Nurses’ knowledge, perceived barriers, and practices regarding cancer pain management: a cross-sectional study from Palestine

Objectives: To explore barriers perceived by oncology nurses in cancer pain management. Methods: A descriptive Cross sectional study was conducted in oncology department of four tertiary care hospitals of Punjab which include Mayo hospital Lahore, Jinnah hospital Lahore, Allied hospital Faisalabad and Nishtar hospital Multan. Sample of 72 nurses working in oncology departments of four tertiary care hospitals were selected by using purposive sampling. Self-administered questionnaire was used to collect data. The data analysis was performed using SPSS version 20 and micro soft excel. Results: The results identified that system related barriers were found more prevalent. From system related barriers inappropriate nurse –patient ratio was found most prevalent barriers as 95.9% (n=72) respondent were agree for this barrier Conclusion: nurses face lot of barriers in pain management that hinder their efficiency to control pain.

Download Full-text

Knowledge, Attitudes, And Practices Towards Cancer Pain Management Amongst Healthcare Workers (Physicians, Pharmacists, And Nurses): A Cross-Sectional Study From First-Tier Cities in China

10.21203/rs.3.rs-1081989/v1 ◽

2021 ◽

Author(s):

Jiyi Xie ◽

Cong Zhang ◽

Shijun Li ◽

Rong Dai ◽

Bin Deng ◽

...

Keyword(s):

Pain Management ◽

Cancer Pain ◽

Mobile Devices ◽

Healthcare Workers ◽

Cross Sectional Study ◽

Cancer Pain Management ◽

Cross Sectional ◽

Attitudes And Practices ◽

Drug Counseling ◽

Knowledge Attitudes And Practices

Abstract Purpose China is currently one of the countries with the largest increased number of new cancer cases in the world, but cancer pain management (CPM) is still inadequate. This study, through a questionnaire designed to show the knowledge, attitudes, and practices (KAP) status and differences towards CPM among healthcare workers (HCWs) in developed areas of China and explore areas and advantages of the role of pharmacists and mobile devices.Methods This study used data from a questionnaire on CPM from March to June 2019. The study population consisted of a total of 515 HCWs in four first-tier developed cities in China. The questionnaire has four major components, analysis of differences in KAP of different occupations through one-way analysis of variance (ANOVA).Results Among the respondents, the physicians had the highest knowledge scores towards CPM, pharmacists had the lowest practice scores. Around half of the respondents indicated that their hospital or department have a pharmacist participating in CPM. Physicians, and nurses were more likely to expect pharmacists to provide drug counseling. The HCWs interviewed most expect that the mobile-based pain management system can automatically screen and mark patients with pain.Conclusion From this study, it can be suggested that pharmacists and nurses in the CPM team should actively promote relevant knowledge. Besides, pharmacists should focus on improving practical ability such as increasing the frequency of pain assessment. Multidisciplinary collaboration and the introduction of mobile devices can improve and refine the CPM.

Download Full-text

Adequacy of Pain Control in Patients With Advanced Cancer in Pakistan

Journal of Palliative Care ◽

10.1177/0825859718800490 ◽

2018 ◽

Vol 34 (2) ◽

pp. 126-131 ◽

Cited By ~ 3

Author(s):

Muhammad Hassan Majeed ◽

Ramsha Nadeem ◽

Muhammad Abbas Khokhar ◽

Muhammad Nawaz Qaisar

Keyword(s):

Pain Management ◽

Cancer Pain ◽

Advanced Cancer ◽

Pain Control ◽

Cross Sectional Study ◽

World Health ◽

Team Approach ◽

Sectional Study ◽

Cross Sectional ◽

Opioid Medications

Purpose: Pain is highly prevalent in advanced cancer and requires aggressive management. However, pain management in cancer is minimally investigated in Pakistan. This cross-sectional study explores the adequacy of pain management in patients with advanced stage cancer in Pakistan. Method: From January 2017 to May 2017, a cross-sectional study was conducted at Mayo Hospital, Lahore, Pakistan. A total of 218 patients with cancers were interviewed, and 136 patients with pain ≥5 on a Numerical Rating Scale for pain were included in the study. Demographic of patients and clinical characteristics of tumors were also evaluated. Results: Only about one-third of the patients with advanced cancer reported adequate pain management. Chi-square test, χ2 (1, n = 136) = 33.038, P < .05, indicated that pain scores were inversely associated with pain control; inadequate pain control was observed in patients with higher pain score and vice versa. Of the 55.88% of patients who were prescribed morphine, only 6 patients were compliant with treatment recommendations. Most patients were prescribed nonopioid medications and tramadol and codeine, which are weak opioid medications. Conclusion: The rate of undertreatment of cancer pain in Pakistan is alarming. Inadequate clinicians’ training, patients’ and caregivers’ beliefs, lack of availability of opioid medications, and socioeconomic factors are some of the barriers to effective pain control. A multidisciplinary team approach is necessary to follow the World Health Organization pain ladder guidelines for the treatment of cancer pain.

Download Full-text

Evaluating Saudi Nursing Students’ Knowledge and Attitudes toward Cancer Pain Management: Implications for Nursing Education

Journal of King Abdulaziz University-Medical Sciences ◽

10.4197/med.26-2.7 ◽

2019 ◽

Vol 26 (2) ◽

pp. 61-70

Author(s):

Dhuha Y. Wazqar

Keyword(s):

Nursing Education ◽

Pain Management ◽

Nursing Students ◽

Cancer Pain ◽

Current Knowledge ◽

Cross Sectional Study ◽

Cancer Pain Management ◽

Cross Sectional ◽

Convenience Sample ◽

Knowledge And Attitudes

Ineffective pain management has been recognized as a major problem faced by many patients with cancer. There is a lack of emphasis on cancer pain management in the undergraduate nursing curriculum which is one part of this problem. A descriptive cross-sectional study was carried out with a convenience sample of 135 nursing students at two universities in Jeddah, Saudi Arabia, to evaluate students’ current knowledge and attitudes toward cancer pain management. Data were collected using Pain Management Principles Assessment Test and Nurses’ Pain Management Attitudes Survey. The data were analyzed using IBM Statistical Package for the Social Sciences version 22, and P < 0.05 was interpreted as significant. Descriptive and inferential statistics and Pearson correlations were performed. Nursing students have insufficient knowledge (11.4 ± 2.92) and negative attitudes (68.8 ± 5.75) toward cancer pain management. None of the nursing students achieved complete, correct responses (31 or 100%) in the knowledge test. Students had poor knowledge regarding areas of pain physiology and assessment, pharmacologic and nonpharmacologic pain management such as cutaneous stimulation. A weak positive significant relationship between students’ knowledge and attitudes was also found (r = 0.225, P = 0.009). Continued work is required to develop specific strategies to effectively teach nursing students and enhance their knowledge and attitudes toward cancer pain management.

Download Full-text