Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery

Litaba Efraim Kolobe

doi:doi:10.11648/j.ajns.20221105.15

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Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery

Litaba Efraim Kolobe

Published in American Journal of Nursing Science (Volume 11, Issue 5)

Received: 11 September 2022 Accepted: 21 October 2022 Published: 29 October 2022

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Abstract

Context: Healthcare professionals face a major challenge in treating postoperative pain in patients after hip or knee replacement surgery (THR OR TKR). The use of advanced pain modalities for pain screening, assessment, and management is not yet consistent with the clinical practice guidelines available. Aim: In this study, it was explored and described how surgical nurses perceive and manage postoperative pain in patients following hip or knee replacement as well as the strategies employed to manage it. Methods: A qualitative descriptive approach was applied and adopted a purposive non-probability sampling approach. Semi-structured interviews audio-recorded with 20 surgical nurses were conducted in Riyadh city, Kingdom of Saudi Arabia. Transcribed interviews were coded and analyzed by following Creswell’s “data analysis spiral”. Using Good’s 1998 middle-range theory of acute pain management and the existing literature, the data were compared and verified. Findings: Four themes emerged from the data. These themes were (1) postoperative pain described by surgical nurses, such as subjective experiences, duration, location, and severity; (2) assessment after total hip replacement and knee replacement surgery, the subjective assessment may be used along with behavioral observations; (3) postoperative pain management after total hip and knee replacements, employing strategies such as ‘pain relief intervention and ‘nurses’ role to enhance pain relief intervention; and (4) involve loved ones in pain management by educating the patient. Despite the uncovered pain relief interventions, surgical nurses perceive that patients experience moderate to severe pain, and the language barrier and pain management strategies are identified as barriers to pain management. Conclusion: While most surgical nurses noted that patients still suffer moderate to severe postoperative pain following total hip or knee replacement surgery, multimodal pain interventions were provided for the patients. Nursing professionals should be sure to comply with ongoing assessment and reassessment of pain relief interventions in order to achieve optimal pain control and effectiveness; THR and TKR patients and their families must receive pain education before and after surgery, and for the purpose of providing accurate patient and family education regarding pain management, expatriate nurses need access to Arabic speakers if necessary.

Published in	American Journal of Nursing Science (Volume 11, Issue 5)
DOI	10.11648/j.ajns.20221105.15
Page(s)	147-157
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Nurses’ Perceptions of Pain, Total Hip Replacements, Total Knee Replacements

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Litaba Efraim Kolobe. (2022). Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery. American Journal of Nursing Science, 11(5), 147-157. https://doi.org/10.11648/j.ajns.20221105.15

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Litaba Efraim Kolobe. Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery. Am. J. Nurs. Sci. 2022, 11(5), 147-157. doi: 10.11648/j.ajns.20221105.15

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Litaba Efraim Kolobe. Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery. Am J Nurs Sci. 2022;11(5):147-157. doi: 10.11648/j.ajns.20221105.15

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@article{10.11648/j.ajns.20221105.15,
  author = {Litaba Efraim Kolobe},
  title = {Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery},
  journal = {American Journal of Nursing Science},
  volume = {11},
  number = {5},
  pages = {147-157},
  doi = {10.11648/j.ajns.20221105.15},
  url = {https://doi.org/10.11648/j.ajns.20221105.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20221105.15},
  abstract = {Context: Healthcare professionals face a major challenge in treating postoperative pain in patients after hip or knee replacement surgery (THR OR TKR). The use of advanced pain modalities for pain screening, assessment, and management is not yet consistent with the clinical practice guidelines available. Aim: In this study, it was explored and described how surgical nurses perceive and manage postoperative pain in patients following hip or knee replacement as well as the strategies employed to manage it. Methods: A qualitative descriptive approach was applied and adopted a purposive non-probability sampling approach. Semi-structured interviews audio-recorded with 20 surgical nurses were conducted in Riyadh city, Kingdom of Saudi Arabia. Transcribed interviews were coded and analyzed by following Creswell’s “data analysis spiral”. Using Good’s 1998 middle-range theory of acute pain management and the existing literature, the data were compared and verified. Findings: Four themes emerged from the data. These themes were (1) postoperative pain described by surgical nurses, such as subjective experiences, duration, location, and severity; (2) assessment after total hip replacement and knee replacement surgery, the subjective assessment may be used along with behavioral observations; (3) postoperative pain management after total hip and knee replacements, employing strategies such as ‘pain relief intervention and ‘nurses’ role to enhance pain relief intervention; and (4) involve loved ones in pain management by educating the patient. Despite the uncovered pain relief interventions, surgical nurses perceive that patients experience moderate to severe pain, and the language barrier and pain management strategies are identified as barriers to pain management. Conclusion: While most surgical nurses noted that patients still suffer moderate to severe postoperative pain following total hip or knee replacement surgery, multimodal pain interventions were provided for the patients. Nursing professionals should be sure to comply with ongoing assessment and reassessment of pain relief interventions in order to achieve optimal pain control and effectiveness; THR and TKR patients and their families must receive pain education before and after surgery, and for the purpose of providing accurate patient and family education regarding pain management, expatriate nurses need access to Arabic speakers if necessary.},
 year = {2022}
}

