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Yan J, Martins N, Amaral S, Francis JR, Kameniar B, Delany C. "Nothing without connection"-Participant perspectives and experiences of mentorship in capacity building in Timor-Leste. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0002112. [PMID: 38457415 PMCID: PMC10923460 DOI: 10.1371/journal.pgph.0002112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 02/15/2024] [Indexed: 03/10/2024]
Abstract
The literature on mentorship approaches to capacity building in global health is limited. Likewise, there are few qualitative studies that describe mentorship in capacity building in global health from the perspective of the mentors and mentees. This qualitative study examined the perspectives and experiences of participants involved in a program of health capacity building in Timor-Leste that was based on a side-by-side, in-country mentorship approach. Semi-structured interviews were conducted with 23 participants (including Timorese and expatriate mentors, and local Timorese colleagues) from across a range of professional health disciplines, followed by a series of member checking workshops. Findings were reviewed using inductive thematic analysis. Participants were included in review and refinement of themes. Four major themes were identified: the importance of trust and connection within the mentoring relationship; the side-by-side nature of the relationship (akompaña); mentoring in the context of external environmental challenges; and the need for the mentoring relationship to be dynamic and evolving, and aligned to a shared vision and goals. The importance of accompaniment (akompaña) as a key element of the mentoring relationship requires further exploration and study. Many activities in global health capacity building remain focused on provision of training, supervision, and supportive supervision of competent task performance. Viewed through a decolonising lens, there is an imperative for global health actors to align with local priorities and goals, and work alongside individuals supporting them in their vision to become independent leaders of their professions. We propose that placing mentoring relationships at the centre of human resource capacity building programs encourages deep learning, and is more likely to lead to long term, meaningful and sustainable change.
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Affiliation(s)
- Jennifer Yan
- Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste
| | - Nelson Martins
- Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste
| | - Salvador Amaral
- Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste
| | - Joshua R. Francis
- Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste
| | - Barbara Kameniar
- The University of Melbourne, Melbourne, Australia
- The University of Tasmania, Hobart, Australia
| | - Clare Delany
- The University of Melbourne, Melbourne, Australia
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Alorfi NM, Ashour AM, Algarni AS, Alsolami FA, Alansari AM, Tobaiqy M. Assessment of the Community Pharmacists' Knowledge and Attitudes Toward Pain and Pain Management in Saudi Arabia. Int J Gen Med 2022; 15:8527-8537. [PMID: 36514744 PMCID: PMC9741852 DOI: 10.2147/ijgm.s387066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Accepted: 11/28/2022] [Indexed: 12/12/2022] Open
Abstract
Background Pain is a global health issue that affects an individual's quality of life. Its alleviation and management will enhance patients' experience. Community pharmacists can help manage pain severity through their valuable roles in medical teams and by managing the consequences of pain. Objective This study aimed to evaluate community pharmacists' knowledge and attitudes toward pain and pain management in Saudi Arabia. Methods A cross-sectional study was performed to evaluate community pharmacists' knowledge and attitudes toward pain and pain management in Saudi Arabia. Pharmacists aged ≥ 21 years, with a degree in pharmacy were included in this study. Each respondent participated in an online survey covering cancer-oriented pain and assessment of pain; pharmacology; abuse of substances; and physical dependence. An independent t-test and One-way ANOVA, with least significant difference as a post-hoc test, were employed, in addition to the General Linear Regression Model using Main Effect as the model. Results This study revealed that the pain-related knowledge and attitude among community pharmacists in Saudi Arabia were inadequate. Age (p = 0.003), work experience (p = 0.036), nature of work (p = 0.001), and work location (p = 0.003) were determined as significant factors affecting their overall knowledge and attitude toward pain. Conclusion Overall, attempts to expand community pharmacists' knowledge and foster an appropriate attitude toward pain management among them in Saudi Arabia are highly recommended. Additional academic courses, studies, and tailored neuroscience courses will improve their awareness and knowledge of pain and pain management.
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Affiliation(s)
- Nasser M Alorfi
- Department of Pharmacology and Toxicology, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia,Correspondence: Nasser M Alorfi, Umm Al-Qura University, Al Abdeyah, Mecca, 24381, Saudi Arabia, Email
| | - Ahmed M Ashour
- Department of Pharmacology and Toxicology, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Alanood S Algarni
- Department of Pharmacology and Toxicology, College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Faris A Alsolami
- Khulais General Hospital, Ministry of Health, Makkah, Saudi Arabia
| | | | - Mansour Tobaiqy
- Department of Pharmacology, College of Medicine, University of Jeddah, Jeddah, Saudi Arabia
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López-Vázquez J, Pérez-Martínez DE, Vargas I, Vázquez ML. Interventions to Improve Clinical Coordination between Levels: Participatory Experience in a Public Healthcare Network in Xalapa, Mexico. Int J Integr Care 2021; 21:12. [PMID: 34785996 PMCID: PMC8570199 DOI: 10.5334/ijic.5892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 10/14/2021] [Indexed: 11/20/2022] Open
Abstract
INTRODUCTION Coordination of care can be improved through an intervention or a combination of several ones. In addition, it is recommended to encourage the active involvement of professionals in the design, implementation and assessment of coordination mechanisms. OBJECTIVE To analyse the factors that influence the implementation of participatively designed interventions and their effects on clinical coordination between levels of care in a public healthcare network of health services in Xalapa, Veracruz, Mexico. METHODS A qualitative, descriptive-interpretative study, for which individual interviews and discussion groups with a criterion sample of participants: Local Steering Committee and the Professional Platform. A content analysis, with mixed category generation and segmentation by intervention and topics, was carried out. According to the problem analysis, participants designed two sequential interventions: offline virtual consultation, and joint training meetings on maternal health and chronic diseases. RESULTS Respondents perceived a differentiated impact on clinical coordination according to intervention: greater in the case of joint maternal health trainings and limited for the chronic diseases meetings, as they were the offline virtual consultation was rarely used. CONCLUSION The involvement of professionals in designing the interventions, as well as institutional support and reflexive methods for training, all decisively improved clinical coordination between levels.
