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Changing the relationship among nurses' knowledge, self-reported behavior, and documented behavior in pain
J A Dalton1, W Blau, J Carlson
1School of Nursing, University of North Carolina at Chapel Hill 27599-7460, USA.
Journal of Pain and Symptom Management
|November 1, 1996
Summary
An educational program improved nurse knowledge of cancer pain management, though not significantly. While behavior change was slow, documentation of pain intensity and specific analgesics improved, indicating education
Area of Science:
- Oncology Nursing
- Pain Management
- Health Education
Background:
- Nurses require enhanced knowledge and skills for effective cancer pain management.
- Rural healthcare settings present unique challenges in delivering consistent patient care.
- Educational interventions aim to improve nurse practices and patient outcomes in cancer pain management.
Purpose of the Study:
- To evaluate an educational program's effectiveness in changing nurse knowledge, attitudes, and behaviors regarding cancer pain management.
- To assess the impact of the program on patient outcomes.
- To explore the relationship between nurse knowledge and documented practice behaviors.
Main Methods:
- A quasi-experimental time-series design was employed.
- Data collected from nurses (N=29) and patient charts (pre-N=209, post-N=163) before and after the educational program.
- Nurse knowledge, attitudes, and documented behaviors were assessed.
Main Results:
- Nurse knowledge showed an upward trend but was not statistically significant.
- Documentation of pain intensity, pain characteristics, and specific analgesic use (e.g., hydromorphone, fentanyl) improved.
- Documentation of propoxyphene use decreased; nurses reported increased confidence and effectiveness.
Conclusions:
- Educational programs can positively influence nurse knowledge and practice behaviors in cancer pain management, even if changes are gradual.
- Improved documentation practices are crucial for accurately reflecting changes in patient care.
- Future educational initiatives should focus on analgesic dosing and equianalgesic calculations for enhanced impact.
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