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TY  - JOUR
T1  - Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery
AU  - Litaba Efraim Kolobe
Y1  - 2022/10/29
PY  - 2022
N1  - https://doi.org/10.11648/j.ajns.20221105.15
DO  - 10.11648/j.ajns.20221105.15
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 147
EP  - 157
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20221105.15
AB  - Context: Healthcare professionals face a major challenge in treating postoperative pain in patients after hip or knee replacement surgery (THR OR TKR). The use of advanced pain modalities for pain screening, assessment, and management is not yet consistent with the clinical practice guidelines available. Aim: In this study, it was explored and described how surgical nurses perceive and manage postoperative pain in patients following hip or knee replacement as well as the strategies employed to manage it. Methods: A qualitative descriptive approach was applied and adopted a purposive non-probability sampling approach. Semi-structured interviews audio-recorded with 20 surgical nurses were conducted in Riyadh city, Kingdom of Saudi Arabia. Transcribed interviews were coded and analyzed by following Creswell’s “data analysis spiral”. Using Good’s 1998 middle-range theory of acute pain management and the existing literature, the data were compared and verified. Findings: Four themes emerged from the data. These themes were (1) postoperative pain described by surgical nurses, such as subjective experiences, duration, location, and severity; (2) assessment after total hip replacement and knee replacement surgery, the subjective assessment may be used along with behavioral observations; (3) postoperative pain management after total hip and knee replacements, employing strategies such as ‘pain relief intervention and ‘nurses’ role to enhance pain relief intervention; and (4) involve loved ones in pain management by educating the patient. Despite the uncovered pain relief interventions, surgical nurses perceive that patients experience moderate to severe pain, and the language barrier and pain management strategies are identified as barriers to pain management. Conclusion: While most surgical nurses noted that patients still suffer moderate to severe postoperative pain following total hip or knee replacement surgery, multimodal pain interventions were provided for the patients. Nursing professionals should be sure to comply with ongoing assessment and reassessment of pain relief interventions in order to achieve optimal pain control and effectiveness; THR and TKR patients and their families must receive pain education before and after surgery, and for the purpose of providing accurate patient and family education regarding pain management, expatriate nurses need access to Arabic speakers if necessary.
VL  - 11
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Litaba Efraim Kolobe

Nursing Pain Management, King Abdulaziz Medical City Hospital, Riyadh, Saudi Arabia

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Litaba Efraim Kolobe. (2022). Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery. American Journal of Nursing Science, 11(5), 147-157. https://doi.org/10.11648/j.ajns.20221105.15

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ACS Style

Litaba Efraim Kolobe. Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery. Am. J. Nurs. Sci. 2022, 11(5), 147-157. doi: 10.11648/j.ajns.20221105.15

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AMA Style

Litaba Efraim Kolobe. Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery. Am J Nurs Sci. 2022;11(5):147-157. doi: 10.11648/j.ajns.20221105.15

