Improving cancer pain management by homecare nurses.
PURPOSE/OBJECTIVES: To demonstrate the effects of a program, directed at homecare nurses, of structured educational interventions on the management of pain and opioid-related side effects in homecare patients with cancer. DESIGN: A longitudinal multilevel, randomized, controlled clinical trial. SETT...
| Publicado en: | Oncology Nursing Forum Vol. 31; no. 4; pp. 809 - 817 |
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| Autores principales: | , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Oncology Nursing Society
Jul/Aug2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106650833&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106650833 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0190535X 4F0 jtl: Oncology Nursing Forum issn: 0190535X maglogo: N pubinfo: dt: Jul/Aug2004 vid: 31 iid: 4 pid: 12496 pub: Oncology Nursing Society place: Pittsburgh, Pennsylvania artinfo: ui: 106650833 106650833 2004164550 10.1188/04.ONF.809-816 NLM15252435 106650833 ppf: 809 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Improving cancer pain management by homecare nurses. aug: au: Vallerand AH Riley-Doucet C Hasenau SM Templin T affil: Assistant Professor, College of Nursing, Wayne State University, Detroit, MI; april.vallerand@wayne.edu sug: subj: Cancer Pain Nursing Home Health Nursing Nurse Attitudes Evaluation Nursing Knowledge Evaluation Outcomes of Education Evaluation Adult Aged Benner's Professional Advancement Model Cancer Pain Drug Therapy Cancer Pain Education Clinical Trials Cluster Analysis Convenience Sample Descriptive Statistics Educational Status Effect Size Funding Source Home Health Agencies Home Health Nursing Education Information Resources Intraclass Correlation Coefficient Middle Age Midwestern United States Pretest-Posttest Design Prospective Studies Questionnaires Summated Rating Scaling World Wide Web Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years ab: PURPOSE/OBJECTIVES: To demonstrate the effects of a program, directed at homecare nurses, of structured educational interventions on the management of pain and opioid-related side effects in homecare patients with cancer. DESIGN: A longitudinal multilevel, randomized, controlled clinical trial. SETTING: Midwestern region in the United States. SAMPLE: 202 nurses caring for patients with cancer recruited from homecare agencies. METHODS: The two-tiered educational program focused on basic and advanced pain management strategies, particularly in the area of pharmacologic options and assertive communication skills. Instruments used were the Nurses' Knowledge and Attitudes Survey Regarding Pain, the barriers questionnaire, perception of control over pain, and a demographic questionnaire. MAIN RESEARCH VARIABLES: Knowledge and attitudes about pain management, barriers to pain management, and perception of control over pain. FINDINGS: Nurses in the intervention group had a significant increase in their knowledge, a more positive attitude about pain management, fewer perceived barriers to pain management, and an increase in perceived control over pain compared to the nurses who did not receive the intervention. CONCLUSIONS: The educational program Power Over Pain has beneficial effects for homecare nurses caring for patients with cancer pain. IMPLICATIONS FOR NURSING: A need exists for homecare nurses to gain more insight into pain management strategies and enhance their advocacy skills to improve pain management for patients with cancer treated in the home. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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