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Affiliation(s)
- Julieta López-Vázquez
- Instituto de Salud Pública, Universidad Veracruzana, Av. Dr. Luis Castelazo Ayala s/n. Col. Industrial Ánimas, 91190 Xalapa, Veracruz, México
- Departamento de Pediatría, de Obstetricia y Ginecología, y de Medicina Preventiva, Universidad Autónoma de Barcelona, Bellaterra (Cerdanyola del Vallés) 08193 Barcelona, España
| | - Damián-Eduardo Pérez-Martínez
- Instituto de Salud Pública, Universidad Veracruzana, Av. Dr. Luis Castelazo Ayala s/n. Col. Industrial Ánimas, 91190 Xalapa, Veracruz, México
| | - Ingrid Vargas
- Health Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Avinguda Tibidabo 21, 08022 Barcelona, Spain
| | - María-Luisa Vázquez
- Health Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Avinguda Tibidabo 21, 08022 Barcelona, Spain
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Samarkandi OA. The factors affecting nurses' assessments toward pain management in Saudi Arabia. Saudi J Anaesth 2021; 15:165-173. [PMID: 34188636 PMCID: PMC8191256 DOI: 10.4103/sja.sja_2_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2021] [Revised: 01/13/2021] [Accepted: 03/01/2021] [Indexed: 12/03/2022] Open
Abstract
Background and Aims: Pain assessment requires an extensive practice in diagnosis coupled with proficiency in recognizing health factors that lead to its occurrence. Nurses' education and training could be the main factor influencing pain perception and diagnosis. This study aims at comparing nurses' academic qualifications and relevant training courses that may impact their assessment skills toward patients in pain. Methods: A descriptive cross-sectional design using a Knowledge and Attitudes Survey Regarding Pain questionnaire was administered to a total of 247 nurses. In this survey, the nurses were asked to answer specific questions related to correctly diagnosing and assessing patients' pain, as well as answer questions about their previous training in pain assessment. Results: A total of 247 nurses answered the questionnaire, with an overall response rate of 82%. Questionnaires revealed that more than half (50.6%) of the nurses involved in this study have not received any pain education related to pain management in the 5 years following their initial nursing licensure or supervision under a nurse supervisor. Conclusions: The results of the paper show that nurses' experiential level has the highest impact on their knowledge of pain relief management and medications necessary for treating it. Also, nurses' pain education following their initial licensure and during their professional practice has the second highest impact on their pain relief management knowledge, whereas their primary nursing education had the lowest.
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Affiliation(s)
- Osama A Samarkandi
- Department of Basic Science, Prince Sultan College for Emergency Medical Services, King Saud University, Riyadh, Saudi Arabia
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Shamieh O, Salmany S, Khamash O, Daoud S, Khraisat M, Awni M, Al-Rimawi D, Sammour R, Al-Tabba A, Al-arjeh G, Abde-Razeq H, Hui D. Opioid use among cancer patients in the final hospitalization in a Tertiary Cancer Center in Jordan. PROGRESS IN PALLIATIVE CARE 2020. [DOI: 10.1080/09699260.2020.1826779] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Omar Shamieh
- Department of Palliative Care, King Hussein Cancer Center, Amman, Jordan
- Faculty of Medicine, University of Jordan, Amman, Jordan
| | - Sewar Salmany
- Department of Pharmacy, King Hussein Cancer Center, Amman, Jordan
| | - Odai Khamash
- Department of Palliative Care, King Hussein Cancer Center, Amman, Jordan
| | - Stella Daoud
- Department of Pharmacy, King Hussein Cancer Center, Amman, Jordan
| | - Mustafa Khraisat
- Department of Palliative Care, King Hussein Cancer Center, Amman, Jordan
| | - Mohammad Awni
- Department of Palliative Care, King Hussein Cancer Center, Amman, Jordan
| | - Dalia Al-Rimawi
- Center of Research Shared Resources, King Hussein Cancer Center, Amman, Jordan
| | - Raja Sammour
- Center of Research Shared Resources, King Hussein Cancer Center, Amman, Jordan
| | - Amal Al-Tabba
- Department of Palliative Care, King Hussein Cancer Center, Amman, Jordan
| | - Ghadeer Al-arjeh
- Department of Palliative Care, King Hussein Cancer Center, Amman, Jordan
| | - Hikmat Abde-Razeq
- Department of Medicine, King Hussein Cancer Center, Amman, Jordan
- Faculty of Medicine, University of Jordan, Amman, Jordan
| | - David Hui
- MD Anderson Cancer Center, Houston, TX, USA
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El-Aqoul A, Obaid A, Jarrah I, Al-Rawashdeh K, Al Hroub A. Effectiveness of Education Program on Nursing Knowledge and Attitude toward Pain Management. Asia Pac J Oncol Nurs 2020; 7:382-388. [PMID: 33062835 PMCID: PMC7529026 DOI: 10.4103/apjon.apjon_17_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Accepted: 03/30/2020] [Indexed: 01/12/2023] Open
Abstract
Objective: Nurses have an integral role in pain assessment and management. Adequate knowledge and positive attitudes toward pain management are essential to provide high-quality nursing care for cancer pain. The purposes of this study are to evaluate nurses' knowledge and attitude toward cancer-related pain and to assess the effectiveness of a pain management education program on nurses' knowledge and attitude toward pain. Methods: A quantitative, experimental design was used. Results: The total number of participants who were surveyed at three measurement points was 131, with a completion rate of 87.3%. Findings revealed that the score of knowledge and attitude toward cancer-related pain ranged from 14 to 35, with a mean of 23.6 (standard deviation [SD] = 4.38). The mean scores of the intervention group and the control group at two measurement points regarding knowledge and attitude toward cancer-related pain were 32.7 (SD = 2.8) and 32.8 (SD = 4.3) and 23 (SD = 5.5) and 22.2 (SD = 3.8), respectively. There were significant differences at three measurement points among the intervention group (F = 114.3, P < 0.0005). There were no differences in the three measurement points among the control group (F = 3.4, P = 0.055). Conclusions: Nurses have essential roles in cancer pain. A pain management education program can improve nurses' knowledge and attitude toward cancer-related pain.
