Nurses’ Knowledge about Cancer Pain Management
DOI:
https://doi.org/10.32635/2176-9745.RBC.2022v68n4.2552Keywords:
cancer pain, pain management, oncology nursing, nursing careAbstract
Introduction: Cancer pain can affect physical, emotional and spiritual well-being of patients. The nurse has a fundamental role in controlling this symptom and the lack of knowledge of this professional can be a barrier to an adequate pain management. Objective: To evaluate nurses’ knowledge about cancer pain management and its relationship with sociodemographic and professional training variables. Method: Cross-sectional study conducted with nurses from an Oncology Clinic in São Paulo State who were assessed with two instruments for sociodemographic/professional characterization and knowledge about cancer pain management, between July and September 2019. Fisher’s exact test and Pearson’s chi-square test were used to assess the association between variables. Results: The study included 93 nurses, predominantly females (81.7%), Catholic (36.6%), with an average of six years of experience as a professional. There was 50.5% of inadequate knowledge about cancer pain management and no association was found between knowledge, sociodemographic and professional training variables. Conclusion: Half of the nurses have inadequate knowledge about cancer pain management and the lack of knowledge was not associated with the variables analyzed. It is necessary to carry out educational interventions to improve nurses’ knowledge and possibly the care to patients with cancer pain.
Downloads
References
International Association for the Study of the Pain [Internet]. Washington: IASP; c2021. Terminology: pain terms and definitions; [cited 2021 Feb 10]; [about 2 screens]. Available from: https://www.iasp-pain.org/resources/terminology/#pain
Parravano D, Rodrigues ALL. Tipos de dor. In: Morete MA, Brandão E, organizadoras. Gerenciamento da dor e a enfermagem. São Paulo: Casa do Novo Autor; 2017. p. 58-63.
van den Beuken-van Everdingen MHJ, Hochstenbach LMJ, Joosten EAJ, et al. Update on prevalence of pain in patients with cancer: systematic review and meta-analysis. J Pain Symptom Manage. 2016;51(6):1070-90.e9. doi: https://doi.org/10.1016/j.jpainsymman.2015.12.340
Zylla D, Larson A, Chuy G, et al. Establishment of personalized pain goals in oncology patients to improve care and decrease costs. J Oncol Pract. 2017;13(3):e266-e72. doi: https://doi.org/10.1200/JOP.2016.017616
Hui D, Bruera E. A personalized approach to assessing and managing pain in patients with cancer. J Clin Oncol. 2014;32(16):1640-6. doi: https://doi.org/10.1200/JCO.2013.52.2508
Instituto Nacional de Câncer. Cuidados paliativos oncológicos: controle da dor [Internet]. Rio de Janeiro: INCA; 2001 [acesso 2019 abr 12]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/inca/manual_dor.pdf
Oldenmenger WH, Geerling JI, Mostovaya I, et al. A systematic review of the effectiveness of patient-based educational interventions to improve cancer-related pain. Cancer Treat Rev. 2018;63:96-103. doi: https://doi.org/10.1016/j.ctrv.2017.12.005
Albuquerque KA, Stangler MIS. O papel do enfermeiro na dor oncológica. In: Morete MA, Brandão E, organizadoras. Gerenciamento da dor e a enfermagem. São Paulo: Casa do Novo Autor; 2017. p. 252-3.
Cunha FF, Rêgo LP. Nursing and cancer pain. Rev Dor. 2015;16(2):142-5. doi: https://doi.org/10.5935/1806-0013.20150027
Bouya S, Balouchi A, Maleknejad A, et al. Cancer pain management among oncology nurses: knowledge, attitude, related factors, and clinical recommendations: a systematic review. J Cancer Educ. 2019;34(5):839-46. doi: https://doi.org/10.1007/s13187-018-1433-6
Adam R, Bond C, Murchie P. Educational interventions for cancer pain. A systematic review of systematic reviews with nested narrative review of randomized controlled trials. Patient Educ Couns. 2015;98(3):269-82. doi: https://doi.org/10.1016/j.pec.2014.11.003
Ramos MCMH. Manejo da dor no câncer: conhecimento do enfermeiro [dissertação]. Salvador (BA): Escola de Enfermagem, Universidade Federal da Bahia; 1994.
World Health Organization. Cancer pain relief [Internet]. Geneva: WHO; 1986 [cited 2021 July 10]. Available from: https://apps.who.int/iris/handle/10665/43944
REDCap Brasil [Internet]. Tennessee; National Institute of Health; 2004 [cited 2019 Apr 12]. Available from: https://redcapbrasil.com.br/en/
Ferreira FS, Santos J, Meira KC. Knowledge of resident nurses on the management of cancer pain: a cross-sectional study. Braz J Nurs [Internet]. 2016 [cited 2019 Nov 25];15(4):694-703. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/5439
Ferreira FS, Meira KC, Félix RS, et al. Associated factors with the knowledge of nurses of a high complexity oncology centre in Brazil, on the management of cancer pain. Ecancermedicalscience. 2019;13:928. doi: https://doi.org/10.3332/ecancer.2019.928
Ferrell BR, McCaffery M. Knowledge and attitudes survey regarding pain [Internet]. California: City of Hope (COH) Pain & Paliative Care Resource Center; c1995-2019 [cited 2019 Nov 20]. Available from: https://prc.coh.org/Knowldege%20%20&%20Attitude%20Survey%207-14%20(1).pdf
Shahriary S, Shiryazdi SM, Shiryazdi SA, et al. Oncology nurses knowledge and attitudes regarding cancer pain management. Asian Pac J Cancer Prev. 2015;16(17):7501-6. doi: https://doi.org/10.7314/apjcp.2015.16.17.7501
Germossa GN, Sjetne IS, Hellesø R. The impact of an in-service educational program on nurses’ knowledge and attitudes regarding pain management in an Ethiopian University Hospital. Front Public Health. 2018;6:229. doi: https://doi.org/10.3389/fpubh.2018.00229
Makhlouf SM, Pini S, Ahmed S, et al. Managing pain in people with cancer-a systematic review of the attitudes and knowledge of professionals, patients, caregivers and public. J Cancer Educ. 2020;35(2):214-40. doi: https://doi.org/10.1007/s13187-019-01548-9
Alnajar MK, Darawad MW, Alshahwan SS, et al. Knowledge and attitudes toward cancer pain management among nurses at oncology units. J Cancer Educ. 2019;34(1):186-93. doi: https://doi.org/10.1007/s13187-017-1285-5
Utne I, Småstuen MC, Nyblin U. Pain knowledge and attitudes among nurses in cancer care in Norway. J Cancer Educ. 2019;34(4):677-84. doi: https://doi.org/10.1007/s13187-018-1355-3
Al-Atiyyat N, Salim NA, Tuffaha MG, et al. A survey of the knowledge and attitudes of oncology nurses toward pain in United Arab Emirates oncology settings. Pain Manag Nurs. 2019;20(3):276-83. doi: https://doi.org/10.1016/j.pmn.2018.08.005
Published
How to Cite
Issue
Section
License
Os direitos morais e intelectuais dos artigos pertencem aos respectivos autores, que concedem à RBC o direito de publicação.
This work is licensed under a Creative Commons Attribution 4.0 International License.
