Knowledge, Practices, and Attitudes of Nurses Regarding Non-Pharmacological Pain Management in the Midwifery Ward

Authors

  • Shahla Shkak Shareef Department of Nursing, College of Nursing, Hawler Medical University, Kurdistan Region- Iraq
  • Tiran Jamil Piro Department of Nursing, College of Nursing, Hawler Medical University, Kurdistan Region- Iraq.

DOI:

https://doi.org/10.15218/ejnm.2023.05

Keywords:

Labor pain, Non-pharmacological, Nurses

Abstract

Background and Objectives: Pregnant women are frequently worried about labor pain, and it is usually the most important problem for them and their relatives. Non-pharmacological pain relief methods provide several benefits, such as no harmful effects on the fetus or baby, no interruption of labor, and even being pleasurable for the mother and fetus. The aim of this study was to assess the nurse’s knowledge, practice, and attitude toward non-pharmacological pain management methods in the delivery room in Erbil Governorate.

Method: The descriptive cross-sectional design was utilized to determine nurses' knowledge, practices, and attitudes about labor pain and non-pharmacological pain management, as well as to monitor nurses' practices in the delivery rooms during labor and delivery. A total of 78 nurses from public and private hospitals in Erbil Governorate participated in the study. Structured questionnaires and an observational checklist were used to collect data and used SPSS version 26 was used to analyze it.

Result: Nurse’s knowledge (N=27, 50.0%), (N=9, 37.5%) in public and private hospitals was at a good level, and they had a positive attitude (N=32, 59.3%) in public hospitals and a positive attitude (N=14, 58.3%) in private hospitals. But had a fair practice (N=19, 35.18%) in public hospitals and good practice (N=10, 41.7%) in private hospitals towards labor pain and non-pharmacological pain management. This is due to the lack of time, inadequate staff and the great workload of the staff.

Conclusion: This survey showed that the knowledge of most of the nurses was at a good level, but it was weak in items such as (cold therapy, acupuncture and acupressure technique), as well as majority of them do the following practices: relaxation technique, give psychological support and, ensure that women's relatives are there during the entire labor process; and they do not use other types of non-Pharmacological

Metrics

Metrics Loading ...

References

Fadhil S. Effect of Non-Pharmacological Pain Management Methods on Reduction the Duration of Labor Stages in Primigravida Women at AL-Elwyia Maternity Teaching Hospital.Iraqi National Journal of Nursing Specialties. 2019; 32(1):31–8.

Ramasamy P, Kwena AM, Emarah A, Kangethe S. Knowledge, attitude, practice and barriers to educational implementation of non-pharmacological pain management during labor in Selected Hospitals, Kenya. Central African Journal of Public Health. 2018; 4(1): 20-26.

Butkus SC, editor.Maternal-neonatal nursing made incredibly easy!.Third edition. Philadel-phia: Wolters Kluwer Health/Lippincott Wil-liams & Wilkins; 2015. p.314.

Konlan KD, Afaya A, Mensah E, Suuk AN, Kombat DI.Non-pharmacological interven-tions of pain management used during labour; an exploratory descriptive qualita-tive study of puerperal women in Adidome Government Hospital of the Volta Region, Ghana. Reprod Health. 2021; 18(1):1–11.

Aziato L, Kyei AA, Deku G. Experiences of midwives on pharmacological and non-pharmacological labour pain management in Ghana. Reprod Health. 2017; 14(1):1–8.

Getu AA, Getie SA, Gela GB, Maseresha EA, Feleke BE, Muna AM.Non-pharmacological labor pain management and associated factor among skilled birth attendants in Amhara Regional State health institutions, Northwest Ethiopia. Reprod Health. 2020; 17(1):1–8.

Osório SMB, Silva Júnior LG da, Nicolau AIO.Assessment of the effectiveness of non-pharmacological methods in pain relief during labor. Northeast Network Nursing Journal. 2014; 15(1): 174-184

Oliveira PS de, Couto TM, Gomes NP, Cam-pos LM, Lima KTR dos S, Barral FE. Best practices in the delivery process: concep-tions from nurse midwives. Revista Brasilei-ra de Enfermagem. 2019; 72(2):455–62.

Mahmood K. Labour and birth experiences and awareness of pain relief among Kurd-ish women. [PhD Thesis]. University of Sheffield; 2016.

Thomson G, Feeley C, Moran VH, Downe S, Oladapo OT. Women’s experiences of pharmacological and non-pharmacological pain relief methods for labour and child-birth: a qualitative systematic re-view.Reprod Health. 2019;16(1):1–20.

Boateng EA, Kumi LO, Diji AKA. Nurses and midwives’ experiences of using non-pharmacological interventions for labour pain management: a qualitative study in Ghana. BMC Pregnancy Childbirth. 2019; 19(1):1–10.

