Department of Health Sciences, The Open University of Sri Lanka, Nawala, Nugegoda, Sri Lanka.
Nurs Health Sci. 2011 Dec;13(4):419-24. doi: 10.1111/j.1442-2018.2011.00635.x. Epub 2011 Sep 8.
Cancer pain is a serious problem that requires specialized nursing knowledge. In the present ethnographic study, we sought to explore the experiences and cancer pain management practices of nurses working at a government hospital in Sri Lanka. Data were collected from October 2007 to January 2008, and were obtained by observing the nurses in a cancer ward, conducting semistructured interviews with 10 participants, and maintaining a research diary. To analyze the data, the data were coded, and an integrative process was implemented to develop categories. The results suggested that Sri Lankan nurses perform poor cancer pain management practices due to a lack of resources, a shortage of nurses, and poor workload allocation within the hospital. Additionally, the nurses are not autonomous, and are required to refer to medical staff for cancer pain management strategies. The nurses work in a task-oriented system that rarely acknowledges cancer patients' pain management needs. This study might improve nursing pain management practices for cancer patients and lead to changes in the curriculum of nursing courses in Sri Lanka.
癌症疼痛是一个严重的问题，需要专业的护理知识。在本民族志研究中，我们试图探讨斯里兰卡一家政府医院护士的经验和癌症疼痛管理实践。数据于 2007 年 10 月至 2008 年 1 月收集，通过观察癌症病房的护士、对 10 名参与者进行半结构化访谈和撰写研究日记获得。为了分析数据，对数据进行了编码，并实施了综合过程以开发类别。结果表明，由于资源匮乏、护士短缺以及医院内部工作负荷分配不佳，斯里兰卡护士的癌症疼痛管理实践较差。此外，护士没有自主权，需要向医务人员咨询癌症疼痛管理策略。护士在一个以任务为导向的系统中工作，很少承认癌症患者的疼痛管理需求。这项研究可能会改善对癌症患者的护理疼痛管理实践，并导致斯里兰卡护理课程课程的改变。
