Surgical Nurses' Pain Management Self-Efficacy and Patients' Postoperative Pain Outcomes

NCT07830498 | Not Yet Recruiting

• 1 other identifier: AICU-PMSEQ-DYAD-2026
• Study Type: observational
• Target: 340
• Locations: 1 country
• Sites: 2

Brief Summary

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.

Conditions

Postoperative Pain

Keywords

Pain Management; Surgical Nursing; Self-Efficacy; Nurse-Patient Dyad

Outcome Measures

Primary Outcomes (1)

• 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.

  Within 24-48 hours after surgery, prior to hospital discharge

Secondary Outcomes (1)

• Nurses' Pain Management Self-Efficacy

  Measured once, at the time of study enrollment

Study Arms (2)

Surgical Nurses

Nurses working in and actively providing postoperative care in the participating general surgery clinics. Each nurse completed the Nurse Descriptive and Occupational Information Form and the Pain Management Self-Efficacy Questionnaire (PMSEQ, Turkish version) once. No intervention was applied.

Other: Pain Management Self-Efficacy and Postoperative Pain Outcome Assessment

Surgical Patients

Adult surgical patients receiving postoperative care in the participating general surgery clinics, each paired with the nurse primarily responsible for their care. Each patient completed the Patient Descriptive Information Form and the Revised American Pain Society Patient Outcome Questionnaire, Turkish version (APS-POQ-R-TR), within the first 24 postoperative hours. No intervention was applied.

Other: Pain Management Self-Efficacy and Postoperative Pain Outcome Assessment

Interventions

Pain Management Self-Efficacy and Postoperative Pain Outcome Assessment OTHER

No 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.

Surgical Nurses; Surgical Patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study 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.

You may qualify if:

• Surgical Nurses:
• 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
• Voluntarily agrees to participate in the study
• Surgical Patients:
• years of age or older
• Has undergone a surgical procedure
• Receiving postoperative care in the general surgery clinic where the study is conducted
• Within the first 24 postoperative hours
• Able to communicate in Turkish
• Conscious and cognitively able to answer study questions
• Voluntarily agrees to participate in the study

You may not qualify if:

• Surgical Nurses:
• 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
• Surgical Patients:
• Followed in the intensive care unit
• Impaired consciousness that prevents assessment
• Serious cognitive or communication impairment that prevents communication
• Underwent emergency surgery
• Unable to complete the study data collection forms

Sponsors & Collaborators

• Volkan Gokmen: lead
• Eastern Mediterranean University: collaborator
• Atlas University: collaborator

Study Sites (2)

Agri Training and Research Hospital, General Surgery Clinic

Ağrı, Turkey (Türkiye)

Location

Taksim Training and Research Hospital, General Surgery Clinic

Istanbul, Turkey (Türkiye)

Location

Related Publications (4)

• Aydin Sayilan A, Eskin Bacaksiz F, Seyhan Ak E, Kulakac N, Macindo JRB. Adaptation of the pain management self-efficacy questionnaire into Turkish. Agri. 2022 Apr;34(2):91-99. doi: 10.14744/agri.2022.35902.

  PMID: 35848809 BACKGROUND

• Macindo JRB, Soriano CAF, Gonzales HRM, Simbulan PJT, Torres GCS, Que JC. Development and psychometric appraisal of the Pain Management Self-Efficacy Questionnaire. J Adv Nurs. 2018 Apr 6. doi: 10.1111/jan.13582. Online ahead of print.

  PMID: 29633327 BACKGROUND

• Erden S, Guler S, Tura I, Basibuyuk IF, Arslan UE. Evaluating patient outcomes in postoperative pain management according to the revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R). Appl Nurs Res. 2023 Oct;73:151734. doi: 10.1016/j.apnr.2023.151734. Epub 2023 Aug 18.

  PMID: 37722782 BACKGROUND

• Erden S, Karadag M, Guler Demir S, Atasayar S, Opak Yucel B, Kalkan N, Erdogan Z, Ay A. Cross-cultural adaptation, validity, and reliability of the Turkish version of revised American Pain Society patient outcome questionnaire for surgical patients. Agri. 2018 Apr;30(2):39-50. doi: 10.5505/agri.2018.21548.

  PMID: 29738065 BACKGROUND

MeSH Terms

Conditions

Pain, Postoperative; Agnosia

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases

Study Officials

• Volkan Gokmen, PhD, RN

  Agri Ibrahim Cecen University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Volkan Gokmen, PhD, RN

CONTACT

+90 532 739 0938; vgokmen@agri.edu.tr

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: September 15, 2026
• First Posted: September 21, 2026
• Study Start: October 1, 2026
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: September 23, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)