EDUCATING NURSES: MANAGING CANCER PAIN IN RURAL PATIENTS

教育护士：管理农村患者的癌症疼痛

• 批准号: 2098554
• 负责人: Jo Ann Dalton
• 金额: $ 4.65万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-09-14 至 1994-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2098554
• 关键词: cancer pain; cognitive behavior therapy; education evaluation /planning; ethics; family; human subject; information dissemination; longitudinal human study; neoplasm /cancer palliative treatment; nursing education; oncology nursing; patient care management; patient care personnel attitude; pharmacology; quality of life; relaxation; rural area; telecommunications

The aims of the proposed educational program are to (1) increase nurses' understanding of cancer pain assessment, pharmacologic and nonpharmacologic therapies, and ethical and regulatory issues, and (2) teach them to use a coordinated care program, adapted from the Memorial Sloan-Kettering Supportive Care program, for rural areas. The program will be targeted to nurses in rural areas, who often lack access to the most up-to-date information on cancer pain management and the opportunity to receive ongoing consultation from cancer pain experts. Thirty nurses who work in rural areas (3 cohorts of 10 each) will travel to UNC Hospitals 1 day/week x 6 weeks to participate in the program (the project will conduct 3 6-week programs). Nurses, physicians, pharmacists, a psychologist, and a discipline consultant for the Board of Nursing will constitute the faculty for the program. The program uses the androgogical approach to learning, presenting content at a teachable moment, providing repetition, using a variety of teaching/learning strategies, and providing opportunities for practice. Nurse trainees will learn how to assess and evaluate patient problems, understand the clinical pharmacology of pain management, establish guidelines for non-pharmacologic therapy, learn about ethical and regulatory issues affecting patients and families in rural areas, and will be taught to use a coordinated supportive-care program. In the supportive-care portion of the program, the nurse trainees will learn how to consult with a team of pain management experts, assist in establishing guidelines for pharmacologic and nonpharmacologic therapy, and teach patients how to use cognitive-behavioral therapies such as education, relaxation, distraction and massage. As the nurse learns to use the supportive care model she/he will implement the same model in her home setting. A follow-up telecommunication conference will be implemented 1 year later to convey the latest developments in cancer pain management. The effectiveness of the program in improving the knowledge, attitude, and behavior of nurses, and improving patient satisfaction with pain management and quality of life will be evaluated, using a self-control quasi-experimental lag design in which nurses and patients act as their own controls. Five weeks prior to the beginning of the educational program, baseline data will be collected from each nurse entering the program and from 10 patients cared for by that nurse (30 nurses x 10 patients each). The same data will be collected from patients and nurses at the time the nurse enters the educational program and at the completion of the program. Additional follow-up data will be collected from the nurses at 6 months and 12 months after completion of the educational program and from patients at 5 and 10 weeks after the end of the program. If the program is successful in improving nurses' knowledge, attitude, and behavior and patient satisfaction and quality of life, efforts will be made to have future dissemination of the educational program supported by AHEC and to offer follow-up telecommunication conferences on a yearly basis.

建议的教育计划的目的是：（1）提高护士的 了解癌症疼痛评估，药理学和 非药物治疗，以及伦理和监管问题，以及（2） 教他们使用一个协调的护理计划，改编自纪念馆 Sloan-Kettering支持性护理计划，针对农村地区。 程序 将针对农村地区的护士，他们往往无法获得 关于癌症疼痛管理的最新信息和机会 接受癌症疼痛专家的持续咨询。 30名在农村地区工作的护士（3个队列，每组10人）将前往 参加该计划的时间为每周1天x 6周（ 项目将进行3个6周的计划）。 护士，医生， 药剂师，心理学家和纪律顾问的董事会， 护理将构成该计划的教师。 程序使用 学习的男同性恋方法，以可教的方式呈现内容， 时刻，提供重复，使用各种教学/学习 策略，并提供实践机会。 见习护士 将学习如何评估和评估病人的问题，了解 疼痛管理的临床药理学，建立 非药物治疗，了解伦理和监管问题 影响农村地区的患者和家庭，并将被教导使用 一个协调的后续护理计划 在后续护理部分， 在该计划中，护士学员将学习如何与一个团队协商， 疼痛管理专家，协助建立指导方针， 药物和非药物治疗，并教患者如何使用 认知行为疗法，如教育、放松、分散注意力 治疗按摩裹 当护士学会使用支持性护理模式时，她/他 将在她的家庭环境中实现相同的模型。 的后续行动 电信会议将于1年后实施，以传达 癌症疼痛管理的最新进展。 该方案在提高知识、态度、 和护士的行为，并提高病人对疼痛的满意度 管理和生活质量将进行评估，使用自我控制 准实验滞后设计，其中护士和患者充当他们的角色 自己的控制。 教育开始前五周 程序，将从每个进入的护士收集基线数据， 计划和由该护士护理的10名患者（30名护士x 10 患者）。 同样的数据将从病人和护士那里收集 在护士进入教育计划的时候， 方案的完成。 将收集额外的随访数据 完成后6个月和12个月， 教育计划结束后5周和10周， 节目 如果该计划成功地提高了护士的知识，态度， 以及行为、患者满意度和生活质量，我们将努力 使教育方案的未来传播得到支持 由AHEC和提供后续电信会议上，每年一次， 基础

项目成果

Changing the relationship among nurses' knowledge, self-reported behavior, and documented behavior in pain management: Does education make a difference?

• DOI: 10.1016/s0885-3924(96)00183-2
• 发表时间: 1996-11-01
• 期刊: JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
• 影响因子: 4.7
• 作者: Dalton, JA;Blau, W;Germino, B
• 通讯作者: Germino, B

An examination of nursing attitudes and pain management practices.

对护理态度和疼痛管理实践的检查。

• DOI: 10.1046/j.1523-5394.1998.1998006115.x
• 发表时间: 1998
• 期刊: Cancer practice.
• 作者: Dalton,JA;Carlson,J;Mann,JD;Blau,W;Bernard,S;Youngblood,R
• 通讯作者: Youngblood,R

Managing cancer pain: content and scope of an educational program for nurses who work in predominantly rural areas.

管理癌症疼痛：针对主要在农村地区工作的护士的教育计划的内容和范围。

• DOI: 10.1016/0885-3924(94)00126-6
• 发表时间: 1995
• 期刊: Journal of pain and symptom management.
• 作者: Dalton,JA;Bernard,S;Blau,W;Johnston,C;Mann,JD;Germino,B;Pierce,S;Toomey,T;Mooney,D;Carlson,J
• 通讯作者: Carlson,J

Pain management issues: the cost of medications in rural settings.

疼痛管理问题：农村地区的药物费用。

• DOI: 10.1080/0742-969x.1998.11882905
• 发表时间: 1998
• 期刊: The Hospice journal.
• 作者: Dalton,JA;Carlson,J;Mann,JD;Blau,WS;Bernard,SA
• 通讯作者: Bernard,SA