Barriers to Cancer Pain Management Among Nurses in Kenya: A Focused Ethnography

Onsongo, Lister

doi:10.1016/j.pmn.2019.08.006

Cited by 19 publications

(16 citation statements)

References 31 publications

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“…Participants stated that some physicians were refuse to prescribe analgesics and opioids and advised patients to tolerate pain. Consistent with this finding, Onsongo showed that some physicians did not like prescribing analgesics and ignored reports of patients’ pain (Onsongo, 2020). According to Gerber et al, nurses reported the refusal of some physicians to prescribe pain medication (Gerber et al., 2021).…”

Section: Discussionmentioning

confidence: 81%

Barriers to cancer pain management from the perspective of patients: A qualitative study

et al. 2021

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Aim The aim of this study was to explore the barriers to effective pain management in Iranian people with cancer. Design A qualitative descriptive design was used. Methods This qualitative descriptive study was performed on 14 people with cancer. Data were collected using semi‐structured interviews and analysed by Graneheim and Lundman's content analysis method. Results Four main categories emerged in relation to barriers to pain management from the perspective of people with cancer. Categories included 1) accepting and enduring divine pain, 2) negative attitudes towards the effectiveness of analgesics, 3) patients’ low knowledge of pain self‐management methods and 4) neglected pain management. Barriers to pain management are multidimensional in nature consisting of patients, healthcare providers and system components. Therefore, attempts should be focused on the education of patients and healthcare providers about pain management and eliminating the shortcomings of the healthcare system.

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Section: Discussionmentioning

confidence: 81%

Barriers to cancer pain management from the perspective of patients: A qualitative study

et al. 2021

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“…Según lo dialogado con el personal de salud, esto excede a sus obligaciones; sin embargo, valdría la pena reflexionar y calcular cuál sería el costobeneficio de esta estrategia. Estos hallazgos coinciden con las discusiones encontradas en la revisión de la bibliografía [3,[8][9][10] . En investigaciones realizadas en países en desarrollo se puede observar que uno de los patrones en cuanto a barreras para el tamizaje de CCU se centra en la escasez del recurso humano.…”

Section: Discussionunclassified

Barreras para diagnóstico y tratamiento de cáncer de cuello uterino en un hospital público de Lima, Perú: un estudio cualitativo

Eyzaguirre

Luna

2020

Acta Med Peru

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Objetivos: analizar y discutir las barreras para diagnóstico y tratamiento de cáncer de cuello uterino (CCU) en un hospital público de Lima, Perú. Materiales y métodos: se llevó a cabo un estudio cualitativo entre los meses de diciembre 2019 y marzo 2020. Observación y entrevistas a profundidad fueron las herramientas de recojo de información empleadas. En total, 15 entrevistas a profundidad con pacientes y distintos miembros del personal de salud fueron realizadas. Resultados: para los diferentes miembros del personal de salud, las barreras se centran en la falta de personal y mejora de las infraestructuras hospitalarias. Esto ocasiona un debilitamiento en campañas de educación sobre la importancia del tamizaje para la prevención del CCU. Para las pacientes, los tiempos, el desconocimiento y el miedo a exponerse ante un personal de salud varón, son las principales barreras para la toma de decisiones en salud respecto a la prevención y cuidado de CCU. Conclusiones: la débil infraestructura hospitalaria repercute en actividades de educación y promoción sobre CCU. También impacta el tiempo de entrega de resultados de pruebas de tamizaje y el acceso a citas ginecológicas. Estas demoras generan ausencias y discontinuidad en el autocuidado de las mujeres. Esta realidad, sumada al desconocimiento sobre la gravedad del CCU por parte de las pacientes y a la priorización de responsabilidades laborales y domésticas, invitan a reflexionar sobre el insuficiente trabajo del sistema de salud en relación al manejo de esta enfermedad.

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“…Examination of the 24 studies included in this systematic review identified that five studies were conducted in Nigeria (Alexander et al,2015, Arinze et al, 2018, Igwesi-Chidobe et al, 2017, Olaogun et al, 2008, Suleiman et al, 2016), a further five studies were from Ghana (Aziato et al, 2017, Aziato & Adejumo, 2014, Aziato et al 2016, Aziato et al, 2017, Woolley et al, 2016), four from South Africa (Beck, 2000, Lourens et al, 2020, Nortje & Albertyn, 2015, Ratshikana-Moloko et al, 2020), two from studies were from Ethiopia (Bishaw et al, 2020, Eshete et al, 2019), two from SSA (Clancy, 2014, Harding, 2003), and one study from from Ghana & Benin (de Zeeuw et al, 2015), Rwanda (Johnson et al, 2015), Uganda (Nabukenya et al, 2015), Kenya (Onsongo, 2020), Zimbabwe (Sonquishe & Levy, 1990), and Cameroon (Young et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…Organizational factors were also found to be a barrier to pain management resources (Harding, et al,2003). Evidence suggested that there were challenges to providing pain relief, which included unavailability of some pain medication especially opioids due to government restrictions, funders restrictions as well as prohibitive drug cost (Onsongo, 2020; Suleiman, et al, 2016). In some SSA countries, the ratio of midwives/nurses to patients are very low leading to increase workload on midwives (Aziato, et al, 2017; Bishaw, et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

Systematic Review Exploring the Impact of Socio-Cultural Factors on Pain Management Approaches in Sub- Saharan Africa

Dompreh

Lynch

Longworth

2022

Preprint

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Aim The experience and expression of pain are influenced by numerous factors of which culture and the society plays a major role especially in SSA. However, few studies have focused on the impact of cultural influences on pain assessment and management in SSA. This systemic review examines pain prevalence and its intensity/severity, the socio-cultural factors that affect pain management and the extent to which socio-cultural practices influence pain assessment and management in SSA. Methods Applying the Preferred Reporting Items for Systemic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic literature search was conducted. Seven electronic databases were searched, and a strict inclusion and exclusion criteria applied to the retrieve articles along with a robust filtering to identify eligible peer reviewed literature. The review process concluded with 24 eligible articles and following the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) approach was applied to assess the quality of the included literature and thematic narrative analysis was conducted. Results The analysis findings identified that there are sociocultural barriers to effective pain management from the perspective of different subcultures in SSA. The evidence suggests that religious/spiritual and inherited beliefs, along with limited knowledge and health literacy influence the experience and pain management approaches applied in SSA. In addition, results indicate that, resource constraints and cultural and societal norms impact on access and use of pain management among the population in SSA. Conclusion Healthcare professionals should be aware of how the society, cultural and beliefs of their patients influence their expression of pain and subsequent pain management. Under-treatment or over-treatment might occur if health workers are unaware or do not consider the cultural norms associated with pain and pain expression, due to the subjective and individual nature of pain.

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Barriers to Cancer Pain Management Among Nurses in Kenya: A Focused Ethnography

Cited by 19 publications

References 31 publications

Barriers to cancer pain management from the perspective of patients: A qualitative study

Barriers to cancer pain management from the perspective of patients: A qualitative study

Barreras para diagnóstico y tratamiento de cáncer de cuello uterino en un hospital público de Lima, Perú: un estudio cualitativo

Systematic Review Exploring the Impact of Socio-Cultural Factors on Pain Management Approaches in Sub- Saharan Africa

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