Teaching cancer pain management: durability of educational effects of a role model program

Janjan, Nora A.; Martin, Charles G.; Payne, Richard J.; Dahl, June L.; Weissman, David E.; Hill, Ciaran Scott

doi:10.1002/(sici)1097-0142(19960301)77:5<996::aid-cncr28>3.3.co;2-r

Cited by 13 publications

(22 citation statements)

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“…Also, the research nurses collecting data for the current study and the oncologist coinvestigators may have served as role models for pain management practice in their settings. 20 The assessment of attitudes toward pain and pain treatment did not reveal any significant differences between the African-American and Hispanic patients.…”

Section: Discussionmentioning

confidence: 66%

Minority cancer patients and their providers

Mendoza

Valero

Richman

et al. 2000

Cancer

Self Cite

272

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Section: Discussionmentioning

confidence: 66%

Minority cancer patients and their providers

Mendoza

Valero

Richman

et al. 2000

Cancer

Self Cite

272

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“…These results corroborate the findings of the study of Janjan et al 4 and of Schuit et al 19 The poor scores on symptom control items and the little change after the educational sessions may be due to the more ex cathedra teaching and less interactive discussion on symptom control topics during the programme. Other ways to teach this material need to be looked for.…”

Section: Discussionmentioning

confidence: 99%

Attitudes and knowledge about cancer pain in Flanders. The educational effect of workshops regarding pain and symptom control

Bauwens¹,

Distelmans

Storme

et al. 2001

Palliat Med

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Despite international agreements and recommendations regarding cancer pain therapy, the effectiveness of pain treatment is still a major problem even in Western countries. Part of the problem is that physicians and nurses often lack knowledge of methods for the assessment and treatment of cancer pain and may have many rigid beliefs and attitudes. This study investigated the misconceptions of physicians and nurses that play a role in the undertreatment of pain in Flanders (Belgium). We approached 197 health care workers who participated in the pain and symptom control education sessions organized by the Federation Palliative Care Flanders, and asked them to complete a questionnaire both before and after the sessions. The impact of the education sessions on their knowledge and beliefs regarding the management of cancer pain was substantial. Methods of reaching the target groups that do not feel the need for further education are discussed.

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“…Verschiedene Arbeitsgruppen versuchten mit "Multiple-choice-Fragen" [8,15,21,22] oder mit offenen Fragebogen den Kenntnisstand zu bewerten [1,2,6,15,16,21]. In anderen Studien wurde das Wissen der Ärzte mit konstruierten Fallberichten und Testpatienten beurteilt [7,11,21,22].…”

Section: Diskussion Qualität Der Behandlungunclassified

“…In einigen Untersuchungen konnten auf diese Weise Unterschiede in den Kenntnissen und Einstellungen zur Therapie tumorbedingter Schmerzen im Verlauf mehrerer Jahre dargestellt werden [22]. Die wiederholte Untersuchung mit einem Fragebogen zeigte eine Verbesserung im Kenntnisstand zur Tumorschmerztherapie nach einer Fortbildungsmaßnahme, die sogar bis zu einem Jahr nach Durchführung der Fortbildung anhielt [1,6].…”

Section: Diskussion Qualität Der Behandlungunclassified

Anwendung von Leitlinien zur Kopf- und Tumorschmerztherapie bei niedergelassenen Ärzten

Elsner¹,

Sonntag

Schmeißer

et al. 2002

Der Schmerz

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In a regional pain management network in Cologne, sponsored by the German Ministry of Health, structures of outpatient pain treatment in general practice and the adherence to pain management guidelines were examined. The 3-year project was divided into a 1-year observational period to analyze the present state of outpatient pain management followed by a 2-year period of interventions such as consultations and educational training programs in pain treatment. Eighty physicians with different specializations working in general practice took part in the network. The knowledge of and adherence to the guidelines for the treatment of headache and cancer pain were examined by questionnaire surveys and six simulated patient cases. These investigations were performed yearly from 1997 to 2000. The adherence to the guidelines for the treatment of headache and cancer pain by the physicians participating in the network was low. The levels achieved for simulated cases of headache were higher than for cancer pain. The results of simulated patient cases from the beginning and the end of the project were available for comparison for 28 physicians. Evaluation of the physicians' assessment of the simulated patient cases increased only fractionally and was not significant in headache patients (median change of 0.67) and cancer pain patients (median change of 0.17). The network interventions resulted in a slight improvement in the knowledge of and attitudes to the treatment of headache and cancer pain as judged by simulated patient cases. This improvement, however, did not reach statistical significance. The small number of physicians answering at the beginning and at the end of the project made it difficult to draw a general conclusion on whether the interventions had led to an improvement in outpatient pain management in a larger group of physicians.

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Teaching cancer pain management: durability of educational effects of a role model program

Cited by 13 publications

References 0 publications

Minority cancer patients and their providers

Minority cancer patients and their providers

Attitudes and knowledge about cancer pain in Flanders. The educational effect of workshops regarding pain and symptom control

Anwendung von Leitlinien zur Kopf- und Tumorschmerztherapie bei niedergelassenen Ärzten

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