Practice, Knowledge, and Attitude of Health Care Providers regarding Cancer Pain Management: A National Survey

Background. A lack of knowledge and inadequate practices of health care providers (HCPs) are the main obstacles to effective cancer pain management (CPM). The main objective of the study was to evaluate the CPM knowledge, CPM practice, and attitudes towards pharmacists’ participation and advanced methods in CPM of physicians, nurses, and pharmacists in China. Methods. An open online survey was adopted using social media software (WeChat) as the platform to conduct a nationwide survey of HCPs involved in CPM in public medical institutions at all levels in China from March to June 2019. Results. A total of 1279 physicians, 2267 nurses, and 1466 pharmacists participated in the survey. Among the three types of professionals, nurses had the highest level of practical ability (61.63 ± 28.99) and best attitudes towards pharmacists’ participation and advanced methods in CPM (72.05 ± 33.71) and physicians had the best mastery of CPM-related knowledge (69.60 ± 28.45), while pharmacists performed the worst in these three aspects (50.04 ± 26.69, 61.49 ± 28.95, and 62.07 ± 36.46, respectively). Only 19.69% of the hospitals had a pharmacist to tumor patient ratio ≥1 : 50. Hierarchical analysis showed that passing a good pain management (GPM) ward program and participating in advanced training had positive impacts on the scores of all three parts in the three professions (ptrend <0.05). Conclusions. HCPs’ levels of practice, knowledge, and attitudes towards pharmacists and advanced methods of CPM were average in China; however, pharmacists had the worst performance, which demonstrates a need for further improvement. Furthermore, GPM ward programs and advanced trainings are helpful for improving CPM levels.

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Knowledge and Attitudes of Health-Care Providers Toward Cancer Pain Management

Journal of Pain and Symptom Management ◽

10.1016/s0885-3924(98)00023-2 ◽

1998 ◽

Vol 15 (6) ◽

pp. 335-349 ◽

Cited By ~ 82

Author(s):

Charlotte T. Furstenberg ◽

Tim A. Ahles ◽

Marie B. Whedon ◽

Kyle L. Pierce ◽

Marion Dolan ◽

...

Keyword(s):

Health Care ◽

Pain Management ◽

Cancer Pain ◽

Health Care Providers ◽

Care Providers ◽

Cancer Pain Management ◽

Knowledge And Attitudes

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Impact of COVID-19 on medical practice: A nationwide survey of dermatologists and health care providers in Iraq

Clinics in Dermatology ◽

10.1016/j.clindermatol.2020.11.010 ◽

2020 ◽

Author(s):

Mohammed Shanshal ◽

Hayder Saad Ahmed ◽

Hayder Asfoor ◽

Raad Ibrahim Salih ◽

Shehab Ahmed Ali ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Medical Practice ◽

Nationwide Survey ◽

Care Providers

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Plain Language Summary: Opioid Prescribing for Analgesia After Common Otolaryngology Operations

Otolaryngology ◽

10.1177/0194599821996313 ◽

2021 ◽

Vol 164 (4) ◽

pp. 704-711

Author(s):

Samantha Anne ◽

Sandra A. Finestone ◽

Allison Paisley ◽

Taskin M. Monjur

Keyword(s):

Health Care ◽

Decision Making ◽

Clinical Practice ◽

Pain Management ◽

Health Care Providers ◽

Clinical Practice Guideline ◽

Shared Decision ◽

Care Providers ◽

Plain Language ◽

Opioid Prescribing

This plain language summary explains pain management and careful use of opioids after common otolaryngology operations. The summary applies to patients of any age who need treatment for pain within 30 days after having a common otolaryngologic operation (having to do with the ear, nose, or throat). It is based on the 2021 “Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations.” This guideline uses available research to best advise health care providers, and it includes recommendations that are explained in this summary. Recommendations may not apply to every patient but can be used to facilitate shared decision making between patients and their health care providers.

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Reopening Oral Health Services during the COVID-19 Pandemic through a Knowledge Exchange Coalition

JDR Clinical & Translational Research ◽

10.1177/23800844211011985 ◽

2021 ◽

pp. 238008442110119

Author(s):

M. McNally ◽

L. Rock ◽

M. Gillis ◽

S. Bryan ◽

C. Boyd ◽

...

