Knowledge and Attitude of Oncology Nurses toward Cancer Pain Management: A Review (original) (raw)
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Cancer Pain Management by Nurses at a Cancer Hospital
Background: Cancer pain is aserious and feared consequence syndrome in cancer patients. Appropriate cancer pain management is the cornerstone of symptom management for patient with cancer. Nurses are the professional who spend more time with patient than others health care team and has a vital role on assessment and practice of cancer pain management. Objective: The main objective of this study was to assess cancer pain management by nurses at a cancer hospital in Dhaka, Bangladesh. Methods:A descriptive study design was carried out among conveniently selected sample of 120 registered nurses. The data was collected by using Cancer Pain Management Questionnaire (17items) in 5 point (0-4) rating scale with Cronbach's Alpha was .70. Data were analyzed by both descriptive and inferential such as t test, Correlation and ANOVA statistics. Result: The mean age of the nurse participants was 29.67(±5.343) years and most of them (90.8%) were between 24-36 years. Most of the nurses had ≤ 2 years duration of service (75%) and working experience in oncology (84.2%).The average pain management score of nurse's was 3.14 (SD=.354). Nurses pain management score had significantly negative correlationship with duration of service (r =-.223, p =.014) and working experience in oncology (r =-.185, p=.043). Cancer pain management score was also significantly higher among the nurses working in palliative care unit (F=6.794, p=.000) than nurses working in other cancer unit. Conclusion:This study showed the nearly high level of cancer pain management by nurses at cancer hospital, but there were also some barriers that impedes the nurse's pain management practice. Since cancer pain management remains a challenge in spite of improved pain medications, multidisciplinary treatments, so authority should take initiative to reduce barriers and improving nursing practice.
Journal of Cancer Education, 2018
The current study evaluated the oncology nurse's knowledge, attitude, related factors of cancer-related pain management (CPM), and clinical recommendations for improving knowledge and attitude. In this systematic review, international databases (PubMed, EMBASE, Web of science (WOS), Science Direct, and Scopus) were searched for relevant studies published in English language from March 30, 2000 to March 30, 2018. The quality of the studies was evaluated using the Hoy instrument. Out of 888 initial studies, 12 studies performed on 3574 participants were included in the final stage of the review. Based on the results, most studies indicated that nurses had a poor (n = 4) or moderate (n = 4) knowledge of CPM. The lowest and the highest knowledge levels were 28.5% and 75%, respectively. According to most studies, nurses had a fair (average) (n = 4) or negative (n = 3) attitude toward CPM. The important factors related to the nurses' knowledge of CPM included previous pain-related education programs (n = 7) and having work experience with cancer patients (n = 4). The most important barrier was the deficit in staff's knowledge of pain (n = 2). The important clinical recommendations for improving nurses' levels of knowledge included the implementation of educational programs (n = 9), training programs (n = 3) on CPM and including CPM topics in nursing curricula (n = 5). This systematic review showed that most nurses had poor knowledge of CPM and a fair attitude toward CPM, indicating the importance of considering the barriers to knowledge, strengthening the positive relevant factors, and using clinical recommendations based on clinical guidelines such as including CPM topics in nursing curricula and implementing educational programs on CPM to improve the knowledge, attitude, and skills of oncology nurses. The results of the present study could be used by policymakers to provide care for cancer patients and manage their pain.
Journal of Cancer Education, 2017
Pain is a major symptom that causes suffering among patients diagnosed with cancer. Identifying physicians' and nurses' knowledge, attitudes, and their perceived barriers of cancer pain management is considered an essential step in improving cancer pain relief. The purposes of this study are to compare physicians' and nurses' knowledge and attitudes toward cancer pain management (CPM) and describe their perceived barriers to CPM at oncology units. A descriptive cross-sectional design was utilized to obtain data through self-report questionnaire. The total number of sample size was 207 participants (72 physicians and 135 nurses). Findings revealed that both physicians and nurses had fair knowledge and attitudes toward CPM. Physicians had significantly higher knowledge and better attitudes than nurses (62.3 vs. 51.5%, respectively). Physicians were knowledgeable about pharmacological pain management and opioid addiction but had negative attitudes toward pain assessment. Nurses' knowledge was better in regard of CPM guidelines, while they had poor knowledge about pharmacological pain management and opioid addiction. Physicians and nurses perceived knowledge deficit, lack of pain assessment, opioid unavailability, and lack of psychological interventions as the most common barriers to CPM. It is recommended to integrate recent evidence-based guidelines about CPM in oncology units that aim to improve practice. Offering continuing education courses in hospitals guided by pain teams is another essential recommendation for effective CPM.
