Barriers to Effective Cancer Pain Management in Home Setting: A Qualitative Study

Rafii, Forough; Taleghani, Fariba; Khatooni, Marzieh

doi:10.1016/j.pmn.2020.11.003

Cited by 10 publications

(8 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The second barrier is limited communication between nurses and pain management specialists. (Rafii et al, 2021) The success of pain management in a diverse group of patients depends considerably on the collaborative nature among multiple nurses. This may range from a single handover from one shift to the next, to informal or formalized team methods.…”

Section: Collaborative Approach In Pain Managementmentioning

confidence: 99%

The Role Of Nurses In Pain Management

Al-Harbi,

Al-harbi,

Al Harbi

et al. 2022

SFS

View full text Add to dashboard Cite

Incorporating a grounded theory research design, the absence of a predetermined hypothesis allows for a comprehensive exploration of the ways in which nurses manage pain and to identify gaps where improvement is needed. This is particularly important given the explorative objectives of this study to link better pain management with improvements in patient safety and quality of care. Using knowledge from unique studies on other healthcare professionals, the exploration of attitudinal influences and biases that hinder effective pain management has been identified in the nursing community and previous research with medical practitioners, where nurses were frequently mentioned as a source of suboptimal pain care. This research design is suited to an investigation on how to better educate nurses to improve analgesic standards and outcomes for their patients, by effectively assessing and overcoming the specific barriers that exist within nursing practice at a variety of educational levels. Economic pressures and healthcare reforms have shifted an increasing amount of cancer and chronic pain care into community settings where statistics already show that most non-cancer patients do not receive adequate pain management. Given that the National Health Surveys is a population that includes this paper's focus, an exploration of all ages will allow for a general understanding of where nurses are falling short on pain care and highlight the specific areas where pain assessment and management could be improved. (Abouzida et al., 2020) Nurses play a vital role in the assessment and management of pain in both acute and chronic settings. Unfortunately, barriers still exist which inhibit effective pain management in the general community and within the hospital setting. Furthermore, nursing involvement is often linked to poor pain management, and it has been identified that pain management practices can differ among nurses working on medical, surgical, and cancer units. In order to promote effective pain management and provide a comprehensive analysis of the role of nurses, this paper will critically evaluate current nursing practice in relation to the assessment of pain and provide a thorough examination of the barriers which exist in effective pain management. It will also address the attitudes and knowledge that many patients and healthcare professionals hold when considering opioid analgesia. To provide a broader understanding of the impact of nurses' involvement on pain care, an exploration of opioid use in the community and nursing management will be investigated.

show abstract

Section: Collaborative Approach In Pain Managementmentioning

confidence: 99%

The Role Of Nurses In Pain Management

Al-Harbi,

Al-harbi,

Al Harbi

et al. 2022

SFS

View full text Add to dashboard Cite

show abstract

“…In this issue, there is great applicability for the use of telehealth in expanding the reach of pain management. For example, in the home ( Rafii, et al 2021 ), for the management of chronic and/or musculoskeletal pain of adults and adolescents (Yanardg, et al, 2021;Ozdemir, 2021 ) and implementing novel strategies to manage pain ( Cole, 2021 ).…”

Section: Nursing's Role In Telehealth Along With Pain Management Implicationsmentioning

confidence: 99%

Telehealth and Pain Management

Miller¹

2021

Pain Management Nursing

View full text Add to dashboard Cite

“…Individuals diagnosed with cancer often encounter physical disabilities, functional limitations, mental health concerns (e.g., depression, anxiety), and other symptoms such as appetite loss, pain, fatigue, and dyspnea secondary to the disease and associated treatments [ 7 , 4 ] that adversely affect daily function and quality of life [ 7 , 4 ]. Past studies have identified several factors affecting quality of life in Iranian individuals with cancer.…”

Section: Introductionmentioning

confidence: 99%

“…Those factors include socio-demographic characteristics, such as gender [ 8 ], age [ 8 , 9 ], health promoting lifestyle [ 10 ], and financial burden [ 11 ]. Additional influencing factors include psychological and clinical characteristics such as presence of pain [ 7 , 12 ], social support [ 13 , 14 ], depression and anxiety [ 15 , 16 ], and perceived self-efficacy [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Religious Well-Being, Existential Well-Being, Fear of Progression and Quality of Life in Patients with Cancer: The Mediating Role of Hope

Sharif Nia,

Lehto,

Farhadi

et al. 2024

Asian Pac J Cancer Prev

View full text Add to dashboard Cite

Background: A cancer diagnosis can be psychologically challenging to individuals due to perceptions that the disease is potentially incurable truncating life expectancy. The purpose of the study was to examine the relationships among religious well-being, existential well-being, fear of progression and quality of life in Iranian patients with cancer and to evaluate the potential mediating role of hope on these relationships. Methods: This study with predictive cross-sectional design was done in 2023. Data was gathered from 398 patients with cancer that was selected with accessible sampling method from cancer center of Mazandaran university of medical sciences (Sari, Iran). Study constructs included the religious and existential wellbeing, cancer fear of progression, Snyder Hope, and quality of life. Analysis of a Moment Structures (AMOS) software (v27) was utilized for all study analyses. Covariance based-structural equation modeling (SEM) was used to assess the mediating role of hope. Results: The mean age of patients with cancer was 49.14 (SD = 16.16). The results of the direct effect showed a significant positive relationship between religious well-being and hope (B = 0.164, p < .001), and between hope and quality of life (B = 0.212, p < 0.001). Also, significant negative relationship between fear of progression and hope (B = -0.147, p < 0.05) was founded. Conclusion: A significant positive relationship between hope and quality of life, as well as religious well-being and hope, suggests the influential effects of hope and religious well-being on improving quality of life in patients with cancer. Negative relationships between fear of progression and hope conclude that managing fear of progression may be an important factor in increasing hope and improving quality of life in patients with cancer.

show abstract

Barriers to Effective Cancer Pain Management in Home Setting: A Qualitative Study

Cited by 10 publications

References 25 publications

The Role Of Nurses In Pain Management

The Role Of Nurses In Pain Management

Telehealth and Pain Management

The Relationship between Religious Well-Being, Existential Well-Being, Fear of Progression and Quality of Life in Patients with Cancer: The Mediating Role of Hope

Contact Info

Product

Resources

About