TY - JOUR
T1 - Using opioids with surgical patients
T2 - Nurses' attitudes and experiences
AU - Shoqirat, Noordeen
AU - Mahasneh, Deema
AU - Al-Khawaldeh, Omar
AU - Singh, Charleen
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Opioids such as morphine are effective analgesics and have been recognized worldwide for many years; yet, they are underutilized. The study explores the attitudes and experiences relating to opioids, in general, and morphine, in particular, among Jordanian surgical nurses. The Opioids Attitudes Scale was used. A total of 123 questionnaires were distributed, and 120 were returned, achieving a response rate of 96%. Focus group discussions (n = 4) were conducted with surgical nurses (n = 34). The majority of nurses believe that the addiction is the most serious side effects of opioids. Qualitative analysis revealed 2 major themes. The first theme was referred to as "not being in the same boat," highlighting a lack of teamwork, and comprised 2 subthemes: Blame culture and physicians versus nurses. The second "morphine as the last on the list" was also made up of 2 subthemes: The lack of confidence and the fear of legal persecution. Nurses showed negative attitudes and misconceptions about opioids and morphine use within a fragmented surgical unit culture. Therefore, serious efforts must be made to create and sustain an effective unit culture reform and communications path from patient to nurse and doctor.
AB - Opioids such as morphine are effective analgesics and have been recognized worldwide for many years; yet, they are underutilized. The study explores the attitudes and experiences relating to opioids, in general, and morphine, in particular, among Jordanian surgical nurses. The Opioids Attitudes Scale was used. A total of 123 questionnaires were distributed, and 120 were returned, achieving a response rate of 96%. Focus group discussions (n = 4) were conducted with surgical nurses (n = 34). The majority of nurses believe that the addiction is the most serious side effects of opioids. Qualitative analysis revealed 2 major themes. The first theme was referred to as "not being in the same boat," highlighting a lack of teamwork, and comprised 2 subthemes: Blame culture and physicians versus nurses. The second "morphine as the last on the list" was also made up of 2 subthemes: The lack of confidence and the fear of legal persecution. Nurses showed negative attitudes and misconceptions about opioids and morphine use within a fragmented surgical unit culture. Therefore, serious efforts must be made to create and sustain an effective unit culture reform and communications path from patient to nurse and doctor.
KW - Attitudes
KW - Jordan
KW - Morphine
KW - Opioids
KW - Pain management
KW - Surgical nurses
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U2 - 10.1097/JTN.0000000000000412
DO - 10.1097/JTN.0000000000000412
M3 - Article
C2 - 30624379
AN - SCOPUS:85059798376
VL - 26
SP - 26
EP - 32
JO - Journal of trauma nursing : the official journal of the Society of Trauma Nurses
JF - Journal of trauma nursing : the official journal of the Society of Trauma Nurses
SN - 1078-7496
IS - 1
ER -