Comparing the effect of electronic and lecture education of pain management on the knowledge, attitude, and practice of nurses: A randomized‑controlled trial

نویسندگان

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2 Department of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran

3 Department of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Science, Urmia, Iran

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چکیده

INTRODUCTION: Efficient pain management by nursing staff initially needs accurate knowledgeand proper attitude in this field. The aim of present study was to compare the effects of lectureand electronic education on the knowledge, attitude, and practice of nursing staff regarding painmanagement.MATERIALS AND METHODS: The present superiority randomized controlled trial with two parallelarms was conducted on 78 occupied nurses of surgery wards of X. The participants were recruitedrandomly and divided into two groups of lecture and electronic education through random blocking (4and 6 blocks). For allocation concealment, coded nontransparent pockets numbered 1–78 containingthe type of intervention were used. Educational material was presented using teacher‑centeredmethod in lecture group, as well as through multimedia program using FLASH software in e‑learninggroup through 1‑h sessions for 4 weeks. Data on nurses were collected before and 4 weeks after thetraining 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, andANCOVA. P < 0.05 was considered statistically significant.RESULTS: Mean ± standard deviation of nurses’ knowledge, attitude, and practice regardingpain management had significant increase in both groups post‑training (P < 0.001). According toANCOVA the mean postintervention knowledge score in e‑learning group by controlling baselinescore 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 ofpost‑intervention attitude and practice in e‑learning group adjusted for baseline score significantlyincreased 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 ofknowledge, attitude, and practice on pain management among nursing staff.

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