About this trial
This study examines whether surgical nurses' confidence in managing patients' pain (pain management self-efficacy) is related to how well their patients' pain is managed after surgery. Nurses working in general surgery clinics will complete a questionnaire about their own pain management self-efficacy, and the surgical patients under their care will complete a separate questionnaire about their postoperative pain outcomes. Each patient's responses will be linked to the nurse who cared for them, creating nurse-patient pairs, in order to explore how nurse-level factors relate to patient-level pain outcomes. This is an observational study: no treatment, medication, or intervention is provided or tested; participants only complete questionnaires.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Currently employed as a registered nurse
Working in the general surgery clinic where the study is conducted
Actively involved in postoperative patient care
Employed in the relevant clinic for at least 3 months
Disqualifiers
On extended leave or medical report during the data collection period, resulting in no active clinical care
Does not complete the data collection form during the study period
Followed in the intensive care unit
Impaired consciousness that prevents assessment
Trial population
Surgical nurses providing postoperative care in the general surgery clinics of two training and research hospitals in Turkey, together with the adult surgical patients under their care during the first 24 postoperative hours, forming linked nurse-patient dyads.
Trial design
Cohort
Cross-sectional
Treatments tested in this trial
Pain Management Self-Efficacy and Postoperative Pain Outcome Assessment
Other interventionNo therapeutic, experimental, or clinical intervention was administered; this is a purely observational, questionnaire-based study. Nurses' pain management self-efficacy was assessed once using the Pain Management Self-Efficacy Questionnaire (PMSEQ, Turkish version). Patients' postoperative pain outcomes were assessed once, within the first 24 postoperative hours, using the Revised American Pain Society Patient Outcome Questionnaire, Turkish version (APS-POQ-R-TR). Usual clinical care and pain management practices were not modified in any way.
Treatment groups
Trial outcomes
Primary outcomes
Postoperative Pain Outcomes (Patients)
Patient-reported postoperative pain outcomes measured with the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R), including pain severity/intensity, pain interference with activity and sleep, and satisfaction with pain management. Each domain is rated on a 0-10 numeric rating scale; higher scores indicate worse outcomes for the pain severity/intensity and interference-with-activity/sleep domains, and higher scores indicate better outcomes (greater satisfaction) for the satisfaction-with-pain-management domain.
Secondary outcomes
Nurses' Pain Management Self-Efficacy
Nurses' pain management self-efficacy measured with the Pain Management Self-Efficacy Questionnaire (PMSEQ), reflecting nurses' confidence in their ability to assess, plan, and implement effective postoperative pain management for their patients. The PMSEQ comprises 21 items rated on a 6-point scale (0 = not confident at all to 5 = completely confident), yielding a total score range of 0-105; higher scores indicate greater pain management self-efficacy (a better outcome).
Sponsors and contacts
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Volkan Gokmen
Lead sponsor
Agri Ibrahim Cecen University
Sponsor institution
Eastern Mediterranean University
Collaborator
Atlas University
Collaborator
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