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  1. Teaching cancer pain management : Durability of educational effects of a role model program.

    Article - En anglais

    BACKGROUND

    Inadequate management of cancer related pain has resulted primarily from attitudinal barriers and a lack of knowledge about clinical assessment, the administration of analgesics, and therapeutic interventions.

    METHODS

    Fifty health-care providers (13 physicians, 21 nurses, and 16 pharmacists), working as a team, participated in a Role Model Program that presented principles of cancer pain management.

    A questionnaire that evaluated the fund of knowledge and attitudes regarding cancer pain management was administered prior to the 1-day workshop, at the end of the workshop, and at 4 and 12 months follow-up.

    The workshop consisted of lectures and discussion groups ; in the discussion groups, concepts were clarified, cases presented, and barriers to optimal cancer pain management identified.

    RESULTS

    Significant improvements in attitudes (P<0.01), knowledge (P<0.01), and total scores (P<0.002) were observed when the preworkshop responses were compared with those obtained immediately after instruction.

    Scores on the questionnaire were the same or slightly better at both 4 and 12 months in follow-up, demonstrating no loss in acquired knowledge or attitude.

    Comparison of the postworkshop scores with those at 12 months follow-up were significantly better in attitude (P<0.03), and in total score (P<0.01) ; improvements in knowledge also approached significance (P<0.06).

    These represented continuing improvements because significant differences in the atti...

    Mots-clés Pascal : Tumeur maligne, Stade avancé, Douleur, Analgésique narcotique, Traitement, Cognition, Pharmacien, Médecin, Infirmier, Education, Homme

    Mots-clés Pascal anglais : Malignant tumor, Advanced stage, Pain, Narcotic analgesic, Treatment, Cognition, Chemist, Physician, Nurse, Education, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0212862

    Code Inist : 002B30A09. Création : 199608.