Knowledge of Nurses in the Intensive Care Unit About Pain Management


Pain in patients in the intensive care unit (ICU) is a substantial problem in patients with critical conditions. Proper assessment and management of pain is a key indicator of care quality and patient satisfaction, regardless of the health care setting. Poor treatment of pain can lead to serious complications, so knowledge is needed by nurses to support the implementation of effective pain management. The purpose of this study was to examine nurses’ knowledge of the implementation of pain management. This was a quantitative descriptive study with a sample of 84 nurses serving in the ICU. The data were collected using the Knowledge and Attitudes Survey Regarding Pain questionnaire. Univariate analyses were carried out by analyzing the frequency distribution and descriptive statistics. The results showed that almost all respondents (89.3%) had poor knowledge and 10.7% had sufficient knowledge. Nurses need to have good knowledge and skills in the implementation of pain management; therefore, it is necessary to provide training and education to nurses.

Keywords: intensive care unit, knowledge, pain management, nurse

[1] Puntillo KA, Max A, Timsit J-F et al. Determinants of procedural pain intensity in the intensive care unit. The Europain® study. American Journal Respiratory Critical Care Medicine. 2014;189(1):39–47.

[2] Rose L, Smith O, Gélinas C et al. Critical care nurses’ pain assessment and management practices: A survey in Canada. American Journal Critical Care. 2012;21(4):251–9.

[3] Priambodo AP, Ibrahim K, Nursiswati N. Pengkajian nyeri pada pasien kritis dengan menggunakan critical pain observation tool (CPOT) di intensive care unit (ICU). Jurnal Keperawatan Padjadjaran. 2016;4(2):162-169.

[4] Morton PG, Fontaine D, Hudak CM, Gallo BM. Keperawatan kritis pendekatan asuhan holistik. Unit pelayanan perppustakaan universitas jember. Jember. 2012;8:20-25.

[5] Barr J, Fraser GL, Puntillo K et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Critical Care Medicine. 2013;41(1):263–306.

[6] Al-Shaer D, Hill PD, Anderson MA. Nurses’ knowledge and attitudes regarding pain assessment and intervention. Medsurg Nursing. 2011;20(1):7-11.

[7] Kizza IB, Muliira JK, Kohi TW, Nabirye RC. Nurses’ knowledge of the principles of acute pain assessment in critically ill adult patients who are able to self-report. International Journal African Nursing Science. 2016;4:20–7.

[8] Wang H, Tsai Y. Nurses’ knowledge and barriers regarding pain management in intensive care units. Journal Clinical Nursing. 2010;19(21￿22):3188–96.

[9] Nikolajsen L, Buch N. How can pain management be improved in hospitalized patients? Scand Journal of Pain. 2017;15(1):75–6.

[10] Mediani HS, Duggan R, Chapman R, Hutton A, Shields L. An exploration of Indonesian nurses’ perceptions of barriers to paediatric pain management. Journal Children’s Health Care. 2017;21(3):273–82.

[11] Abazari P, Namnabati M. Nurses’ experiences from pain management in children in Iranian culture: A phenomenology study. Journal Education Health Promotion. 2017;6:74-80.

[12] Fang L, Xu Y, Lin D, Jin J, Yan M. Attitude and intention regarding pain management among Chinese nursing students: A cross-sectional questionnaire survey. Pain Management Nursing. 2017;18(4):250–9.