Ojerinde EZE O, Onibokun A, Akpa O M. Knowledge and practice of pain manage-ment among nurses in labour wards in Iba-dan, Nigeria. African Journal of Midwifery and Women's Health. 2016;10(3):132–7.

Wassihun B, Alemayehu Y, Gultie T, Tekabe B, Gebeyehu B. Non-pharmacological labor pain management practice and associated factors among skilled attendants working in public health facilities in Gamo and Gofa zone, Southern Ethiopia: A cross-sectional study.PLOS ONE. 2022; 17(4):e0266322.

Jira L, Weyessa N, Mulatu S, Alemayehu A. Knowledge and Attitude Towards Non-Pharmacological Pain Management and As-sociated Factors Among Nurses Working in Benishangul Gumuz Regional State Hospitals in Western Ethiopia, 2018. Journal of Pain Research. 2020;13:2917–27.

Nuriy LAHM, Ahmed HM. Nurse/Midwives’ practices during labor and delivery in Mater-nity Teaching Hospital in Erbil City. Erbil Jour-nal of Nursing and Midwifery. 2018;1(1):23–32.

Zeleke S, Kassaw A, Eshetie Y. Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia. Plos One. 2021;16(6):e0253086.

Mousa O, Abdelhafez A, Abdelraheim A, Yousef A, Abdelghany A, El Gelany S. Percep-tions and Practice of Labor Pain-Relief Meth-ods among Health Professionals Conducting Delivery in Minia Maternity Units in Egypt. Obstetrics and Gynecology International. 2018;2018:1–6.

Almushait M, Ghani RA. Perception toward non-pharmacological strategies in relieving labor pain: an analytical descriptive study. Journal of Natural Sciences Research. 2014;4(2): 2224-3186.

Yava A, Çicek H, Tosun N, Özcan C, Yildiz D, Dizer B. Knowledge and Attitudes of Nurses about Pain Management in Turkey. Interna-tional Journal of Caring Sciences. 2013;6(3):494-505.

Wakgari N, Mekonnen M, Lema B, Negasu A, Lulu B, Abebe E. Labour pain management practices among obstetric care providers in Hawassa city, Ethiopia. African Journal of Midwifery and Women's Health. 2020;14(2):1–12.

Solomon ET, Kassie FY, Mekonnen DG, Mih-ret MS, Abate AT, Dessie AA. Knowledge, Attitude, and Practice towards Labor Pain Management and Associated Factors among Skilled Birth Attendants Working at Hospitals Found in Central, West, and North Gondar Zones, Northwest Ethiopia, 2019: A Multi-center Cross-Sectional Study. Pain Research and Management. 2021;2021:1-9.

Eyeberu A, Debela A, Getachew T, Dheresa M, Alemu A, Dessie Y. Obstetrics care provid-ers attitude and utilization of non-pharmacological labor pain management in Harari regional state health facilities, Ethiopia. BMC Pregnancy Childbirth. 2022;22(1):1-9.

Bishaw KA, Sendo EG, Abebe WS. Knowledge and use of labour pain relief methods and associated factors among obstetric caregivers at public health cen-ters of East Gojjam zone, Amhara region, Ethiopia: a facility based cross- sectional study. BMC Pregnancy Childbirth. 2020;20(1):1-9.

Sahile E, Yemaneh Y, Alehegn A, Nigussie W, Salahuddin M, Yekoye A, Gebeyeh N. Practice of Labour Pain Management Methods and Associated Factors among Skilled Attendants Working at General Hos-pitals in Tigray Region, North Ethiopia: Hos-pital Based Cross-Sectional Study Design. Health Science Journal. 2017;11(4):1-7.

Tekletsadik EA, Desta AA, Workneh BS. Knowledge, Attitude, and Associated Fac-tors towards Nonpharmacological Pain Management among Nurses Working at Amhara Region Comprehensive Specialized Hospitals, Ethiopia. Critical Care Research and Practice.2021; 2021:1–11.

Bishaw KA, Sendo EG, Abebe WS. Knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers at public health cen-ters of East Gojjam zone, Amhara region, Ethiopia: a facility based cross- sectional study. BMC Pregnancy Childbirth.2020;20(1): 1-9.

Ali HS. Ibrahim Y. Mohamed E. Non-pharmacological pain management: nurs-es’ knowledge, attitudes and practices in selected hospitals at Makkah El-Mukarramah. Life Science Journal;2(10):1-9.

Yılmaz V, Ameen SS. The role of local gov-ernment in combating the crisis of covid-19 pandemic in Erbil–Iraq. Route Educational & Social Science Journal. 2021; 8(6): 78-92.

Downloads

Published

2023-05-30

How to Cite

1.
Shareef SS, Piro TJ. Knowledge, Practices, and Attitudes of Nurses Regarding Non-Pharmacological Pain Management in the Midwifery Ward. Erbil j. nurs. midwifery [Internet]. 2023 May 30 [cited 2024 May 6];6(1):34-4. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/203

Issue

Section

Original Articles