Skip to main content
Erschienen in: Journal of Cancer Education 5/2019

12.10.2018

Cancer Pain Management Among Oncology Nurses: Knowledge, Attitude, Related Factors, and Clinical Recommendations: a Systematic Review

verfasst von: Salehoddin Bouya, Abbas Balouchi, Abdulbaset Maleknejad, Maryam Koochakzai, Esra AlKhasawneh, Abdolghani Abdollahimohammad

Erschienen in: Journal of Cancer Education | Ausgabe 5/2019

Einloggen, um Zugang zu erhalten

Abstract

The current study evaluated the oncology nurse’s knowledge, attitude, related factors of cancer-related pain management (CPM), and clinical recommendations for improving knowledge and attitude. In this systematic review, international databases (PubMed, EMBASE, Web of science (WOS), Science Direct, and Scopus) were searched for relevant studies published in English language from March 30, 2000 to March 30, 2018. The quality of the studies was evaluated using the Hoy instrument. Out of 888 initial studies, 12 studies performed on 3574 participants were included in the final stage of the review. Based on the results, most studies indicated that nurses had a poor (n = 4) or moderate (n = 4) knowledge of CPM. The lowest and the highest knowledge levels were 28.5% and 75%, respectively. According to most studies, nurses had a fair (average) (n = 4) or negative (n = 3) attitude toward CPM. The important factors related to the nurses’ knowledge of CPM included previous pain-related education programs (n = 7) and having work experience with cancer patients (n = 4). The most important barrier was the deficit in staff’s knowledge of pain (n = 2). The important clinical recommendations for improving nurses’ levels of knowledge included the implementation of educational programs (n = 9), training programs (n = 3) on CPM and including CPM topics in nursing curricula (n = 5). This systematic review showed that most nurses had poor knowledge of CPM and a fair attitude toward CPM, indicating the importance of considering the barriers to knowledge, strengthening the positive relevant factors, and using clinical recommendations based on clinical guidelines such as including CPM topics in nursing curricula and implementing educational programs on CPM to improve the knowledge, attitude, and skills of oncology nurses. The results of the present study could be used by policymakers to provide care for cancer patients and manage their pain.
Literatur
1.
Zurück zum Zitat Bouya S, Rafiemanesh H, Balouchi A, Taheri S, Badakhsh M, Didehvar M (2018) Health-related quality of life of Iranian breast cancer patients: a meta-analysis and systematic review. Breast Cancer Res Treat 1–8 Bouya S, Rafiemanesh H, Balouchi A, Taheri S, Badakhsh M, Didehvar M (2018) Health-related quality of life of Iranian breast cancer patients: a meta-analysis and systematic review. Breast Cancer Res Treat 1–8
2.
Zurück zum Zitat Ham O-K, Chee W, Im E-O (2017) The influence of social structure on cancer pain and quality of life. West J Nurs Res 39(12):1547–1566PubMedCrossRef Ham O-K, Chee W, Im E-O (2017) The influence of social structure on cancer pain and quality of life. West J Nurs Res 39(12):1547–1566PubMedCrossRef
3.
Zurück zum Zitat Zylla D, Larson A, Chuy G, Illig L, Peck A, Van Peursem S, Fulbright JW, Pawloski PA, Richter S, Mettner J (2017) Establishment of personalized pain goals in oncology patients to improve care and decrease costs. J Oncol Pract 13(3):e266–e272PubMedCrossRef Zylla D, Larson A, Chuy G, Illig L, Peck A, Van Peursem S, Fulbright JW, Pawloski PA, Richter S, Mettner J (2017) Establishment of personalized pain goals in oncology patients to improve care and decrease costs. J Oncol Pract 13(3):e266–e272PubMedCrossRef
4.
Zurück zum Zitat Haumann J, Joosten EBA, van den Beuken-van MHJ (2017) Pain prevalence in cancer patients: status quo or opportunities for improvement? Curr Opin Support Palliat Care 11(2):99–104PubMedCrossRef Haumann J, Joosten EBA, van den Beuken-van MHJ (2017) Pain prevalence in cancer patients: status quo or opportunities for improvement? Curr Opin Support Palliat Care 11(2):99–104PubMedCrossRef
