The management of breakthrough cancer pain - educational needs a European nursing survey

Rundström, Carina (author): Department of Oncology, Section of Cancer Rehabilitation, Karolinska University Hospital, Stockholm, Sweden

Geerling, Jenske (author): University Medical Centre, Groningen, The Netherlands

Weisse, Isolde (author): Department of Gynaecological Oncology, Eberhard Karls University, Tübingen, Germany

Williams, Sian C. (author): Division of Health and Medical Sciences, University of Surrey, Guildford, UK

Rustøen, Tone (author): Division of Emergencies and Critical Care, Department of Research and Development, Ullevål, Oslo University Hospital, Oslo, Norway; Lovisenberg Diaconal University College, Oslo, Norway

(creator_code:org_t)

2013-09-15
2014
English.
In: European Journal of Cancer Care. - : Hindawi Limited. - 0961-5423 .- 1365-2354. ; 23:1, s. 121-128

Related links:: https://urn.kb.se/re...; show more...; https://doi.org/10.1...; http://kipublication...; show less...

Abstract Subject headings

Poorly managed cancer pain is well known to profoundly impact the patient's daily life and interfere with quality of life. Nurses who cared for patients with cancer from 12 European countries participated in a survey of breakthrough cancer pain practice. The purpose was to investigate how nurses assess breakthrough cancer pain, use of standardised tools, confidence in supporting patients and awareness of medications. Responses from 1241 participants showed country variations. The majority of the sample was female, Germany had the highest proportion of male nurses (21.0%), followed by Greece (15.8%). A significantly larger proportion of nurses with longer experience and more education (78.8%) used a comprehensive definition of breakthrough cancer pain. Significant variations in training were found; 71% of Finnish nurses had received training compared with 6% of Greek nurses. Training and using a standardised assessment tool was associated with a significant increase in the nurses' perceived ability to distinguish between breakthrough and background pain. Nurses in countries with the highest proportion of training were most confident in supporting patients. In conclusion, there still exists problems with effective management of patients' breakthrough cancer pain, continuing inability to define the difference between background and breakthrough cancer pain leads to poor treatment.

By the author/editor: Wengström, Yvonn ...; Rundström, Carin ...; Geerling, Jenske; Pappa, Theodora; Weisse, Isolde; Williams, Sian C ...; show more...; Zavratnik, Bostj ...; Rustøen, Tone; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

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