Knowledge and attitude towards pain management. A comparison between oncology and non-oncology nurses in Jordan
Abstract
Background: Knowledge and attitudes of nurses toward pain management have an influence on medical judgment and patients' perception of pain control. Aim: To assess and compare oncology and non-oncology nurses' knowledge and attitudes toward pain management. Method: A cross sectional descriptive comparative design was used. Nurses were recruited conveniently from one specialized oncology center and one main general medical city in Jordan. Participants were required to complete a specific questionnaire. The total number of participant was 207 nurses (124 oncology and 93 non-oncology nurses). Results: It was evident that oncology nurses received post-registration training or courses in the field of pain management more than non-oncology nurses. Both oncology and non-oncology nurses exhibited an appropriate knowledge and attitude toward pharmacological and non-pharmacological pain management strategies. However, oncology nurses scored higher in the overall knowledge and attitude toward pain compared to non-oncology nurses. Nurses showed knowledge deficit in assuming the risk for addiction and the use of narcotics in pediatric patients. Conclusions: The study revealed that oncology nurses were more knowledgeable compared to non-oncology nurses in managing pain. Professional development for nurses in the field of pain management is required whether during academic preparations or post-graduation.
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References
J.A. Davis, R.L. Robinson, L.T. Kim & J. Xie, Incidence and impact of pain conditions and comorbid illnesses, Journal of Pain Research 4 (2011) 331–345.
M.K. Merboth & S. Barnason, Managing pain: the fifth vital sign, Journal of Nursing Clinical North America 35 (2000) 375–383.
H.E. Edwards, R.E. Nash, P.M. Yates et al., Improving pain management by nurses: A pilot peer intervention program, Nursing Health Science 3 (2001) 35–45.
E. Manias, M. Botti, T. Bucknall, Observation of pain assessment and management-the complexities of clinical practice, Journal of Clinical Nursing 11 (2002) 724–33.
N. Rejeh, F. Ahmadi, E. Mohammadi, A. Kazemnejad & M. Anoosheh, Nurses’ experiences and perceptions of influencing barriers to postoperative pain management, Scandinavian Journal of Caring Science 23 (2009) 274–281.
View more references (31)
A. McKinlay & S. Cowan, Student nurses’ attitudes towards working with older patients, Journal of Advanced Nursing 43 (2003) 298–309.
J. Hamilton & L. Edgar, A survey examining nurses’ knowledge of pain control, Journal of Pain and Symptom Management 7 (1992) 18–26.
J.L. Young, F.M. Horton & R. Davidhizar, Nursing attitudes and beliefs in pain assessment and management, Journal of Advanced Nursing 53 (2006) 412–421.
A. Jarrett, T. Church, K. Fancher-Gonzalez, K. Shackelford & A. Lofton, Nurses’ knowledge and attitudes about pain in hospitalized patients, Clinical Nurse Specialist, Lippincott Williams & Wilkins, New York (2013).
V. Prem, H. Karvannan, C. Chakravarthy, B. Binukumar, J. Saroja, P. Senthil Kumar, Attitudes and beliefs about chronic pain among nurses– biomedical or behavioral? A cross-sectional survey, Indian Journal of Palliative Care 17 (2011) 227-234.
Y.K. Yildirim, F. Cicek & M. Uyar, Knowledge and attitudes of Turkish oncology nurses about cancer pain management, Pain Management Nursing 9 (2008) 17-25.
B. Wilson, Nurses’ knowledge of pain, Journal of Clinical Nursing 16 (2007) 1012–1020.
L.Y. Lin & R.H. Wang, Abdominal surgery, pain and anxiety: preoperative nursing intervention, Journal of Advanced Nursing 51 (2005) 252–260.
J.R. Goebel, C.D. Sherbourne, S.M. Asch, L. Meredith, A.B. Cohen & E. Hagenmaier, Addressing patients' concerns about pain management and addiction risks, Pain Management Nursing 11 (2010) 92-98.
