KNOWLEDGE OF THE WHO ANALGESIC LADDER ON CANCER-RELATED PAIN MANAGEMENT AMONG NURSES AT A KENYAN HOSPITAL

Alice Kemunto Maranga-Ondieki, Stella Jepkoech Kulei

Abstract


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Background: More than 70% of cancer patients will experience cancer-related pain in the course of the disease. Nurses have a key role in cancer pain management by accurate assessment, prompt intervention, and adequate evaluation of pain relief measures for better cancer-related pain control. To enhance this, World Health Organization (WHO) developed a 3-step analgesic ladder in 1986 to guide cancer-related pain management worldwide.

Objective: To assess knowledge of the WHO guideline on cancer-related pain management among nurses at the Nakuru County Referral Hospital.

Methodology: A descriptive cross-sectional study design was used. The study targeted all nurses working at Nakuru County Referral Hospital; systematic random sampling was used to select the respondents where every 2nd nurse was selected. A pre-test was done at the Naivasha County Referral Hospital on 10 %( 23) of the sample. Data was collected using a semi-structured questionnaire for nurses, and a checklist for nurse managers who were the key informants. Qualitative data was analyzed through thematic content analysis and presented in form of text. Quantitative data was analyzed using Statistical Package for Social Sciences (SPSS) version 20; Ethical clearance was obtained from MKU and Nakuru County Referral Hospital Research and ethics Committees and relevant departments.

Results: About 77.4% of the respondents had low scores on knowledge while 22.6% had good knowledge on the WHO guideline for cancer-related pain management.

Conclusion: There was poor knowledge of the WHO guideline on cancer-related pain management among nurses


Keywords


Knowledge, Nurses, pain, Analgesic ladder

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References


Breuer B, Fleishman SB, Cruciani RA, Portenoy RK (2011) Medical oncologists’ attitudes and practice in cancer pain management: A national survey. Journal of Clinical Oncology 29: 4769–4775.

British Pain Society’s Cancer Pain Management(2010) Pathophysiology of cancer pain and opioid tolerance .

Caraceni A, Hanks G, Kaasa S, et al.(2012) Use of opioid analgesics in the treatment of cancer pain: Evidence-based recommendations from the EAPC. Lancet Oncol 13:58–68.

Funk GF, Karnell LH, Christensen AJ(2012).Long-term Health-Related Quality of Life in Survivors of Head and Neck Cancer. Arch Otolaryngol Head Neck Surg .

Fornasari D. (2012)Pain mechanisms in patients with chronic pain. Clin Drug Investig ; 32(suppl 1):45–52.

International Association for the Study of Pain. (2012). IASP taxonomy: painterms. Accessed 23/11/2014 at:-11a.m

http://www.iasppain.org/Content/NavigationMenu/GeneralResourceLinks/PainDefinitions/default.htm.

Koyyalagunta D, Bruera E, Solanki DR, (2012) A systematic review of randomized trials on the effectiveness of opioids for cancer pain. Pain Physician 15:ES39–ES58

Mugenda, O.M & Mugenda. A.G (2003). Research methods. quantitative and qualitative

approaches. Nairobi, Kenya: ACTS Press.

Nakuru County Referral Hospital, Annual data analysis Hospice report 2014.

National Guidelines for Cancer Management Kenya, 2013

Nega R, Tachbele E, Kassa GM (2013) Cancer Pain and its Management: Knowledge of Nurses at Selected Health Institutions, Offering Cancer Treatment in Addis Ababa, Ethiopia, Journal of Pain Relief 3:137

Pasero, C., & McCaffery, M. (2011). Pain assessment and pharmacologic management. St. Louis, MO: Mosby Elsevier. Evidence Level VI.

.

Portenoy RK(2011) Treatment of cancer pain. Lancet 377:2236–2247.

Orem, D. (1995). Nursing concepts of practice. (5th ed ). St. Louis: Mosby.

Theresa N. Elumelu, Adeniyi A. Adenipekun, Lucy O. Eriba, Bidemi I.Akinlade(2014)Knowledge of cancer pain management among nurses in a Nigerian tertiary health institution; Journal of nursing Education and practice;Vol 4, No 4

World Health Organization(1996).WHO guidelines on cancer pain relief, 2nd ed. Geneva: World Health Organization.

World Health Organization(2011) Cancer pain relief. Geneva.

World Health Organization (2013). WHO’s pain ladder. Accessed 25/11/2014 from http://www.who.int/cancer/palliative/painladder/en/


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