Physicians’ self-assessment of cancer pain treatment skills—more training required

Silvoniemi, Maria; Vasankari, Tuula; Vahlberg, Tero; Vuorinen, Eero; Clemens, Katri Elina; Salminen, Eeva

doi:10.1007/s00520-012-1396-9

Cited by 21 publications

(20 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Programs are made available to health care professionals through various nongovernmental organizations such as the Lebanese Society for the Study of Pain (LSSP, a chapter of the International Association for the Study of Pain IASP) and the Pain Relief and Palliative Care Group (PR & PCG) that is under the auspices of the Lebanese Cancer Society [ 11 ]. Reviewed international studies on pain management knowledge and attitudes for health care professionals recommended continuing professional education, pain management skills development, and protocol development for the standardization of care [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Nasser

Nassif

Saad

2016

Pain Research and Management

View full text Add to dashboard Cite

Despite promising initiatives to advance the practice of pain management in Middle Eastern countries, their pain care lags behind developed countries. The objectives of this study are to evaluate physicians' assessment of their own competency in pain management, to assess physicians' practice related to pain management, and to identify physician-related barriers to effective pain control. A cross-sectional survey was conducted in 3 teaching medical centers in Lebanon targeting the above-mentioned outcomes and assessing the impact of physicians' years in practice on the studied end-points. A total of 69 physicians were surveyed. Fifty-seven percent reported “very good to excellent” pain management skills; only 25% of them described the need for continuing professional development. When treating patients with pain, 52% of physicians refer to updated international guidelines, whereas 43% rely on their own judgment. Physicians were more likely to consult with another physician (65%) rather than a pharmacist (12%) when treating patients with pain. Fear of adverse effects of analgesics was the most commonly reported barrier (45%) to pain control among physicians from different career stages. Based on these survey findings, national pain management and practice policies are needed to optimize this area of deficiency in patient care.

show abstract

Section: Discussionmentioning

confidence: 99%

Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Nasser

Nassif

Saad

2016

Pain Research and Management

View full text Add to dashboard Cite

show abstract

“…A lack of confidence in palliative care knowledge and skills, as reported in the studies’ results, can also be seen as an indicator of potential areas for concern regarding the level of palliative care knowledge and skills among the hospital clinical staff. Previous research has indicated that lack of confidence in one's abilities can negatively impact on performance 1 30. Research by Brazil et al ,35 although focused on nursing home residents, also found that a major predictor of quality care provision to dying patients was a nurse's level of confidence in discussing issues of death or dying with family.…”

Section: Discussionmentioning

confidence: 99%

“… vi Originally designed by Smith et al 29 and modified by Billings et al ,28 the Experiences with End-of-Life scale30 is designed to record the frequency of observation and performance of end-of-life healthcare tasks. Frequency in this context is defined as measure of experience.…”

mentioning

confidence: 99%

Clinical staff perceptions of palliative care-related quality of care, service access, education and training needs and delivery confidence in an acute hospital setting

Frey

Gott

Raphael

et al. 2013

BMJ Support Palliat Care

View full text Add to dashboard Cite

show abstract

“…Despite the increased need for skills in palliative care, medical students and doctors report having insufficient knowledge and training in palliative medicine (PM) [2–4]. Junior doctors often feel unprepared to provide end-of-life care to patients and their families [5–8].…”

Section: Introductionmentioning

confidence: 99%

Undergraduate curriculum in palliative medicine at Tampere University increases students’ knowledge

et al. 2017

View full text Add to dashboard Cite

BackgroundEducation in palliative medicine (PM) at medical schools reveals wide variation despite the increasing importance of palliative care. Many universities present poor description of the benefits and detailed content of the total curriculum in PM. Using the recommendations of European Association for Palliative Care (EAPC) as a reference, we evaluated the content and outcomes of the curriculum in PM at the University of Tampere, Finland.MethodsWe searched for a PM curriculum by examining the teaching offered by every specialty and compared it to EAPC recommendations. Students’ knowledge was evaluated using a progress test over three consecutive years.ResultsWe found 53.5 teaching hours addressing PM issues, which exceeds the recommendation of the EAPC. Basics, symptom management, ethics, and communication skills were well established, while education in psychosocial/spiritual aspects, teamwork and self-reflection failed to reach the recommendations. Out of the maximum of 4.0, the progress test mean scores in PM among the third, fourth, fifth and sixth year students were 0.1 (SD 0.71), 0.69 (SD 1.28), 1.38 (SD 1.46) and 2.53 (SD 1.26), respectively (p < 0.001). This growing knowledge was associated with the timely increase in teaching provided through the PM discipline. In addition, the students who completed the optional PM course achieved better mean scores (2.66; SD 1.27) than the others (1.33; SD 1.43) (p < 0.001).ConclusionsThe curriculum in PM at the University of Tampere is integrated into the teaching of many disciplines and complied well with the EAPC recommendations. This education led to increasing knowledge in PM among medical students.

show abstract

Physicians’ self-assessment of cancer pain treatment skills—more training required

Abstract: To have more confidence in treating cancer, pain physicians would benefit in training and education in palliative care. It should be systematically included both in general and specialist training and continuous medical education.

Cited by 21 publications

References 25 publications

Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Clinical staff perceptions of palliative care-related quality of care, service access, education and training needs and delivery confidence in an acute hospital setting

Undergraduate curriculum in palliative medicine at Tampere University increases students’ knowledge

Contact Info

Product

Resources

About