PMID- 26047589
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR  - 20161230
IS  - 1532-8635 (Electronic)
IS  - 1524-9042 (Linking)
VI  - 16
IP  - 4
DP  - 2015 Aug
TI  - Registered Nurses' Knowledge about Adverse Effects of Analgesics when Treating 
      Postoperative Pain in Patients with Dementia.
PG  - 544-51
LID - S1524-9042(14)00163-5 [pii]
LID - 10.1016/j.pmn.2014.10.003 [doi]
AB  - Registered nurses (RNs) play a pivotal role in treating pain and preventing and 
      recognizing the adverse effects (AEs) of analgesics in patients with dementia. 
      The purpose of this study was to determine RNs' knowledge of potentially 
      clinically relevant AEs of analgesics. A descriptive, cross-sectional study 
      design was used. In all, 267 RNs treating orthopedic patients, including patients 
      with dementia, in 7 university hospitals and 10 central hospitals in Finland, 
      completed a questionnaire. Analgesics were defined according to the Anatomic 
      Therapeutic Classification as strong opioids, weak opioids, nonsteroidal 
      anti-inflammatory analgesics (NSAIDs), and paracetamol. Definitions of AEs were 
      based on the literature. Logistic regression analysis was applied to analyze 
      which variables predicted nurses' knowledge. The RNs had a clear understanding of 
      the AEs of paracetamol and strong opioids. However, the AEs of NSAIDs, especially 
      renal and cardiovascular AEs, were less well known. The median percentage of 
      correct answers was 87% when asked about strong opioids, 73% for weak opioids, 
      and 60% for NSAIDs. Younger RNs had better knowledge of opioid-related AEs (odds 
      ratio [OR] per 1-year increase, 0.97; 95% confidence interval [CI], 0.94-1.00) 
      and weak opioids (OR, 0.96; 95% CI, 0.93-0.99). This study provides evidence of a 
      deficiency in RNs' knowledge, especially regarding the adverse renal and 
      cardiovascular effects of NSAIDs. Such lack of knowledge indicates that hospitals 
      may need to update the knowledge of older RNs, especially those who treat 
      vulnerable patients with dementia.
CI  - Copyright (c) 2015 American Society for Pain Management Nursing. Published by 
      Elsevier Inc. All rights reserved.
FAU - Rantala, Maija
AU  - Rantala M
AD  - Department of Nursing Science, Faculty of Health Sciences, University of Eastern 
      Finland, Kuopio, Finland. Electronic address: maija.rantala@live.com.
FAU - Hartikainen, Sirpa
AU  - Hartikainen S
AD  - School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, 
      Kuopio, Finland.
FAU - Kvist, Tarja
AU  - Kvist T
AD  - Department of Nursing Science, Faculty of Health Sciences, University of Eastern 
      Finland, Kuopio, Finland.
FAU - Kankkunen, Paivi
AU  - Kankkunen P
AD  - Department of Nursing Science, Faculty of Health Sciences, University of Eastern 
      Finland, Kuopio, Finland.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150602
PL  - United States
TA  - Pain Manag Nurs
JT  - Pain management nursing : official journal of the American Society of Pain 
      Management Nurses
JID - 100890606
RN  - 0 (Analgesics)
RN  - 0 (Analgesics, Opioid)
RN  - 0 (Anti-Inflammatory Agents, Non-Steroidal)
RN  - 16978-57-7 (dexamethasone-21-sulfobenzoate)
RN  - 362O9ITL9D (Acetaminophen)
RN  - 7S5I7G3JQL (Dexamethasone)
SB  - IM
MH  - Acetaminophen/adverse effects
MH  - Adult
MH  - Age Factors
MH  - Analgesics/adverse effects
MH  - Analgesics, Opioid/*adverse effects
MH  - Anti-Inflammatory Agents, Non-Steroidal/*adverse effects
MH  - *Clinical Competence
MH  - Cross-Sectional Studies
MH  - Dementia/*complications
MH  - Dexamethasone/analogs & derivatives
MH  - Female
MH  - Finland
MH  - Hospitals, University
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Nurses/*standards
MH  - Nursing Staff, Hospital/*standards
MH  - *Orthopedic Procedures
MH  - Pain, Postoperative/complications/*drug therapy
MH  - Surveys and Questionnaires
EDAT- 2015/06/07 06:00
MHDA- 2016/12/15 06:00
CRDT- 2015/06/07 06:00
PHST- 2014/02/10 00:00 [received]
PHST- 2014/10/07 00:00 [revised]
PHST- 2014/10/10 00:00 [accepted]
PHST- 2015/06/07 06:00 [entrez]
PHST- 2015/06/07 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - S1524-9042(14)00163-5 [pii]
AID - 10.1016/j.pmn.2014.10.003 [doi]
PST - ppublish
SO  - Pain Manag Nurs. 2015 Aug;16(4):544-51. doi: 10.1016/j.pmn.2014.10.003. Epub 2015 
      Jun 2.