PRACTICE OF NON-PHARMACOLOGICAL PAIN MANAGEMENT AND ASSOCIATED FACTORS AMONG NURSES WORKING IN PUBLIC HOSPITALS OF HARARI REGION AND DIRE DAWA CITY ADMINISTRATION, EASTERN ETHIOPIA

Abstract

Introduction: Non-pharmacological interventions are therapies that do not involve taking medicines or any other active substance. Though non-pharmacological pain management techniques are regarded well as a complementary and alternative to the drug therapy, little is known about its scope of application, the practice, contributory, and hindrance factors. Objective: To assess Non-pharmacological pain management practice and associated Factors among nurses working in public hospitals of Harari region and Dire Dawa city administration, Eastern Ethiopia, 2018. Methods and materials: Health institution based cross sectional study was done among 390 nurses. Simple random sampling was used to select the study participant. The data were collected using self-administered questionnaire. After checking completeness the collected data were entered into Epi-data 3.1 and exported to SPSS 22 for analysis. Bivariate and multivariate logistic regression model were used to identify factors associated with practice of non-pharmacological pain management Result: Out of 390 participants 350(89.7%) of the respondent practiced at least one of the listed non-pharmacological pain management methods, of which 55% of them had good practice. Multivariate logistic regression result showed that adequate knowledge (AOR 2.664; 95% CI: 1.59-4.44), ten and more years of work experience (AOR 2.36; 95% CI: 1.14– 4.87), having available equipment (AOR 1.86; 95% CI: 1.09-3.16) and positive attitude towards non-pharmacological pain management practice (AOR 4.02; 95% CI: 2.38-6.79) were significantly associated with practice of non-pharmacological pain management. Conclusion and recommendation: More than half of nurses had good nonpharmacological pain management practice. Having positive attitude, being knowledgeable, having available equipment and ten and more years of work experience were main independent associated factors for good practice among nurses. Continuing education and training should be considered for nurses to enhance their nonpharmacological pain management practice