KMID : 1004620100160030025
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Clinical Nursing Research 2010 Volume.16 No. 3 p.25 ~ p.37
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Factors Affecting Nurses¡¯ Pain Management for Cancer Patients: Personal and Hospital Institution Aspects
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Song Ho-Jung
Kim Gwang-Suk
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Abstract
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Purpose: The purpose of this study was to examine potential factors related to the management of cancer pain, that is, hospital institutional factors as well as personal aspects of nurses.
Methods: This study was a descriptive research study in which 229 RNs working in 2 tertiary medical institutions in Seoul and 4 secondary medical institutions in Seoul, Incheon and Gyeonggi were surveyed.
Results: It was found that nurses¡¯ knowledge about pain intervention, their working division and their knowledge about the use of analgesics had different effects on their pharmacologic interventions. These 3 variables explained 14.5% of the variance regarding pharmacologic interventions. On the other hand, nurses¡¯ knowledge about pain interventions and nursing organization were variables affecting non-pharmacologic interventions by the nurses. These two variables explained 22.1% of the variance regarding non-pharmacologic interventions by the nurses.
Conclusion: The findings indicate that nursing organization, one of hospital institutional factors, had significant effects on non-pharmacologic interventions. Therefore, to increase effective pain management by nurses, an organizational system should be established such as placement of nurse practitioners, improvement of nurses¡¯ autonomy in pain management, and development and distribution of standardized guidelines.
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KEYWORD
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Cancer pain, Pharmacologic intervention, Non-pharmacologic intervention
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