肿瘤护理认证：与护士对疼痛的知识和态度、患者报告的疼痛护理质量及疼痛结局的关系

Oncology Nursing Certification: Relation to Nurses' Knowledge and Attitudes About Pain, Patient-Reported Pain Care Quality, and Pain Outcomes.

作者信息

Beck Susan L, Brant Jeannine M, Donohue Rebecca, Smith Ellen M Lavoie, Towsley Gail, Berry Patricia H, Guo Jia-Wen, Al-Qaaydeh Sharifa, Pett Marjorie A, Donaldson Gary

机构信息

University of Utah, Salt Lake City.

Cancer Center of Acadiana.

出版信息

Oncol Nurs Forum. 2016 Jan;43(1):67-76. doi: 10.1188/16.ONF.67-76.

DOI:10.1188/16.ONF.67-76

PMID:26679446

Abstract

PURPOSE/OBJECTIVES: To (a) compare pain knowledge and attitudes between nurses with oncology certified nurse (OCN®) status, non-OCN®-certified nurses, and nurses ineligible for certification and (b) examine the relationships among OCN® status, nurses' knowledge and attitudes about pain, patient-reported quality of nursing pain care, and pain outcomes.  .

DESIGN: Prospective, correlational survey design. Patients were nested within nurses.  .

SETTING

Six inpatient oncology units in three hospitals.

SAMPLE: 91 nurses in three states (28 OCN®-certified nurses, 37 noncertified nurses, and 26 not eligible for certification). Certification status was validated for 105 nurses who were matched with a sample of 320 patients.  .

METHODS: Nurses completed a survey, and matched adult patients who were experiencing pain rated their pain care quality and pain experience during the past shift.  .

MAIN RESEARCH VARIABLES: Demographic characteristics, certification status, and responses to the Nurse Knowledge and Attitudes Survey Regarding Pain (NKASRP), Pain Care Quality Survey-Nursing, and modified Brief Pain Inventory (Short Form).  .

FINDINGS: OCN®-certified nurses scored significantly higher on the NKASRP (82% correct) compared to non-OCN® eligible nurses (76%) and non-OCN® ineligible nurses (74%) (p < 0.001). Only 43% overall achieved a benchmark of 80% correct. No statistically significant relationships existed between (a) certification status and pain care quality or pain outcomes or (b) NKASRP and care quality or outcomes (p > 0.05). .

CONCLUSIONS: OCN®-certified nurses' knowledge and attitudes related to pain management were superior to noncertified nurses. Neither knowledge and attitudes nor OCN® status were associated with pain care quality or pain outcomes.  .

IMPLICATIONS FOR NURSING

Knowledge is necessary but insufficient to improve patient outcomes; providing optimal pain care requires action. Sustained efforts to improve cancer pain management are indicated.

摘要

目的/目标：(a) 比较获得肿瘤认证护士（OCN®）资格的护士、未获得OCN®认证的护士以及无资格获得认证的护士之间的疼痛知识和态度；(b) 研究OCN®资格、护士对疼痛的知识和态度、患者报告的护理疼痛质量以及疼痛结果之间的关系。

设计

前瞻性、相关性调查设计。患者嵌套于护士之中。

地点

三家医院的六个住院肿瘤科室。

样本

来自三个州的91名护士（28名获得OCN®认证的护士、37名未认证护士和26名无资格获得认证的护士）。对105名护士的认证状态进行了验证，这些护士与320名患者的样本相匹配。

方法

护士完成一项调查，与之匹配的正在经历疼痛的成年患者对其过去班次的疼痛护理质量和疼痛体验进行评分。

主要研究变量

人口统计学特征、认证状态，以及对《护士疼痛知识与态度调查问卷》（NKASRP）、《护理疼痛护理质量调查问卷》和修订后的《简明疼痛量表》（简表）的回答。

结果

与无OCN®资格的护士（76%）和无OCN®资格的护士（74%）相比，获得OCN®认证的护士在NKASRP上的得分显著更高（正确率为82%）（p < 0.001）。总体上只有43%达到了80%正确率的基准。(a) 认证状态与疼痛护理质量或疼痛结果之间，以及(b) NKASRP与护理质量或结果之间均不存在统计学上的显著关系（p > 0.05）。