Can A Complex Online Intervention Improve Cancer Nurses’ Pain Screening and Assessment Practices? Results from a Multicenter, Pre-post Test Pilot Study

Phillips, JL; Heneka, N; Hickman, L; Lam, L; Shaw, T

Can A Complex Online Intervention Improve Cancer Nurses’ Pain Screening and Assessment Practices? Results from a Multicenter, Pre-post Test Pilot Study

Phillips, JL

Heneka, N

Hickman, L

Lam, L

Shaw, T

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Publication Type:: Journal Article
Citation:: Pain Management Nursing, 2017, 18 (2), pp. 75 - 89
Issue Date:: 2017-04-01

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Field	Value	Language
dc.contributor.author	Phillips, JL https://orcid.org/0000-0002-3691-8230	en_US
dc.contributor.author	Heneka, N https://orcid.org/0000-0001-8102-1871	en_US
dc.contributor.author	Hickman, L https://orcid.org/0000-0002-5116-6559	en_US
dc.contributor.author	Lam, L https://orcid.org/0000-0001-6183-6854	en_US
dc.contributor.author	Shaw, T https://orcid.org/0000-0003-0783-1918	en_US
dc.date.available	2020-05-25T19:04:23Z
dc.date.issued	2017-04-01	en_US
dc.identifier.citation	Pain Management Nursing, 2017, 18 (2), pp. 75 - 89	en_US
dc.identifier.issn	1524-9042	en_US
dc.identifier.uri	http://hdl.handle.net/10453/100403
dc.description.abstract	© 2017 American Society for Pain Management Nursing Unrelieved cancer pain has an adverse impact on quality of life. While routine screening and assessment forms the basis of effective cancer pain management, it is often poorly done, thus contributing to the burden of unrelieved cancer pain. The aim of this study was to test the impact of an online, complex, evidence-based educational intervention on cancer nurses' pain assessment capabilities and adherence to cancer pain screening and assessment guidelines. Specialist inpatient cancer nurses in five Australian acute care settings participated in an intervention combining an online spaced learning cancer pain assessment module with audit and feedback of pain assessment practices. Participants' self-perceived pain assessment competencies were measured at three time points. Prospective, consecutive chart audits were undertaken to appraise nurses' adherence with pain screening and assessment guidelines. The differences in documented pre-post pain assessment practices were benchmarked and fed back to all sites post intervention. Data were analyzed using inferential statistics. Participants who completed the intervention (n = 44) increased their pain assessment knowledge, assessment tool knowledge, and confidence undertaking a pain assessment (p < .001). The positive changes in nurses' pain assessment capabilities translated into a significant increasing linear trend in the proportion of documented pain assessments in patients’ charts at the three time points (χ2 trend = 18.28, df = 1, p < .001). There is evidence that learning content delivered using a spaced learning format, augmented with pain assessment audit and feedback data, improves inpatient cancer nurses' self-perceived pain screening and assessment capabilities and strengthens cancer pain guideline adherence.	en_US
dc.relation.ispartof	Pain Management Nursing	en_US
dc.relation.isbasedon	10.1016/j.pmn.2017.01.003	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Neoplasms	en_US
dc.subject.mesh	Pain	en_US
dc.subject.mesh	Therapy, Computer-Assisted	en_US
dc.subject.mesh	Pilot Projects	en_US
dc.subject.mesh	Health Knowledge, Attitudes, Practice	en_US
dc.subject.mesh	Nursing Evaluation Research	en_US
dc.subject.mesh	Clinical Competence	en_US
dc.subject.mesh	Inservice Training	en_US
dc.subject.mesh	Nursing Assessment	en_US
dc.subject.mesh	Pain Management	en_US
dc.subject.mesh	Cancer Pain	en_US
dc.title	Can A Complex Online Intervention Improve Cancer Nurses’ Pain Screening and Assessment Practices? Results from a Multicenter, Pre-post Test Pilot Study	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	18	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1701 Psychology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
utslib.copyright.status	open_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	18	en_US

Abstract:

© 2017 American Society for Pain Management Nursing Unrelieved cancer pain has an adverse impact on quality of life. While routine screening and assessment forms the basis of effective cancer pain management, it is often poorly done, thus contributing to the burden of unrelieved cancer pain. The aim of this study was to test the impact of an online, complex, evidence-based educational intervention on cancer nurses' pain assessment capabilities and adherence to cancer pain screening and assessment guidelines. Specialist inpatient cancer nurses in five Australian acute care settings participated in an intervention combining an online spaced learning cancer pain assessment module with audit and feedback of pain assessment practices. Participants' self-perceived pain assessment competencies were measured at three time points. Prospective, consecutive chart audits were undertaken to appraise nurses' adherence with pain screening and assessment guidelines. The differences in documented pre-post pain assessment practices were benchmarked and fed back to all sites post intervention. Data were analyzed using inferential statistics. Participants who completed the intervention (n = 44) increased their pain assessment knowledge, assessment tool knowledge, and confidence undertaking a pain assessment (p < .001). The positive changes in nurses' pain assessment capabilities translated into a significant increasing linear trend in the proportion of documented pain assessments in patients’ charts at the three time points (χ2 trend = 18.28, df = 1, p < .001). There is evidence that learning content delivered using a spaced learning format, augmented with pain assessment audit and feedback data, improves inpatient cancer nurses' self-perceived pain screening and assessment capabilities and strengthens cancer pain guideline adherence.

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http://hdl.handle.net/10453/100403