A theory-based educational intervention targeting nurses’ attitudes and knowledge concerning cancer-related pain management: A study protocol of a quasi-experimental design

Document type: Journal Articles
Article type: Original article
Peer reviewed: Yes
Full text:
Author(s): Gunilla Borglin, Markus Gustafsson, Hans Krona
Title: A theory-based educational intervention targeting nurses’ attitudes and knowledge concerning cancer-related pain management: A study protocol of a quasi-experimental design
Journal: BMC Health Services Research
Year: 2011
Volume: 11
Issue: 233
ISSN: 1472-6963
Publisher: BioMed Central
ISI number: 000295773900003
Other identifiers: http://www.biomedcentral.com/1472-6963/11/233
Organization: Blekinge Institute of Technology
Department: School of Health Science (Sektionen för hälsa)
School of Health Science S-371 79 Karlskrona
+46 455 38 50 00
http://www.bth.se/hal/
Authors e-mail: gunilla.borglin@bth.se
Language: English
Abstract: Background: Pain is one of the most frequent problems among patients diagnosed with cancer. Despite the
availability of effective pharmacological treatments, this group of patients often receives less than optimal
treatment. Research into nurses’ pain management highlights certain factors, such as lack of knowledge and
attitudes and inadequate procedures for systematic pain assessment, as common barriers to effective pain
management. However, educational interventions targeting nurses’ pain management have shown promise. As
cancer-related pain is also known to have a negative effect on vital aspects of the patient’s life, as well as being
commonly associated with problems such as sleep, fatigue, depression and anxiety, further development of
knowledge within this area is warranted.
Methods/design: A quasi-experimental study design will be used to investigate whether the implementation of
guidelines for systematic daily pain assessments following a theory-based educational intervention will result in an
improvement in knowledge and attitude among nurses. A further aim is to investigate whether the intervention
that targets nurses’ behaviour will improve hospital patients’ perception of pain. Data regarding nurses’ knowledge
and attitudes to pain (primary outcome), patient perception regarding pain (secondary outcome), together with
socio-demographic variables, will be collected at baseline and at four weeks and 12 weeks following the
intervention.
Discussion: Nursing care is nowadays acknowledged as an increasingly complicated activity and “nursing
complexity is such that it can be seen as the quintessential complex intervention.” To be able to change and
improve clinical practice thus requires multiple points of attack appropriate to meet complex challenges.
Consequently, we expect the theory-based intervention used in our quasi-experimental study to improve care as
well as quality of life for this group of patients and we also envisage that evidence-based guidelines targeting this
patient group’s pain will be implemented more widely.
Trial Registration Number: ClinicalTrials.gov NCT01313234
Subject: Nursing & Caring Sciences\General
Note: Open access journal
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