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The management of breakthrough cancer pain - educational needs a European nursing survey
Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden.
Department of Oncology, Section of Cancer Rehabilitation, Karolinska University Hospital, Stockholm, Sweden.
University Medical Centre, Groningen, The Netherlands.
Ag. Anargyri Oncology Hospital, Athens, Greece.
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2014 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 23, no 1, p. 121-128Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2014. Vol. 23, no 1, p. 121-128
Keywords [en]
Breakthrough cancer pain; Education; Nursing
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-36290DOI: 10.1111/ecc.12118ISI: 000328826700014PubMedID: 24079835Scopus ID: 2-s2.0-84891005003OAI: oai:DiVA.org:oru-36290DiVA, id: diva2:747166
Available from: 2014-09-16 Created: 2014-09-02 Last updated: 2018-06-09Bibliographically approved

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Wengström, Yvonne

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CiteExportLink to record
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