5.
Zurück zum Zitat van den Beuken-van MHJ, Hochstenbach LMJ, Joosten EAJ, Tjan-Heijnen VCG, Janssen DJA (2016) Update on prevalence of pain in patients with cancer: systematic review and meta-analysis. J Pain Symptom Manage 51(6):1070–1090. e1079CrossRef van den Beuken-van MHJ, Hochstenbach LMJ, Joosten EAJ, Tjan-Heijnen VCG, Janssen DJA (2016) Update on prevalence of pain in patients with cancer: systematic review and meta-analysis. J Pain Symptom Manage 51(6):1070–1090. e1079CrossRef
6.
Zurück zum Zitat Oldenmenger WH, Geerling JI, Mostovaya I, Vissers KCP, de Graeff A, Reyners AKL, van der Linden YM (2018) A systematic review of the effectiveness of patient-based educational interventions to improve cancer-related pain. Cancer Treat Rev 63:96–103PubMedCrossRef Oldenmenger WH, Geerling JI, Mostovaya I, Vissers KCP, de Graeff A, Reyners AKL, van der Linden YM (2018) A systematic review of the effectiveness of patient-based educational interventions to improve cancer-related pain. Cancer Treat Rev 63:96–103PubMedCrossRef
7.
Zurück zum Zitat Bouya S, Balouchi A, Ahmadidarehsima S, Badakhsh M (2018) Knowledge and source of information about early detection techniques of breast Cancer among women in Iran: a systematic review. J Cancer Prev 23(1):51–60PubMedPubMedCentralCrossRef Bouya S, Balouchi A, Ahmadidarehsima S, Badakhsh M (2018) Knowledge and source of information about early detection techniques of breast Cancer among women in Iran: a systematic review. J Cancer Prev 23(1):51–60PubMedPubMedCentralCrossRef
8.
Zurück zum Zitat Alnajar MK, Darawad MW, Alshahwan SS, Samarkandi OA (2017) Knowledge and attitudes toward cancer pain management among nurses at oncology units. J Cancer Educ 1–8 Alnajar MK, Darawad MW, Alshahwan SS, Samarkandi OA (2017) Knowledge and attitudes toward cancer pain management among nurses at oncology units. J Cancer Educ 1–8
9.
Zurück zum Zitat Purkayastha A, Sarin A, Sharma N, Singh S, Bisht N (2018) Knowledge, attitude and practice of paramedical staff and nursing assistants towards Cancer Pain Management in a Tertiary Cancer Care Centre. Clin Oncol 3:1439 Purkayastha A, Sarin A, Sharma N, Singh S, Bisht N (2018) Knowledge, attitude and practice of paramedical staff and nursing assistants towards Cancer Pain Management in a Tertiary Cancer Care Centre. Clin Oncol 3:1439
10.
Zurück zum Zitat Jun M-H, Gong S-H, Lee S-H, Kim Y-H, Choi J-S, Park K-S (2006) Knowledge and attitude toward cancer pain management: clinical nurses versus doctors. J Korean Acad Soc Nursi Educ 12(1):115–123 Jun M-H, Gong S-H, Lee S-H, Kim Y-H, Choi J-S, Park K-S (2006) Knowledge and attitude toward cancer pain management: clinical nurses versus doctors. J Korean Acad Soc Nursi Educ 12(1):115–123
11.
Zurück zum Zitat Kim HJ, Park IS, Kang KJ (2012) Knowledge and awareness of nurses and doctors regarding cancer pain management in a tertiary hospital. Asian Oncol Nurs 12(2):147–155CrossRef Kim HJ, Park IS, Kang KJ (2012) Knowledge and awareness of nurses and doctors regarding cancer pain management in a tertiary hospital. Asian Oncol Nurs 12(2):147–155CrossRef
12.
Zurück zum Zitat Kim M-h, Park HG, Park EC, Park K (2011) Attitude and knowledge of physicians about cancer pain management: young doctors of South Korea in their early career. Jpn J Clin Oncol 41(6):783–791PubMedCrossRef Kim M-h, Park HG, Park EC, Park K (2011) Attitude and knowledge of physicians about cancer pain management: young doctors of South Korea in their early career. Jpn J Clin Oncol 41(6):783–791PubMedCrossRef
13.
Zurück zum Zitat Moher D, Liberati A, Tetzlaff J, Altman DG, Prisma Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097PubMedPubMedCentralCrossRef Moher D, Liberati A, Tetzlaff J, Altman DG, Prisma Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097PubMedPubMedCentralCrossRef
14.