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Affiliation(s)
- Aqel El-Aqoul
- Department of Nursing, King Hussein Cancer Center, Amman, Jordan
| | - Abdullah Obaid
- Department of Nursing, King Hussein Cancer Center, Amman, Jordan
| | - Ihsan Jarrah
- Department of Nursing, King Hussein Cancer Center, Amman, Jordan
| | | | - Ahmad Al Hroub
- Department of Nursing, King Hussein Cancer Center, Amman, Jordan
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Sayfouri N, Kouchekyazdi S, Etemadian M, Asadi R. A Systemic Inquiry into a Hospital’s Reformation Actions. SYSTEMIC PRACTICE AND ACTION RESEARCH 2020. [DOI: 10.1007/s11213-020-09537-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Unmet need for interprofessional education in paediatric cancer: a scoping review. Support Care Cancer 2019; 27:3627-3637. [PMID: 31127437 PMCID: PMC6726701 DOI: 10.1007/s00520-019-04856-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Accepted: 05/09/2019] [Indexed: 11/02/2022]
Abstract
PURPOSE Despite improved treatment and care, children and adolescents diagnosed with cancer continue to die, while many of those cured are burdened by treatment-related sequelae. The best clinical management of children and adolescents with cancer depends on healthcare professionals with various skills and expertise. Complex treatment, care and rehabilitation require collaboration between healthcare professionals. The purpose of this scoping review is to identify and evaluate existing interprofessional education in paediatric cancer. METHODS We utilised the scoping review methodology and searched PubMed, Scopus and Education Resources Information Center. Inclusion criteria were postgraduate studies targeting more than one profession and evaluation of the educational intervention. We applied Kirkpatrick's modified interprofessional education outcomes model to systematise outcomes. RESULTS Of 418 references, nine studies fulfilled the inclusion criteria. The design, strategy and content of all the studies were heterogeneous. None of the interprofessional educations systematically evaluated knowledge, skills, attitudes or the effects on patient outcomes or quality of care. CONCLUSION There is a lack of well-structured, interprofessional education in paediatric cancer that has undergone evaluation. Paediatric cancer may benefit from systematic education and evaluation frameworks since interprofessional education could potentially strengthen the treatment, care and rehabilitation for children and adolescents with cancer.
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Academy of Oncologic Physical Therapy EDGE Task Force on Cancer: A Systematic Review of Outcome Measures for Pain in Children. REHABILITATION ONCOLOGY 2019. [DOI: 10.1097/01.reo.0000000000000165] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Matula ST, Polomano RC, Irving SY. The state of the science in paediatric pain management practices in low-middle income countries: An integrative review. Int J Nurs Pract 2018; 24:e12695. [PMID: 30251308 DOI: 10.1111/ijn.12695] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Accepted: 06/30/2018] [Indexed: 12/31/2022]
Abstract
AIM Examine the state of the science for pain management in children living in low-middle income countries (LMIC). BACKGROUND Significant challenges exist in pain management for children living in LMIC. METHODS An integrative review was conducted using PRISMA guidelines for quality of reporting. Literature searches were completed using Medline, PubMed, Scopus, and CINAHL databases for publications between January 2006 and August 2016 using MeSH and primary search terms pain and LMIC. Full text publications were evaluated using GRADE criterion and methodology specific evaluation tools. RESULTS Of 1510 publications identified, 31 met the criteria for inclusion. Data were categorized into three broad themes: (1) magnitude of the pain problem with subthemes describing the burden of and resources for paediatric pain management; (2) perceptions, experience, and practices for managing pain in children residing in LMIC with subthemes addressing health care providers, parent/caregiver and children, respectively; and (3) pain management practices with pain assessment and treatment strategies as subthemes. CONCLUSION Current data on paediatric pain management in LMIC are limited with respect to describing the burden of pain, children's pain perceptions and experiences, and pain management practices. Rigorous investigations are needed to expand knowledge and address the pervasive problem of pain for children in LMIC.
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Affiliation(s)
- Samuel T Matula
- University of Pennsylvania School of Nursing, Philadelphia, PA, USA
| | - Rosemary C Polomano
- University of Pennsylvania School of Nursing, Philadelphia, PA, USA.,University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
| | - Sharon Y Irving
- University of Pennsylvania School of Nursing, Philadelphia, PA, USA.,Division of Anesthesiology and Critical Care Medicine/Critical Care Nursing, The Children's Hospital of Philadelphia, Philadelphia, PA, USA
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12
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Abstract
Background: Pain control is a vitally important goal because untreated pain has detrimental impacts on the patients as hopelessness, impede their response to treatment, and negatively affect their quality of life. Limited knowledge and negative attitudes toward pain management were reported as one of the major obstacles to implement an effective pain management among nurses. The main purpose for this study was to explore Saudi nurses’ knowledge and attitudes toward pain management. Methods: Cross-sectional survey was used. Three hundred knowledge and attitudes survey regarding pain were submitted to nurses who participated in this study. Data were analyzed with the Statistical Package for the Social Sciences software (SPSS; version 17). Results: Two hundred and forty-seven questionnaires were returned response rate 82%. Half of the nurses reported no previous pain education in the last 5 years. The mean of the total correct answers was 18.5 standard deviation (SD 4.7) out of 40 (total score if all items answered correctly) with range of 3–37. A significant difference in the mean was observed in regard to gender (t = 2.55, P = 0.011) females had higher mean score (18.7, SD 5.4) than males (15.8, SD 4.4), but, no significant differences were identified for the exposure to previous pain education (P > 0.05). Conclusions: Saudi nurses showed a lower level of pain knowledge compared with nurses from other regional and worldwide nurses. It is recommended to considered pain management in continuous education and nursing undergraduate curricula.
