Effectiveness of training program on clinical decision-making regarding postoperative pain management among nurses in a Tertiary Care Setting, Udupi district, Manipal

Nageshwar Venkatesh Reddy; Judith Angelitta Noronha; Anitha N; Anice George; Baby S Nayak; Tessy Treesa Jose

Author(s)

Nageshwar Venkatesh Reddy Department of Mental Health and Psychiatric Nursing, Faculty of Nursing Baha University, Al Baha Province, Saudi Arabia

Judith Angelitta Noronha Department of Obstetrics and Gynecology Nursing, Manipal College of Nursing, Manipal, Udupi, India

Anitha N Department of Anesthesiology, Kasturba Medical College Hospital, Manipal, Udupi, India

Anice George Department of Child Health Nursing, Manipal College of Nursing, Manipal, India

Baby S Nayak Department of Child Health Nursing, Manipal College of Nursing, Manipal, India

Tessy Treesa Jose Department of Mental Health (Psychiatric) Nursing, Manipal College of Nursing, Manipal, India

Abstract

Objective: This study examined how well a regimented Clinical Decision Making regarding Post Operative Pain Management (CDMR-POPM) program improved tertiary care nurses' clinical decision-making skills. Methodology: A cluster randomized controlled open trial was conducted at Kasturba Hospital, Manipal, Udupi from Apr 2015 - Nov 2015. There were 175 surgical unit nurses; 94 experimental and 81 control. Experimental group learned CDMR-POPM. We collected data using demographic profiles, the CDMRPOPM instrument, observation checklists, and patient pain treatment satisfaction measures. Using repeated measures ANOVA and Pearson's correlation at pre-test, post-test 1, post-test 2, and post-test 3, the training's impact on clinical decision-making and patient outcomes was examined. Results: Training improved clinical decision-making in experimental nurses compared to controls (F=34.76, p=0.01). The experimental group had higher satisfaction with pain treatment, including overall condition, nursing care, and current analgesics (F=180.47, p=0.01). However, reported decisionmaking skills remained unchanged. No correlation was found between clinical experience, stress, education, and clinical decision-making (p>0.05). Conclusion: CDMR-POPM training improved nurses' clinical decision-making and postoperative pain management patient satisfaction. These findings demonstrate the importance of systematic decisionmaking training in care quality.

Publication Details

Page(s) 195-198

DOI DOI not available

Published Journal: Rawal Medical Journal, Volume: 50, Issue: 1, Year: 2025

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Keywords

Patient satisfaction, Clinical decision making, Postoperative pain Management, health care providers’ opinion, nursing care.

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