Barriers to change: a pain management project

Brockopp, Dorothy; Brockopp, Gene W.; Warden, Sherry; Wilson, John F.; Carpenter, Janet S.; Vandeveer, Barbara

doi:10.1016/s0020-7489(98)00035-2

Cited by 62 publications

(67 citation statements)

References 8 publications

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“…Also, education programmes in isolation were criticised for being insufficient in bringing about a change in healthcare professionals' practice (De Rond et al, 1999;Seers, Watt-Watson, & Bucknall, 2006). Furthermore, using seminar days as means of education programmes on pain management, Weissman and Dahl (1995) and Brockopp et al (1998) did not conclude any recognised change in practice. Furthermore, using seminar days as means of education programmes on pain management, Weissman and Dahl (1995) and Brockopp et al (1998) did not conclude any recognised change in practice.…”

Section: Discussionmentioning

confidence: 88%

Cancer-related pain management: A review of knowledge and attitudes of healthcare professionals

2016

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Cancer-related pain (CRP) is common and many patients continue to experience pain in spite of advances in pain management modalities. The lack of knowledge, inadequate assessment of CRP and/or organisational factors, such as lack of time due to heavy workload, can be a barrier to effective pain management of healthcare professionals. The purpose was to examine the evidence with regard to the knowledge and attitudes towards practice of healthcare professionals in relation to CRP management. A search of the literature (1999-2015) was conducted searching databases and journals including CINAHL, MEDLINE, PsycINFO, PubMed, Science Direct and Wiley-Blackwell. The initial search revealed a total of 99 articles and following removal of those that did not meet the inclusion criteria, 19 articles were included in the final review. Recognition of the widespread under treatment of CRP has prompted recent corrective efforts in terms of education from healthcare professionals, however, there is a continuing deficit in healthcare professionals' knowledge with regard to CRP management and indicated that healthcare professionals still have negative attitudes that hinder the delivery of quality care to patients suffering from CRP. Further research on how and where education on this topic should be delivered is required.

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Section: Discussionmentioning

confidence: 88%

Cancer-related pain management: A review of knowledge and attitudes of healthcare professionals

2016

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“…The problem begins with low priority being given to pain treatment in medical schools and residency training programmes (Von Roenn et al, 1993). Staff nurses' perceptions of barriers to pain management are due to a lack of educational preparation, inadequacy of clinical practice skills, organisational aspects, and institutional constraints such as workload and lack of staff (Brockopp et al, 1998;Clarke et al, 1996;Schafheutle et al, 2001). These barriers are not just the ones created by poor knowledge, myth and misconception; the most powerful barriers to change may be the institutional ones that can be entrenched within hospital policies and nursing behaviour (Mann and Redwood, 2000), as nurses play a crucial role in the control of pain.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of pain in adults admitted to Catalonian hospitals: A cross‐sectional study

Vallano

Malouf

Payrulet

et al. 2006

European Journal of Pain

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“…[6][7][8][9][10][11][12][13][14][15] One of these barriers is fear of government action against a physician who prescribes opioids for patients in pain. 1-5 Multiple barriers to the adequate treatment of pain have been identified.…”

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confidence: 99%

Prosecution of Physicians for Prescribing Opioids to Patients

Reidenberg

Willis

2007

Clin Pharmacol Ther

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Many patients in pain receive inadequate doses of opioids. Fear of government action against prescribing doctors is one cause of this inadequate treatment. The purpose of the study was to assess criminal prosecutions by reviewing press reports of indictments or trials of doctors for opioid offenses during 2 years. Forty-seven cases were reported involving 53 doctors. Fifteen cases were for offenses unrelated to medical practice. In 32 cases, the charge was based on determining the prescriptions for opioids were outside the bounds of proper medical practice. Only two of these cases were evaluated by a state medical board before indictment. Five doctors were indicted for murder related to drug overdose deaths. None were found guilty of murder. Prosecutorial excesses and hyperbole were common. The state medical board's review of appropriateness of prescribing opioids when a doctor-patient relationship is presumed to exist could decrease inappropriate criminal indictments and reduce this component of fear of prescribing adequate opioid therapy for patients in pain.

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Barriers to change: a pain management project

Cited by 62 publications

References 8 publications

Cancer-related pain management: A review of knowledge and attitudes of healthcare professionals

Cancer-related pain management: A review of knowledge and attitudes of healthcare professionals

Prevalence of pain in adults admitted to Catalonian hospitals: A cross‐sectional study

Prosecution of Physicians for Prescribing Opioids to Patients

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