Barriers to cancer pain management: Jordanian nurses' perspectives.

School of Nursing, Al Al-Bayait University, Mafraq, Jordan.
International journal of palliative nursing 11/2012; 18(11):535-6, 538-40. DOI: 10.12968/ijpn.2012.18.11.535
Source: PubMed

ABSTRACT Adequate management of cancer pain is a human right. However, cancer pain is still not well medicated, and some of the barriers to achieving relief are related to nursing. Identifying these barriers would help the development of interventions to improve pain management.
To explore barriers to cancer pain management among Jordanian nurses.
A convenience sample of 96 nurses from 3 hospitals participated in a cross-sectional survey using an Arabic translation of Ward and colleagues' barriers questionnaire II.
The nurses expressed high levels of barriers on the questionnaire, with a mean score of 2.5 for the questionnaire as a whole (standard deviation (SD) 0.8).The harmful and physiological effects of medications subscales received the highest mean scores: 2.7 (SD 1.1) and 2.6 (SD 0.9) respectively.
Many nursing-related barriers to cancer pain management were found.These barriers need to be addressed and eliminated, for example through education and training.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Cancer pain management is a major element of successful cancer survivorship. Regardless of where someone is along the cancer experience, from a newly diagnosed patient to long-term survivor, pain is a potential treatment-related effect that can have a significant impact on a survivor's life. Quality pain management for cancer survivors is complicated by the fact that cancer-related pain can be due to the tumor, surgery, radiation, and/or chemotherapy. Additionally, the pain experience is related to many psychosocial/spiritual factors. Despite almost 40 years of attention devoted to improving cancer pain management, many cancer survivors are less than optimally treated, often owing to survivor and healthcare provider knowledge barriers. This article reviews some of the latest research related to cancer pain management treatment options, measurement/assessment, and interventions. Progress has been made in understanding new aspects of the pain experience, but more work is yet to be done.
    Current Pain and Headache Reports 08/2014; 18(8):440. · 2.26 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: In Jordan, little is known about cancer-related symptoms prevalence, severity, and its impacts on patients' quality of life. Therefore, this study was conducted to estimate cancer-related symptoms prevalence, severity, and predictors of quality of life of cancer patients in Jordan. A descriptive cross-sectional survey design was used. The sample consisted of 498 Jordanian cancer patients. There were slightly more males (51.6%) and a mean age of 44.3 (SD = 15.3) years. The mean of the number of symptoms reported by patients was 11 (SD = 3.3). The most prevalent symptoms were fatigue (92.5%), feeling drowsy (87.1%), lack of appetite (86.3%), being distressed (86.1%), and pain (85.5%). Furthermore, Jordanian cancer patients had low mean total scores for quality of life at a level of 18.5 (SD = 4.9). A comprehensive palliative care program is recommended, led by a representative from the Ministry of Health, to integrate palliative care within the current health care system in Jordan. © The Author(s) 2014.
    Clinical Nursing Research 12/2014; · 0.87 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Literature from the past 168 years has been filtered to provide a unified summary of the regional distribution of cutaneous water and electrolyte losses. The former occurs via transepidermal water vapour diffusion and secretion from the eccrine sweat glands. Daily insensible water losses for a standardised individual (surface area 1.8 m2) will be 0.6-2.3 L, with the hands (80-160 g.h-1) and feet (50-150 g.h-1) losing the most, the head and neck losing intermediate amounts (40-75 g.h-1) and all remaining sites losing 15-60 g.h-1. Whilst sweat gland densities vary widely across the skin surface, this same individual would possess some 2.03 million functional glands, with the highest density on the volar surfaces of the fingers (530 and the lowest on the upper lip (16 During passive heating that results in a resting whole-body sweat rate of approximately 0.4 L.min-1, the forehead (0.99, dorsal fingers (0.62 and upper back (0.59 would display the highest sweat flows, whilst the medial thighs and anterior legs will secrete the least (both 0.12 Since sweat glands selectively reabsorb electrolytes, the sodium and chloride composition of discharged sweat varies with secretion rate. Across whole-body sweat rates from 0.72 to 3.65, sodium losses of 26.5-49.7 mmol.L-1 could be expected, with the corresponding chloride loss being 26.8-36.7 mmol.L-1. Nevertheless, there can be threefold differences in electrolyte losses across skin regions. When exercising in the heat, local sweat rates increase dramatically, with regional glandular flows becoming more homogeneous. However, intra-regional evaporative potential remains proportional to each local surface area. Thus, there is little evidence that regional sudomotor variations reflect an hierarchical distribution of sweating either at rest or during exercise.
    Extreme physiology & medicine. 01/2013; 2(1):4.


Available from
May 21, 2014