Nurses' knowledge and evidence-based practice in pain management for sedated ICU patients: Results of a national cross-sectional study
Applied Nursing Research, cilt.86, 2025 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 86
- Basım Tarihi: 2025
- Doi Numarası: 10.1016/j.apnr.2025.152022
- Dergi Adı: Applied Nursing Research
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE
- Anahtar Kelimeler: Intensive care units, Nursing, Pain, Pain management, Sedation
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim This study aimed to evaluate intensive care nurses' knowledge and evidence-based practices regarding pain management in sedated patients and to identify influencing factors. Background Pain management is a critical component of nursing care in intensive care units, yet managing pain in sedated patients remains complex and requires specialized competencies. To date, no study has specifically examined ICU nurses' knowledge and practices related to pain management in this population, nor the factors influencing them. Methods A descriptive, cross-sectional study was conducted among 218 ICU nurses using standardized self-report instruments. Data were collected using the “Descriptive Information Form,” the “Pain Management Knowledge Test in Sedated Patients,” and the “Evidence-based Practices Test for Pain Management in Sedated Patients.” Results The mean knowledge score was 26.48 ± 7.01 (range: 0–35), significantly differing by education and professional background ( p < 0.05). The mean evidence-based practice score was 27.47 ± 6.74 (range: 13–39), with no significant demographic differences. Although nurses' knowledge varied according to education and experience, their practices were similar across groups. Conclusion Given that sedated ICU patients often receive end-of-life care, improving nurses' pain management competencies may directly enhance palliative outcomes. İnstitutional protocols and ongoing training programs are recommended.