Cent Eur J Nurs Midw 2019, 10(1):967-976 | DOI: 10.15452/CEJNM.2019.10.0003

Exploring factors among healthcare professionals that inhibit effective pain management in cancer patients

Ahmad Rajeh Saifan1,*, Ibraheem Hassan Bashayreh1, Suhair Hussni Al-Ghabeesh2, Abdul-Monim Batiha3, Intima Alrimawi4, Mahmoud Al-Saraireh5, Muwafaq Mohammad Al-Momani6
1 Department of Nursing, Fatima College of Health Sciences, UAE, Jordan
2 Department of Nursing, Faculty of Nursing, Al-Zaytoonah University of Jordan, Jordan
3 Department of Nursing, Faculty of Nursing, Philadelphia University, Jordan
4 Department of Nursing and Midwifery, Faculty of Nursing, Stratford University, USA
5 Department of Nursing, Princess Aisha Bint Al-Hussein College of Nursing and Health Sciences, Al-Hussein Bin Talal University, Jordan
6 Department of Nursing, Faculty of Nursing, Jordan Zarqa Private University, Jordan

Aim: The aim of this study was to investigate differences in the barriers to good cancer pain management between physicians, nurses, and pharmacists in Jordan.

Design: A descriptive correlational design was used to answer the research questions of this study.

Methods: A group of 473 participants completed the study questionnaires (Barriers Questionnaire - II and Nurses' Knowledge and Attitudes Survey).

Results: Fears related to analgesic use, fears related to opioid side effects, communication, cultural beliefs, and lack of knowledge were the most clearly identified barriers to cancer pain management. Cancer pain management has not previously been an area of interest for the Jordanian health authorities.

Conclusion: The information that emerged from this study helps to identify the current barriers and misconceptions among health professionals that prevent effective pain management for cancer patients. To maximize the role of health professionals in this area, health administrators need to provide them with more specialized training and empowerment.

Keywords: cancer pain, healthcare professionals, Jordan, pain management

Received: October 31, 2018; Accepted: December 17, 2018; Published: March 30, 2019  Show citation

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Saifan AR, Bashayreh IH, Al-Ghabeesh SH, Batiha A, Alrimawi I, Al-Saraireh M, Al-Momani MM. Exploring factors among healthcare professionals that inhibit effective pain management in cancer patients. Central European Journal of Nursing and Midwifery. 2019;10(1):967-976. doi: 10.15452/CEJNM.2019.10.0003.
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    References

