Nurses’ Ability to Assess and Manage Pain Symptom in Advanced Cancer Patients
This comparative descriptive research aimed to study nurses’ perceived ability to assess and manage pain symptom in advanced cancer patients and to compare nurses’ ability to assess and manage pain symptom according to their personal factors. The sample consisted of 85 professional nurses who cared for hospitalized cancer patients in Chulabhorn Hospital. Personal data record forms and nurses’ perceived ability to assess and manage pain symptom in advanced cancer patient questionnaires were used in data collection. Data were analyzed using Independent t-test / Mann-Whiney U test and One-way ANOVA / Kruskal Wallis.
The results revealed that nurses perceived their knowledge, practice abilities and overall abilities to assess and manage pain symptom in advanced cancer patients at moderate levels. Nurses who graduated master degree perceived their practice and overall ability higher than those who graduated bachelor degree (p<.05). Trained nurses for advanced cancer patient perceived their overall abilities higher than those non trained. (p<.05). Nurses with more than 5 years’ experience in advanced cancer patients perceived their practice abilities higher than those with less than 2 years’ experience (p<.05).
This study recommends the training courses for developing nurses’ ability in pain assessment and management in advanced cancer patients and emphasis on alternative pain management as well as supporting R2R research to assess and manage pain in variety forms.
1. American Cancer Society. Advanced cancer [Internet]; 2018 [cited 2021 May 26]. Available from https://www.cancer.org/treatment/understanding-your-diagnosis/advancedcancer/what-is.html
2. Napa T, Suchira C, Bualuang S. Symptom Experiences and Symptom Management in Patients with Advanced Cancer Receiving Palliative Care. Rama Nurs J 2015; 21(1): 82-95. [in Thai]
3. Benjamas P, Nam-oy P, Sirikorn K, Saengrawee T, Pornpimol L, Kanitha H. Symptom Experience and Symptom Management of Patients with Advanced Cancer and Family Caregivers. APHEIT Journal of Nursing and Health 2019; 1(1): 50-66. [in Thai]
4. Srirat M, Chatchai Sirichayanugul, T. Common symptoms and needs of pre-discharge advanced-stage cancer patients: A case-study at phrae hospital, Thailand. Thai Cancer Journal 2013; 33(4): 132-45. [in Thai]
5. Stark LL, Tofthagen C, Visovsky C, McMillan SC. The symptom experience of patients with cancer. Journal of Hospice & Palliative Nursing 2012; 14(1): 61-70.
6. Vidakovic MT, Graeff AD, Voest EE, Teunissen SCCM. Symptoms tell it all: A systematic review of the value of symptom assessment to predict survival in advanced cancer patients. Critical Reviews in Oncology/Hematology 2012; 84: 130–48.
7. Lancker AV, Velghe A, Hecke AV, Verbrugghe M, Noortgate, NVD, Gr ypdonck M, Beeckman, D. Prevalence of symptoms in older cancer patients receiving palliative care: A systematic review and meta-analysis. Journal of Pain and Symptom Management 2014; 47(1): 90-104.
8. Apinya P, Atitaya Y. Pain symptom in cancer patients. HOCC-PSU [internet]; 2013 [cited 2021 May 26]. Available from: http://hocc.medicine.psu.ac.th/files/khowledge/04april_2013-p26-27.pdf [in Thai]
9. Oncology nurse generalist competencies. [internet]; 2016 [cited 2021 May 26]. Available from: https://www.ons.org/sites/default/files/Oncology%20Nurse%20Generalist%20Competencies%202016.pdf
10. BC Cancer Agency. Symptom management guidelines. [internet]; 2018 [cited 2021 May 26]. Available from: http://www.bccancer.bc.ca/healthprofessionals/clinicalresources/nursing/symptom-management
11. National Comprehensive Cancer Network. Palliative care clinical practice guideline. [internet]; 2017 [cited 2021 May 26]. Available from: https://www.nccn.org/professionals/physician_gls/pdf/palliative.pdf
12. Bouya S, Balouchi A, Maleknejad A, Koochakzai M, AlKhasawneh E, Abdollahimohammad A. Cancer pain management among oncology nurses: knowledge, attitude, related factors, and clinical recommendations: A systematic review. Journal of Cancer Education 2019; 34: 839-46. doi: 10.1007/s13187-018-1433-6
13. Kassa RN, Kassa GM. Nurses’ attitude, practice and barriers toward cancer pain management, addis ababa, ethiopia. An Open Access Journal 2014; 6(12): 483-7.
14. Nega R, Tachbele E, Kassa GM. Cancer pain and its management: Knowledge of nurses at selected health institutions, offering cancer treatment in addis ababa, Ethiopia, 2013, Journal of Pain & Relief 2014; 3(2): 1-6. doi: 10.4172/2167-0846.1000137
15. Omran S, Qadire AM, Ali AN, Hayek AFM. Knowledge and attitudes about pain management: A comparison of oncology and non-oncology Jordanian nurses. Nursing and Health 2014; 2(4): 73-80.
16. Salim NA, Faisal WA, Hussain H. Nurses approach toward cancer pain management in oncology unit of Dubai Hospital, Dubai Health Authority in 2017. Journal of Nursing & Patient Care 2018; 3: 57. doi: 10.4172/2573-4571-C6-030
17. Tipthaporn P, Wongchan P, Aranya C. Professional Nurses’ Perceived Self-Efficacy and Practices in Non-Pharmacologic Pain Relief Techniques for Cancer Patients. The Thai Journal of Nursing Council 2003;18(3): 65-85.
18. Cancer Care Ontario. Symptom management algorithm pain in adults with cancer. [internet]; 2010 [cited 2021 May 26]. Available from: https://www.cancercareontario.ca/en/symptom-management
19. Sumran J, Rachanee N, Ampaporn N. Nurses’ Ability to Assess and Manage Symptoms of Patients with Advanced Cancer. The Journal of Faculty of Nursing Burapha University 2021; 29(1): 25-36. [in Thai]
20. Bloom BS, Madaus GF, Hastings JT. Handbook on Formative and Summative Evaluation of Student Learning. New York: McGraw-Hill; 1971.
21. Pai RR, Ongole R. Nurses’ Knowledge and education about oral care of cancer patients undergoing chemotherapy and radiation therapy. Indian Journal of Palliative care 2015; 12(2): 225-30.
22. Tranmer R, Boyd L, Johnson T, Howlett B, Bowen D, Peterson T. National Survey of oncology members’ knowledge, education, and patient management regarding oral care in cancer therapy. Health and Interprofessional Practice 2013; 2(1): 1-13.
Copyright (c) 2021 Journal of Nursing and Health Care
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.