Keyword(s):

Health Care ◽

Oral Health ◽

Health Services ◽

Return To Work ◽

Health Care Providers ◽

Online Survey ◽

Knowledge Exchange ◽

Oral Health Care ◽

Care Providers ◽

Oral Health Services

Background: The COVID-19 novel coronavirus closed oral health care in Nova Scotia (NS) Canada in March 2020. Preparing for a phased reopening, a knowledge exchange coalition (representing government, academia, hospitals, oral health professions, and regulators) developed return-to-work (RTW) guidelines detailing the augmentation of standard practices to ensure safety for patients, oral health care providers (OHPs), and the community. Using online surveys, this study explored the influence of the RTW guidelines and related education on registered NS OHPs during a phased return to work. Methods: Dissemination of R2W guidelines included website or email communiques and interdisciplinary education webinars that coincided with 2 RTW phases approved by the government. Aligned with each phase, all registered dentists, dental hygienists, and dental assistants were invited to complete an online survey to gauge the influence of the coalition-sponsored education and RTW guidelines, confidence, preparedness, and personal protective equipment use before and after the pandemic. Results: Three coalition-sponsored multidisciplinary webinars hosted 3541 attendees prior to RTW. The response to survey 1 was 41% (881/2156) and to survey 2 was 26% (571/2177) of registrants. Survey 1 (82%) and survey 2 (89%) respondents “agreed/strongly agreed” that R2W guidelines were a primary source for guiding return to practice, and most were confident with education received and had the skills needed to effectively treat patients during the COVID-19 pandemic. Confidence and preparedness improved in survey 2. Gowns/lab coat use for aerosol-generating procedures increased from 26% to 93%, and the use of full face shields rose from 6% to 93% during the pandemic. Conclusions: A multistakeholder coalition was effective in establishing and communicating comprehensive guidelines and web-based education to ensure unified reintegration of oral health services in NS during a pandemic. This multiorganizational cooperation lay the foundation for responses to subsequent waves of COVID-19 and may serve as an example for collaboratively responding to future public health threats in other settings. Knowledge Transfer Statement: The return-to-work strategy that was developed, disseminated, and assessed through this COVID-19 knowledge exchange coalition will benefit oral health practitioners, professional regulators, government policy makers, and researchers in future pandemic planning.

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Manage My Pain

Chronic Illness and Long-Term Care ◽

10.4018/978-1-5225-7122-3.ch032 ◽

2019 ◽

pp. 642-667

Author(s):

Aliza Weinrib ◽

Muhammad Abid Azam ◽

Vered Valeria Latman ◽

Tahir Janmohamed ◽

Hance Clarke ◽

...

Keyword(s):

Health Care ◽

Pain Management ◽

General Hospital ◽

Health Care Providers ◽

Virtual Community ◽

User Engagement ◽

Care Providers ◽

Management Platform ◽

Surgical Pain ◽

Chronic Post Surgical Pain

This chapter describes the Manage My Pain digital pain management platform and its integration into the Transitional Pain Service at Toronto General Hospital. A collaboration between ManagingLife, the developer of Manage My Pain, and the Transitional Pain Service led to the creation of a patient-provider virtual community with the aim of managing complex pain after surgery so as to prevent the transition from acute post-surgical pain to chronic post-surgical pain. User engagement, motivation, and satisfaction are discussed with respect to the needs of (1) people living with pain and (2) health care providers. Challenges in implementation are described, along with new features developed for the digital platform as a result of the partnership between ManagingLife and the Transitional Pain Service.

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An Evaluation of the Self-Reported Knowledge Base of Disaster Management Core Competencies of Australian Paramedics

Prehospital and Disaster Medicine ◽

10.1017/s1049023x19002814 ◽

2019 ◽

Vol 34 (s1) ◽

pp. s129-s130

Author(s):

Peter Horrocks ◽

Vivienne Tippett ◽

Peter Aitken

Keyword(s):

Health Care ◽

Disaster Management ◽

Health Care Providers ◽

Health Care Professionals ◽

Disaster Response ◽

Online Survey ◽

Core Competencies ◽

Ambulance Service ◽

Care Providers ◽

Extensive Experience

Introduction:Evidence-based training and curriculum are seen as vital in order to be successful in preparing paramedics for an effective disaster response. The creation of broadly recognized standard core competencies to support the development of disaster response education and training courses for general health care providers and specific health care professionals will help to ensure that medical personnel are truly prepared to care for victims of mass casualty events.Aim:To identify current Australian operational paramedic’s specific disaster management education and knowledge as it relates to disaster management core competencies identified throughout the literature and the frequency of measures/techniques which these paramedics use to maintain competency and currency.Methods:Paramedics from all states of Australia were invited to complete an anonymous online survey. Two professional bodies distributed the survey via social media and a major ambulance service was surveyed via email.Results:The study population includes 130 respondents who self-identified as a currently practicing Australian paramedic. Paramedics from all states except South Australia responded, with the majority coming from Queensland Ambulance Service (N= 81%). In terms of experience, 81.54% of respondents report being qualified for greater than 5 years. Initial analysis shows that despite the extensive experience of the practitioners surveyed when asked to rate from high to low their level of knowledge of specific disaster management core competencies a number of gaps exist.Discussion:Core competencies are a defined level of expertise that is essential or fundamental to a particular job, and serve to form the foundation of education, training, and practice for operational service delivery. While more research is needed, these results may help inform industry, government, and education providers to better understand and to more efficiently provide education and ongoing training to paramedics who are responsible for the management of disaster within the Australian community.