[15] L. Lui, D. So & D. Fong, Knowledge and attitudes regarding pain among nurses in Hong Kong medical units, Journal of Clinical Nursing 17 (2008) 2014-2021.
D. Al-Shaer, P.D. Hill & M.A. Anderson, Nurses’ knowledge and attitudes regarding pain assessment and intervention, Medical Surgical Nursing 20 (2011) 30-39.
C. Goodrich, Students’ and faculty members’ knowledge and attitudes regarding pain management: a descriptive survey, Journal of Nursing Education 45 (2006) 108-117.
L. Stratton, Evaluating the effectiveness of a hospital’s pain management program, Journal of Nursing Care Quality 13 (1999) 8–18.
H.D. Yu & M.A. Petrini, A survey of Chinese nurses’ current knowledge of pain in older people, Journal of Clinical Nursing 16 (2007) 963–970.
M.E. Zanolin, M. Visentin & L. Saiani, A questionnaire to evaluate the knowledge and attitudes of health care providers on pain, Journal of pain and symptom management 33 (2007) 727-737.
S. O’Brien, J.A. Dalton, G. Konsler & J. Carlson, The knowledge and attitudes of experienced oncology nurses regarding the management of cancer-related pain, Oncology Nursing Forum 23 (1996) 515–521.
P. Rushton, D. Eggett, W. Carolyn & S. Sutherland, Knowledge and attitudes about cancer pain management: a comparison of oncology and nononcology nurses, Oncology Nursing Forum 30 (2003) 849-855.
S.C. McMillan, P. Arn, M. Faan, S.J. Hagan & B.J. Small. Training pain resource nurses: Changes in their knowledge and attitudes, Oncology Nursing Forum 32 (2005) 890-902.
K. Owens, Effects of nursing education on students' pain management knowledge, Nurse Educator 25 (2000) 33-37.
K.I. Kuuppeloma¨, Pain management problems in patients’ terminal phase as assessed by nurses in Finland, Journal of Advanced Nursing 40 (2002) 701–709.
K. Lasch, A. Greenhill, G. Wilkes, D. Carr, M. Lee & R. Blanchard, Why study pain? a qualitative analysis of medical and nursing faculty and students’ knowledge of and attitudes to cancer pain management, Journal of Palliative Medicine 5 (2002) 294-308.
R. King. Nurses’ perceptions of their pharmacology educational needs, Journal of Advanced Nursing 45 (2004) 392–398.
F. Fothergill-Bourbonnais & B. Wilson-Barnett, A comparative study of intensive therapy unit and hospice nurses’ knowledge on pain management, Journal of Advanced Nursing 17 (1992) 362–372.
L. Plaisance & C. Logan, Nursing students' knowledge and attitudes regarding pain, Pain Management Nursing 7 (2006)167-175.
M. McCaffery & B.R. Ferrell, Nurses’ knowledge about cancer pain: a survey of five countries, Journal of Pain and Symptom Management 10 (1995) 356–369.
L. Li & W.Q. Liu, A survey of nurses’ current knowledge regarding pain, Journal of Chinese Nursing Research 17 (2003) 633–635.
H.D. Yu & M.A. Perini, A survey of Chinese nurses’ current knowledge of pain in older people, Journal of Clinical Nursing 16 (2007) 963–970.
S. Shaw & A. Lee, Student nurses' misconceptions of adults with chronic nonmalignant pain, Pain Management Nursing 11 (2010) 2-14.
G. Borglin, M. Gustafsson & H. Krona, A theory-based educational intervention targeting nurses’ attitudes and knowledge concerning cancer-related pain management: A study protocol of a quasi-experimental design, BMC Health Services Research, 11 (2011) 233-242.
M.T. Rieman & M. Gordon, Pain management competency evidenced by a survey of pediatric nurses' knowledge and attitudes. Pediatric Nursing 33 (2007) 307-312.
W. Zhi-qiang, Z. Si-yan, M. Fransen & L. Jian-hao, Clinical attitudes towards pain treatment post-orthopedic surgery: a multicenter study in Beijing, Chinese Medical Journal 14 (2012) 2499-2504.