• Yunxia Li, Kangmao Huang, Yan Cheng, Yingge Tong, and Jian Mo.
• Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
• Pain Manag Nurs. 2019 Jun 1; 20 (3): 284-291.

BackgroundPain management practice differs among hospitals in China; however, no studies have examined the association between hospital level and nursing practice of pain management.AimsTo evaluate the nursing practice of pain management in orthopedics wards of level 3 and 2 hospitals and compare the differences in pain management regulations, policies, and perceived barriers.DesignThis was a cross-sectional descriptive study.SettingThis study was conducted during the 10th International Congress of the Chinese Orthopedic Association, November 19-22, 2015.ParticipantsSubjects: The sample included 121 nurses from China.MethodsQuantitative research methods were used to assess pain management practice by 121 Chinese nurses as well as barriers to nursing practice.ResultsNurses in level 3 hospitals were more likely to evaluate patients' pain intensity (85.23% vs. 65.38%, p < .05) and quality (77.27% vs. 53.85%, p < .05) than those in level 2 hospitals. Compared with level 2 hospitals, level 3 hospitals were more likely to participate in the Painless Orthopedics Ward program (53.41% vs. 23.08%, p < .01), conduct pain management knowledge training (88.64% vs. 69.23%, p < .05), and establish pain management regulations (68.18% vs. 34.62%, p < .01). Level 2 hospital nurses reported a higher score for barriers than level 3 hospital nurses (3.27 vs. 2.45, p < .05).ConclusionsNurses from level 2 hospitals received less education on pain management and also paid less attention to and faced more restrictions for pain management than nurses from level 3 hospitals.Copyright © 2018 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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