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Table 6 Perceived barriers to pain management in an emergency setting (N = 126)

From: Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study

StatementParticipants´ Response
  Never
0%
Seldom
< 25%
Sometimes
25–50%
Often
50–75%
Routine
> 75%
 Mean ± SDN (%)N (%)N (%)N (%)N (%)
Overcrowding of the Emergency Department2.57 ± 1.258 (6.3)20 (15.9)28 (22.2)32 (25.4)38 (30.2)
RLack of protocols/guidelines for pain assessment2.45 ± 1.5225 (19.8)11 (8.7)15 (11.9)32 (25.4)43 (34.2)
RNursing Workload2.44 ± 1.2912 (9.5)20 (15.9)27 (21.4)35 (27.8)32 (25.4)
RLack of availability of pain assessment tools2.43 ± 1.4318 (14.3)18 (14.3)22 (17.5)28 (22.2)40 (31.7)
Strict regulation of opioids2.42 ± 1.4113 (10.4)26 (20.6)26 (20.6)17 (13.5)44 (34.9)
RLack / insufficient analgesic availability2.34 ± 1.3616 (12.7)21 (16.7)26 (20.6)30 (23.8)33 (26.2)
RLack of protocol/ guidelines for pain management2.25 ± 1.3919 (15.1)20 (15.9)28 (22.2)28 (22.2)31 (24.6)
Fear of addiction towards opioids2.17 ± 1.4218 (14.3)31 (24.6)20 (15.9)25 (19.8)32 (25.4)
RPoor documentation of pain assessment and management2.13 ± 1.3722 (17.5)24 (19.0)17 (13.5)17 (13.5)42 (33.3)
RLack of designated area for documentation2.02 ± 1.4528 (22.2)21 (16.7)23 (18.3)29 (23.0)25 (19.8)
Patient inability to communicate (e.g. unconscious patient)1.98 ± 1.1412 (9.5)31 (24.6)45 (35.7)23 (18.3)15 (11.9)
RPoor communication of pain and its management1.89 ± 1.2524 (19.0)22 (17.5)36 (28.6)32 (25.4)12 (9.5)
Insufficient analgesia dosage prescribed1.86 ± 1.3324 (19.0)29 (23.0)34 (27.0)19 (15.1)20 (15.9)
RLack of education/ familiarity with assessment tools1.84 ± 1.4130 (23.8)25 (19.9)26 (20.6)25 (19.8)20 (15.9)
RPatient instability, e.g. unstable hemodynamic1.79 ± 0.9912 (9.5)36 (28.6)50 (39.7)22 (17.4)6 (4.8)
Language barriers1.59 ± 1.2431 (24.6)28 (22.2)41 (32.5)14 (11.1)12 (9.5)
Inadequate knowledge regarding pain management1.58 ± 1.3333 (26.2)35 (27.8)24 (19.0)20 (15.9)14 (11.2)
RSedation interfering with pain management1.56 ± 1.1426 (20.6)33 (26.2)43 (34.2)16 (12.7)8 (6.3)
RLow priority of pain management by emergency team1.48 ± 1.2335 (27.8)31 (24.6)34 (27.0)17 (13.5)9 (7.1)
Patient/family requests not to give pain medications1.21 ± 1.1142 (33.2)35 (27.8)36 (28.6)7 (5.6)6 (4.8)
  1. RItems were adopted from Rose et al [27] with permission from the corresponding author