    1. Abdalrahim MS, Majali SA, Stomberg MW, Bergbom I. The effect of a postoperative pain management program on improving nurses' knowledge and attitudes toward pain. Nurse Education in Practice. 2011;11(4):250-255. Go to original source... Go to PubMed...
    2. Abu-Saad Huijer H, Doumit M, Abboud S, Dimassi H. Quality of palliative care. Perspective of Lebanese patients with cancer. Journal Médical Libanais. 2012;60(2):91-98.
    3. Albashtawy M, Gharaibeh H, Alhalaiqa F, Batiha AM, Freij M, Saifan A, Al-Awamreh K, Hamadneh S, Al-Kloub M, Khamaiseh A. The health belief model's impacts on the use of complementary and alternative medicine by parents or Guardians of children with cancer. Iranian Journal of Public Health. 2016;45(5):708-709.
    4. Alhalaiqa F, Masa'Deh R, Batiha AM, Deane K. Validity of Arabic version of beliefs about medication questionnaire. Clinical Nursing Research. 2015;24(5):539-555. Go to original source... Go to PubMed...
    5. Al Khalaileh M, Al Qadire M. Barriers to cancer pain management: Jordanian nursesʼ perspectives. International Journal of Palliative Nursing. 2012;18(11):535-536, 538- 540. Go to original source... Go to PubMed...
    6. Al Khalaileh MA, Qadire MA. Pain management in Jordan: nursing studentsʼ knowledge a nd attitude. British Journal of Nursing. 2013;22(21):1234-1240. Go to original source... Go to PubMed...
    7. Al Qadire M, Al Khalaileh M. Effectiveness of educational intervention on Jordanian nurses' knowledge and attitude regarding pain management. British Journal of Medicine and Medical Research. 2014;4(7):1460-1472. Go to original source...
    8. Al Qadire M, Tubaishat A, Aljezawi MM. Cancer pain in Jordan: prevalence and adequacy of treatment. International Journal of Palliative Nursing. 2016;19(3):125-130. Go to original source... Go to PubMed...
    9. American Cancer Society. Cancer Facts & Figures 2016. Atlanta: American Cancer Society; 2015.
    10. Babbie E. The practice of social science research. Belmont, CA: Wadsworth; 2004.
    11. Batiha AM. Pain management barriers in critical care units: A qualitative study. International Journal of Advanced Nursing Studies. 2014;3(1):1-5. Go to original source...
    12. Batiha AM, Obead KA, Alhalaiqa FN, Kawafha MM, ElRazek AA, Albashtawy M, Saifan A, Eid Abu Ruz M, Al Ewaidat H. Quality of life and fatigue among Jordanian cancer patients. Iranian Journal of Public Health. 2015;44(12):1704-1705.
    13. Bernardi M, Catania G, Lambert A, Tridello G, Luzzani M. Knowledge and attitudes about cancer pain management: a national survey from Italian oncology nurses. European Journal of Oncology Nursing. 2007;11(3):272-279. Go to original source... Go to PubMed...
    14. Borgsteede SD, Rhodius CA, De Smet PAGM, Pasman HRW, Onwuteaka-Philipsen BD, Rurup ML. The use of opioids at the end of life: knowledge level of pharmacists and cooperation with physicians. European Journal of Clinical Pharmacology. 2011;67(1):79-89. Go to original source... Go to PubMed...
    15. Craig JA. Nursing knowledge and attitudes toward pain management. School of Nursing. Carolina: Gardner-Webb University; 2014.
    16. De Vellis R. Scale development: theory and application. 2nd ed. California: Sage; 2003.
    17. Dodd M, Janson S, Facione N, Faucett J, Froelicher ES, Humphreys J, Lee K, Miaskowski C, Puntillo K, Rankin S, Taylor D. Advancing the science of symptom management. Journal of Advanced Nursing. 2001;33(5):668-676. Go to original source... Go to PubMed...
    18. Field A. Discovering statistics using SPSS. 2nd ed. London: Sage; 2005.
    19. Freij M, Al Qadire M, Khadra M, ALBashtawy M, Tuqan W, Al Faqih M, Innabi A, Batiha AM, Alhalaiqa F, Abd ElRazek A. Awareness and knowledge of ovarian cancer symptoms and risk factors: a survey of Jordanian women. Clinical Nursing Research. 2018;27(7):826-840. Go to original source... Go to PubMed...
    20. Greco MT, Roberto A, Corli O, Deandrea S, Bandieri E, Cavuto S, Apolone G. Quality of cancer pain management: an update of a systematic review of undertreatment of patients with cancer. Journal of Clinical Oncology. 2014;32(36):4149-4154. Go to original source... Go to PubMed...
    21. Gunnarsdottir S, Serlin RC, Ward S. Patient-related barriers to pain management: the Icelandic Barrier Questionnaire II (BQII). Journal of Pain and Symptom Management. 2005;29(3):273-285. Go to original source... Go to PubMed...
