Changing the relationship among nurses' knowledge, self-reported behavior, and documented behavior in pain management: does education make a difference?

Journal of Pain and Symptom Management
J A DaltonB Germino

Abstract

An educational program designed to change knowledge in order to change pain management practices and patient outcomes was offered to nurses who provide day-to-day care to patients with cancer in communities in a predominantly rural state. A quasi-experimental time-series design was used to measure the effectiveness of the program in changing nurse knowledge, attitude and behavior, and to evaluate the relationships between the outcomes. Data were collected from nurses (N = 29) and patient charts before (N = 209) and after (N = 163) the program. Nurses' knowledge increased, but the change was not statistically significant; the mean percent of correct answers on the three subtests were different and differences persisted throughout the study. Nurses believed that patients should be "pain free." Documentation of behaviors, for example, practice activities, occurred infrequently and showed little change until 6 months after the program. Increase in documentation of pain-intensity ratings, pain location, number of sites of pain, presence of confusion, anxious or depressed mood, sleep, nausea and vomiting, constipation, and general activity were noted. Documentation of the use of a propoxyphene-containing analgesic decreased; increase...Continue Reading

References

Jan 1, 1991·Journal of Pain and Symptom Management·R D Miller, T D Walsh
Feb 1, 1991·Cancer Nursing·D Camp-Sorrell, P O'Sullivan
Jan 1, 1991·Image--the Journal of Nursing Scholarship·W B YoungW D White
Feb 1, 1990·Cancer Nursing·M McCafferyB Ferrell
Jan 1, 1987·Journal of Pain and Symptom Management·J H Watt-Watson
Jul 1, 1987·Pain·H FlorT E Rudy
Feb 1, 1973·Annals of Internal Medicine·R M Marks, E J Sachar
Jan 1, 1983·Anesthesia and Analgesia·O F WeisL Lasagna
Apr 1, 1984·Cancer Nursing·M A Rankin, B Snider
Dec 1, 1984·Cancer·C S Cleeland
Dec 1, 1983·Journal of Behavioral Medicine·S ShachamC S Cleeland
Jul 15, 1983·Cancer·D Spiegel, J R Bloom
May 1, 1994·Journal of Advanced Nursing·B D DavisR K Ryland
Jan 1, 1994·Journal of Gerontological Nursing·P RyanS Ward
Mar 1, 1993·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Jul 21, 1993·Journal of the National Cancer Institute·D J Wilkie
Apr 1, 1993·Journal of Pain and Symptom Management·B L FifeJ D Painter
Mar 1, 1993·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·B R FerrellM I Donovan

❮ Previous
Next ❯

Citations

Nov 11, 2009·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Su YanjunZhang Lei
May 21, 2005·Journal of Pain and Symptom Management·Margaret V McDonaldTimothy R Peng
Mar 8, 2014·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Carolyn Mackintosh-Franklin
Jul 26, 2000·Journal of Pain and Symptom Management·M E de RondR M Klievink
Dec 29, 2000·Journal of Pain and Symptom Management·M E de RondM J Muller
Apr 20, 2001·Journal of Pain and Symptom Management·M Glajchen, M Bookbinder
Apr 15, 2003·Journal of Pain and Symptom Management·Yeur-Hur LaiShu-Ching Chen
Apr 16, 1999·Journal of Pain and Symptom Management·J A DaltonS M Greer
Aug 10, 1999·Journal of Pain and Symptom Management·A CalvinS Grobe
Feb 15, 2000·Journal of Advanced Nursing·S Jordan
Nov 13, 2002·Journal of Clinical Nursing·Alison Twycross
Mar 7, 2002·Cancer Practice·D J Wilkie
Jul 10, 2001·Journal of Palliative Medicine·P AllardM Dorval
Oct 1, 2003·Journal of Palliative Medicine·Luann GreinerUNKNOWN Wisconsin Coalition To Improve Palliative Care
May 20, 1999·Journal of Nursing Care Quality·L Stratton
Oct 9, 2002·Journal of Nursing Care Quality·Therese Vega-StrombergBeth P Johnson
May 25, 2002·Orthopaedic Nursing·V MacDonald, B A Hilton
Sep 30, 2005·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Heather Chung, Phuong H Nguyen
Feb 19, 2010·Western Journal of Nursing Research·Diana WilkieNai-Ying Ko
May 22, 2013·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Salima S J LadakCindy Shobbrook
May 22, 2013·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Mimi M Y Tse, Suki S K Ho
Jul 5, 2008·Journal of Pain and Symptom Management·Chun-Hua ZhangJue Huang
May 6, 2008·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Carin M J PottingTheo van Achterberg
Aug 23, 2008·Journal of Clinical Nursing·Pi-Chu LinChyang-Shiong Chen
Aug 26, 2006·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Elisabeth HanssonInger Hallström
Jan 19, 2000·Journal of Pediatric Nursing·E Jacob, K A Puntillo
Oct 26, 2005·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Elisabeth I PatirakiChrysoula Lemonidou
Jul 2, 2005·Oncology Nursing Forum·Susan C McMillanBrent J Small
Nov 15, 2001·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·J A DaltonR Youngblood
Feb 7, 2007·Journal of Pain and Symptom Management·Chia-Chin LinXin Shelley Wang
May 19, 2007·International Journal of Nursing Studies·Marian Adriaansen, Theo van Achterberg
Apr 5, 2021·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Carman Y L KwokWinnie K W So

❮ Previous
Next ❯

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.