Knowledge, perceived barriers, and practices of oncology nurses regarding cancer pain management
More details
Hide details
Department of Adult Health Nursing, Faculty of Nursing, The Hashemite University, P.O. Box 330127, Zarqa 13133, JORDAN
Publication date: 2022-08-11
Electron J Gen Med 2022;19(6):em406
Effective cancer pain management involves significant knowledge and proficiency in pain assessment and recording. This study sought to assess nurses' knowledge, behaviors, and perceived impediments to managing cancer-related pain.

A descriptive, cross-sectional design was used. A convenience sample of 502 nurses working in three primary health care sectors in Jordan was selected to ensure national representation. To collect data, an English-language online Google Electronic Form was employed.

Nurses were 86.4% male and 51.4% between 21 and 35. Additionally, 578.8% of nurses were employed in the private sector. The mean knowledge score for cancer pain management was 6.48/14, indicating a knowledge gap in opioid rescue dose deficiency among nurses. According to 68.1% of nurses, the most frequently encountered patient-related hurdle was insufficient expertise in pain control. 75.3%, on the other hand, named insufficient staffing, and 74.7%, opioid regulations as significant health care system impediments. Private hospital nurses score significantly higher than nurses in other hospitals. The degree of expertise varied according to age and pain management training. For 56.8% of nurses, contacting a physician for an opioid prescription is the most delayed action.

Knowledge gaps and impediments to successful cancer pain management were assessed. Additional training in cancer pain treatment is crucial, increasing coordination and communication between doctors and nurses. The survey data assist educators in developing educational techniques, and the least correctly answered answers might aid educators in identifying knowledge gaps.

