Document Type : Original Article
Authors
1 Department of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
2 Department of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Science, Urmia, Iran
Abstract
INTRODUCTION: Efficient pain management by nursing staff initially needs accurate knowledge
and proper attitude in this field. The aim of present study was to compare the effects of lecture
and electronic education on the knowledge, attitude, and practice of nursing staff regarding pain
management.
MATERIALS AND METHODS: The present superiority randomized controlled trial with two parallel
arms was conducted on 78 occupied nurses of surgery wards of X. The participants were recruited
randomly and divided into two groups of lecture and electronic education through random blocking (4
and 6 blocks). For allocation concealment, coded nontransparent pockets numbered 1–78 containing
the type of intervention were used. Educational material was presented using teacher‑centered
method in lecture group, as well as through multimedia program using FLASH software in e‑learning
group through 1‑h sessions for 4 weeks. Data on nurses were collected before and 4 weeks after the
training using demographic questionnaire, Pain Management Principles Assessment Tool, Nurses’
Attitude Survey, and nursing practice checklist. Data were analyzed using SPSS software (version 24)
utilizing descriptive and analytic statistical test such as Chi‑square, Fisher, independent t‑test, and
ANCOVA. P < 0.05 was considered statistically significant.
RESULTS: Mean ± standard deviation of nurses’ knowledge, attitude, and practice regarding
pain management had significant increase in both groups post‑training (P < 0.001). According to
ANCOVA the mean postintervention knowledge score in e‑learning group by controlling baseline
score had significant increase compared to the lecture group (adjusted mean difference [aMD] =
1.8: 95% confidence interval [CI] = 1.5–2.1, P < 0.001). Furthermore, the mean of total scores of
post‑intervention attitude and practice in e‑learning group adjusted for baseline score significantly
increased compared to lecture group (aMD = 1.8: 95% CI = 1.5–2.1, P < 0.001) and (aMD = 3.2:
95% CI = 2.7–3.6, P < 0.001).
CONCLUSION: Electronic education was more efficient than lecture education in increasing of
knowledge, attitude, and practice on pain management among nursing staff.
Keywords
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