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Associated factors with the knowledge of nurses of a high complexity oncology centre in Brazil, on the management of cancer pain.
Ecancermedicalscience 2019; 13:928E

Abstract

Pain is one of the most prevalent symptoms in cancer patients and may be directly related to cancer or to the procedures needed for its diagnosis and treatment. It is estimated that about 40% of cancer patients receive inadequate treatment for painful conditions. Among the barriers to adequate pain management are inadequate knowledge and the dysfunctional beliefs of healthcare professionals. Therefore, the present study aims to assess the knowledge of oncology nurses on the management of pain, as well as the factors associated with it. It is a cross-sectional study with 126 nurses working at a High Complexity Oncology Centre in Brazil. Knowledge about the management of cancer pain was evaluated through the instrument 'Nurses' Knowledge on Cancer Pain Management-World Health Organization-developed by Ramos (1994). In the analysis of the association between knowledge about pain management and the independent variables, Poisson regression was used with robust variance, and values of p ≤ 0.05 were considered statistically significant. Adequate knowledge prevalence was 54.1% confidence intervals (CI 5.40%-62.80%). These nurses differed in relation to those with inadequate knowledge regarding the source of knowledge about pain, the ethical aspects in the treatment of the patient with oncologic pain, and non-pharmacological methods (coeliac plexus neuroleptic block) for pain control. Also, the factors associated with adequate knowledge were longer professional experience time ([10-19 years (ratio prevalence (RP) = 1.72, 95% CI: 1.05-2.81), 20-29 years (RP = 2.56, 95% CI: 1.63-4.02), 30-39 years (RP = 3.45, 95% CI: 2.25-5.29]), and not believing that the use of opioids causes harm to patients corresponded with a greater chance prevalence ratio (PR = 1.20, 95% CI: 1.12-1.20) of having adequate knowledge. The findings of the study point to the need for continuing education, updated education, and reflection, especially for nurses with less professional experience.

Authors+Show Affiliations

Florence Clinic: Rehabilitation and Palliative Care, Bela Vista do Cabral Street, 271, Nazaré, BA, Brazil. https://orcid.org/0000-0002-6022-8803.Health School Rio Grande do Norte Federal University, Senador Salgado Filho, Avenue, s/n Lagoa Nova, Natal, RN, Brazil. https://orcid.org/0000-0002-1722-5703.Health School Rio Grande do Norte Federal University, Senador Salgado Filho, Avenue, s/n Lagoa Nova, Natal, RN, Brazil. https://orcid.org/0000-0003-2025-8642.Health School Rio Grande do Norte Federal University, Senador Salgado Filho, Avenue, s/n Lagoa Nova, Natal, RN, Brazil. https://orcid.org/0000-0001-5490-0803.Medical-surgical Nursing Department, Anna Néry Nursing School/UFRJ, Afonso Cavalcanti Street, 275-Cidade Nova, Rio de Janeiro, RJ, Brazil. https://orcid.org/0000-0003-2433-2811.Nursing Department of Paulista University- Jacery Street, 247-Morumbi, São Paulo, SP, Brazil.José de Alencar Gomes da Silva National Institute of Cancer-INCA Cruz Vermelha Square, 23-Centro, Rio de Janeiro, RJ, Brazil. https://orcid.org/0000-0001-9961-3576.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31281425

Citation

Dos Santos Ferreira, Flávia, et al. "Associated Factors With the Knowledge of Nurses of a High Complexity Oncology Centre in Brazil, On the Management of Cancer Pain." Ecancermedicalscience, vol. 13, 2019, p. 928.
Dos Santos Ferreira F, Meira KC, Félix RS, et al. Associated factors with the knowledge of nurses of a high complexity oncology centre in Brazil, on the management of cancer pain. Ecancermedicalscience. 2019;13:928.
Dos Santos Ferreira, F., Meira, K. C., Félix, R. S., de Oliveira, I. R. S., Pinto, C. M. I., Dos Santos Silva, M. A., & Dos Santos, J. (2019). Associated factors with the knowledge of nurses of a high complexity oncology centre in Brazil, on the management of cancer pain. Ecancermedicalscience, 13, p. 928. doi:10.3332/ecancer.2019.928.
Dos Santos Ferreira F, et al. Associated Factors With the Knowledge of Nurses of a High Complexity Oncology Centre in Brazil, On the Management of Cancer Pain. Ecancermedicalscience. 2019;13:928. PubMed PMID: 31281425.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Associated factors with the knowledge of nurses of a high complexity oncology centre in Brazil, on the management of cancer pain. AU - Dos Santos Ferreira,Flávia, AU - Meira,Karina Cardoso, AU - Félix,Rayane Saraiva, AU - de Oliveira,Iara Rayane Silva, AU - Pinto,Cecilia Maria Izidoro, AU - Dos Santos Silva,Magda Aparecida, AU - Dos Santos,Juliano, Y1 - 2019/05/09/ PY - 2018/11/25/received PY - 2019/7/9/entrez PY - 2019/7/10/pubmed PY - 2019/7/10/medline KW - nursing care KW - nursing education KW - oncology nursing KW - pain management KW - teaching SP - 928 EP - 928 JF - Ecancermedicalscience JO - Ecancermedicalscience VL - 13 N2 - Pain is one of the most prevalent symptoms in cancer patients and may be directly related to cancer or to the procedures needed for its diagnosis and treatment. It is estimated that about 40% of cancer patients receive inadequate treatment for painful conditions. Among the barriers to adequate pain management are inadequate knowledge and the dysfunctional beliefs of healthcare professionals. Therefore, the present study aims to assess the knowledge of oncology nurses on the management of pain, as well as the factors associated with it. It is a cross-sectional study with 126 nurses working at a High Complexity Oncology Centre in Brazil. Knowledge about the management of cancer pain was evaluated through the instrument 'Nurses' Knowledge on Cancer Pain Management-World Health Organization-developed by Ramos (1994). In the analysis of the association between knowledge about pain management and the independent variables, Poisson regression was used with robust variance, and values of p ≤ 0.05 were considered statistically significant. Adequate knowledge prevalence was 54.1% confidence intervals (CI 5.40%-62.80%). These nurses differed in relation to those with inadequate knowledge regarding the source of knowledge about pain, the ethical aspects in the treatment of the patient with oncologic pain, and non-pharmacological methods (coeliac plexus neuroleptic block) for pain control. Also, the factors associated with adequate knowledge were longer professional experience time ([10-19 years (ratio prevalence (RP) = 1.72, 95% CI: 1.05-2.81), 20-29 years (RP = 2.56, 95% CI: 1.63-4.02), 30-39 years (RP = 3.45, 95% CI: 2.25-5.29]), and not believing that the use of opioids causes harm to patients corresponded with a greater chance prevalence ratio (PR = 1.20, 95% CI: 1.12-1.20) of having adequate knowledge. The findings of the study point to the need for continuing education, updated education, and reflection, especially for nurses with less professional experience. SN - 1754-6605 UR - https://www.unboundmedicine.com/medline/citation/31281425/Associated_factors_with_the_knowledge_of_nurses_of_a_high_complexity_oncology_centre_in_Brazil,_on_the_management_of_cancer_pain L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31281425/ DB - PRIME DP - Unbound Medicine ER -