    22. Joranson DE, Gilson AM. Pharmacistsʼ knowledge of and attitudes toward opioid pain medications in relation to federal and state policies. Journal of the American Pharmaceutical Association. 2001;41(2):213-220. Go to original source...
    23. Jordan Cancer Registry. Cancer incidence in Jordan. Amman: Jordan Cancer Registry; 2015.
    24. Korcz B. Oncology social workersʼ perceived barriers to cancer pain and the relationship of the functional assessment of pain and use of non-pharmacological methods strategies. University of Houston, Texas Unpublished PhD; 2003.
    25. McCaffery M, Ferrell BR. Nursesʼ knowledge of pain assessment and management: how much progress have we made? Journal of Pain and Symptom Management. 1997;14(3):175-188. Go to original source... Go to PubMed...
    26. Miller NH, Hill M, Kottke T, Ockene IS. Expert Panel on Compliance. The multilevel compliance challenge: recommendations for a call to action. A statement for healthcare professionals. Circulation. 1997;95:1085-1090. Go to original source... Go to PubMed...
    27. Miles MS, Holdtich-Davis D, Eron J, Black BP, Pederson C, Harris DA. An HIV self-care symptom management intervention for African American mothers. Nursing Research. 2003;52(6):350-360. Go to original source... Go to PubMed...
    28. Monsivais D, McNeill J. Multicultural influences on pain medication attitudes and beliefs in patients with nonmalignant chronic pain syndromes. Pain Management Nursing. 2007;8(2):64-71. Go to original source... Go to PubMed...
    29. Omran S, Al Qadire M, Ali N, Al Hayek MF. Knowledge and attitudes about pain management: a comparison of oncology and non-oncology Jordanian nurses. Nursing and Health. 2014;2(4):73-80. Go to original source...
    30. Omran S, Barakat H, Muliira JK, Bashaireh I, Batiha AM. Assessment of Jordanian patientʼs colorectal cancer awareness and preferences towards CRC screening: are Jordanians ready to embrace CRC screening. Asian Pacific Journal of Cancer Prevention. 2015;16(10):4229-4235. Go to original source... Go to PubMed...
    31. Paice JA, Ferrell B. The management of cancer pain. CA Cancer Journal for Clinicians. 2011;61(3):157-182. Go to original source... Go to PubMed...
    32. Peacock S, Patel S. Cultural influences on pain. Reviews in Pain. 2008;1(2):6-9. Go to original source... Go to PubMed...
    33. Randall-David E, Wright J, Porterfield DS, Lesser G. Barriers to cancer pain management: home-health and hospice nurses and patients. Support Care Cancer. 2003;11(10):660-665. Go to original source... Go to PubMed...
    34. Raphael J, Ahmaedzai S, Hester J, Urch C, Barrie J, Williams J, Farquhar-Smith P, Fallon M, Hoskin P, Robb K, Bennett MI, Haines R, Johnson M, Bhaskar A, Chong S, Duarte R, Sparkes E. Cancer Pain: Part 1: Pathophysiology; oncological, pharmacological, and psychological treatments: a perspective from the British Pain Society endorsed by the UK Association of Palliative Medicine and the Royal College of General Practitioners. Pain Medicine. 2010;11(5):742-764. Go to original source... Go to PubMed...
    35. Sabri M. Management of cancer related pain: nursesʼ knowledge in Bahrain and Jordan. Unpublished master thesis. 2002.
    36. Saifan A, Bashayreh I, Batiha AM, AbuRuz M. Patient- and family caregiver-related barriers to effective cancer pain control. Pain Management Nursing. 2015;16(3):400-410. Go to original source... Go to PubMed...
    37. Stewart J. The challenges of cancer pain assessment. Ulster Medical Journal. 2014;83(1):44-46.
    38. Voss, JG. Predictors and correlates of fatigue in HIV/AIDS. Journal of Pain Symptom Management. 2005;29(2):173-184. Go to original source... Go to PubMed...
    39. Yazdani S, Abdi S. Brief review: Pain management for cancer survivors: challenges and opportunities. Canadian Journal of Anesthesia. 2014;61(8):745-753. Go to original source... Go to PubMed...
    40. Wells M, Dryden H, Guild P, Levack P, Farrer K, Mowat P. The knowledge and attitude of surgical staff towards the use of opioids in cancer pain management: can the hospital palliative care team make a difference. European Journal of Cancer Care. 2001;10(3):201-211. Go to original source... Go to PubMed...
    41. Zanolin ME, Visentin M, Trentin L, Saiani L, Brugonolli A, Grassi M. A questionnaire to evaluate the knowledge and attitudes of health care providers on pain. Journal of Pain and Symptom Management. 2007;33(6):727-736. Go to original source... Go to PubMed...

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