Zurück zum Zitat McGowan J, Sampson M, Salzwedel DM, Cogo E, Foerster V, Lefebvre C (2016) PRESS peer review of electronic search strategies: 2015 guideline statement. J Clin Epidemiol 75:40–46PubMedCrossRef McGowan J, Sampson M, Salzwedel DM, Cogo E, Foerster V, Lefebvre C (2016) PRESS peer review of electronic search strategies: 2015 guideline statement. J Clin Epidemiol 75:40–46PubMedCrossRef
15.
Zurück zum Zitat Hoy D, Brooks P, Woolf A, Blyth F, March L, Bain C, Baker P, Smith E, Buchbinder R (2012) Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol 65(9):934–939PubMedCrossRef Hoy D, Brooks P, Woolf A, Blyth F, March L, Bain C, Baker P, Smith E, Buchbinder R (2012) Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol 65(9):934–939PubMedCrossRef
19.
Zurück zum Zitat Ferreira FS, Santos J, Meira KC (2016) Knowledge of resident nurses on the management of cancer pain: a crosssectional study. Online Braz J Nurs 15(4):694–703CrossRef Ferreira FS, Santos J, Meira KC (2016) Knowledge of resident nurses on the management of cancer pain: a crosssectional study. Online Braz J Nurs 15(4):694–703CrossRef
21.
Zurück zum Zitat Lai YH, Chen ML, Tsai LY, Lo LH, Wei LL, Hong MY, Hsiu LN, Hsiao-Sheen ST, Chen SC, Kao CC, Huang TW, Chang SC, Chen L, Guo SL (2003) Are nurses prepared to manage cancer pain? A national survey of nurses' knowledge about pain control in Taiwan. J Pain Symptom Manag 26(5):1016–1025. https://doi.org/10.1016/S0885-3924(03)00330-0 CrossRef Lai YH, Chen ML, Tsai LY, Lo LH, Wei LL, Hong MY, Hsiu LN, Hsiao-Sheen ST, Chen SC, Kao CC, Huang TW, Chang SC, Chen L, Guo SL (2003) Are nurses prepared to manage cancer pain? A national survey of nurses' knowledge about pain control in Taiwan. J Pain Symptom Manag 26(5):1016–1025. https://​doi.​org/​10.​1016/​S0885-3924(03)00330-0 CrossRef
22.
Zurück zum Zitat Shahriary S, Shiryazdi SM, Shiryazdi SA, Arjomandi A, Haghighi F, Vakili FM, Mostafaie N (2015) Oncology nurses knowledge and attitudes regarding Cancer pain management. Asian Pac J Cancer Prev 16(17):7501–7506PubMedCrossRef Shahriary S, Shiryazdi SM, Shiryazdi SA, Arjomandi A, Haghighi F, Vakili FM, Mostafaie N (2015) Oncology nurses knowledge and attitudes regarding Cancer pain management. Asian Pac J Cancer Prev 16(17):7501–7506PubMedCrossRef
24.
Zurück zum Zitat Xue Y, Schulman-Green D, Czaplinski C, Harris D, McCorkle R (2007) Pain attitudes and knowledge among RNs, pharmacists, and physicians on an inpatient oncology service. Clin J Oncol Nurs 11(5):687–695PubMedCrossRef Xue Y, Schulman-Green D, Czaplinski C, Harris D, McCorkle R (2007) Pain attitudes and knowledge among RNs, pharmacists, and physicians on an inpatient oncology service. Clin J Oncol Nurs 11(5):687–695PubMedCrossRef
26.
Zurück zum Zitat Enskär K, Ljusegren G, Berglund G, Eaton N, Harding R, Mokoena J, Chauke M, Moleki M (2007) Attitudes to and knowledge about pain and pain management, of nurses working with children with cancer: a comparative study between UK, South Africa and Sweden. J Res Nurs 12(5):501–515. https://doi.org/10.1177/1744987107080455 CrossRef Enskär K, Ljusegren G, Berglund G, Eaton N, Harding R, Mokoena J, Chauke M, Moleki M (2007) Attitudes to and knowledge about pain and pain management, of nurses working with children with cancer: a comparative study between UK, South Africa and Sweden. J Res Nurs 12(5):501–515. https://​doi.​org/​10.​1177/​1744987107080455​ CrossRef
28.
Zurück zum Zitat Peker L, Celebi N, Canbay Ö, Sahin A, Cakir B, Uzun S, Aypar U (2008) Doctors' opinions, knowledge and attitudes towards cancer pain management in a university hospital. Agri 20(2):20–30PubMed Peker L, Celebi N, Canbay Ö, Sahin A, Cakir B, Uzun S, Aypar U (2008) Doctors' opinions, knowledge and attitudes towards cancer pain management in a university hospital. Agri 20(2):20–30PubMed
29.
Zurück zum Zitat Lou F, Shang S (2017) Attitudes towards pain management in hospitalized cancer patients and their influencing factors. Chin J Cancer Res 29(1):75–85PubMedPubMedCentralCrossRef Lou F, Shang S (2017) Attitudes towards pain management in hospitalized cancer patients and their influencing factors. Chin J Cancer Res 29(1):75–85PubMedPubMedCentralCrossRef