Awareness of Cancer Pain Management among Nurses in an Albanian Oncologic Hospital
Journal of Educational and Social Research, 2015
The doctor-patient percentage in Albania as said by World Health Organization (WHO). In 2013, this ratio was 1,2:1000 in contrast the average 1:600, although that of nurse-patient is enhanced, 1:40 compared to WHO standard of 1:6. Occurrence of cancer is universally increasing and the mainstream of the complex cases arise in the developing countries like Albania. Nurses engage in a significant position in efficient ache administration since they have further connection with patients in any healthcare location , appraise the pain and its collision on the patients and relatives, therefore commence acts to supervise the pain. This survey is intended at evaluating the phase of awareness of cancer pain administration between skilled nurses at Oncologic department of University Hospital Centre "Mother Theresa" in Albania. Materials and Methods: Qualified nurses who approved to participate in the survey were examined applying self-administered questionnaire. The surveys comprised 3 main parts that is (a) Demography, (b) Pain appraisal, (c) Cancer Ache administration. The degree of comprehension of cancer pain administration was subsequently evaluated from their reaction to the questionnaires. 63 nurses fulfilled the questionnaire. 54 (85.71%) were twofold trained. About 11 (17.4%) participants had supplementary official instruction in ache management. 50 (79.36) respondents provided right meaning of pain ;only 3 (3%) could confer a good explanation on the administration of cancer pain. 17 (26.9 %) of the participants could apply Visual Analogue Scale (VAS) for ache estimation. Merely 12 (19%) could affirm the application of opioids in cancer pain administration. This survey exposed insufficient comprehension in cancer ache management between the nurses. To attain holistic care for cancer individuals in all health care settings, further preparation in pain management is needed.
Pain experience and pain management among hospitalized cancer patients. A clinical study
Cancer, 1989
This study examines the nature, pattern, and consequences of pain experienced by cancer patients, both during hospitalization and during the immediate posthospitalization period. Of the 240 hospitalized cancer patients screened, 45% were found to be in pain. Although 59% of these patients had found ways to reduce their pain, nearly one third reported being seriously limited in their daily activities. Sleep disorder and mood disturbance also were related to the experience of pain. Applied pain management strategies were rated by two physicians as inadequate in 54% of cases. The most frequent recommendation for improved pain management was an increase in the dosage or a change in the class of analgesics. The importance of periodic assessment of pain and its consequences, both physical and psychological, is discussed in light of increasing the level of information available to physicians and patients regarding appropriate approaches to pain management.
Knowledge, perceived barriers, and practices of oncology nurses regarding cancer pain management
Electronic Journal of General Medicine
Effective cancer pain management involves significant knowledge and proficiency in pain assessment and recording. This study sought to assess nurses' knowledge, behaviors, and perceived impediments to managing cancer-related pain. Methods: A descriptive, cross-sectional design was used. A convenience sample of 502 nurses working in three primary health care sectors in Jordan was selected to ensure national representation. To collect data, an Englishlanguage online Google Electronic Form was employed. Results: Nurses were 86.4% male and 51.4% between 21 and 35. Additionally, 578.8% of nurses were employed in the private sector. The mean knowledge score for cancer pain management was 6.48/14, indicating a knowledge gap in opioid rescue dose deficiency among nurses. According to 68.1% of nurses, the most frequently encountered patient-related hurdle was insufficient expertise in pain control. 75.3%, on the other hand, named insufficient staffing, and 74.7%, opioid regulations as significant health care system impediments. Private hospital nurses score significantly higher than nurses in other hospitals. The degree of expertise varied according to age and pain management training. For 56.8% of nurses, contacting a physician for an opioid prescription is the most delayed action. Conclusion: Knowledge gaps and impediments to successful cancer pain management were assessed. Additional training in cancer pain treatment is crucial, increasing coordination and communication between doctors and nurses. The survey data assist educators in developing educational techniques, and the least correctly answered answers might aid educators in identifying knowledge gaps.
Exploration of Barriers Perceived by Oncology Nurses Related to Cancer Pain Management
Journal of Medical Sciences
Objectives: To explore barriers perceived by oncology nurses in cancer pain management. Methods: A descriptive Cross sectional study was conducted in oncology department of four tertiary care hospitals of Punjab which include Mayo hospital Lahore, Jinnah hospital Lahore, Allied hospital Faisalabad and Nishtar hospital Multan. Sample of 72 nurses working in oncology departments of four tertiary care hospitals were selected by using purposive sampling. Self-administered questionnaire was used to collect data. The data analysis was performed using SPSS version 20 and micro soft excel. Results: The results identified that system related barriers were found more prevalent. From system related barriers inappropriate nurse –patient ratio was found most prevalent barriers as 95.9% (n=72) respondent were agree for this barrier Conclusion: nurses face lot of barriers in pain management that hinder their efficiency to control pain.