title: Polish nurses' perceived barriers in using evidence-based practice in pain management.
abstract: OBJECTIVE
  The aim of this work was to present current practices, perceived barriers and perceived facilitators of Polish nurses in using EBP in the assessment and management of acute pain during the postoperative period in elderly patients.
  
  
  BACKGROUND
  Advances in the study of pain and the methods for its relief since the late 1980s have led to a rise in the role of the nurse in pain management and monitoring.
  
  
  BACKGROUND
  The application of evidence-based practice associated with acute pain is on the increase in the world at large.
  
  
  METHODS
  Eleven hospitals participated in this study. The project involved 1300 nurses working on surgical hospital wards. In this study, case study research and qualitative content analysis were used. The study was conducted using a dedicated questionnaire.
  
  
  RESULTS
  Access to journals on evidence-based practice on the assessment and management of pain in elderly patients was assessed as less important by the respondents. Knowledge drawn from the media, scientific and medical journals was assessed by the respondents as unsatisfactory. The greatest barrier to nurses was the fact that scientific articles were published in English.
  
  
  CONCLUSIONS
  Nurses' awareness of evidence-based practice increases with their education. Among the key problems are the lack of available professional publications in Polish literature, ignorance of English, shortage of time and lack of support from chief physicians of the ward.
  
  
  CONCLUSIONS
  There is a need for the introduction of innovative strategies of teaching and approaches to the problem of evidence-based practice in approach to pain management in elder people among the Polish nurses. It is necessary to promote these issues in Polish scientific literature.
authors.affiliation: Department of General Nursing, Medical University of Gdańsk, Gdańsk, Poland.
authors.forename: W
authors.initials: W
authors.lastname: Mędrzycka-Dąbrowska
authors.affiliation: Anesthesiology and Intensive Care Unit, District Health Center in Malbork, Malbork, Poland.
authors.forename: S
authors.initials: S
authors.lastname: Dąbrowski
authors.affiliation: Department of Nursing, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Gutysz-Wojnicka
authors.affiliation: Clinical Emergency Department, Medical University of Gdańsk, Gdańsk, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Basiński
mesh_terms: D059787:Acute Pain; D001291:Attitude of Health Personnel; D006801:Humans; D009726:Nurses; D059408:Pain Management; D011044:Poland; D011795:Surveys and Questionnaires
keywords: Evidence-Based Practice; Nurse-Patient; Nursing Care; Pain; Pain Management; Poland