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


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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    • "These barriers then may unintentionally hinder the effective management of pain through such things as the availability of opioid drugs, lack of national policy, and hospital regulations that impede the nurses' performance. [5] [10] [12] Little research has been undertaken in exploring the organisational barriers to effective pain management and certainly none undertaken in Saudi Arabia. Nurses working with patients diagnosed with cancer have a vital role in the decision-making process regarding pain management . "

    Full-text · Article · Nov 2015
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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. "

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    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.
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