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.

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Available from: Mohammad Al Qadire, Dec 15, 2013
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    • "For example, healthcare providers (physicians and nurses mainly) erroneously believe that taking narcotics means addiction in cancer patients (Edrington et al., 2009, Finley et al., 2008, David et al., 2003, Beck, 2000). Further, nurses in Jordan have been found to have a weak knowledge of pharmacological pain treatment (e.g., correct dosage, duration of effect, drug rotation), the preferred rout of administration, and fear of addiction (Al Qadire & Al Khalaileh, 2012). Fear of addiction is a cultural fear that is prevalent among in the wider public as well as among healthcare workers. "
    Palliative Care to the Cancer Patient: The Middle East as a Model for Emerging Countries, Edited by Silbermann, M, 02/2014: chapter Palliative care in Jordan: accomplishments and challenges: pages In press; NOVA SCIENCE PUBLISHERS.
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    ABSTRACT: Background: Despite the introduction of numerous guidelines and pharmacological interventions to manage cancer pain, poor assessment and under-medication remain common. Aim: To estimate the prevalence of cancer pain and the adequacy of its management in Jordan. Method: A convenience sample of 162 cancer patients from two hospitals participated in a cross-sectional survey using an Arabic version of the Brief Pain Inventory-short form (BPI). Results: 73.3% of the patients had pain severe enough to merit rating on the BPI. The mean of the worst pain scores in the past 24 hours was high at 7.5 out of 10 (standard deviation (SD) 2.7). 31% of patients with pain had not been treated for their pain, and the mean Pain Management Index score was -1.20 (SD 1.0). Conclusion: These cancer patients were experiencing high levels of pain, which was undertreated. Providing adequate pain management is a priority, hence more education, training, and resources are needed in Jordan to reduce cancer patients' suffering.
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