A T Adenekan1, A M Owojuyigbe1, O I Aaron1, A O Adetoye1, O E Olorunmoteni2, T Owojuyigbe3, S O Olateju, A F Faponle, Y James4, C Igharo4, R F Akanbi4, O Moronkeji5, L S Egbetunde6. 1. Department of Anaesthesia and Intensive Care, Faculty of Clinical Sciences,College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria. 2. Department of Paediatrics and Child Health, Faculty of Clinical Sciences,College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria. 3. Department of Haematology and Immunology, Faculty of Basic Medical Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria. 4. Federal Ministry of Health, Abuja. 5. Departments of Pharmaceutical Services,Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. 6. Nursing Services,Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
Abstract
BACKGROUND: Pain is a public health problem requiring serious attention. One major barrier to the provision of quality pain treatment in many countries is lack of training for healthcare workers. The aim of this study was to evaluate the impact of pain education on the knowledge and attitude of healthcare workers, and opioid utilization in a university teaching hospital. METHODS: Pain management workshops were conducted for healthcare workers over a 12-month period. The modified "Knowledge and Attitudes Survey Regarding Pain" questionnaire was administered to participants pre- and post- training for each of the workshops. The total mark by each participant was entered into the Statistical Package for Social Sciences (SPSS) software version 16 software for windows (SPSS Inc., Chicago, Illinois, USA) for comparison of means for pre- and post-test. Changes in opioid utilization were evaluated. RESULTS: The pre-test and post-test questionnaires were filled by 715 and 700 participants respectively. The mean post-test score was significantly higher than the pre-test score (68% versus 49% respectively, p = 0.00001). The doctors scored significantly higher than the other groups (p < 0.0001) in the pre-test. The mean post-test scores were significantly higher than the corresponding mean pre-test scores for the various groups (p < 0.0001). Sustained increase (up to 60.4%) in total morphine utilization was observed during the training. CONCLUSION: There is a wide knowledge gap requiring regular training and re-training to achieve improved pain management and opioid utilization among healthcare workers. Inclusion of robust pain curricula in medical training programs will significantly improve pain management.
BACKGROUND:Pain is a public health problem requiring serious attention. One major barrier to the provision of quality pain treatment in many countries is lack of training for healthcare workers. The aim of this study was to evaluate the impact of pain education on the knowledge and attitude of healthcare workers, and opioid utilization in a university teaching hospital. METHODS:Pain management workshops were conducted for healthcare workers over a 12-month period. The modified "Knowledge and Attitudes Survey Regarding Pain" questionnaire was administered to participants pre- and post- training for each of the workshops. The total mark by each participant was entered into the Statistical Package for Social Sciences (SPSS) software version 16 software for windows (SPSS Inc., Chicago, Illinois, USA) for comparison of means for pre- and post-test. Changes in opioid utilization were evaluated. RESULTS: The pre-test and post-test questionnaires were filled by 715 and 700 participants respectively. The mean post-test score was significantly higher than the pre-test score (68% versus 49% respectively, p = 0.00001). The doctors scored significantly higher than the other groups (p < 0.0001) in the pre-test. The mean post-test scores were significantly higher than the corresponding mean pre-test scores for the various groups (p < 0.0001). Sustained increase (up to 60.4%) in total morphine utilization was observed during the training. CONCLUSION: There is a wide knowledge gap requiring regular training and re-training to achieve improved pain management and opioid utilization among healthcare workers. Inclusion of robust pain curricula in medical training programs will significantly improve pain management.
Authors: Ibrahim Ogunyinka; Kazeem Yusuff; Patrick O Erah; Kazeem Oshikoya; Folayemi Faponle; Hussein Ungo-Kore; Ibrahim Oreagba; Ahmed Yakasai; Anthony Idoko; Solape Ileoma; Aminu Umar Journal: Risk Manag Healthc Policy Date: 2021-11-11