TY - JOUR
T1 - Cancer Pain Management Among Oncology Nurses
T2 - Knowledge, Attitude, Related Factors, and Clinical Recommendations: a Systematic Review
AU - Bouya, Salehoddin
AU - Balouchi, Abbas
AU - Maleknejad, Abdulbaset
AU - Koochakzai, Maryam
AU - AlKhasawneh, Esra
AU - Abdollahimohammad, Abdolghani
N1 - Publisher Copyright:
© 2018, American Association for Cancer Education.
PY - 2019/10/1
Y1 - 2019/10/1
N2 - The current study evaluated the oncology nurse’s knowledge, attitude, related factors of cancer-related pain management (CPM), and clinical recommendations for improving knowledge and attitude. In this systematic review, international databases (PubMed, EMBASE, Web of science (WOS), Science Direct, and Scopus) were searched for relevant studies published in English language from March 30, 2000 to March 30, 2018. The quality of the studies was evaluated using the Hoy instrument. Out of 888 initial studies, 12 studies performed on 3574 participants were included in the final stage of the review. Based on the results, most studies indicated that nurses had a poor (n = 4) or moderate (n = 4) knowledge of CPM. The lowest and the highest knowledge levels were 28.5% and 75%, respectively. According to most studies, nurses had a fair (average) (n = 4) or negative (n = 3) attitude toward CPM. The important factors related to the nurses’ knowledge of CPM included previous pain-related education programs (n = 7) and having work experience with cancer patients (n = 4). The most important barrier was the deficit in staff’s knowledge of pain (n = 2). The important clinical recommendations for improving nurses’ levels of knowledge included the implementation of educational programs (n = 9), training programs (n = 3) on CPM and including CPM topics in nursing curricula (n = 5). This systematic review showed that most nurses had poor knowledge of CPM and a fair attitude toward CPM, indicating the importance of considering the barriers to knowledge, strengthening the positive relevant factors, and using clinical recommendations based on clinical guidelines such as including CPM topics in nursing curricula and implementing educational programs on CPM to improve the knowledge, attitude, and skills of oncology nurses. The results of the present study could be used by policymakers to provide care for cancer patients and manage their pain.
AB - The current study evaluated the oncology nurse’s knowledge, attitude, related factors of cancer-related pain management (CPM), and clinical recommendations for improving knowledge and attitude. In this systematic review, international databases (PubMed, EMBASE, Web of science (WOS), Science Direct, and Scopus) were searched for relevant studies published in English language from March 30, 2000 to March 30, 2018. The quality of the studies was evaluated using the Hoy instrument. Out of 888 initial studies, 12 studies performed on 3574 participants were included in the final stage of the review. Based on the results, most studies indicated that nurses had a poor (n = 4) or moderate (n = 4) knowledge of CPM. The lowest and the highest knowledge levels were 28.5% and 75%, respectively. According to most studies, nurses had a fair (average) (n = 4) or negative (n = 3) attitude toward CPM. The important factors related to the nurses’ knowledge of CPM included previous pain-related education programs (n = 7) and having work experience with cancer patients (n = 4). The most important barrier was the deficit in staff’s knowledge of pain (n = 2). The important clinical recommendations for improving nurses’ levels of knowledge included the implementation of educational programs (n = 9), training programs (n = 3) on CPM and including CPM topics in nursing curricula (n = 5). This systematic review showed that most nurses had poor knowledge of CPM and a fair attitude toward CPM, indicating the importance of considering the barriers to knowledge, strengthening the positive relevant factors, and using clinical recommendations based on clinical guidelines such as including CPM topics in nursing curricula and implementing educational programs on CPM to improve the knowledge, attitude, and skills of oncology nurses. The results of the present study could be used by policymakers to provide care for cancer patients and manage their pain.
KW - Attitude
KW - Cancer pain management
KW - Knowledge
KW - Nurses
KW - Systematic review
UR - http://www.scopus.com/inward/record.url?scp=85055349344&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85055349344&partnerID=8YFLogxK
U2 - 10.1007/s13187-018-1433-6
DO - 10.1007/s13187-018-1433-6
M3 - Review article
C2 - 30315497
AN - SCOPUS:85055349344
SN - 0885-8195
VL - 34
SP - 839
EP - 846
JO - Journal of Cancer Education
JF - Journal of Cancer Education
IS - 5
ER -