Money S, Garber B. Management of cancer pain. Current Emergency and Hospital Medicine Reports. 2018 Dec; 6(4):141-6.
Bouya S, Balouchi A, Maleknejad A, Koochakzai M, AlKhasawneh E, Abdollahimohammad A. Cancer pain management among oncology nurses: knowledge, attitude, related factors, and clinical recommendations: a systematic review. JCE. 2019 Oct;34(5):839-46. PMid:30315497.
Onsongo LN. Barriers to cancer pain management among nurses in Kenya: A focused ethnography. Pain Manag Nurs. 2020 Jun 1;21(3):283-9. PMid:31561974.
Darawad M, Alnajar MK, Abdalrahim MS, El-Aqoul AM. Cancer pain management at oncology units: comparing knowledge, attitudes and perceived barriers between physicians and nurses. JCE. 2019 Apr;34(2):366-74. PMid:29288475.
Kahsay DT, Pitkäjärvi M. Emergency nurses' knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: a cross-sectional study. BMC Nurs. 2019 Dec;18(1):1-3. PMid:31832015 PMCid:PMC6873521.
Utne I, Småstuen MC, Nyblin U. Pain knowledge and attitudes among nurses in cancer care in Norway. JCE. 2019 Aug;34(4):677-84. PMid:29603056.
Samarkandi OA. Knowledge and attitudes of nurses toward pain management. Saudi J. Anaesth. 2018 Apr;12(2):220. PMid:29628831 PMCid:PMC5875209.
Toba HA, Samara AM, Sa’ed HZ. Nurses' knowledge, perceived barriers, and practices regarding cancer pain management: a cross-sectional study from Palestine. BMC Med. Educ. 2019 Dec;19(1):1-7. PMid:31122222 PMCid:PMC6533684.
Alnajar MK, Darawad MW, Alshahwan SS, Samarkandi OA. Knowledge and attitudes toward cancer pain management among nurses at oncology units. JCE. 2019 Feb;34(1):186-93. PMid: 28944405.
Zhou L, Liu XL, Tan JY, Yu HP, Pratt J, Peng YQ. Nurse‐led educational interventions on cancer pain outcomes for oncology outpatients: A systematic review. Int. Nurs. Rev. 2015 Jun;62(2):218-30. PMid:25711778.
Eaton LH, Meins AR, Mitchell PH, Voss J, Doorenbos AZ. Evidence-based practice beliefs and behaviors of nurses providing cancer pain management: A mixed-methods approach. Oncol. Nurs. Forum. 2015 Mar 1 (Vol. 42, No. 2, p. 165). PMid: 25806883 PMCid:PMC4422834.
Kasasbeh MA, McCabe C, Payne S. Cancer‐related pain management: A review of knowledge and attitudes of healthcare professionals. Eur. J. Cancer Care. 2017 Nov; 26(6):e12625. PMid: 28026070.
Scarborough BM, Smith CB. Optimal pain management for patients with cancer in the modern era. CA: Cancer J. Clin. 2018 May;68(3):182-96. PMid:29603142 PMCid:PMC5980731.
Ogboli-Nwasor EO, Makama JG, Yusufu LM. Evaluation of knowledge of cancer pain management among medical practitioners in a low-resource setting. J. Pain Res. 2013;6:71. PMid: 23404435 PMCid:PMC3569380.
Alqahtani M, Jones LK, Holroyd E. Organisational barriers to effective pain management amongst oncology nurses in Saudi Arabia. J. Hosp. Adm. 2016;5(1):81.
Amoah VM, Anokye R, Boakye DS, Acheampong E, Budu-Ainooson A, Okyere E, Kumi-Boateng G, Yeboah C, Afriyie JO. A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients. BMC Nurs. 2019 Dec;18(1):1-8. PMid:30792611 PMCid: PMC6371422.
Kwame A, Petrucka PM. A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nurs. 2021 Dec;20(1):1-0. PMid:34479560 PMCid:PMC8414690.
Arkorful VE, Hammond A, Basiru I, Boateng J, Doku F, Pokuaah S, Agyei EK, Baoteng JA, Lugu BK. A Cross-Sectional Qualitative Study of Barriers to Effective Therapeutic Communication among Nurses and Patients. Int. J. Public Adm. 2021 Apr 26;44(6):500-12.
Shakya BM, Shakya S, Shrestha N. Pain Management Practices and Perceived Barriers among the Health Professionals in Different Hospitals of Nepal. JCDR. 2020 Jan 1;14(1).
World Health Organization, World Health Organization. Access to controlled medications program. Geneva, Switzerland: WHO. 2007 Apr. Available at:
Small D, Drucker E. Return to Galileo? The inquisition of the international narcotic control board. Harm Reduct. J. 2008 Dec; 5(1):1-6. PMid:18462501 PMCid:PMC2409317.
Mediani HS, Duggan R, Chapman R, Hutton A, Shields L. An exploration of Indonesian nurses' perceptions of barriers to paediatric pain management. J Child Health Care. 2017 Sep; 21(3):273-82. PMid:29119821 PMCid:PMC5582643.
Kiwanuka F, Masaba R. Nurses' knowledge, attitude and practices regarding pain assessment among patients with cancer at Uganda Cancer Institute. J. Clin. Med. Res. 2018 Jun 10; 6(2):72-9.
Liu J, Zhang M, Luo J, Xie J, Chen X, Wang H, Li S, Yang S, Peng C, Yang L, Deng B. Practice, Knowledge, and Attitude of Health Care Providers regarding Cancer Pain Management: A National Survey. Pain Res Manag. 2021 Aug 23; 2021. PMid: 34471442 PMCid:PMC8405340.
Amudha P, Hamidah H, Annamma K, Ananth N. Effective communication between nurses and doctors: Barriers as perceived by nurses. J Nurs Care. 2018 Jun 12; 7(03):1-6.
Burm S, Faden L, DeLuca S, Hibbert K, Huda N, Goldszmidt M. Using a socio-material approach to generate new insights into the nature of interprofessional collaboration: Findings from an inpatient medicine teaching unit. J Interprof Care. 2019 Mar 4;33(2):153-62. PMid:30321076.
Driskell JE, Salas E, Driskell T. Foundations of teamwork and collaboration. Am Psychol. 2018 May;73(4):334. PMid:29792452.
Valério AF, Fernandes KD, Miranda G, Terra FD. Difficulties faced by nurses to use pain as the fifth vital sign and the mechanisms/actions adopted: an integrative review. BrJP. 2019 Jan;2:67-71.
dos Santos Ferreira F, Meira KC, Félix RS, de Oliveira IR, Pinto CM, dos Santos Silva MA, Dos Santos J. Associated factors with the knowledge of nurses of a high complexity oncology center in Brazil, on the management of cancer pain. Ecancermedicalscience. 2019;13. PMid:31281425 PMCid: PMC6592706.
Journals System - logo
Scroll to top