Evaluating Nurses Knowledge, Misconceptions, and Attitudes Towards Treating Patients with Chronic Pain

Main Article Content

Richard Burton
Holly Judson
Corresponding Author:
Richard Burton | rburton6@csuchico.edu



Chronic pain is complex biopsychosocial phenomenon that affects people worldwide, and nurses play a vital role in treatment. It is essential for nurses to have adequate knowledge and demonstrate no bias towards these patients.


Determine nurses’ knowledge and attitudes regarding any patients with pain. Identify any potential biases.


The knowledge and attitudes of registered nurses regarding pain were assessed using (KAS survey).  A convenience sample was chosen. Data was analyzed to determine knowledge and attitudes regarding treating patients with chronic pain.


55.5% of participants demonstrated “good knowledge and attitudes”, while 44.0% participants had “acceptable knowledge and attitudes”. There was no significant correlation between years’ experience and test scores.  There was a statistical difference between genders in relation to dependent variable test score.


Participants demonstrated higher knowledge than previous works.  Data revealed participants did not hold any biases or misconceptions about treating patients with chronic pain. 

Article Details

How to Cite
R. Burton and H. Judson, “Evaluating Nurses Knowledge, Misconceptions, and Attitudes Towards Treating Patients with Chronic Pain ”, Babali Nurs. Res., vol. 5, no. 2, pp. 253-264, Apr. 2024.
Original Research
Author Biographies

Richard Burton, California State University Chico, Chico, United States

California State University Chico, Chico, United States

Holly Judson, California State University Chico, Chico, United States

California State University Chico, Chico, United States


1. Mills S, Torrance N, Smith BH. Identification and management of chronic pain in primary care: A Review. Curr Psychiatry Rep. 2016 Jan 28. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4731442/
2. Blyth FM, March LM, Brnabic AJ, Jorm LR, Williamson M, Cousins MJ. 2001. Chronic pain in Australia: a prevalence study. Pain. 89:127–134. doi:10.1016/S0304-3959(00)00355-9. PMID: 11166468.

3. Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. 2006. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 10:287–333. doi:10.1016/j.ejpain.2005.06.009. PMID: 16095934.

4. Johannes CB, Le TK, Zhou X, Johnston JA, Dworkin RH. 2010. The prevalence of chronic pain in United States adults: results of an Internet-based survey. J Pain. 11:1230–1239. doi:10.1016/j.jpain.2010.07.002. PMID: 20797916.

5. Schopflocher D, Taenzer P, Jovey R. 2011. The prevalence of chronic pain in Canada. Pain Res Manag. 16:445–450. PMID: 22184555.

6. O'Connor AB. 2009. Neuropathic pain: quality-of-life impact, costs and cost-effectiveness of therapy. PharmacoEconomics. 27:95–112. doi:10.2165/00019053-200927020-00002. PMID: 19254044.

7. Unknown. 2013. 3 Chronic Pain Management. In Managing chronic pain in adults with or in recovery from Substance Use Disorders essay, U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment.

8. Park HJ, Moon DE. 2010. Pharmacologic management of chronic pain. Korean J Pain. Available from: https://synapse.koreamed.org/articles/1159201

9. Trang T, Al-Hasani R, Salvemini D, Salter MW, Gutstein H, Cahill CM. 2015, October 14. Pain and poppies: The good, the bad, and the ugly of opioid analgesics. J Neurosci. Available from: https://www.jneurosci.org/content/35/41/13879.short

10. Compton WM, Volkow ND. 2006, March 23. Abuse of prescription drugs and the risk of addiction. Drug Alcohol Depend. Available from: https://pubmed.ncbi.nlm.nih.gov/16563663/

11. Samarkandi OA. 2018. Knowledge and attitudes of nurses toward pain management. Saudi J Anesth. 12(2):220–226. doi:10.4103/sja.SJA_587_17

12. Desai G, Chaturvedi SK. 2012, September. Pain with no cause! nurses’ perception. Indian J Palliat Care. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573469/

13. Numeric pain rating scale. Physiopedia. Available from: https://www.physio-pedia.com/Numeric_Pain_Rating_Scale

14. McCaffery M, Ferrell BR, Pasero C. 2000. Nurses’ personal opinions about patients’ pain and their effect on recorded assessments and titration of opioid doses. Pain Manag Nurs. Available from: https://www.painmanagementnursing.org/article/S1524-9042(00)53232-9/fulltext

15. AbuBaker NA, Salim NA, Joshua R, Jose A. Registered Nurses’ Perception about Pain Management of Hospitalized Patients in One of the Governmental Hospitals in Dubai, UAE: A Cross-Sectional Study. Dubai Med J. 8 October 2019; 2 (3): 102–106. doi:10.1159/000502175

16. Shoqirat N, Mahasneh D, Al-Khawaldeh O, Al Hadid L. 2019. Nurses' Knowledge, Attitudes, and Barriers Toward Pain Management Among Postoperative Patients in Jordan. J Perianesth Nurs. 34(2):359–367. doi:10.1016/j.jopan.2018.05.012

17. Masigati HG, Chilonga KS. 2014. Postoperative pain management outcomes among adults treated at a tertiary hospital in Moshi, Tanzania. Tanzan J Health Res. 16(1). doi:10.4314/thrb.v16i1.7

18. Menlah A, Garti I, Amoo SA, Atakro CA, Amponsah C, Agyare DF. 2018. Knowledge, attitudes, and practices of postoperative pain management by nurses in selected district hospitals in Ghana. SAGE Open Nurs. 4:2377960818790383. doi:10.1177/2377960818790383

19. Fenta E, Kibret S, Hunie M, Tamire T, Eshetie D, Seid S, Fentie Y, Amaha E, Desse T, Dejen B, Essa K, Teshome D. 2023. Nurses’ knowledge and attitude towards children pain management: a multi-site survey study. Front Pediatr. 11:1182529–1182529. doi:10.3389/fped.2023.1182529

20. Fernández-Castro M, Martín-Gil B, López M, Jiménez JM, Liébana-Presa C, Fernández-Martínez E. 2021. Factors Relating to Nurses' Knowledge and Attitudes Regarding Pain Management in Inpatients. Pain Manag Nurs. 22(4):478–484. doi:10.1016/j.pmn.2020.12.012

21. Attitudes Survey Regarding Pain developed by Betty Ferrell, RN, PhD, FAAN and Margo McCaffery, RN, MS, FAAN, (http://prc.coh.org), revised 2014.

22. Al-Sayaghi KM, Fadlalmola HA, Aljohani WA, Alenezi AM, Aljohani DT, Aljohani TA, Alsaleh SA, Aljohani KA, Aljohani MS, Alzahrani NS, Alamri AA, Alhousah AH, Khan MF. 2022, March 14. Nurses’ knowledge and attitudes regarding pain assessment and management in Saudi Arabia. Healthcare (Basel, Switzerland). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953805/