Addressing Educational Needs in Managing Complex Pain in Cancer Populations: Evaluation of APAM: An Online Educational Intervention for Nurses

The American Journal of Hospice & Palliative Care
Yvonne W LeungMary Jane Esplen

Abstract

Cancer-related pain is associated with significant suffering and is one of the most challenging symptoms to manage. Studies indicate that front-line clinicians often lack the knowledge on best practices in cancer pain management. The current project, a quality improvement (QI) initiative, evaluated the outcome of an online educational intervention for nurses on complex cancer pain management. An online 7-module educational intervention, Advanced Pain Assessment and Management, was offered from 2012 to 2017. Pre-post course evaluations included self-reported knowledge and confidence across cancer pain management domains. In-course competency assessments included knowledge examination, online discussion forum participation, opioid dosage calculation assignment, and small-group-based case study. A mixed-model statistical analysis was used to assess pre-post course change in pain management confidence level. In all, 306 nurses from 89 hospitals in Ontario, Canada, were enrolled in the course; 81.4% returned the precourse survey and 71.9% successfully completed the course. The average confidence level on pain management was low at baseline (57.5%) but improved significantly post-course. In-course competency assessments ranged from 8...Continue Reading

References

Dec 11, 1997·Journal of Pain and Symptom Management·D E WeissmanJ L Dahl
Nov 22, 2008·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Pam MalloyGeraldine Polly Bednash
Dec 22, 2009·Journal of Pain and Symptom Management·Nina D Wagner-JohnstonStuart A Grossman
Dec 16, 2010·Current Opinion in Supportive and Palliative Care·Michael I BennettS José Closs
Mar 5, 2011·Cancer Nursing·Akiko KamimuraChristopher R Friese
Mar 15, 2011·Current Pain and Headache Reports·Laura S Porter, Francis J Keefe
Aug 26, 2011·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Marcia GrantGwen Uman
Oct 22, 2011·BMC Medical Education·Selcuk Karaman
Jun 26, 2013·Journal of Pain and Symptom Management·Silvia DeandreaGiovanni Apolone
Dec 17, 2014·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Margaret Costello, Sarah Thompson
Oct 22, 2015·Oncology Nursing Forum·Dorota A Bartoszczyk, Stephanie Gilbertson-White
Apr 27, 2016·Journal of Pain and Symptom Management·Marieke H J van den Beuken-van EverdingenDaisy J A Janssen
Oct 21, 2016·Journal of the American Geriatrics Society·Stacy M Madaus, Lionel S Lim
Jan 1, 2016·The American Journal of Hospice & Palliative Care·Giulia-Anna PerriHouman Khosravani
Apr 2, 2017·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Jane L PhillipsTim Shaw
Jul 21, 2017·Journal of Advanced Nursing·Sara DequekerAnn Van Hecke
Dec 8, 2017·American Journal of Clinical Oncology·Adam L HoltzmanAnamaria R Yeung
Jan 8, 2018·International Journal of Nursing Education Scholarship·Mary Jane EsplenJane Li
Sep 1, 2014·The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières·Mia Maris OrtizAnastasia Dikareva
Mar 16, 2018·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Marie FallonUNKNOWN Edinburgh Pain Assessment and Management Tool Study Group
Mar 20, 2018·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Ozgul ErolBülent Erdogan
Mar 30, 2018·Journal of Continuing Education in Nursing·Sara L BonkowskiSally A Bulla

❮ Previous
Next ❯

Citations

Feb 19, 2021·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Cindy SoloeSujha Subramanian

❮ Previous
Next ❯

Software Mentioned

APAM
NVivo

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Annals of Long-term Care : the Official Journal of the American Medical Directors Association
Cary ReidStephanie A Stowell
Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association
Melissa B MinerKimberly Whiteman
Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association
Abby Fuoto, Kathleen M Turner
Joint Commission Journal on Quality and Patient Safety
Kimberly J RaskWilliam A Bornstein
© 2022 Meta ULC. All rights reserved