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The Influence of Context on Utilizing Research Evidence for Pain Management in Jordanian Pediatric Intensive Care Units (PICU). J Pediatr Nurs 2018; 38:e39-e46. [PMID: 29103732 DOI: 10.1016/j.pedn.2017.10.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/26/2016] [Revised: 10/20/2017] [Accepted: 10/20/2017] [Indexed: 11/22/2022]
Abstract
PURPOSE The purpose of this study was to gain a beginning understanding of the contextual factors that influence the use of research for pain management in Jordanian Pediatric Intensive Care Units (PICUs). DESIGN AND METHODS A paper or online questionnaire was used to collect data on instrumental research use (IRU) and conceptual research use (CRU) and ten contextual variables from 73 registered nurses working in four Jordanian PICUs. The Pearson product-moment correlation coefficient was used to test the relationship between continuous (demographic and contextual) factors and IRU and CRU. One way ANOVA and independent t-test were used to examine the differences between sociodemographic variables and IRU and CRU. Generalized Estimating Equations (GEE) was used to determine the demographic and contextual factors that influenced research use. We modeled the significant variables identified by bivariate correlation, t-test, and ANOVA at (p≤0.10). RESULTS Nine of the contextual factors significantly and positively correlated with the IRU for pain assessment, eight with the IRU for pain treatment, and six with the CRU for pain management (including assessment and treatment). Hospital type (public) predicted the IRU for pain assessment. Social capital, structural, and electronic resources predicted the IRU for pain treatment. Social capital predicted the CRU for pain management. CONCLUSION Context influences Jordanian PICU nurses' use of research for pain management. PRACTICE IMPLICATIONS Concentrating on modifiable contextual factors may positively influence Jordanian PICU nurses' use of research for pain management. This influence may extend to reduce children's pain in Jordanian PICUs.
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Ismail A, Forgeron P, Polomeno V, Gharaibeh H, Harrison D. Pain Management Practice and Guidelines in Jordanian Pediatric Intensive Care Units. Pain Manag Nurs 2017; 19:195-203.e4. [PMID: 29153297 DOI: 10.1016/j.pmn.2017.07.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Revised: 06/13/2017] [Accepted: 07/21/2017] [Indexed: 11/18/2022]
Abstract
Limited knowledge exists of current pain management practices and supporting guidelines in Jordanian pediatric intensive care units. To determine the current pain management practices and the availability and content of practice guidelines in Jordanian pediatric intensive care units, we conducted a cross-sectional and multisite survey of four pediatric intensive care units in Jordan. A questionnaire was developed and orally administered over the phone or in person to head nurses or their nominees to capture pain management practices and the existence and content of guidelines. All units had written pain management guidelines that included pain assessment, documentation, and management. All four units used one or more pain assessment tools. In three units, pain management was considered multidisciplinary and routinely discussed on unit rounds. In two units, continuous infusion of intravenous opioids was used as well as sedatives and neuromuscular blockers for most ventilated patients. In the two other units, continuous intravenous infusion of opioids was not used and only sedatives were administered for patients on mechanical ventilation. In two units, there were no specific guidelines on the use of nonopioid analgesics, patient-controlled anesthesia, or the management of postoperative pain. No unit used an opioid or sedative withdrawal assessment tool or had pain management guidelines on the use of topical anesthetic agents or sucrose. Pain management practices and guidelines varied across the four units, suggesting that there is an opportunity for improvement in pain management in pediatric intensive care units in Jordan.
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Affiliation(s)
- Ahmad Ismail
- From the School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
| | - Paula Forgeron
- From the School of Nursing, University of Ottawa, Ottawa, Ontario, Canada
| | - Viola Polomeno
- From the School of Nursing, University of Ottawa, Ottawa, Ontario, Canada
| | - Huda Gharaibeh
- Jordan University of Science and Technology, Irbid, Jordan
| | - Denise Harrison
- From the School of Nursing, University of Ottawa, Ottawa, Ontario, Canada
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Bush PL, Pluye P, Loignon C, Granikov V, Wright MT, Pelletier JF, Bartlett-Esquilant G, Macaulay AC, Haggerty J, Parry S, Repchinsky C. Organizational participatory research: a systematic mixed studies review exposing its extra benefits and the key factors associated with them. Implement Sci 2017; 12:119. [PMID: 29017557 PMCID: PMC5634842 DOI: 10.1186/s13012-017-0648-y] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2017] [Accepted: 09/25/2017] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND In health, organizational participatory research (OPR) refers to health organization members participating in research decisions, with university researchers, throughout a study. This non-academic partner contribution to the research may take the form of consultation or co-construction. A drawback of OPR is that it requires more time from all those involved, compared to non-participatory research approaches; thus, understanding the added value of OPR, if any, is important. Thus, we sought to assess whether the OPR approach leads to benefits beyond what could be achieved through traditional research. METHODS We identified, selected, and appraised OPR health literature, and at each stage, two team members independently reviewed and coded the literature. We used quantitative content analysis to transform textual data into reliable numerical codes and conducted a logistic regression to test the hypothesis that a co-construction type OPR study yields extra benefits with a greater likelihood than consultation-type OPR studies. RESULTS From 8873 abstracts and 992 full text papers, we distilled a sample of 107 OPR studies. We found no difference between the type of organization members' participation and the likelihood of exhibiting an extra benefit. However, the likelihood of an OPR study exhibiting at least one extra benefit is quadrupled when the impetus for the study comes from the organization, rather than the university researcher(s), or the organization and the university researcher(s) together (OR = 4.11, CI = 1.12-14.01). We also defined five types of extra benefits. CONCLUSIONS This review describes the types of extra benefits OPR can yield and suggests these benefits may occur if the organization initiates the OPR. Further, this review exposes a need for OPR authors to more clearly describe the type of non-academic partner participation in key research decisions throughout the study. Detailed descriptions will benefit others conducting OPR and allow for a re-examination of the relationship between participation and extra benefits in future reviews.
