You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Nurses Knowledge and Attitudes About Pain in Hospitalized Patients

Jarrett, Anna PhD, ACNS/ACNP-BC; Church, Terri MSN, APN, ACNS-BC; Fancher-Gonzalez, Kim MSN, APN, ACNS-BC; Shackelford, Jamie; Lofton, Annelle BSN, RN, CWOCN, CFCN

Clinical Nurse Specialist:
doi: 10.1097/NUR.0b013e3182819133
Feature Article

Purpose: The purpose of the study was to measure knowledge and attitudes of nursing about pain management in patients before education, immediately after, and 6 months later. The end-point measure was Hospital Consumer Assessment of Healthcare Providers and Systems quarterly scores and percentile rank.

Design: This longitudinal, quasi-experimental, quantitative study used survey method with pretest and posttest scores to measure immediate learning and 6 months later to measure sustained changes in knowledge and attitudes for nurses in this facility.

Setting: The setting was a 360-bed acute care community hospital in the midsouth.

Sample: The sample consisted of approximately 206 bedside nurses who worked in an acute care facility and 164 final posttest participants.

Methods: The survey was used in a group setting immediately prior to a didactic learning experience. Immediately after the session, a posttest survey was administered. The 6-month follow-up occurred via an online module developed by the principal investigator. A repeated-measures analysis of variance, a pairwise comparison with a paired t test, and a Bonferroni correction were performed to determine if sustained knowledge and attitudes have changed.

Findings: Posttest scores were significantly higher than pretest scores on the Knowledge and Attitudes Survey Regarding Pain immediately after a didactic education session and 6 months later (P < .017).

Conclusions: Six months later, scores remained higher than pretest or immediate posttest scores.

Implications: Nurses with a stronger knowledge base may lead to better pain management, improved outcomes, and higher patient satisfaction scores.

Author Information

Author Affiliations: Assistant Professor (Dr Jarrett), Eleanor Mann School of Nursing, and Graduate Nursing Student (Ms Lofton), ACNS Program, University of Arkansas, Fayetteville; Technician in the Intensive Care Unit (Ms Shackelford), Clinical Informaticist (Ms Church), and Clinical Nurse Specialist (Ms Fancher-Gonzalez), Washington Regional Medical Center, Fayetteville, Arkansas.

The authors report no conflicts of interest.

Correspondence: Anna Jarrett, PhD, ACNS/ACNP-BC, Eleanor Mann School of Nursing, University of Arkansas, 606 Razorback Rd, Fayetteville, AR 72702 (

Copyright © 2013 Wolters Kluwer Health, Inc. All rights reserved