Pain Attitudes and Knowledge Among RNs, Pharmacists, and Physicians on an Inpatient Oncology Service

Xue, Ying; Schulman‐Green, Dena; Czaplinski, Cindy; Harris, Debra; McCorkle, Ruth

doi:10.1188/07.cjon.687-695

Cited by 37 publications

(43 citation statements)

References 21 publications

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“…[18] However, few studies that used same instrument reported higher score than our study. [13,17,26,30,31] Poor knowledge in this study could be attributed to several reasons. One possible reason is that the majority of nurses (63.3%) working in adult SCD wards were expatriates from India.…”

Section: Demographic and Personal Characteristicsmentioning

confidence: 87%

“…[13][14][15][16][17] The findings from these studies revealed that nurses had inadequate knowledge about pain assessment and management. [13,[18][19][20] Previous research studies have identified several barriers to adequate pain management in SCD such as: sociocultural factors, the concerns regarding addiction, disbelief of the health care professional and the lack of knowledge.…”

Section: Introductionmentioning

confidence: 99%

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Nurses’ knowledge and attitudes toward pain assessment and management for adult sickle cell disease patients during sickling crisis

Yaqoob¹,

Nasaif

2015

Clinical Nursing Studies

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In the kingdom of Bahrain an estimated 18,000 people suffer from Sickle Cell Disease (SCD) and many experience periodic episodes of sickling crisis. Research studies that examine the knowledge and attitudes of nurses toward pain assessment and management of SCD patients are limited especially in the Middle East. This study aims to assess the level of knowledge and attitudes of nursing staff regarding pain assessment and management of patients with SCD during sickling crisis. A quantitative study design was utilized to recruit a convincence sample of 30 staff nurses working in adult SCD wards in one of governmental hospital in the Kingdom of Bahrain. A modified version of Nurses' Knowledge and Attitude Survey questionnaire regarding Pain was used to examine the research variables. The results of the study showed that a mean score of knowledge was 15.8 out of 33 (47.8% out of 100%). This finding indicates that staff nurses had poor knowledge and negative attitudes toward SCD pain assessment and management. The findings showed no significant difference in the mean score of knowledge in relation with nationality (p = .693), age (p = .966), level of education (p = .732), years of experience (p = .887), and previous training courses or workshops on pain management (p = .877). This study suggests the need for implementing of specific strategies to effectively educate the staff nurses about pain assessment and management, and integrate pain management as a major component of the hospital in-house training programs.

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Section: Demographic and Personal Characteristicsmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Nurses’ knowledge and attitudes toward pain assessment and management for adult sickle cell disease patients during sickling crisis

Yaqoob¹,

Nasaif

2015

Clinical Nursing Studies

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“…It is a topic of continuing interest as the recent studies on the prevalence of pain in patients with cancer showed figures that ranged from 24% to 60% in patients on active anticancer treatment and 62% to 86% in patients with advanced cancer. [8][9][10] Pain negatively affects the quality of life of patients with cancer. 11,12 Therefore, pain management is crucial to reduce the distress of patients and increase productivity and functioning.…”

Section: Cancer In the Middle Eastern Countriesmentioning

confidence: 99%

Opioids for Cancer Pain in the Middle Eastern Countries

Daher

2011

Journal of Pediatric Hematology/Oncology

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Cancer is an increasing problem in the Middle Eastern (ME) countries. It is the fourth leading cause of death in this region. At present, resources for cancer control in the ME countries as a whole are not only inadequate but directed almost exclusively to treatment. In the majority of countries of this region, cancer is generally diagnosed when it is at a relatively advanced stage. Pain is prevalent among people who have cancer, and is one of the most feared and burdensome symptoms. Pain negatively affects the quality of life of patients with cancer. Inadequate and inappropriate pain management of patients who experienced cancer pain has been documented in several studies and this is possibly due to insufficient understanding of pain assessment and management. Middle Eastern countries include a wide range of economically diverse countries, from technically advanced countries with high level cancer care to countries with little or no cancer treatment capabilities. There are large differences in population size, wealth and health expenditure. Palliative care (PC) is an urgent humanitarian need worldwide for people with cancer and other chronic fatal diseases; relieving pain and suffering is an essential part of PC. The need for improved palliative care in ME countries is great. Of 58 million people who die every year, 45 million die in developing countries. An estimated 60% (27 million) of these people in developing countries would benefit from palliative care, and this number is growing as chronic diseases such as cancer rise rapidly. From the situation analysis of palliative care in the ME countries, suggesting that pain relief is insufficient, improvements in palliative care delivery are a high priority.We reviewed the situation of pain management and pain control in Lebanon and the ME countries, the barriers that are present, and we propose the priorities and a reform for an integrated approach to address the problem of under-treated pain at all levels:

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“…For example, physicians, especially oncologists, generally have general knowledge of cancer pain management, while seemingly lacking knowledge regarding opioid administration or alternate therapies for pain control [8]. This knowledge deficit typically emerged when physicians calculated opioid dosages for the management of breakthrough pain [12] and when attempting to select the correct response to challenging clinical vignettes [5].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Practices, and Perceived Barriers Regarding Cancer Pain Management Among Physicians and Nurses In Korea: A Nationwide Multicenter Survey

et al. 2014

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PurposeMedical professionals’ practices and knowledge regarding cancer pain management have often been cited as inadequate. This study aimed to evaluate knowledge, practices and perceived barriers regarding cancer pain management among physicians and nurses in Korea.MethodsA nationwide questionnaire survey was administered to physicians and nurses involved in the care of cancer patients. Questionnaire items covered pain assessment and documentation practices, knowledge regarding cancer pain management, the perceived barriers to cancer pain control, and processes perceived as the major causes of delay in opioid administration.ResultsA total of 333 questionnaires (149 physicians and 284 nurses) were analyzed. Nurses performed pain assessment and documentation more regularly than physicians did. Although physicians had better knowledge of pain management than did nurses, both groups lacked knowledge regarding the side effects and pharmacology of opioids. Physicians working in the palliative care ward and nurses who had received pain management education obtained higher scores on knowledge. Physicians perceived patients’ reluctance to take opioids as a barrier to pain control, more so than did nurses, while nurses perceived patients’ tendency to under-report of pain as a barrier, more so than did physicians. Physicians and nurses held different perceptions regarding major cause of delay during opioid administration.ConclusionsThere were differences between physicians and nurses in knowledge and practices for cancer pain management. An effective educational strategy for cancer pain management is needed in order to improve medical professionals’ knowledge and clinical practices.

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Pain Attitudes and Knowledge Among RNs, Pharmacists, and Physicians on an Inpatient Oncology Service

Cited by 37 publications

References 21 publications

Nurses’ knowledge and attitudes toward pain assessment and management for adult sickle cell disease patients during sickling crisis

Nurses’ knowledge and attitudes toward pain assessment and management for adult sickle cell disease patients during sickling crisis

Opioids for Cancer Pain in the Middle Eastern Countries

Knowledge, Practices, and Perceived Barriers Regarding Cancer Pain Management Among Physicians and Nurses In Korea: A Nationwide Multicenter Survey

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