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Effectiveness of training program on clinical decision-making regarding postoperative pain management among nurses in a tertiary care setting, Udupi district, Manipal

Nageshwar Venkatesh Reddy, Judith Angelitta Noronha, Anitha N, Anice George, Baby S Nayak, Tessy Treesa Jose.


Abstract
Objective: This study examined how well a regimented Clinical Decision Making regarding Post Operative Pain Management (CDMR-POPM) program improved tertiary care nurses' clinical decision-making skills.
Methodology: A cluster randomized controlled open trial was conducted at Kasturba Hospital, Manipal, Udupi from Apr 2015 – Nov 2015. There were 175 surgical unit nurses; 94 experimental and 81 control. Experimental group learned CDMR-POPM. We collected data using demographic profiles, the CDMR-POPM instrument, observation checklists, and patient pain treatment satisfaction measures. Using repeated measures ANOVA and Pearson's correlation at pre test, post test 1, post test 2, and post test 3, the training's impact on clinical decision-making and patient outcomes was examined.
Results: Training improved clinical decision-making in experimental nurses compared to controls (F=34.76, p=0.01). The experimental group had higher satisfaction with pain treatment, including overall condition, nursing care, and current analgesics (F=180.47, p=0.01). However, reported decision-making skills remained unchanged. No correlation was found between clinical experience, stress, education, and clinical decision-making (p>0.05).
Conclusion: CDMR-POPM training improved nurses' clinical decision-making and postoperative pain management patient satisfaction. These findings demonstrate the importance of systematic decision-making training in care quality.

Key words: Clinical decision making, postoperative pain management, patient satisfaction, health care providers' opinion, nursing care.


 
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How to Cite this Article
Pubmed Style

Reddy NV, Noronha JA, N A, George A, Nayak BS, Jose TT. Effectiveness of training program on clinical decision-making regarding postoperative pain management among nurses in a tertiary care setting, Udupi district, Manipal. RMJ. 2025; 50(1): 195-198. doi:10.5455/rmj.20241022090621

Web Style

Reddy NV, Noronha JA, N A, George A, Nayak BS, Jose TT. Effectiveness of training program on clinical decision-making regarding postoperative pain management among nurses in a tertiary care setting, Udupi district, Manipal. https://www.rmj.org.pk/?mno=225602 [Access: March 13, 2025]. doi:10.5455/rmj.20241022090621

AMA (American Medical Association) Style

Reddy NV, Noronha JA, N A, George A, Nayak BS, Jose TT. Effectiveness of training program on clinical decision-making regarding postoperative pain management among nurses in a tertiary care setting, Udupi district, Manipal. RMJ. 2025; 50(1): 195-198. doi:10.5455/rmj.20241022090621


Vancouver/ICMJE Style

Reddy NV, Noronha JA, N A, George A, Nayak BS, Jose TT. Effectiveness of training program on clinical decision-making regarding postoperative pain management among nurses in a tertiary care setting, Udupi district, Manipal. RMJ. (2025), [cited March 13, 2025]; 50(1): 195-198. doi:10.5455/rmj.20241022090621


Harvard Style

Reddy, N. V., Noronha, . J. A., N, . A., George, . A., Nayak, . B. S. & Jose, . T. T. (2025) Effectiveness of training program on clinical decision-making regarding postoperative pain management among nurses in a tertiary care setting, Udupi district, Manipal. RMJ, 50 (1), 195-198. doi:10.5455/rmj.20241022090621


Turabian Style

Reddy, Nageshwar Venkatesh, Judith Angelitta Noronha, Anitha N, Anice George, Baby S Nayak, and Tessy Treesa Jose. 2025. Effectiveness of training program on clinical decision-making regarding postoperative pain management among nurses in a tertiary care setting, Udupi district, Manipal. Rawal Medical Journal, 50 (1), 195-198. doi:10.5455/rmj.20241022090621


Chicago Style

Reddy, Nageshwar Venkatesh, Judith Angelitta Noronha, Anitha N, Anice George, Baby S Nayak, and Tessy Treesa Jose. "Effectiveness of training program on clinical decision-making regarding postoperative pain management among nurses in a tertiary care setting, Udupi district, Manipal." Rawal Medical Journal 50 (2025), 195-198. doi:10.5455/rmj.20241022090621


MLA (The Modern Language Association) Style

Reddy, Nageshwar Venkatesh, Judith Angelitta Noronha, Anitha N, Anice George, Baby S Nayak, and Tessy Treesa Jose. "Effectiveness of training program on clinical decision-making regarding postoperative pain management among nurses in a tertiary care setting, Udupi district, Manipal." Rawal Medical Journal 50.1 (2025), 195-198. Print. doi:10.5455/rmj.20241022090621


APA (American Psychological Association) Style

Reddy, N. V., Noronha, . J. A., N, . A., George, . A., Nayak, . B. S. & Jose, . T. T. (2025) Effectiveness of training program on clinical decision-making regarding postoperative pain management among nurses in a tertiary care setting, Udupi district, Manipal. Rawal Medical Journal, 50 (1), 195-198. doi:10.5455/rmj.20241022090621


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