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Affiliation(s)
- Paula L. Bush
- Department of Family Medicine, McGill University, 5858 Côte-des-Neiges, Suite 300, Montréal, Quebec H3S 1Z1 Canada
| | - Pierre Pluye
- Department of Family Medicine, McGill University, 5858 Côte-des-Neiges, Suite 300, Montréal, Quebec H3S 1Z1 Canada
| | - Christine Loignon
- Department of Family Medicine, Sherbrooke University, 150 Place Charles Lemoyne suite 200, Longueuil, Quebec J4K 0A8 Canada
| | - Vera Granikov
- Department of Family Medicine, McGill University, 5858 Côte-des-Neiges, Suite 300, Montréal, Quebec H3S 1Z1 Canada
| | - Michael T. Wright
- Catholic University of Applied Sciences Berlin | Institute for Social Health, Köpenicker Allee, 39-57 10318 Berlin, Germany
| | | | - Gillian Bartlett-Esquilant
- Department of Family Medicine, McGill University, 5858 Côte-des-Neiges, Suite 300, Montréal, Quebec H3S 1Z1 Canada
| | - Ann C. Macaulay
- CIET/Participatory Research at McGill (PRAM), 5858 Cote de Neiges, 3rd floor, Montreal, QC H3S 1Z1 Canada
| | - Jeannie Haggerty
- Department of Family Medicine, McGill University, 5858 Côte-des-Neiges, Suite 300, Montréal, Quebec H3S 1Z1 Canada
| | - Sharon Parry
- West Island YMCA, |230 Brunswick Blvd, Pointe-Claire, Quebec H9R 5N5 Canada
| | - Carol Repchinsky
- Special Projects, Canadian Pharmacists Association, 1785 Alta Vista Drive, Ottawa, ON K1G 3Y6 Canada
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Schwerdtle P, Morphet J, Hall H. A scoping review of mentorship of health personnel to improve the quality of health care in low and middle-income countries. Global Health 2017; 13:77. [PMID: 28974233 PMCID: PMC5627414 DOI: 10.1186/s12992-017-0301-1] [Citation(s) in RCA: 49] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2017] [Accepted: 09/12/2017] [Indexed: 01/19/2023] Open
Abstract
Background Most Low and Middle-Income Countries are facing a crisis in human resources for health which compromises their ability to meet health related targets outlined by the Sustainable Development Goals. The crisis is not limited to the availability of health personnel but also the quality of care and the training and development of the workforce. To address these challenges, evidence based education strategies are urgently required. Mentorship has been found to improve health personnel performance in High-Income Countries however, little is known about its role in Low and Middle-Income Countries. To address this gap in understanding, we conducted a scoping review of the current literature. Methods CINAHL, EMBASE and OVID Medline were systematically searched along with grey literature for peer-reviewed research papers specific to the research question. A six-step scoping review framework was utilised to identify the relevant literature and summarise the pertinent findings. Results The initial search identified 592 records, and five papers, reporting on four studies, were retained for data charting and extraction. All four studies described a positive effect of mentorship on the quality of care outcomes. The results are collated according to features of the intervention including mentor training, mentor-mentee ratios, mentorship model, intervention intensity and key findings in terms of outcome measures. Conclusions This review identifies a paucity of evidence of mentorship in this context however, current evidence supports the assertion that effective mentorship contributes to the improvement of certain quality of care outcomes. The features of successful mentorship interventions are outlined and the implications are discussed in the context of existing evidence.
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Affiliation(s)
- Patricia Schwerdtle
- Nursing & Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia. .,Medecins Sans Frontieres, Sydney, NSW, Australia.
| | - Julia Morphet
- Nursing & Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia.,Monash Emergency Research Collaborative, Nursing & Midwifery, Monash Health, Clayton, Dandenong, Australia
| | - Helen Hall
- Nursing & Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia
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Plummer K, McCarthy M, McKenzie I, Newall F, Manias E. Pain assessment and management in paediatric oncology: a cross-sectional audit. J Clin Nurs 2016; 26:2995-3006. [PMID: 27862499 DOI: 10.1111/jocn.13643] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/28/2016] [Indexed: 01/04/2023]
Abstract
AIMS AND OBJECTIVES To describe the pain assessment and management practices documented by health professionals within a tertiary-level Children's Cancer Centre and to evaluate how these practices were compared with international recommendations. BACKGROUND Children with cancer are vulnerable to pain due to the intensity of antineoplastic therapy. Therefore, it is imperative to ensure that current pain management practices provided to paediatric oncology inpatients are of a high quality. DESIGN A single-site cross-sectional audit. METHODS A 24-hour period of documented pain-related care in randomly selected inpatients of an Australian tertiary-level Children's Cancer Centre was examined. The current pain management practices were audited over a two-month period resulting in 258 episodes of pain-related care being reviewed. RESULTS Pain related to medical treatment for cancer was common (n = 146/258, 57%) and persistent. The presence of pain was not consistently recorded by health professionals (n = 75/146, 51%). Pain was mild (n = 26/75, 35%) and opioids were the mainstay of pain management interventions (n = 63/112, 56%). Adjuvants were an important component of pain management (n = 47/112, 42%), and nonpharmacological methods of managing pain were under-represented in this audit (n = 38/146, 26%). According to the Pain Management Index, pain was appropriately managed for the majority of children (n = 65/76, 87%). CONCLUSIONS Pain management practices did not fully reflect the recommendations of contemporary paediatric pain management. Due to limitations in the documentation of children's pain, it was difficult to determine the effectiveness of pain management interventions. RELEVANCE TO CLINICAL PRACTICE This study highlights the ongoing problem of pain for children receiving antineoplastic therapy. It is recommended that health professionals routinely screen for the presence of pain during hospitalisation and assess the efficacy of pain-related care.
