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Knowledge and clinical practice of nurses for adult post-operative orthopaedic pain management

Thesis (MCur)--Stellenbosch University, 2012.

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Main Author: Wulff, Theresa
Other Authors: Cohen, Mary
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2012
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access_status_str Open Access
author Wulff, Theresa
author2 Cohen, Mary
author_browse Cohen, Mary
Wulff, Theresa
author_facet Cohen, Mary
Wulff, Theresa
author_sort Wulff, Theresa
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MCur)--Stellenbosch University, 2012.
format Thesis
id oai:scholar.sun.ac.za:10019.1/20219
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:43:30.888Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2012
publishDateRange 2012
publishDateSort 2012
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/20219 Knowledge and clinical practice of nurses for adult post-operative orthopaedic pain management Wulff, Theresa Cohen, Mary Stellenberg, E. L. Stellenbosch University. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences. Nursing Science. Pain management Post-operative orthopaedic management Orthopaedic patients Post-operative nursing care Dissertations -- Nursing Theses -- Nursing Thesis (MCur)--Stellenbosch University, 2012. ENGLISH ABSTRACT: Pain management is a vital component of post-operative nursing care. Orthopaedic patients in particular experience severe pain following surgical intervention. Since effective pain management is crucial in the post-operative recovery of orthopaedic patients, it was essential to explore the knowledge and clinical practice of nurses in orthopaedic wards. The aim of the study was to establish nurses’ knowledge and clinical practice for adult postoperative pain management of orthopaedic patients. A non-experimental, descriptive self-administered survey using a quantitative approach was applied. The total population of N=97 registered professional and enrolled nurses working in dedicated orthopaedic wards in two central hospitals in the Cape Town Metropole district, South Africa were invited to participate in the study. A structured questionnaire was used to collect the data. Reliability and validity was assured by means of a pilot study and consultation with nursing experts and a statistician. Ethical approval was obtained from the Health Research Ethics Committee of the University of Stellenbosch. Permission for access to the hospitals was obtained from the hospital and nursing managers. Informed written consent was obtained from the participants. The data was analysed by the statistician and presented in frequencies, tables and histograms. The variables were compared using either the Pearson chi-square test for differences in nursing category or the Mann-Whitney U-test for differences in years of experience. The analysis of the results illustrated knowledge deficits, inconsistent clinical practices and limited training in post-operative pain management. The recommendations include training courses, revision of the patient’s observation chart and formulation of policies and guidelines for pain management. Appropriate knowledge and clinical skills of nurses are critical to ensure optimal pain management for post-operative orthopaedic patients. AFRIKAANSE OPSOMMING: Die bestuur van pyn is ’n essensiële component van post-operatiewe verpleegsorg. Ortopediese pasiënte ervaar spesifiek fel pyn na afloop van ’n chirugiese intervensie. Aangesien effektiewe pynbestuur belangrik in die post-operatiewe herstel van ortopediese pasiënte speel, was dit nodig om die kennis en kliniese praktyke van verpleegpersoneel in ortopediese sale te verken. Die doel van die studie was om verpleegpersoneel se kennis en kliniese ervaring van volwasse post-operatiewe pynbestuur van ortopediese pasiënte vas te stel. ’n Nie-eksperimentele, deskriptiewe, self-toegediende opname is toegepas wat gebruik maak van ’n kwantitatiewe benadering. Die totale populasie van 97 geregistreerde professionele en ingeskrewe verpleegkundiges wat in toegewyde ortopediese sale van twee sentrale hospitale in die Kaapstad Metropol distrik, Suid Afrika werk, is genooi om aan die studie deel te neem. ’n Gestruktureerde vraelys is gebruik om data in te samel. Betroubaarheid en geldigheid is verseker deur middel van ’n voortoets en konsultasie met verpleegkundige kenners en ’n statistikus. Etiese goedkeuring is verkry van die Gesondheidsnavorsing Etiese Komitee van die Universiteit Stellenbosch. Toestemming om toegang tot die hospitale te kry is verkry van die hospitaal en verpleegbestuurders. Ingeligte, geskrewe toestemming is van die deelnemers verkry. Die data is geanaliseer deur die statistikus en is aangebied in frekwensietabelle en histogramme. Die veranderlikes is vergelyk deur of die Pearson chi-vierkant toets te doen vir verskille in verpleegkategorieë, of die Mann-Whitney U-toets vir verskille in jare ervaring. Die analise van die resultate het kennistekorte, teenstrydige kliniese praktyke en beperkte opleiding in post-operatiewe pynbestuur uitgewys. Die aanbevelings sluit opleidingskursusse, hersiening van pasiënte se waarnemingsgrafiek en die formulering van beleid en riglyne vir pynbestuur in. Toepaslike kennis en kliniese vaardighede van verpleegpersoneel is krities om optimale pynbestuur vir post-operatiewe ortopediese pasiënte te verseker. 2012-03-15T09:45:16Z 2012-03-30T10:53:55Z 2012-03-15T09:45:16Z 2012-03-30T10:53:55Z 2012-03 Thesis http://hdl.handle.net/10019.1/20219 en_ZA Stellenbosch University 118 p. application/pdf Stellenbosch : Stellenbosch University
spellingShingle Pain management
Post-operative orthopaedic management
Orthopaedic patients
Post-operative nursing care
Dissertations -- Nursing
Theses -- Nursing
Wulff, Theresa
Knowledge and clinical practice of nurses for adult post-operative orthopaedic pain management
title Knowledge and clinical practice of nurses for adult post-operative orthopaedic pain management
title_full Knowledge and clinical practice of nurses for adult post-operative orthopaedic pain management
title_fullStr Knowledge and clinical practice of nurses for adult post-operative orthopaedic pain management
title_full_unstemmed Knowledge and clinical practice of nurses for adult post-operative orthopaedic pain management
title_short Knowledge and clinical practice of nurses for adult post-operative orthopaedic pain management
title_sort knowledge and clinical practice of nurses for adult post operative orthopaedic pain management
topic Pain management
Post-operative orthopaedic management
Orthopaedic patients
Post-operative nursing care
Dissertations -- Nursing
Theses -- Nursing
url http://hdl.handle.net/10019.1/20219
work_keys_str_mv AT wulfftheresa knowledgeandclinicalpracticeofnursesforadultpostoperativeorthopaedicpainmanagement