7.5% variance explained, a = .15); 5) medication dosing (7.5% variance explained, a = .27). Diversional activities for children, loaded on two clusters, but fit best in the physical and psychological effects cluster. The other pediatric item loaded on the assessment cluster. Overall Cronbach's a =.70. Conclusions and Implications: This analysis supports the intent of this instrument to measure pain knowledge concepts. Low alpha's may be due to small number of items per cluster and is a limitation. Two clusters were renamed to represent the meaning of the items. Pediatric items did not load together suggesting pediatric pain knowledge is not measured. Instrument revision is suggested. Analysis of discrete knowledge and attitude clusters in relation to nurse characteristics is the focus of the next phase of this ASPMN chapter study.en_GB
dc.date.available2011-10-27T11:04:51Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:04:51Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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