Knowledge Practice And Associated Factors Of Pain Assessment In Critically Ill Patients Among Nurses Working At Adult Intensive Care Units Of Federally Administered Public Hospitals In Addis Abebaethiopia.

Background:-Pain can be defined as an unpleasant sensory and emotional experiencernassociated with actual or potential tissue damage, or described in terms of such damage. Thernpatients in intensive care units often suffer from undertreated and unrecognized pain. Morernthan 50% have significant pain during procedures or routine care. However, pain is notrnassessed properly for critically ill adult patients, although they may suffer from quite severernpain, mainly because they cannot verbally express their pain. rnObjective: To assess knowledge, practice and associated factors of pain assessment inrncritically ill patients among nurses working at adult intensive care units of federallyrnadministered hospitals in Addis Ababa, Ethiopia, from April 5 – 25, 2019. rnMethods: Institutional based cross-sectional study with a pre tested semi-structuredrnquestionnaire was conducted among 111 participants. All nurses working in intensive carernunits of federally administered public hospitals were included in the study. Bivariate andrnmultivariate logistic regressions was computed to identify associated factors of knowledgernand practice of pain assessment in critically ill adult patients and variables with a p-value 5 years [OR= 0.194, CI=rn(0.41, 0.910)], nursing workload [OR =7 .766, CI = (2.450, 24.617)], sedation interferingrnwith pain assessment [OR = 7.628, CI = (2.348, 24.778)] and knowledge of pain assessmentrn[OR = 5.219, CI= (1.673, 16.280)] were factors significantly associated with pain assessmentrnpractice of nurses. rnConclusion and recommendation: The result of this study revealed adequate knowledge of rnpain assessment with poor pain assessment practice. Nursing work load, knowledge, year ofrnworking experience and sedation interfering with pain assessment were factors significantlyrnassociated with pain assessment practice. Intensive care units should have adequate nurses tornminimize nursing workload and ongoing training should be provided. There should bernprotocols and guidelines for pain assessment in ICUs.

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