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2026, Vol: 51, Issue: 1
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The effect of pain management training on nurses' knowledge and attitude toward pain management in Bent Alhuda Hospital, ThiQar Governorate, Iraq

Zahraa Abdualallie Dakhil, Soror, Mahbobeh Aliakbari.


Abstract
Objective: To examine the impact of structured pain management training on pediatric nurses’ knowledge and attitudes at Bent-Alhuda Hospital in ThiQar Governorate, Iraq.
Methodology: This quasi-experimental pre-test/post-test study included 38 nurses. The Pediatric Nurses' Knowledge and Attitudes Survey (PNKAS) assessed participants' knowledge and attitudes before and after training. Reliability improved from Cronbach’s α = 0.67 (pre-test) to 0.71 (post-test).
Results: Wilcoxon Signed Ranks Test revealed significant gains in post-training scores (mean=58.82±10.72) compared to pre-training (mean=44.15±16.70), |Z| = 5.37, p<0.001. Key improvements were noted in understanding analgesic administration, pain assessment techniques, and opioid scheduling for chronic pain. Persistent misconceptions included overreliance on vital signs, concerns about opioid addiction, and underestimation of non-pharmacological interventions for severe pain. Nurses continued to struggle with recognizing the child as the most accurate judge of their pain.
Conclusion: Findings support the effectiveness of targeted training in enhancing pediatric pain management competencies. However, residual misconceptions suggest the need for ongoing education, mentorship, and institutional policy support to reinforce best practices.

Key words: Pain management, pediatric nursing, knowledge, attitudes, training intervention.


 
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How to Cite this Article
Pubmed Style

Dakhil ZA, Soror , Aliakbari M. The effect of pain management training on nurses' knowledge and attitude toward pain management in Bent Alhuda Hospital, ThiQar Governorate, Iraq. RMJ. 2026; 51(1): 193-196. doi:10.5455/rmj.20250919034449

Web Style

Dakhil ZA, Soror , Aliakbari M. The effect of pain management training on nurses' knowledge and attitude toward pain management in Bent Alhuda Hospital, ThiQar Governorate, Iraq. https://www.rmj.org.pk/?mno=285085 [Access: February 21, 2026]. doi:10.5455/rmj.20250919034449

AMA (American Medical Association) Style

Dakhil ZA, Soror , Aliakbari M. The effect of pain management training on nurses' knowledge and attitude toward pain management in Bent Alhuda Hospital, ThiQar Governorate, Iraq. RMJ. 2026; 51(1): 193-196. doi:10.5455/rmj.20250919034449


Vancouver/ICMJE Style

Dakhil ZA, Soror , Aliakbari M. The effect of pain management training on nurses' knowledge and attitude toward pain management in Bent Alhuda Hospital, ThiQar Governorate, Iraq. RMJ. (2026), [cited February 21, 2026]; 51(1): 193-196. doi:10.5455/rmj.20250919034449


Harvard Style

Dakhil, Z. A., Soror, . & Aliakbari, . M. (2026) The effect of pain management training on nurses' knowledge and attitude toward pain management in Bent Alhuda Hospital, ThiQar Governorate, Iraq. RMJ, 51 (1), 193-196. doi:10.5455/rmj.20250919034449


Turabian Style

Dakhil, Zahraa Abdualallie, Soror, and Mahbobeh Aliakbari. 2026. The effect of pain management training on nurses' knowledge and attitude toward pain management in Bent Alhuda Hospital, ThiQar Governorate, Iraq. Rawal Medical Journal, 51 (1), 193-196. doi:10.5455/rmj.20250919034449


Chicago Style

Dakhil, Zahraa Abdualallie, Soror, and Mahbobeh Aliakbari. "The effect of pain management training on nurses' knowledge and attitude toward pain management in Bent Alhuda Hospital, ThiQar Governorate, Iraq." Rawal Medical Journal 51 (2026), 193-196. doi:10.5455/rmj.20250919034449


MLA (The Modern Language Association) Style

Dakhil, Zahraa Abdualallie, Soror, and Mahbobeh Aliakbari. "The effect of pain management training on nurses' knowledge and attitude toward pain management in Bent Alhuda Hospital, ThiQar Governorate, Iraq." Rawal Medical Journal 51.1 (2026), 193-196. Print. doi:10.5455/rmj.20250919034449


APA (American Psychological Association) Style

Dakhil, Z. A., Soror, . & Aliakbari, . M. (2026) The effect of pain management training on nurses' knowledge and attitude toward pain management in Bent Alhuda Hospital, ThiQar Governorate, Iraq. Rawal Medical Journal, 51 (1), 193-196. doi:10.5455/rmj.20250919034449


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