Deskripsi Pengetahuan, Sikap, dan Praktik Perawat tentang Manajemen Nyeri Prosedur Invasif pada Pasien Anak

Ferika Indarwati; Kinanti Kinanti; Dewi Caesaria Fitriani; Rahmah Rahmah

doi:10.55606/jig.v4i3.9215

Authors

Ferika Indarwati Universitas Muhammadiyah Yogyakarta
Kinanti Kinanti Universitas Muhammadiyah Yogyakarta
Dewi Caesaria Fitriani Universitas Jember
Rahmah Rahmah Universitas Muhammadiyah Yogyakarta

DOI:

https://doi.org/10.55606/jig.v4i3.9215

Keywords:

Attitude, Knowledge, Nurses, Pain Management, Practice

Abstract

Knowledge, attitudes, and practices of nurses on pediatric pain management of invasive procedures are important aspects of nursing competencies. Children are usually unable to express pain accurately, hence these competencies are vital to ensure pain in pediatric patients is addressed appropriately. However, there is still limited research on this topic. The aim of this study was to understand the knowledge, attitudes and practices of nurses about the pain management of invasive procedures in pediatric patients. This study employed a cross-sectional approach and conducted in two hospitals in Yogyakarta with a total sample of 63 pediatric nurses. Valid questionnaire with 12 demographic data questions, 12 nurse knowledge questionnaire questions, 13 nurse attitude questionnaire questions, and 10 nurse practice questions was used. Nurses' knowledge scores on pain management of invasive procedures in pediatric patients was relatively high with an average score of 10.11 (84%), the attitude score about the management of pain of invasive procedures in children was in the relatively in good category with an average score of 48.52 or (68.31%) and the nurse's practice on pain management of invasive procedures in children was still suboptimal with an average score of 38.87 or (72%). Nurses have relatively good knowledge in handling the pain of invasive procedures in pediatric patients, while the nurse’ attitudes and practices are still not optimal. Therefore, nurse’ competencies in this aspect should be imroved to ensure high quality of nursing care in pediatric pateints.

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References

Ahmadi, S., Vojdani, P., & MortezaBagi, H. R. (2023). The study of nurses’ knowledge and attitudes regarding pain management and control in emergency departments. BMC Emergency Medicine, 23(1), 26. https://doi.org/10.1186/s12873-023-00807-7

Alotaibi, K., Higgins, I., Day, J., & Chan, S. (2018). Paediatric pain management: Knowledge, attitudes, barriers and facilitators among nurses—Integrative review. International Nursing Review, 65(4), 524–533. https://doi.org/10.1111/inr.12440

Altarawneh, W. M., Masa’deh, R., Hamaideh, S. H., Saleh, A. M., & Alhalaiqa, F. (2023). Nurses’ knowledge, attitudes and practices towards palliative care provided to patients diagnosed with cancer. PLOS ONE, 18(10), e0289317. https://doi.org/10.1371/journal.pone.0289317

Anggari, R. S., Kurniawan, S., & Lamak, M. K. (2022). Perilaku etis saat pelaksanaan prosedur invasif: Pengalaman perawat pada perawatan bayi prematur. Jurnal Ilmiah Kesehatan Rustida, 9(1), 1–12.

Arzani, A., Valizadeh, S., Poorkaremi, S., Taheri Ezbarami, Z., & Ghojazadeh, M. (2020). Evaluating the impact of a multimedia training versus lecture training on attitudes and practices in paediatric nurses in children pain management: A randomized controlled trial. Nursing Open, 7(4), 1032–1038. https://doi.org/10.1002/nop2.479

Asadi-Noghabi, F., Tavassoli-Farahi, M., Yousefi, H., & Sadeghi, T. (2014). Neonate pain management: What do nurses really know? Global Journal of Health Science, 6(5), 284–293. https://doi.org/10.5539/gjhs.v6n5p284

Atefeh, S. (2025). Barriers and facilitators of pain management in children: A scoping review. BMC Anesthesiology, 25(1), 148.

Cohen, M. L., Weisman, A., & Quintner, J. L. (2026). Paradoxes weaken the International Association for the Study of Pain definition of pain. The Korean Journal of Pain, 39(1), 51–58.

Eccleston, C., Fisher, E., Howard, R. F., Slater, R., Forgeron, P., Palermo, T. M., Birnie, K. A., Anderson, B. J., Chambers, C. T., & Crombez, G. (2021). Delivering transformative action in paediatric pain: A Lancet Child & Adolescent Health Commission. The Lancet Child & Adolescent Health, 5(1), 47–87. https://doi.org/10.1016/S2352-4642(20)30277-7

Fekede, L., Temesgen, W. A., Gedamu, H., Kindie, S., Bekele, T. G., Abebaw, A., Baymot, A., & Difer, M. (2023). Nurses’ pain management practices for admitted patients at comprehensive specialized hospitals and associated factors: A multicenter study. BMC Nursing, 22(1), 366. https://doi.org/10.1186/s12912-023-01551-z

Germossa, G. N., Hellesø, R., & Sjetne, I. S. (2019). Hospitalized patients’ pain experience before and after the introduction of a nurse-based pain management programme: A separate sample pre- and post-study. BMC Nursing, 18(1), 40. https://doi.org/10.1186/s12912-019-0369-2

Goli Shirdar, M., Pazokian, M., Seddighi, L., Qanbari Qalehsari, M., & Jafarzadeh, M. (2026). The effect of pain management educational program based on KERN’s educational model on nurses’ performance in surgical wards. Evidence Based Care, 15(4), 42–54.