30.
Zurück zum Zitat Lin C-C (2000) Barriers to the analgesic management of cancer pain: a comparison of attitudes of Taiwanese patients and their family caregivers. Pain 88(1):7–14PubMedCrossRef Lin C-C (2000) Barriers to the analgesic management of cancer pain: a comparison of attitudes of Taiwanese patients and their family caregivers. Pain 88(1):7–14PubMedCrossRef
31.
Zurück zum Zitat Hochberg U, Perez J, Borod M (2018) New frontier: cancer pain management clinical fellowship. Support Care Cancer 1–5 Hochberg U, Perez J, Borod M (2018) New frontier: cancer pain management clinical fellowship. Support Care Cancer 1–5
32.
Zurück zum Zitat Kwon JH (2014) Overcoming barriers in cancer pain management. J Clin Oncol 32(16):1727–1733PubMedCrossRef Kwon JH (2014) Overcoming barriers in cancer pain management. J Clin Oncol 32(16):1727–1733PubMedCrossRef
33.
Zurück zum Zitat Mann E, Carr E (2018) Pain management. Foundation Studies for Caring: Using Student-Centred Learning 259 Mann E, Carr E (2018) Pain management. Foundation Studies for Caring: Using Student-Centred Learning 259
34.
Zurück zum Zitat Manchikanti L, Kaye AM, Knezevic NN, McAnally H, Slavin K, Trescot AM, Hirsch J (2017) Responsible, safe, and effective prescription of opioids for chronic non-cancer pain: American Society of Interventional Pain Physicians (ASIPP) guidelines. Pain Physician 20(2S):S3–S92PubMed Manchikanti L, Kaye AM, Knezevic NN, McAnally H, Slavin K, Trescot AM, Hirsch J (2017) Responsible, safe, and effective prescription of opioids for chronic non-cancer pain: American Society of Interventional Pain Physicians (ASIPP) guidelines. Pain Physician 20(2S):S3–S92PubMed
35.
Zurück zum Zitat Syrjala KL, Jensen MP, Elena Mendoza M, Yi JC, Fisher HM, Keefe FJ (2014) Psychological and behavioral approaches to cancer pain management. J Clin Oncol 32(16):1703–1711PubMedPubMedCentralCrossRef Syrjala KL, Jensen MP, Elena Mendoza M, Yi JC, Fisher HM, Keefe FJ (2014) Psychological and behavioral approaches to cancer pain management. J Clin Oncol 32(16):1703–1711PubMedPubMedCentralCrossRef
36.
Zurück zum Zitat Xu X, Luckett T, Wang AY, Lovell M, Phillips JL (2018) Cancer pain management needs and perspectives of patients from Chinese backgrounds: a systematic review of the Chinese and English literature. Palliat Support Care 1–15 Xu X, Luckett T, Wang AY, Lovell M, Phillips JL (2018) Cancer pain management needs and perspectives of patients from Chinese backgrounds: a systematic review of the Chinese and English literature. Palliat Support Care 1–15
37.
Zurück zum Zitat Alqahtani M, Jones LK (2015) Quantitative study of oncology nurses' knowledge and attitudes towards pain management in Saudi Arabian hospitals. Eur J Oncol Nurs 19(1):44–49PubMedCrossRef Alqahtani M, Jones LK (2015) Quantitative study of oncology nurses' knowledge and attitudes towards pain management in Saudi Arabian hospitals. Eur J Oncol Nurs 19(1):44–49PubMedCrossRef
38.
Zurück zum Zitat Elumelu TN, Adenipekun AA, Eriba LO, Akinlade BI (2014) Knowledge of cancer pain management among nurses in a Nigerian tertiary health institution. J Nurs Educ Pract 4(4):74 Elumelu TN, Adenipekun AA, Eriba LO, Akinlade BI (2014) Knowledge of cancer pain management among nurses in a Nigerian tertiary health institution. J Nurs Educ Pract 4(4):74
Metadaten
Titel
Cancer Pain Management Among Oncology Nurses: Knowledge, Attitude, Related Factors, and Clinical Recommendations: a Systematic Review
verfasst von
Salehoddin Bouya
Abbas Balouchi
Abdulbaset Maleknejad
Maryam Koochakzai
Esra AlKhasawneh
Abdolghani Abdollahimohammad
Publikationsdatum
12.10.2018
Verlag
Springer US
Erschienen in
Journal of Cancer Education / Ausgabe 5/2019
Print ISSN: 0885-8195
Elektronische ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-018-1433-6

Weitere Artikel der Ausgabe 5/2019

Journal of Cancer Education 5/2019 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.