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@article{10.11648/j.ajns.20221105.15,
  author = {Litaba Efraim Kolobe},
  title = {Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery},
  journal = {American Journal of Nursing Science},
  volume = {11},
  number = {5},
  pages = {147-157},
  doi = {10.11648/j.ajns.20221105.15},
  url = {https://doi.org/10.11648/j.ajns.20221105.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20221105.15},
  abstract = {Context: Healthcare professionals face a major challenge in treating postoperative pain in patients after hip or knee replacement surgery (THR OR TKR). The use of advanced pain modalities for pain screening, assessment, and management is not yet consistent with the clinical practice guidelines available. Aim: In this study, it was explored and described how surgical nurses perceive and manage postoperative pain in patients following hip or knee replacement as well as the strategies employed to manage it. Methods: A qualitative descriptive approach was applied and adopted a purposive non-probability sampling approach. Semi-structured interviews audio-recorded with 20 surgical nurses were conducted in Riyadh city, Kingdom of Saudi Arabia. Transcribed interviews were coded and analyzed by following Creswell’s “data analysis spiral”. Using Good’s 1998 middle-range theory of acute pain management and the existing literature, the data were compared and verified. Findings: Four themes emerged from the data. These themes were (1) postoperative pain described by surgical nurses, such as subjective experiences, duration, location, and severity; (2) assessment after total hip replacement and knee replacement surgery, the subjective assessment may be used along with behavioral observations; (3) postoperative pain management after total hip and knee replacements, employing strategies such as ‘pain relief intervention and ‘nurses’ role to enhance pain relief intervention; and (4) involve loved ones in pain management by educating the patient. Despite the uncovered pain relief interventions, surgical nurses perceive that patients experience moderate to severe pain, and the language barrier and pain management strategies are identified as barriers to pain management. Conclusion: While most surgical nurses noted that patients still suffer moderate to severe postoperative pain following total hip or knee replacement surgery, multimodal pain interventions were provided for the patients. Nursing professionals should be sure to comply with ongoing assessment and reassessment of pain relief interventions in order to achieve optimal pain control and effectiveness; THR and TKR patients and their families must receive pain education before and after surgery, and for the purpose of providing accurate patient and family education regarding pain management, expatriate nurses need access to Arabic speakers if necessary.},
 year = {2022}
}

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TY  - JOUR
T1  - Surgical Nurses’ Thoughts on the Postoperative Pain Management of Patients After Total Hip or Knee Replacement Surgery
AU  - Litaba Efraim Kolobe
Y1  - 2022/10/29
PY  - 2022
N1  - https://doi.org/10.11648/j.ajns.20221105.15
DO  - 10.11648/j.ajns.20221105.15
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 147
EP  - 157
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20221105.15
AB  - Context: Healthcare professionals face a major challenge in treating postoperative pain in patients after hip or knee replacement surgery (THR OR TKR). The use of advanced pain modalities for pain screening, assessment, and management is not yet consistent with the clinical practice guidelines available. Aim: In this study, it was explored and described how surgical nurses perceive and manage postoperative pain in patients following hip or knee replacement as well as the strategies employed to manage it. Methods: A qualitative descriptive approach was applied and adopted a purposive non-probability sampling approach. Semi-structured interviews audio-recorded with 20 surgical nurses were conducted in Riyadh city, Kingdom of Saudi Arabia. Transcribed interviews were coded and analyzed by following Creswell’s “data analysis spiral”. Using Good’s 1998 middle-range theory of acute pain management and the existing literature, the data were compared and verified. Findings: Four themes emerged from the data. These themes were (1) postoperative pain described by surgical nurses, such as subjective experiences, duration, location, and severity; (2) assessment after total hip replacement and knee replacement surgery, the subjective assessment may be used along with behavioral observations; (3) postoperative pain management after total hip and knee replacements, employing strategies such as ‘pain relief intervention and ‘nurses’ role to enhance pain relief intervention; and (4) involve loved ones in pain management by educating the patient. Despite the uncovered pain relief interventions, surgical nurses perceive that patients experience moderate to severe pain, and the language barrier and pain management strategies are identified as barriers to pain management. Conclusion: While most surgical nurses noted that patients still suffer moderate to severe postoperative pain following total hip or knee replacement surgery, multimodal pain interventions were provided for the patients. Nursing professionals should be sure to comply with ongoing assessment and reassessment of pain relief interventions in order to achieve optimal pain control and effectiveness; THR and TKR patients and their families must receive pain education before and after surgery, and for the purpose of providing accurate patient and family education regarding pain management, expatriate nurses need access to Arabic speakers if necessary.
VL  - 11
IS  - 5
ER  -

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