Knowledge and attitudes of nurses/technicians on the suppression of malignant pain using multimodal analgesia

Uvod: Znanje i stavovi medicinskih sestara i tehničara jedan je od važnijih elemenata u procjeni kvalitete suzbijanja maligne boli multimodalnom analgezijom. Cilj: Ciljevi ovog istraživanja su identificirati i analizirati znanje i stavove medicinskih sestara/tehničara o suzbijanju maligne boli uporabom multimodalne analgezije s obzirom na stručnu spremu, godine radnog iskustva i radno mjesto (zavod). Ispitanici i metode: Istraživanje je ustrojeno kao presječna studija (cross-sectional study). U istraživanje su uključene 73 medicinske sestre/tehničari srednje, više i visoke stručne spreme s tri zavoda Klinike za ženske bolesti i porode (Zavod ginekološke kirurgije, Zavod ginekološke onkologije i Zavod za anesteziju i intenzivno liječenje), KBC Zagreb. Podaci istraživanja su prikupljeni pomoću anketnog upitnika preuzetog od B.R. Ferrell i M. McCaffery „Knowledge and attitudes survey regarding pain“ skraćenog i prevedenog na hrvatski jezik. Rezultati: Prema postavljenom kriteriju da rezultat od najmanje 60% smatramo dovoljno dobrim, zaključujemo da medicinske sestre/tehničari ne posjeduju dovoljno znanja o suzbijanju maligne boli uporabom multimodalne analgezije. Medicinske sestre/tehničari VŠS i VSS nemaju više znanja od SSS, te ne postoji statistički značajna razlika između duljine radnog staža. Zavod ginekološke onkologije nije postigao bolji rezultat u istraživanju od Zavoda ginekološke kirurgije i Zavoda za anesteziju i intenzivno liječenje. Zaključak: Unatoč malom uzorku na kojem je provedeno istraživanje, može se zaključiti da medicinske sestre/tehničari neovisno o duljini staža, nivou obrazovanja ili bolničkom odjelu na kojem rade nemaju dovoljno znanja o suzbijanju maligne boli uporabom multimodalne analgezije te se nameće potreba edukacije iz liječenja boli kroz programe cjeloživotnog obrazovanja.Introduction: The knowledge and opinions of medical nurses and technicians are one of the more important elements in assessing the quality of malignant pain control using multimodal analgesia. Goals: The objectives of this research are to identify and analyze the knowledge and attitudes of nurses/technicians on the suppression of malignant pain using multimodal analgesia with regard to education, years of work experience and position (institute). Respondents and methods: The research was organized as average study (cross-sectional study). The study included 73 nurses/technicians of secondary, higher and high education from three departments of the Clinic for Women's Diseases and Obstetrics (Department of Gynecological Surgery, Department of Gynecological Oncology and Department of Anesthesia and Intensive Care), Clinical Hospital Center Zagreb. Research data were collected using a survey questionnaire taken from B.R. Ferrell and M. McCaffery "Knowledge and attitudes survery regarding pain" abbreviated and translated into Croatian language. Results: According to the set criterion that we consider the result of 60% is good enough, we conclude that nurses/technicians do not have enough knowledge on the suppression of malignant pain using multimodal analgesia. Medical nurses/technicians with higher or high education do not have more knowledge than those with secondary education, and there is no statistically significant difference in relation to different lengths of service. The Department of Gynecological Oncology did not achieve a better result in the study than the Department of Gynecological Surgery and the Department of Anesthesia Intensive Care. Conclusion: Despite the small sample on which the research was conducted, it can be concluded that medical nurses/technicians, regardless of length of service, level of education, or hospital ward where they work, do not have sufficient knowledge to control malignant pain using multimodal analgesia, and there is a need for education in the treatment of pain through lifelong learning programs