Action Research: Developing a Pediatric Cancer Pain Program in Jordan

Finley, G. Allen; Forgeron, Paula; Arnaout, Maha

doi:10.1016/j.jpainsymman.2007.05.006

Cited by 51 publications

(58 citation statements)

References 13 publications

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“…Demonstrations have been found to be an effective way of facilitating clinical teaching of psychomotor and observational skills to nurses [32]. This may however, only be effective if appropriate and user friendly scales are introduced in the setting.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ Knowledge and Attitudes towards Pain Management in Children Admitted in the Paediatric Department of Queen Elizabeth Central Hospital, Blantyre, Malawi

Kholowa¹,

Chimwaza²,

Majamanda³

et al. 2017

JBM

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Background: Inadequate pain management is a problem in hospitalized children. Objectives: To explore knowledge and attitudes of nurses in management of pain in children. Methods: A descriptive design using qualitative methods was used to conduct the study. 17 nurses with prior pain management training were interviewed using a semi-structured interview guide. Ethical approval was obtained from College of Medicine Research and Ethics Committee. Data were analysed using thematic content analysis. Results: Nurses had some knowledge of pain assessment methods, treatment and use of morphine. Gaps, however, existed on how to use pain assessment scales, analgesics to use at each step of the WHO analgesic ladder, and how to effectively use morphine for pain relief. Although most nurses had positive attitudes towards children's pain and use of morphine, negative attitudes were evident in some nurses regarding administration of morphine to neonates or acutely ill children. Conclusion and Implications: The study has revealed knowledge and attitude gaps which may reflect deficiencies in the pain education nurses received, non-availability of pain scales and lack of support for nurses to link theory with practice. Nurse leaders are challenged to provide repeated comprehensive education for nurses on pain assessment and management. Furthermore, user friendly pain scales should be developed, and nurses educated and demonstrated on their use. In addition, opportunities for supportive supervision with nurses in the clinical setting should be created for linkage of theory and practice.

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Section: Discussionmentioning

confidence: 99%

Nurses’ Knowledge and Attitudes towards Pain Management in Children Admitted in the Paediatric Department of Queen Elizabeth Central Hospital, Blantyre, Malawi

Kholowa¹,

Chimwaza²,

Majamanda³

et al. 2017

JBM

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“…Finally, it was found that fear of drug addiction and its side effects was prevalent among the patients in the unit and this was consistent with results reported in previous studies. 3,14,19,20 One explanation for this may be the lack of knowledge about cancer treatment and its consequences among nurses, therefore little information is passed on to patients.…”

Section: Discussionmentioning

confidence: 99%

Patient-related Barriers to Cancer Pain Management in Jordan

Qadire

2012

Journal of Pediatric Hematology/Oncology

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Barriers to cancer pain management are prevalent among cancer patients around the world, which may hinder patients from receiving adequate pain treatment. However, no study has examined the barriers to cancer pain management among Jordanian cancer patients and thus this study was conducted to fill this gap. Fifty cancer patients completed the Barriers Questionnaire. It was found that patients held high level of concerns (mean of Barriers Questionnaire = 2.58, SD = 0.54). In addition, fear of addiction, fear of physiological and harmful effects of pain medications were the highest rated items which may indicate the need for patients' education about cancer pain and its treatment.

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“…, Finley et al . ). Importantly, these prior studies have highlighted that inequities exist in the pain‐related care provided to children with cancer, yet very few studies have considered the effectiveness of analgesic therapy for children hospitalised for antineoplastic therapy (Zernikow et al .…”

Section: Introductionmentioning

confidence: 97%