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Affiliation(s)
- Karin Plummer
- Children's Cancer Centre, Royal Children's Hospital, Parkville, Melbourne, Vic., Australia.,Social and Mental Health Aspects of Serious Illness, Critical Care and Neurosciences, Murdoch Children's Research Institute, Parkville, Melbourne, Vic., Australia.,Department of Nursing, University of Melbourne, Parkville, Melbourne, Vic., Australia.,Department of Anaesthesia and Pain Management, Royal Children's Hospital, Parkville, Melbourne, Vic., Australia
| | - Maria McCarthy
- Children's Cancer Centre, Royal Children's Hospital, Parkville, Melbourne, Vic., Australia.,Social and Mental Health Aspects of Serious Illness, Critical Care and Neurosciences, Murdoch Children's Research Institute, Parkville, Melbourne, Vic., Australia
| | - Ian McKenzie
- Department of Anaesthesia and Pain Management, Royal Children's Hospital, Parkville, Melbourne, Vic., Australia
| | - Fiona Newall
- Department of Nursing, University of Melbourne, Parkville, Melbourne, Vic., Australia.,Critical Care and Neurosciences, Murdoch Children's Research Institute, Parkville, Melbourne, Vic., Australia.,Department of Pediatrics, University of Melbourne, Parkville, Melbourne, Vic., Australia.,Department of Nursing Research, Royal Children's Hospital, Parkville, Melbourne, Vic., Australia
| | - Elizabeth Manias
- Departments of Nursing, Deakin University, Burwood, Melbourne, Vic., Australia.,Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, Melbourne, Vic., Australia.,Melbourne School of Health Sciences, University of Melbourne, Parkville, Melbourne, Vic., Australia.,Faculty of Health, School of Nursing and Midwifery, Deakin University, Burwood, Melbourne, Vic., Australia
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Twycross A, Forgeron P, Chorne J, Backman C, Finley GA. Pain as the neglected patient safety concern: Five years on. J Child Health Care 2016; 20:537-541. [PMID: 27091955 DOI: 10.1177/1367493516643422] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Five years ago, we published a commentary in the Canadian Medical Association Journal arguing that inadequately managed pain in children should be considered an adverse event, a harmful patient outcome. We argued that inadequately managed pain meets the definition of an adverse event and further hypothesized that treating pain as an adverse event may improve care by raising health care administrators and quality improvement experts' awareness of this issue. In this article, we reflect on the progress made in both moving this proposition forward and testing out the concept. We then move on to look at what still needs to be done to ensure that children's pain is managed effectively.
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Affiliation(s)
- Alison Twycross
- 1 Department for Children's Nursing, London South Bank University, London, UK
| | - Paula Forgeron
- 2 School of Nursing, Faculty of Health Sciences, University of Ottawa, Ontario, Canada
| | - Jill Chorne
- 3 Departments of Anesthesia, Pain Management and Perioperative Medicine and Psychology and Neuroscience, Dalhousie University, Halifax, Canada.,4 Centre for Pediatric Pain Research, IWK Health Centre, Halifax, Canada
| | - Chantal Backman
- 2 School of Nursing, Faculty of Health Sciences, University of Ottawa, Ontario, Canada.,5 Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
| | - G Allen Finley
- 3 Departments of Anesthesia, Pain Management and Perioperative Medicine and Psychology and Neuroscience, Dalhousie University, Halifax, Canada.,4 Centre for Pediatric Pain Research, IWK Health Centre, Halifax, Canada
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20
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Twycross AM, Williams AM, Finley GA. Surgeons' aims and pain assessment strategies when managing paediatric post-operative pain: A qualitative study. J Child Health Care 2015; 19:513-23. [PMID: 24728398 DOI: 10.1177/1367493514527022] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Children experience moderate to severe pain post-operatively. Nurses have been found to have a variety of aims in this context. Surgeons' aims when managing post-operative pain have not been explored. This qualitative study set out to explore paediatric surgeons' aims when managing post-operative pain in one paediatric hospital in Canada. Consultant surgeons (n = 8) across various specialities took part in semi-structured interviews. Surgeons' overarching aim was to keep the child comfortable. Various definitions of comfortable were given, relating to the child's experience of pain itself and their ability to undertake activities of daily living. Children's behavioural pain cues seem to be a primary consideration when making treatment decisions. Parents' views regarding their child's pain were also seen as important, suggesting children may not be seen as competent to make decisions on their own behalf. The need to maintain a realistic approach was emphasised and pain management described as a balancing act. Surgeons may draw on both tacit and explicit knowledge when assessing children's pain. There appears to be an expectation among surgeons that some pain is to be expected post-operatively and that the diagnostic value of pain may, in some cases, supersede concerns for the child's pain experience.
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21
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Montgomery A, Doulougeri K, Panagopoulou E. Implementing action research in hospital settings: a systematic review. J Health Organ Manag 2015; 29:729-49. [DOI: 10.1108/jhom-09-2013-0203] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Purpose
– Health care organizations and hospitals in particular are highly resistant to change. The reasons for this are rooted in professional role behaviors, hierarchical structures and the influence of hidden curricula that inform organizational culture. Action research (AR) has been identified as a promising bottom-up approach that has the potential to address the significant barriers to change. However, to date no systematic review of the field in health care exists. The paper aims to discuss these issues.
