Asian Oncol Nurs.  2021 Mar;21(1):15-23. 10.5388/aon.2021.21.1.15.

The Knowledge, Attitudes, Performance, and Barriers of Nurses to Pain in Oncology Settings: A Multi-Center Study

  • 1Cancer Center, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea
  • 2Department of Nursing, Mokpo National University, Muan, Korea
  • 3College of Nursing, Yonsei University, Seoul, Korea
  • 4Seoul Women’s College of Nursing, Seoul, Korea
  • 5Department of Nursing, Changwon National University, Changwon, Korea
  • 6Yonsei Cancer Center, Yonsei University Health System, Seoul, Korea
  • 7School of Nursing, Hanyang University, Seoul, Korea


The purpose of this study was to examine knowledge, attitudes, performance, and barriers to pain management of nurses working in oncology settings.
This cross-sectional study was conducted on 222 nurses in five tertiary hospitals in Korea. The period of data collection was 1 September to 30 November 2018. Participants were surveyed using the Nurse Knowledge and Attitudes Survey Regarding Pain (NKASRP), a pain management performance, and barriers questionnaire. The data were analyzed through independent t-test and One-way ANOVA, and the post-hoc test was conducted with the Scheffé test using the SPSS 23 program.
According to the study, oncology nurses’ knowledge and attitudes to pain received a score of 26.4±3.77 (out of 41 points) and the performance received a score of 3.24±0.35 (out of 4 points). Among the barriers to pain management, time constraints were the most frequent medical staff-related factor, and reluctance to take opioids was the most frequent patient-related factor. In terms of factors related to the health care system, strict regulation of opioids was the most significant. There was a significant positive correlation between knowledge and attitude of pain management and performance of pain management.
Based on the findings of this study, it is recommended that structured education programs to be developed and implemented to enhance knowledge, attitudes, and performance on pain.


Nurses; Neoplasms; Pain; Knowledge; Attitude
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