Nurse Attitude-Related Barriers to Effective Control of Cancer Pain among Iranian Nurses

Sadeghy, Adel; Mohamadian, Robab; Rahmani, Azad; Fizollah-zadeh, Hussein; Jabarzadeh, Franak; Azadi, Arman; Rostami, Hussein

doi:10.7314/apjcp.2016.17.4.2141

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…Gerek çok eski gerekse yeni literatürde onkoloji birimlerinde görev yapan hemşirelerin dahi opioidlerle ilgili ve kanser ağrısı yönetimine yönelik genel bilgi ve tutum düzeylerinin zayıf olduğunu gösteren çalışmalar mevcuttur (14)(15)(16). Farklı zamanlarda yapılmış çeşitli araştırmalarda aynı şekilde hemşire gruplarının çoğunun kanser ağrısı tedavisinde kullanılan opioidlerin, bağımlılık potansiyeli, sedasyon, solunum depresyonu gibi advers olaylar konusunda yanlış bilgi sahibi oldukları tespit edilmiştir (9,(17)(18)(19). Bu çalışmada analjezik ilaçların etki mekanizmaları hakkında kısmen bilgi sahibi olduğunu belirten hemşirelerin oranı %58' iken, %33'ü ise yeterli ya da çok yeterli bir bilgiye sahip olduklarını söylemişlerdir.…”

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Inadequancy and Differences about the Attitudes in Pain Control of Cancer Patients: Assessment of Algology Department

Çalışkan,

Örnek Çelebi

2023

JARSS

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Section: Bulgularunclassified

Inadequancy and Differences about the Attitudes in Pain Control of Cancer Patients: Assessment of Algology Department

Çalışkan,

Örnek Çelebi

2023

JARSS

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Attitudes, Knowledge, and Perceived Barriers Towards Cancer Pain Management Among Healthcare Professionals in Libya: a National Multicenter Survey

et al. 2022

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Cancer pain presents in approximately 66% of patients in advanced stages. Although several guidelines and pharmacological options are available for cancer pain management (CPM), assessment and treatment of cancer pain remain inadequate globally, particularly in developing countries. Lack of knowledge and negative attitudes towards CPM among healthcare professionals (HCPs) are important barriers to CPM. This survey aimed to evaluate nurses’ and physicians’ knowledge, attitudes, and potential barriers regarding CPM in Libya. This cross-sectional survey involved a convenience sample of 152 oncology nurses and physicians working in six oncology settings in Libya. The response rate was 76%. The Barriers Questionnaire II (BQ-II) was used for data collection (higher scores signify greater attitudinal barriers and poorer knowledge). Data analysis was carried out using Statistical Package for Social Sciences (SPSS), version 26 software. An independent t-test (unadjusted estimate) indicated that Libyan nurses showed higher mean barrier scores (mean = 3.8, SD = 0.7) to CPM than physicians (mean = 2.9, SD = 0.8), p < 0.001. The six most common differences in attitudinal barriers between nurses and physicians were “opioid side effects,” “poor tolerance,” “strong patient endures pain,” “distract the physician,” “drug addiction,” and “opioids impair immune function,” p < 0.001. Multiple regression results (adjusted estimate) indicated that nurses had more barrier scores to CPM than physicians (B = − 0.530, p < 0.05), and participants with higher educational levels were associated with lower barrier scores to CPM (B = − 0.641, p < 0.05). Our results suggest that Libyan oncology HCPs hold perceived barriers, lack of knowledge, and negative attitudes towards CPM. Professional education and training in CPM, addressing phobia and myths on opioid usage, and the benefits and complications of using opioids are likely to result in reduced barriers to CPM in Libya.

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Analysis of Barriers to Medical Opioid Pain Medication Using the Japanese Version of the Barriers Questionnaire II (JBQ-II): Pharmacists and Nurses Perspective in Japan

Chisaki,

Oomoto,

Sakurano

et al. 2024

Am J Hosp Palliat Care

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Background Some Japanese patients with cancer pain have negative beliefs regarding opioid therapy. The Japanese version of the Barriers Questionnaire II (JBQ-II) determines barriers to cancer pain management. Few studies reported JBQ-II scores in Japan, and none focused on pharmacists. Accordingly, we aimed to explore the relationship between health care professionals’ knowledge of and willingness to use opioids, and their JBQ-II scores. Additionally, the variances in JBQ-II scores among nurses, hospital pharmacists, and pharmacy pharmacists were assessed. Methods This cross-sectional survey employed the JBQ-II for nurses and pharmacists in hospitals and pharmacies across Japan. Participants were requested to respond to the JBQ-II concerning their affiliation, knowledge of opioid analgesics, and willingness to utilize these drugs for medical practice. Results A total of 55 hospital pharmacists, 25 pharmacy pharmacists, and 24 nurses responded to the survey. The group-knowledgeable about medical use of narcotics had significantly lower total JBQ-II scores (25.43, standard deviation [SD]: 15.11) than those had by the group with insufficient knowledge (34.50, SD: 18.41). There was no statistically significant difference in total JBQ-II scores among those willing to use opioids medically. The total JBQ-II scores of hospital pharmacists, pharmacy pharmacists, and nurses were 31.00 (SD: 15.11), 33.96 (SD: 19.25), and 27.21 (SD: 15.56), respectively. However, the differences were not statistically significant. Conclusions Health care professionals in Japan with knowledge about opioids for medical purposes had a significantly lower total JBQ-II score than those with insufficient knowledge. Thus, health care professionals’ knowledge plays a crucial role in reducing barriers to using narcotic drugs.

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Nurse Attitude-Related Barriers to Effective Control of Cancer Pain among Iranian Nurses

Cited by 3 publications

References 28 publications

Inadequancy and Differences about the Attitudes in Pain Control of Cancer Patients: Assessment of Algology Department

Inadequancy and Differences about the Attitudes in Pain Control of Cancer Patients: Assessment of Algology Department

Attitudes, Knowledge, and Perceived Barriers Towards Cancer Pain Management Among Healthcare Professionals in Libya: a National Multicenter Survey

Analysis of Barriers to Medical Opioid Pain Medication Using the Japanese Version of the Barriers Questionnaire II (JBQ-II): Pharmacists and Nurses Perspective in Japan

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