The Relationship Between Surgical Nurses' Pain Management Self-Efficacy and Patients' Postoperative Pain Management Outcomes: A Nurse-Patient Dyad Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 340
- 试验地点
- 2
- 主要终点
- Postoperative Pain Outcomes (Patients)
研究概览
简要总结
This study examines whether surgical nurses' confidence in managing patients' pain (pain management self-efficacy) is related to how well their patients' pain is managed after surgery. Nurses working in general surgery clinics will complete a questionnaire about their own pain management self-efficacy, and the surgical patients under their care will complete a separate questionnaire about their postoperative pain outcomes. Each patient's responses will be linked to the nurse who cared for them, creating nurse-patient pairs, in order to explore how nurse-level factors relate to patient-level pain outcomes. This is an observational study: no treatment, medication, or intervention is provided or tested; participants only complete questionnaires.
详细描述
Background: Postoperative pain continues to be inadequately managed in many surgical settings, and nurses play a central role in pain assessment and management. Nurses' pain management self-efficacy, defined as their confidence in their own ability to assess and manage patients' pain effectively, may influence the quality of pain care patients receive. Few studies have directly linked nurse-level self-efficacy to patient-level pain outcomes using a dyadic (nurse-patient paired) design.
Aim: This descriptive, analytic, cross-sectional nurse-patient dyad study aims to examine the relationship between surgical nurses' pain management self-efficacy and their postoperative patients' pain management outcomes.
Design and Methods: Nurses working in the general surgery clinics of two training and research hospitals (Agri Training and Research Hospital and Taksim Training and Research Hospital, Turkey) will be invited to participate. Each participating nurse will complete the Pain Management Self-Efficacy Questionnaire (PMSEQ). Postoperative surgical patients cared for by these nurses will complete the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R), together with a sociodemographic and clinical data form. Patient responses will be linked to their assigned nurse to form nurse-patient dyads. Because patients are clustered within nurses, multilevel (mixed-effects) statistical modeling will be used to account for the nested data structure and to examine associations between nurse-level self-efficacy and patient-level pain outcomes, while controlling for relevant patient and nurse characteristics.
This is an observational, non-interventional study; no experimental treatment, medication, device, or randomization is involved. All participants (nurses and patients) will provide informed consent, and the study will be conducted in accordance with the Declaration of Helsinki.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Surgical Nurses:
- •Currently employed as a registered nurse
- •Working in the general surgery clinic where the study is conducted
- •Actively involved in postoperative patient care
- •Employed in the relevant clinic for at least 3 months
- •Voluntarily agrees to participate in the study
- •Surgical Patients:
- •18 years of age or older
- •Has undergone a surgical procedure
- •Receiving postoperative care in the general surgery clinic where the study is conducted
- •Within the first 24 postoperative hours
- •Able to communicate in Turkish
- •Conscious and cognitively able to answer study questions
- •Voluntarily agrees to participate in the study
排除标准
- •Surgical Nurses:
- •On extended leave or medical report during the data collection period, resulting in no active clinical care
- •Does not complete the data collection form during the study period
- •Surgical Patients:
- •Followed in the intensive care unit
- •Impaired consciousness that prevents assessment
- •Serious cognitive or communication impairment that prevents communication
- •Underwent emergency surgery
- •Unable to complete the study data collection forms
研究组 & 干预措施
Surgical Nurses
Nurses working in and actively providing postoperative care in the participating general surgery clinics. Each nurse completed the Nurse Descriptive and Occupational Information Form and the Pain Management Self-Efficacy Questionnaire (PMSEQ, Turkish version) once. No intervention was applied.
干预措施: Pain Management Self-Efficacy and Postoperative Pain Outcome Assessment (Other)
Surgical Patients
Adult surgical patients receiving postoperative care in the participating general surgery clinics, each paired with the nurse primarily responsible for their care. Each patient completed the Patient Descriptive Information Form and the Revised American Pain Society Patient Outcome Questionnaire, Turkish version (APS-POQ-R-TR), within the first 24 postoperative hours. No intervention was applied.
干预措施: Pain Management Self-Efficacy and Postoperative Pain Outcome Assessment (Other)
结局指标
主要结局
Postoperative Pain Outcomes (Patients)
时间窗: Within 24-48 hours after surgery, prior to hospital discharge
Patient-reported postoperative pain outcomes measured with the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R), including pain severity/intensity, pain interference with activity and sleep, and satisfaction with pain management.
次要结局
- Nurses' Pain Management Self-Efficacy(Measured once, at the time of study enrollment)
研究者
Volkan Gokmen
Assistant Professor
Agri Ibrahim Cecen University