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Nyirigira G, Wilson RA, VanDenKerkhof EG, et al. Barriers and facilitators to postoperative pain management in Rwanda from the perspective of health care providers: A contextualization of the theory of planned behavior. Can J Pain. 2018;2(1):87-102doi: 10.1080/24740527.2018.1451251.
Nyirigira, G., Wilson, R. A., VanDenKerkhof, E. G., Goldstein, D. H., Twagirumugabe, T., Mahaffey, R., Parlow, J., & Johnson, A. P. (2018). Barriers and facilitators to postoperative pain management in Rwanda from the perspective of health care providers: A contextualization of the theory of planned behavior. Canadian journal of pain = Revue canadienne de la douleur, 2(1), 87-102. https://doi.org/10.1080/24740527.2018.1451251
Nyirigira, Gaston, et al. "Barriers and facilitators to postoperative pain management in Rwanda from the perspective of health care providers: A contextualization of the theory of planned behavior." Canadian journal of pain = Revue canadienne de la douleur vol. 2,1 (2018): 87-102. doi: https://doi.org/10.1080/24740527.2018.1451251
Nyirigira G, Wilson RA, VanDenKerkhof EG, Goldstein DH, Twagirumugabe T, Mahaffey R, Parlow J, Johnson AP. Barriers and facilitators to postoperative pain management in Rwanda from the perspective of health care providers: A contextualization of the theory of planned behavior. Can J Pain. 2018 Apr 12;2(1):87-102. doi: 10.1080/24740527.2018.1451251. eCollection 2018. PMID: 35005369; PMCID: PMC8730569.
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Can J Pain. 2018 Apr 12;2(1):87-102. doi: 10.1080/24740527.2018.1451251. eCollection 2018.

Barriers and facilitators to postoperative pain management in Rwanda from the perspective of health care providers: A contextualization of the theory of planned behavior.

Canadian journal of pain = Revue canadienne de la douleur

Gaston Nyirigira, Rosemary A Wilson, Elizabeth G VanDenKerkhof, David H Goldstein, Theogene Twagirumugabe, Ryan Mahaffey, Joel Parlow, Ana P Johnson

Affiliations

  1. Anaesthesia, Critical Care and Pain, Butare University Teaching Hospital, Butare, Rwanda.
  2. School of Nursing, Queen's University, Kingston, Ontario, Canada.
  3. Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston Health Sciences Centre, Kingston, Ontario, Canada.
  4. Department of Anesthesiology, Brockville General Hospital, Brockville, Ontario, Canada.
  5. College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
  6. Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada.

PMID: 35005369 PMCID: PMC8730569 DOI: 10.1080/24740527.2018.1451251

Abstract

AIMS: Identify opportunities to improve knowledge translation for post-operative pain management in Rwanda by exploring clinician and environmental factors affecting this practice.

METHODS: The theory of planned behavior (TPB) guided development of a questionnaire to measure intent to assess and treat postoperative pain. Focus groups and individual interviews were used to contextualize the final questionnaire and generate questions related to pain management practice. Health care providers from two Rwandan teaching hospitals involved in postoperative pain management completed the TPB questionnaire in May 2015. TPB subscale scores were analyzed to identify demographic and practice characteristics associated with intention to treat pain. The general linear model was used to test effect of attitudes, subjective norms, and perceived control on behavioral intent to treat pain.

RESULTS: Forty-six percent of participants (

CONCLUSIONS: System and knowledge barriers exist: interventions to address these barriers may lead to improved postoperative pain care. Further validation of the TPB questionnaire is required to address cultural and language factors specific to the Rwandan context.

© 2018 Gaston Nyirigira, Rosemary A. Wilson, Elizabeth G. VanDenKerkhof, David H. Goldstein, Theogene Twagirumugabe, Ryan Mahaffey, Joel Parlow, and Ana P. Johnson. Published with license by Taylor & Francis Group, LLC.

Keywords: Acute pain; knowledge translation; pain assessment; pain treatment

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