Korean J Adult Nurs.  2020 Feb;32(1):57-66. 10.7475/kjan.2020.32.1.57.

Effect of Knowledge and Attitudes of Cancer Pain Management and Patient-Centered Care on Performance of Cancer Pain Management among Nurses at an Oncology Unit

• Kim M
• Lee YM

• KMID: 2471029
• DOI: http://doi.org/10.7475/kjan.2020.32.1.57

Abstract

PURPOSE
The purpose of this study was to identify factors that influence the performance of cancer pain management among nurses in an oncology unit.
METHODS
The participants of this study were nurses working in an oncology unit at an oncology hospital located in Busan city. Data was collected between January 10 and February 10, 2018 from questionnaire responses received 101 nurses. Measures used for this study assessed knowledge and attitudes toward cancer pain management, patient-centered care, and the performance of cancer pain management. Data were analyzed using descriptive statistics, an independent t-test, a one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis.
RESULTS
Performance of cancer pain management was significantly correlated with knowledge (r=.21, p=.032), attitudes toward cancer pain management (r=.21, p=.034), and patient-centered care (r=.33, p=.001). In addition, performance of cancer pain management was influenced by knowledge of cancer pain management (β=.27, p=.008), patient-centered care (β=.33, p=.001), and working in the surgery department (β=.24, p=.012). The explanatory power of this model was 29.3%.
CONCLUSION
These results suggest the need for programs to improve patient-centered care, and continual education on cancer pain management guidelines, in order to provide organized and effective pain management.

MeSH Terms

Busan
Education
Linear Models
Pain Management*
Patient-Centered Care*

Reference

1. Kwon JH. Overcoming barriers in cancer pain management. Journal of Clinical Oncology. 2014; 32(16):1727–1733. DOI: 10.1200/JCO.2013.52.4827.

2. Nersesyan H, Slavin KV. Current approach to cancer pain management: availability and implications of different treatment options. Therapeutics and Clinical Risk Management. 2007; 3(3):381–400.

3. Allard P, Maunsell E, Labbé J, Dorval M. Educational interventions to improve cancer pain control: a systematic review. Journal of Palliative Medicine. 2001; 4(2):191–203. DOI: 10.1089/109662101750290227.

4. Oliver JW, Kravitz RL, Kaplan SH, Meyers FJ. Individualized patient education and coaching to improve pain control among cancer outpatients. Journal of Clinical Oncology. 2001; 19(7):2206–2212.

5. Mun JH. Knowledge and performance of nurses' cancer pain management [master's thesis]. Gongju: Kongju National University;2014.

6. Bernardi M, Catania G, Lambert A, Tridello G, Luzzani M. Knowledge and attitudes about cancer pain management: a national survey of Italian oncology nurses. Europe Journal of Oncology Nursing. 2007; 30(2):20–26. DOI: 10.1016/j.ejon.2006.09.003.

7. Vallerand AH, Musto S, Polomano RC. Nursing's role in cancer pain management. Current Pain Headache Reports. 2011; 15(4):250–262. DOI: 10.1007/s11916-011-0203-5.

8. Alnajar MK, Darawad MW, Alshahwan SS, Samarkandi OA. Knowledge and attitudes toward cancer pain management among nurses at oncology units. Journal of Cancer Education. 2019; 34(1):186–193. DOI: 10.1007/s13187-017-1285-5.

9. Shahriary S, Shiryazdi SM, Shiryazdi SA, Arjomandi A, Haghighi F, Vakili FM, et al. Oncology nurses knowledge and attitudes regarding cancer pain management. Asian Pacific Journal of Cancer Prevention. 2015; 16(17):7501–7506. DOI: 10.7314/apjcp.2015.16.17.7501.

10. Kim HJ, Park IS, Kang KJ. Knowledge and awareness of nurses and doctors regarding cancer pain management in a tertiary hospital. Asian Oncology Nursing. 2012; 12(2):147–155. DOI: 10.5388/aon.2012.12.2.147.

11. Jho HJ, Kim Y, Kong KA, Kim DH, Choi JY, Nam EJ, et al. Knowledge, practices, and perceived barriers regarding cancer pain management among physicians and nurses in Korea: a nationwide multicenter survey. PLoS One. 2014; 9(8):e105900. DOI: 10.1371/journal.pone.0105900.