Design/methodology/approach
– A systematic review of the literature was conducted. Studies were reviewed with regard to the four stages of AR; problem identification, planning, implementation and evaluation.
Findings
– Only 19 studies were identified that fit the inclusion criteria. Results revealed significant heterogeneity with regard to theoretical background, methodology employed and evaluation methods used.
Research limitations/implications
– Only studies published and written in the English language were included.
Practical implications
– The field of AR interventions would benefit from a theoretical framework that has the ability to guide the methodology and evaluation processes.
Originality/value
– This is the first systematic review of AR in hospitals.
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22
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Twycross A, Forgeron P, Williams A. Paediatric nurses’ postoperative pain management practices in hospital based non-critical care settings: A narrative review. Int J Nurs Stud 2015; 52:836-63. [DOI: 10.1016/j.ijnurstu.2015.01.009] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2013] [Revised: 01/16/2015] [Accepted: 01/16/2015] [Indexed: 10/24/2022]
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23
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Bice AA, Gunther M, Wyatt T. Increasing Nursing Treatment for Pediatric Procedural Pain. Pain Manag Nurs 2014; 15:365-79. [DOI: 10.1016/j.pmn.2012.06.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2012] [Revised: 06/07/2012] [Accepted: 06/07/2012] [Indexed: 11/28/2022]
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24
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Al Qadire M, Al Khalaileh M. Jordanian Nurses Knowledge and Attitude Regarding Pain Management. Pain Manag Nurs 2014; 15:220-8. [DOI: 10.1016/j.pmn.2012.08.006] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2012] [Revised: 08/18/2012] [Accepted: 08/20/2012] [Indexed: 11/26/2022]
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25
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Farahani PV, Alhani F, Mohammadi E. Effect of establishing pain committee on the pain assessment skills of paediatric nurses. Int J Nurs Pract 2013; 20:499-509. [DOI: 10.1111/ijn.12191] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Affiliation(s)
| | - Fatemeh Alhani
- Nursing Department; Tarbiat Modares University; Tehran Iran
| | - Eisa Mohammadi
- Nursing Department; Tarbiat Modares University; Tehran Iran
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26
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Torres CA, Bartley EJ, Wandner LD, Alqudah AF, Hirsh AT, Robinson ME. The influence of sex, race, and age on pain assessment and treatment decisions using virtual human technology: a cross-national comparison. J Pain Res 2013; 6:577-88. [PMID: 23901291 PMCID: PMC3724685 DOI: 10.2147/jpr.s46295] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
PURPOSE Studies in the United States have found that patients' sex, race, and age influence the pain assessment and treatment decisions of laypeople and medical professionals. However, there is limited research as to whether people of other nationalities make pain management decisions differently based on demographic characteristics. Therefore, the purpose of the following study was to compare pain assessment and treatment decisions of undergraduate students in Jordan and the United States as a preliminary examination of nationality as a potential proxy for cultural differences in pain decisions. METHODS Virtual human (VH) technology was used to examine the influences of patients' sex (male or female), race (light-skinned or dark-skinned), and age (younger or older) on students' pain management decisions. Seventy-five American and 104 Jordanian undergraduate students participated in this web-based study. RESULTS American and Jordanian students rated pain intensity higher in females and older adults and were more likely to recommend medical help to these groups, relative to males and younger adults. Furthermore, Jordanian participants rated pain intensity higher and were more likely to recommend medical help for all patient demographic groups (ie, sex, race, age) than American participants. CONCLUSION This is the first cross-national study that compares pain decisions between undergraduate students. The results suggest that sex, race, and age cues are used in pain assessment and treatment by both Americans and Jordanians, with Jordanians more likely to rate pain higher and recommend medical help to patients. Additional research is needed to determine the cultural determinants of these differences.
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Affiliation(s)
- Calia A Torres
- Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA
| | - Emily J Bartley
- Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA
| | - Laura D Wandner
- Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA
| | - Ashraf F Alqudah
- Department of Psychology, The University of Jordan, Amman, Jordan
| | - Adam T Hirsh
- Department of Psychology, Indiana University–Purdue University, Indianapolis, IN, USA
| | - Michael E Robinson
- Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA
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27
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Qadire MA, Tubaishat A, Aljezawi MM. Cancer pain in Jordan: prevalence and adequacy of treatment. Int J Palliat Nurs 2013; 19:125-30. [DOI: 10.12968/ijpn.2013.19.3.125] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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28
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Jordanian patients' satisfaction with pain management. Pain Manag Nurs 2012; 15:116-25. [PMID: 23273825 DOI: 10.1016/j.pmn.2012.07.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2011] [Revised: 06/19/2012] [Accepted: 07/09/2012] [Indexed: 11/22/2022]
Abstract
Pain is still undertreated among hospitalized patients. Recently, patient satisfaction with pain management has received significant attention. This field has not yet been explored among Jordanian patients. The purpose of this study was to determine the knowledge regarding pain characteristics, beliefs, and satisfaction that can be included in planning pain management strategies and protocols within Jordanian hospitals. Using descriptive cross-sectional methodology, the American Pain Society Patient Outcome Questionnaire (APS-POQ) was used to survey 375 inpatients from Jordanian hospitals. Participants reported relatively severe pain and pain interferences while being hospitalized and seemed to be well informed regarding pain and pain management. Participants reported high levels of pain management satisfaction. Also, the Arabic version of the APS-POQ was found to be reliable among the Jordanian population. Findings of this study are similar to those reported by earlier studies in other countries and support the need for applying the caring attitude in managing patients' reports of having pain. This study is the first in Jordan, opening the door for future studies to be conducted in this important field.
