641: Knowledge and Attitudes Regarding Pain Management Among Nurses at Siriraj Hospital, Thailand

Topic: Education, Societal Impact, and Others
Subtopic: Education of pain care

Background and Aims: Nurses are frontline healthcare professionals who assess patients’ pain throughout hospitalization and play a central role in implementing pain management plans. Therefore, adequate pain knowledge and positive attitudes among nurses are essential for effective pain assessment and management. However, knowledge gaps may persist despite increasing educational resources. This study evaluated nurses’ knowledge and attitudes regarding pain assessment and management using the Thai Knowledge and Attitudes Survey Regarding Pain (Thai-KASRP) among nurses at Siriraj Hospital, a tertiary care center in Thailand, and identified factors associated with higher scores.

Methods: A descriptive cross-sectional study was conducted among registered nurses at Siriraj Hospital, a tertiary care hospital in Thailand, between May 2025 and January 2026. Data were analyzed using descriptive statistics. Univariable analyses were performed using independent-samples t-tests, one-way ANOVA, Pearson correlation, and Kruskal–Wallis tests, as appropriate. Significant overall group differences were followed by post hoc pairwise comparisons using the Games–Howell or Tukey test, as appropriate. Multiple linear regression analysis was used to identify factors independently associated with higher Thai-KASRP scores.

Results: A total of 460 inpatient care nurses in Siriraj Hospital . The mean age was 35.3 ± 9.4 years, and most participants were female. The mean Thai-KASRP score was moderate at 63.39% ± 9.39% , with only 4.6% scoring above 80%. In univariable analyses, higher scores were significantly associated with age > 40 years (p = 0.040), longer work experience (p < 0.001), department, particularly in the Anesthesia and Palliative units (p < 0.001), and prior pain education (p < 0.001). In multivariable analysis, department (p < 0.001) and prior pain education (p = 0.001) remained independently associated with higher Thai-KASRP scores \. The largest interdepartmental difference was observed between Anesthesia and Post-Anesthetic Care Unit (14.18%). Participants with prior pain education had significantly higher scores than those without prior training; however, no significant difference was found between those trained within ≤12 months and >12 months.

Conclusions: Pain knowledge and attitudes among nurses at Siriraj Hospital were moderate, with few participants achieving high competency scores. Department and prior pain education were the strongest independent correlates of higher Thai-KASRP scores. These findings support regular annual pain education programs and targeted interventions for lower-performing departments and commonly misunderstood topics to strengthen pain management practice.

References: 1. Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study
of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976-82.
2. Wu CL, Hung YL, Wang YR, Huang HM, Chang CH, Wu CC, et al. Pain prevalence in hospitalized patients at a tertiary
academic medical center: Exploring severe persistent pain. PLoS One. 2020;15(12):e0243574.
3. Wangnamthip S Mail EP, Siriussawakul A , Jirachaipitak S , Laurujisawat J , Vimolwattanasarn K. Effective Pain
Management for Inpatients at Siriraj Hospital: A Retrospective Study. J Med Assoc Thai 2016;99(5):565.
4. Sinatra R. Causes and consequences of inadequate management of acute pain. Pain Med. 2010;11(12):1859-71.
5. ANZCA [Available from: https://www.anzca.edu.au/safety-advocacy/global-health/essential-pain-
management/epm-online.
6. Sanford [Available from: https://med.stanford.edu/cme/learning-opportunities/pain-management.html.
7. [Available from: https://www.nurse.com/ce/pain-management-c.
8. Al-Sayaghi KM, Fadlalmola HA, Aljohani WA, Alenezi AM, Aljohani DT, Aljohani TA, et al. Nurses&#39; Knowledge and
Attitudes Regarding Pain Assessment and Management in Saudi Arabia. Healthcare (Basel). 2022;10(3).
9. Nga DT, Van Giang N, Thai DH, Hue HT, Lee BO. Factors Associated With Knowledge and Attitude Among
Vietnamese Nursing Staff Regarding Pain Management in a Vietnam National Hospital. J Neurosci Nurs. 2022;54(3):136-42.
10. Kiekkas P, Gardeli P, Bakalis N, Stefanopoulos N, Adamopoulou K, Avdulla C, et al. Predictors of nurses&#39; knowledge
and attitudes toward postoperative pain in Greece. Pain Manag Nurs. 2015;16(1):2-10.
11. Ou M, Xu X, Chen Y, Yan Y, Wang K, Zhou L. Factors Related to Nurses&#39; Knowledge and Attitudes Toward Pain in
Hospitals in Low-Income Areas. Pain Manag Nurs. 2021;22(3):386-93.
12. McCabe C, Feeney A, Basa M, Eustace-Cook J, McCann M. Nurses knowledge, attitudes and education needs
towards acute pain management in hospital settings: A meta-analysis. J Clin Nurs. 2023;32(15-16):4325-36.
13. Sirilak Suksompong JL, Patiparn Toomtong, Soisuda Suthadsahavijit,Kessara Nantapiromporn, Vimolluck Sanansilp.
Pain Survey: Perspectives and Practices of Doctors and Nurses. How Much Have We Progressed? Siriraj Med J 2015(67):101-7.

Presenting Author: Phanupong Bussaba or Raviwon Atisook
Submitting Author: RAVIWON ATISOOK

Senior Author: Raviwon Atisook

IASP 2026 Global Year theme of Neuropathic Pain: No

• Suratsawadee wangnamthip - Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
• Phanupong Bussaba - Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
• Sukunya Jirachaipitak - Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
• Mathurot sukkasem - Radiology nursing division, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
• Raviwon Atisook - Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand