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  • Title: Hospice and hospital oncology unit nurses: a comparative survey of knowledge and attitudes about cancer pain.
    Author: Hollen CJ, Hollen CW, Stolte K.
    Journal: Oncol Nurs Forum; 2000; 27(10):1593-9. PubMed ID: 11103378.
    Abstract:
    PURPOSE/OBJECTIVES: To identify knowledge strengths and weaknesses and misperceptions about cancer pain management between two groups of registered nurses in different settings. DESIGN: Descriptive, comparative survey. SETTING: 11 community-based hospices and 7 inpatient hospital oncology units within an urban county. SAMPLE: A convenience sample of 30 hospice and 34 hospital oncology unit nurses. Sample criteria included registered nurses who had worked for at least the preceding six months exclusively in either a hospice or hospital oncology unit. METHODS: The North Carolina Cancer Pain Initiative survey and a demographic survey were distributed to the work mailboxes of nurses in the participating facilities who met the inclusion criteria. MAIN RESEARCH VARIABLES: Hospice and hospital oncology unit nurses' knowledge and attitudes about basic pharmacologic cancer pain management. FINDINGS: Hospice nurses scored significantly higher than hospital oncology unit nurses regarding overall pain management knowledge, opioids, scheduling, and liberalness. Hospice nurses also reported more pain education and a higher frequency of pain guideline review requirements than hospital oncology unit nurses. CONCLUSIONS: The most prevalent knowledge deficits concerned opioids. Practice setting and pain education may influence knowledge, as well as attitudes, about pain. IMPLICATIONS FOR NURSING PRACTICE: Further research is needed regarding nurses' pain management behavior and outcomes of pain management education in various settings.
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