This review was conducted using Whittemore and Knafl\'s five-stage framework for integrative reviews.
A comprehensive search to retrieve relevant studies published in English between 1978 and 2022 was conducted using the databases: CINAHL, MEDLINE, Embase and Scopus databases. An updated search of the same databases was performed to identify studies published in 2023-2024.
The initial search located 558 articles. One more relevant article was identified from an updated search test. Total of 244 duplicated records were removed. The remaining 315 studies were eligible for screening. After screening and checking for eligibility, 29 included articles were critically appraised using the Joanna Briggs Institute critical appraisal tools.
Synthesis of the findings of the 29 included studies indicated that, internationally, nursing students have limited knowledge and often hold negative attitudes towards pain. Various instruments have been used to measure students\' knowledge and attitudes towards pain. Most studies used true/false or multiple-choice questions and Likert-type scales. The validity and reliability of most of the tools were reported to be acceptable. The most commonly used instrument was the Knowledge and Attitudes Survey Regarding Pain.
The findings from this review suggest the need for refinement of pain education programs to improve nursing students\' knowledge of and attitudes towards pain management. Future research should focus on understanding the personal and environmental factors that impact students\' level of knowledge and attitudes so as to inform curriculum development and ultimately the quality of the care graduates provide.
方法:本综述使用Whittemore和Knafl的综合综述五阶段框架进行。
方法:使用以下数据库进行了全面搜索,以检索1978年至2022年间以英文发表的相关研究:CINAHL,MEDLINE,Embase和Scopus数据库。对相同数据库进行了更新搜索,以确定2023-2024年发表的研究。
方法:初始搜索找到了558篇文章。从更新的搜索测试中确定了另一篇相关文章。总共删除了244条重复的记录。其余315项研究符合筛选条件。在筛选和检查资格后,使用JoannaBriggs研究所的批判性评估工具对29篇文章进行了批判性评估。
结果:29项纳入研究的综合发现表明,国际上,护理专业学生知识有限,对疼痛往往持消极态度。各种仪器已被用来测量学生对疼痛的知识和态度。大多数研究使用真/假或多项选择题和李克特型量表。据报道,大多数工具的有效性和可靠性是可以接受的。最常用的工具是关于疼痛的知识和态度调查。
结论:这篇综述的结果表明,需要完善疼痛教育计划,以提高护生对疼痛管理的认识和态度。未来的研究应侧重于了解影响学生的知识和态度水平的个人和环境因素,从而为课程开发和最终毕业生提供的护理质量提供信息。