Improving Cancer Pain Management by Homecare Nurses

Vallerand, April Hazard; Riley-Doucet, Cheryl; Hasenau, Susan M.; Templin, Thomas

doi:10.1188/04.onf.809-816

Cited by 52 publications

(69 citation statements)

References 20 publications

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“…Eine zentrale Aufgabe der eingebundenen Pflegenden liegt dabei im multiprofessionellen Schmerzmanagement [32]. Pflegende agieren hier als Bindeglied zwischen Ärzten, Patienten und Angehörigen [34]. Durch ihre Nähe zum Patienten kommt Pflegenden auch in der Beobachtung des Schmerzerlebens der Patienten und der Wirksamkeit der Schmerzbehandlung eine tragende Rolle zu.…”

Section: Hintergrund Und Fragestellungunclassified

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Herausforderungen ambulanter Pflegedienste im Schmerzmanagement von Tumorpatienten

Gnass

Krutter

Nestler

2018

Schmerz

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Section: Hintergrund Und Fragestellungunclassified

“…Herausforderungen im Schmerzmanagement, die sich aus der interdisziplinären Zusammenarbeit mit [9,34], in der sich auch die von uns Befragten sehen.…”

Section: Introductionunclassified

Herausforderungen ambulanter Pflegedienste im Schmerzmanagement von Tumorpatienten

Gnass

Krutter

Nestler

2018

Schmerz

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“…Among the interventions that were made in the studies, 5 (26.3%) evaluated Educational Programs, which include the implementation of scales and other features that allow a better assessment and management of pain [11,13,15,17,19]; 2 (10.5%) implemented evidence-based educational interventions, which include focus groups and application of guidelines with the professionals [18,20]; 2 (10.5%) applied cognitive-behavioral interventions, with a focus on understanding the nature of symptoms and improving the ability to control the symptoms [14,16]; and 1 (5.2%) applied daily pain management journals [12]. Table 2 highlights the main outcomes related to the studies included in the review.…”

Section: Health Education (N=10)mentioning

confidence: 99%

“…Results of health education for nurses showed that the professionals who participated in the programs reported greater confidence to assess the pain, to have a more effective attitude to management this symptom, and they also reported reduction of barriers [17][18][19]. As an effective result, higher patient satisfaction was obtained, which was caused by two aspects.…”

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confidence: 99%

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Evidence For The Cancer Patients’ Pain Management: An Integrative Review

et al. 2016

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Background: On cancer, pain is one of the most frequent and distressing symptoms, being present in all stages of the disease. Knowing that, this study aimed to analyze the available evidence in the literature about chronic pain management by nurses in adult patients with cancer. Methods and Results:It is an integrative review searched in the PUBMED, LILACS, CINAHL and COCHRANE databases. Nineteen studies met the inclusion criteria proposed in the study, most controlled clinical trials. The articles were analyzed and grouped into three thematic categories: health education (52.6%), clinical practice (36.9%) and complementary therapies (10.5%). Conclusion:The nurse has various means for better pain management, promoting effective assistance, minimizing possible barriers, promoting the autonomy of the patient and the ability to self-control, resulting in greater patient satisfaction.

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Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes

Baker

Camosso‐Stefinovic

Gillies

et al. 2010

Cochrane Database of Systematic Reviews

690

571

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Background In the previous version of this review, the effectiveness of interventions tailored to barriers to change was found to be uncertain. Objectives To assess the effectiveness of interventions tailored to address identified barriers to change on professional practice or patient outcomes. Search methods For this update, in addition to the EPOC Register and pending files, we searched the following databases without language restrictions, from inception until August 2007: MEDLINE, EMBASE, CINAHL, BNI and HMIC. We searched the National Research Register to November 2007. We undertook further searches to October 2009 to identify potentially eligible published or ongoing trials. Selection criteria Randomised controlled trials (RCTs) of interventions tailored to address prospectively identified barriers to change that reported objectively measured professional practice or healthcare outcomes in which at least one group received an intervention designed to address prospectively identified barriers to change. Data collection and analysis Two reviewers independently assessed quality and extracted data. We undertook quantitative and qualitative analyses. The quantitative analyses had two elements. We carried out a meta-regression to compare interventions tailored to address identified barriers to change with either no interventions or an intervention(s) not tailored to the barriers.We carried out heterogeneity analyses to investigate sources of differences in the effectiveness of interventions. These included the effects of: risk of bias, concealment of allocation, rigour of barrier analysis, use of theory, complexity of interventions, and the reported presence of administrative constraints. Main results We included 26 studies comparing an intervention tailored to address identified barriers to change to no intervention or an intervention(s) not tailored to the barriers. The effect sizes of these studies varied both across and within studies. Twelve studies provided enough data to be included in the quantitative analysis. A meta-regression model was fitted adjusting for baseline odds by fitting it as a covariate, to obtain the pooled odds ratio of 1.54 (95% CI, 1.16 to 2.01) from Bayesian analysis and 1.52 (95% CI, 1.27 to 1.82, P < 0.001) from classical analysis. The heterogeneity analyses found that no study attributes investigated were significantly associated with effectiveness of the interventions. Authors’ conclusions Interventions tailored to prospectively identified barriers are more likely to improve professional practice than no intervention or dissemination of guidelines. However, the methods used to identify barriers and tailor interventions to address them need further development. Research is required to determine the effectiveness of tailored interventions in comparison with other interventions.

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Improving Cancer Pain Management by Homecare Nurses

Abstract: A need exists for homecare nurses to gain more insight into pain management strategies and enhance their advocacy skills to improve pain management for patients with cancer treated in the home.

Cited by 52 publications

References 20 publications

Herausforderungen ambulanter Pflegedienste im Schmerzmanagement von Tumorpatienten

Herausforderungen ambulanter Pflegedienste im Schmerzmanagement von Tumorpatienten

Evidence For The Cancer Patients’ Pain Management: An Integrative Review

Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes

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