کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2646550 1138882 2015 9 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Australian survey of current practice and guideline use in adult cancer pain assessment and management: The community nurse perspective
ترجمه فارسی عنوان
بررسی استرالیا از عمل فعلی و دستورالعمل در ارزیابی و مدیریت درد سرطان بزرگسالان: چشم انداز پرستار جامعه
کلمات کلیدی
سرطان؛ مسیر بالینی؛ پرستار جامعه؛ درد، مراقبت تسکین دهنده؛ نظرسنجی
Cancer; Clinical pathway; Community nurse; Pain; Palliative care; Survey
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی

SummaryBackgroundCancer pain remains a major public health concern. Despite effective treatments being available to manage the majority of cancer pain, this debilitating symptom is frequently under treated. As cancer has becomes a chronic disease a range of health professionals, including community nurses in Australia are increasingly caring for people living with cancer related pain. Yet, little is known about community nurses capacity to assess and manage cancer pain in accordance with best available evidence.ObjectivesThis study aimed to: identify the barriers and facilitators to adult cancer pain assessment and management as perceived by Australian health professionals; identify if cancer pain guidelines are currently used; identify barriers and facilitators to guideline use; and establish the need for Australian cancer pain guidelines. This article reports on community nurses’ perceptions of managing cancer pain in the community setting.MethodsA cross-sectional survey was administered online. Invitations were circulated via peak bodies and clinical leaders seeking the views and experiences of health professionals involved in caring for people living with cancer pain. Descriptive statistics were used to summarise the quantitative data, and thematic content analysis were used to describe the qualitative data.ResultsSixty-two community nurses responded to the survey, representing 29% of the total sample. These participants reported high levels of adherence to accepted cancer pain management practices in their workplace, with 71% nominating the Palliative Care Therapeutic Guideline V.3 as being most frequently used to manage community patients’ cancer related pain. Key barriers to effective cancer pain management in the community were: difficulties accessing non-pharmacological interventions (89%), lack of coordination by multiple providers (89%), and impact of distance on ability to access pain-related services for patients (86%).ConclusionA range of system, health professional and consumer barriers limit access to best available treatment in the community setting for people with cancer pain. A clinical pathway that gives step-by-step guidance on evidence-based practice along with an evaluation framework may be the best way of enabling community nurses to ensure their patients with cancer related pain have access to best available care.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Collegian - Volume 22, Issue 1, March 2015, Pages 33–41
نویسندگان
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