12. Jun MH, Park KS, Gong SH, Lee SH, Kim YH, Kim YH, et al. Knowledge and attitude toward cancer pain management: clinical nurses versus doctors. Journal of Korean Academic Society of Nursing Education. 2006; 12(1):115–123.

13. Gong SH, Bang JY, Seo MS, Hyun SS, Kim HJ, Lee MA, et al. Knowledge and attitudes of oncology nurses toward cancer pain managements. Korean Journal of Adult Nursing. 2004; 16(1):5–16.

14. Kim SH, Park SY. A university hospital nurses' knowledge and attitude about cancer pain management. Journal of the Korea Academia-Industrial Cooperation Society. 2012; 13(1):254–263.

15. Jo EK. Nurses' knowledge and performance of cancer pain management [master's thesis]. Daegu: Keimyung University;2009.

16. Kim HK, Lee HS, Hwang KH, Yoo YS, Lee SM. Positive and negative determinants for pain management in both cancer patients and their nurses. Journal of Korean Academy of Fundamentals of Nursing. 2006; 13(1):68–75.

17. Song HJ, Kim GS. Factors affecting nurses' pain management for cancer patients: personal and hospital institution aspects. Journal of Korean Clinical Nursing Research. 2010; 16(3):25–37.

18. Sidani S, Fox M. Patient-centered care: clarification of its specific elements to facilitate interprofessional care. Journal of Interprofessional Care. 2014; 28(2):134–141. DOI: 10.3109/13561820.2013.862519.

19. Carter JJ, Watson AC, Sminkey PV. Pain management: screening and assessment of pain as part of a comprehensive case management process. Professional Case Management. 2014; 19(3):126–134. DOI: 10.1097/NCM.0000000000000029.

20. Jambunathan J, Chappy S, Siebers JJ, Deda A. Patient-centered care for chronic pain in the emergency department: a qualitative study. International Emergency Nursing. 2016; 24:22–27. DOI: 10.1016/j.ienj.2015.05.005.

21. Ramond-Roquin A, Bouton C, Bègue C, Petit A, Roquelaure Y, Huez JF. Psychosocial risk factors, interventions, and comorbidity in patients with non-specific low back pain in primary care: need for comprehensive and patient-centered care. Frontiers in Medicine. 2015; 8(2):3–10. DOI: 10.3389/fmed.2015.00073.

22. Samuels JG, Woodward R. Opportunities to improve pain management outcomes in total knee replacements: patient-centered care across the continuum. Orthopedic Nursing. 2015; 34(1):4–9. DOI: 10.1097/NOR.0000000000000109.

23. Watt-Watson JH, Donovan MI, editors. Pain management: nursing perspective. St. Louis: Mosby Year Book;1992.

24. Kwon EJ. A comparative study on the knowledge and attitude of cancer pain management between nurses working in general units and cancer units [master's thesis]. Busan: Kosin University;2009.

25. Sidani S, Collins L, Harbman P, MacMillan K, Reeves S, Hurlock-Chorostecki C, et al. Development of a measure to assess healthcare providers' implementation of patient-centered care. Worldviews on Evidence-Based Nursing. 2014; 11(4):248–257. DOI: 10.1111/wvn.12047.

26. Jang KH, Jung IS. Converged study on the nurses' knowledge and performance of cancer pain management in one city. Journal of the Korea Convergence Society. 2016; 7(6):115–124. DOI: 10.15207/JKCS.2016.7.6.115.

27. Lee YM, Song JE, Park C, Son YJ. Psychometric evaluation of the Korean version of patient-centered care scale for hospital nurses. Evaluation & the Health Professions. 2019; 42(3):344–365. DOI: 10.1177/0163278718805244.

28. Lusk JM, Fater KA. Concept analysis of patient-centered care. Nursing Forum. 2013; 48(2):89–98. DOI: 10.1111/nuf.12019.

29. Bergeron DA, Leduc G, Marchand S, Bourgault P. Descriptive study of the postoperative pain assessment and documentation process in a university hospital. Pain Research & Management. 2011; 16(2):81–86. DOI: 10.1155/2011/480479.

30. Park CS, Park EJ. Identification of knowledge structure of pain management nursing research applying text network analysis. Journal of Korean Academy of Nursing. 2019; 49(5):538–549. DOI: 10.4040/jkan.2019.49.5.538.