Iklima, N. (2020). Hubungan faktor pengetahuan perawat dengan pelaksanaan manajemen nyeri di ruang intensif. Jurnal Keperawatan BSI, 8(2), 224–230.

Indarwati, F., Munday, J., & Keogh, S. (2022). Nurse knowledge and confidence on peripheral intravenous catheter insertion and maintenance in pediatric patients: A multicentre cross-sectional study. Journal of Pediatric Nursing, 62, 10–16. https://doi.org/10.1016/j.pedn.2021.09.012

Indarwati, F., Munday, J., & Keogh, S. (2023). Peripheral intravenous catheter insertion, maintenance and outcomes in Indonesian paediatric hospital settings: A point prevalence study. Journal of Pediatric Nursing, 73, 106–112. https://doi.org/10.1016/j.pedn.2023.07.004

Mohamad, R. W., Nurhaeni, N., & Wanda, D. (2022). Efektivitas menonton video kartun terhadap tingkat nyeri selama prosedur invasif pada anak sekolah. Journal of Telenursing (JOTING), 4(1), 410–420.

Musdalipa, M., Kanita, A., & Kasmawati, K. (2019). Terapi bermain maggalenceng sebagai metode untuk menurunkan kecemasan pada anak usia sekolah yang menjalani hospitalisasi: A literature review. BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia), 7(1), 1–12.

Naseri, S., Ghafourifard, M., & Ghahramanian, A. (2022). The impact of work environment on nurses’ compassion: A multicenter cross-sectional study. SAGE Open Nursing, 8, 23779608221119124. https://doi.org/10.1177/23779608221119124

Novitasari, S., Immawati, I., & Nurhayati, S. (2021). Penerapan manajemen nyeri distraksi storytelling pada anak prasekolah (3–5 tahun) saat tindakan invasif pemasangan infus. Jurnal Cendikia Muda, 1(1).

Parhusip, B. S. (2023). Gambaran budaya organisasi keperawatan di Rumah Sakit Santa Elisabeth Medan tahun 2020. Healthcaring: Jurnal Ilmiah Kesehatan, 2(1), 23–28.

Parvizy, S., Tarvirdinasab, S., Raznahan, R., & Aliakbari, M. (2020). The effect of pain management training in workshop on the knowledge, attitude and self-efficacy of pediatric nurses. Journal of Family Medicine and Primary Care, 9(6), 2880–2884. https://doi.org/10.4103/jfmpc.jfmpc_1126_19

Pouralizadeh, M., Ghoreishi, M. G., Niknami, M., & Kazemnejad-Leili, E. (2021). The relationship between nurses’ knowledge and perceived practice based on clinical practice guidelines of pediatrics’ pain in Guilan University of Medical Sciences. International Journal of Africa Nursing Sciences, 14, 100292. https://doi.org/10.1016/j.ijans.2021.100292

Qasim, Y., Abdeljawad, H., & Abusafia, A. (2021). Knowledge, attitudes and practices of nurses regarding pain management in intensive care units at governmental hospitals in Gaza Strip: A cross-sectional study. Clinical Journal of Nursing Care and Practice, 5(5), 38–42. https://doi.org/10.29328/journal.cjncp.1001035

Shrestha-Ranjit, J., Ranjitkar, U. D., Water, T., Shrestha, S., Sharma, C., Mukhia, S., Adhikari, J., Adhikari, T., Pandey, A., & Sharma, M. (2025). Nurses’ knowledge and attitudes regarding children’s pain assessment and management in Nepal. Journal of Child Health Care, 29(2), 297–310.

Siddiqui, A. S., Zehra, T., Afshan, G., Shakil, S., & Ahmed, A. (2025). Bridging gaps in pain management: The effectiveness of educational intervention for nurses in a teaching hospital of low- and middle-income countries. Nursing Research and Practice, 2025, Article 8874509. https://doi.org/10.1155/2025/8874509

Silalahi, H. R., & Perangin-Angin, M. (2022). Gambaran pengetahuan dan sikap perawat terhadap manajemen nyeri di rumah sakit. Jurnal Penelitian Perawat Profesional, 4(2), 451–466.

Veny, T., Suryani, K., & Surani, V. (2026). Penerapan distraksi audio visual pada prasekolah menggunakan smart book terhadap penurunan skala nyeri setelah pemasangan infus. Quantum Wellness: Jurnal Ilmu Kesehatan, 3(1), 235–246.

Vitente, A., Sweet, R., & Jones, L. (2026). A call to action: Towards a compendium for culturally responsive and inclusive pain management. Philippine Journal of Physical Therapy, 5(1), 3.

Yeni, R. I., & Sumartiningsih, M. S. (2026). Efektivitas cool pack (kompres dingin) terhadap nyeri saat pemasangan infus pada anak di Rumah Sakit X. Borneo Nursing Journal (BNJ), 8(2), 1936–1943.

Yuan, L. (2024). Effect of educational interventions for improving nurses’ knowledge, attitude, and practice of pediatric pain management: A systematic review and meta-analysis. Pain Management Nursing, 25(4), e271–e278. https://doi.org/10.1016/j.pmn.2024.03.006