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Al Khalaileh M, Al Qadire M. Barriers to cancer pain management: Jordanian nurses' perspectives. Int J Palliat Nurs 2012; 18:535-6, 538-40. [DOI: 10.12968/ijpn.2012.18.11.535] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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30
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Jongudomkarn D, Forgeron PA, Siripul P, Finley GA. My Child You Must Have Patience andKreng Jai: Thai Parents and Child Pain. J Nurs Scholarsh 2012; 44:323-31. [DOI: 10.1111/j.1547-5069.2012.01467.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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31
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Dengler KA, Wilson V, Redshaw S, Scarfe G. Appreciation of a Child's Journey: Implementation of a Cardiac Action Research Project. Nurs Res Pract 2012; 2012:145030. [PMID: 22619707 PMCID: PMC3350988 DOI: 10.1155/2012/145030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2011] [Accepted: 02/09/2012] [Indexed: 11/25/2022] Open
Abstract
The aim of this paper is to provide an overview of the phases of the action research process involved in developing, implementing, and evaluating the Heart Beads program. The aim of the project is to enrich the hospital experience of children with cardiac conditions. Heart Beads involves children receiving unique beads specific to each cardiac treatment, procedure or event in recognition of their experiences, and endurance. An action research approach, involving a partnership between clinicians and researchers and emphasising the involvement of patients and their families, was used to guide the Heart Beads program. The project followed the five phases of action research: identification, investigation, program development, implementation, and evaluation. Heart Beads began as a small project which continues to grow in popularity and significance with children at a tertiary paediatric hospital in Sydney, Australia. The program is now being implemented nationwide with the vision that all Australian children hospitalised with cardiac conditions can benefit from Heart Beads.
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Affiliation(s)
- Kate Alexa Dengler
- Edgar Stephens Ward, The Children's Hospital at Westmead, Sydney, NSW 2145, Australia
| | - Valerie Wilson
- Nursing Research and Practice Development Unit, Kids Research Institute, The Children's Hospital at Westmead, Locked Bag 4001, Westmead, NSW 2145, Australia
- Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, NSW 2007, Australia
| | - Sarah Redshaw
- Nursing Research and Practice Development Unit, Kids Research Institute, The Children's Hospital at Westmead, Locked Bag 4001, Westmead, NSW 2145, Australia
- Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, NSW 2007, Australia
| | - Gabrielle Scarfe
- Edgar Stephens Ward, The Children's Hospital at Westmead, Sydney, NSW 2145, Australia
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Abstract
Barriers to cancer pain management are prevalent among cancer patients around the world, which may hinder patients from receiving adequate pain treatment. However, no study has examined the barriers to cancer pain management among Jordanian cancer patients and thus this study was conducted to fill this gap. Fifty cancer patients completed the Barriers Questionnaire. It was found that patients held high level of concerns (mean of Barriers Questionnaire = 2.58, SD = 0.54). In addition, fear of addiction, fear of physiological and harmful effects of pain medications were the highest rated items which may indicate the need for patients' education about cancer pain and its treatment.
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Pavlidis N, Gadallah M, Cavalli F, Costa A. Euro-Arab School of Oncology: an educational collaborative activity of the European School of Oncology with the Arab world. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2011; 26:129-133. [PMID: 20405354 DOI: 10.1007/s13187-010-0119-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
In this article, we report on the new endeavor of the European School of Oncology to offer collaborative educational activity to the Arab oncologists. We present the 4-year detailed programme held in different Middle East countries with the organization of master classes, advanced courses, or symposia as well as the fellowship programme and the press media events. In addition, we assess the evaluation questionnaires given to the participants during the courses.
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Affiliation(s)
- Nicholas Pavlidis
- Department of Medical Oncology, Medical School, University of Ioannina, 451 10 Ioannina, Greece.
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Current World Literature. Curr Opin Support Palliat Care 2009; 3:144-51. [DOI: 10.1097/spc.0b013e32832c6adb] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Abstract
Culture is commonly regarded as a factor in pain behaviour and experience, but the meaning of the term is often unclear. There is little evidence that pain perception is modified by cultural or ethnic factors, but pain expression by children and interpretation by caregivers may be affected by the culture of the patient or the caregiver. The present paper examines some of the research regarding cultural influences on children's pain assessment, and addresses directions for future research. A focus on cultural influences should not distract clinicians from the need to be sensitive to individual beliefs and attitudes.
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Kiliç E, Akbay Yarpuzlu A. Re: A pediatric cancer pain program in Jordan. J Pain Symptom Manage 2009; 37:e3-5; author reply e6. [PMID: 19345294 DOI: 10.1016/j.jpainsymman.2008.11.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2008] [Accepted: 11/07/2008] [Indexed: 11/25/2022]
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Forgeron PA, Jongudomkarn D, Evans J, Finley GA, Thienthong S, Siripul P, Pairojkul S, Sriraj W, Boonyawatanangkool K. Children's pain assessment in northeastern Thailand: perspectives of health professionals. QUALITATIVE HEALTH RESEARCH 2009; 19:71-81. [PMID: 19029243 DOI: 10.1177/1049732308327242] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Deficiencies in pain care within the developing world are starting to be realized. Children, in particular, are vulnerable, as preliminary studies suggest that these children receive less pain treatment because of health professionals' attitudes and beliefs. This article reports on some of the findings of the first study in a larger program of research aimed at improving pediatric pain care in Thailand. Improvements in practice are not simply the result of providing evidenced-based knowledge, but a complex process that includes the context of care. Given that little is known about the pain management experiences of Thai health professionals, including the challenges they face, we used focus groups to capture their stories. Data revealed a need for both updating pain knowledge and for supporting an increased use of appropriate practices. In this article, we focus on the issues concerning the assessment of pain resulting from underrecognizing children's pain and complex issues in communicating findings of children's pain.
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Affiliation(s)
- Paula A Forgeron
- IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada
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