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Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Public Health Crises

Pain Medicine ◽

10.1093/pm/pnaa127 ◽

2020 ◽

Vol 21 (7) ◽

pp. 1331-1346 ◽

Cited By ~ 37

Author(s):

Steven P Cohen ◽

Zafeer B Baber ◽

Asokumar Buvanendran ◽

Brian C McLean ◽

Yian Chen ◽

...

Keyword(s):

Public Health ◽

Health Care ◽

Chronic Pain ◽

Pain Management ◽

Health Care Providers ◽

Risk Mitigation ◽

Health Administration ◽

Care Providers ◽

Health Crisis ◽

Management Services

Abstract Background It is nearly impossible to overestimate the burden of chronic pain, which is associated with enormous personal and socioeconomic costs. Chronic pain is the leading cause of disability in the world, is associated with multiple psychiatric comorbidities, and has been causally linked to the opioid crisis. Access to pain treatment has been called a fundamental human right by numerous organizations. The current COVID-19 pandemic has strained medical resources, creating a dilemma for physicians charged with the responsibility to limit spread of the contagion and to treat the patients they are entrusted to care for. Methods To address these issues, an expert panel was convened that included pain management experts from the military, Veterans Health Administration, and academia. Endorsement from stakeholder societies was sought upon completion of the document within a one-week period. Results In these guidelines, we provide a framework for pain practitioners and institutions to balance the often-conflicting goals of risk mitigation for health care providers, risk mitigation for patients, conservation of resources, and access to pain management services. Specific issues discussed include general and intervention-specific risk mitigation, patient flow issues and staffing plans, telemedicine options, triaging recommendations, strategies to reduce psychological sequelae in health care providers, and resource utilization. Conclusions The COVID-19 public health crisis has strained health care systems, creating a conundrum for patients, pain medicine practitioners, hospital leaders, and regulatory officials. Although this document provides a framework for pain management services, systems-wide and individual decisions must take into account clinical considerations, regional health conditions, government and hospital directives, resource availability, and the welfare of health care providers.

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P003 INFLAMMATORY BOWEL DISEASE PATIENTS’ PERSPECTIVES OF CLINICAL TRIALS

Inflammatory Bowel Diseases ◽

10.1093/ibd/zaa010.133 ◽

2020 ◽

Vol 26 (Supplement_1) ◽

pp. S53-S53

Author(s):

David Rubin ◽

Laurent Peyrin-Biroulet ◽

Walter Reinisch ◽

Swati Tole ◽

Laura Sullivan ◽

...

Keyword(s):

Health Care ◽

Clinical Trial ◽

Clinical Trials ◽

Health Care Providers ◽

Online Survey ◽

The United States ◽

Trial Participation ◽

Pharmaceutical Manufacturer ◽

Care Providers ◽

Inflammatory Bowel

Abstract Background Despite recent progress in treatment for inflammatory bowel diseases (IBD), there is a need for therapies with long-term efficacy and improved safety. Clinical trials in IBD face challenges with patient recruitment because of study designs, competitive or overlapping trials, and a limited number of eligible patients. We sought to better understand patients’ motivations, awareness of, and experience with IBD clinical trials. Methods We conducted an international survey of adult patients with IBD consisting of 2 components. The quantitative component, a 15-minute online survey, was completed by all patients. A qualitative component, a 30-minute telephone interview, was completed by a subset of patients from the United States (US). All percentages indicate results from the online survey. Results 226 patients (mean age, 41.9 y) completed the online survey. Survey respondents included patients with ulcerative colitis (52%) and Crohn’s disease (48%) from the US (n=100, 21 of whom underwent a phone interview), Brazil (n=26), Canada (n=25), France (n=25), Germany (n=25), and Spain (n=25). Ninety-six percent of respondents reported at least a basic understanding of clinical trials, and 34 (15%) were current or past clinical trial participants. Patients reported learning about trials through 1 or more sources (could select as many as applied): health care providers (42%), pharmaceutical manufacturer websites (31%), social media (30%), online support groups (28%), and foundations (18%-23%). In the survey, patients rated conversations with health care providers most helpful, but patients who were interviewed revealed that most physicians often do not initiate conversations about clinical trials, and patients typically do not ask. Primary motivators for trial participation (rated from “does not encourage me at all” to “encourages me very much”) included altruistic goals of advancing medicine (67%), potentially mitigating risks of uncontrolled IBD such as colon cancer (59%), and access to treatment options that could improve quality of life (59%) or would otherwise be unaffordable (52%). Major barriers to participation (rated from “does not discourage me at all” to “discourages me very much”) included invasive screening and monitoring (35%), concern over receiving placebo (35%), or suboptimal treatment (33%), and concerns about posttrial access to study medication (27%). The majority (68%) reported that being in a clinical trial means being a “guinea pig” for an experimental treatment. Conclusion Opportunities to improve patients’ clinical trial experience in IBD include better communication with health care providers and improved patient education about clinical trial design and ethics. Ultimately, a better understanding of the patient perspective will be important for more informed patients and potentially higher recruitment and enrollment.

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