Pain management is an important aspect of patient care and nurses play a significant role in
providing pain assessment and management. Non-pharmacological pain management refers to
interventions that do not involve the use of medications to treat pain. They found to be effective
with less side effects and complications.This study aimed to determine the effect of in- service
training program on nurses' performance towards Non- Pharmacological Pain Management among
orthopedic patients in El-Hadra hospital. A quasi-experimental design was conducted on fifty
orthopedic nurses that were divided into two equal groups as study and control. Three tools were
used data collection: Tool I: demographic data assessment sheet, Tool II: Nurses' knowledge
regarding non-pharmacological pain relieves methods questionnaire, and Tool III: Nurses'
Performance towards Non- Pharmacological Pain Management assessment sheet. Results of the
present study revealed that: The difference was highly statistically significant as regard the nurses'
knowledge and their level of performance toward non- pharmacological pain management either
within the study group nurses or between the control and study groups nurses post the in surface
training program. Conclusion and recommendation, the use of non -pharmacological methods is the
most effective way for relieving orthopedic procedural pain. Therefore, it is important to conduct
this study.