Ferrell B R, Grant M, Ritchey K J, Ropchan R, Rivera L M
City of Hope National Medical Center, Duarte, California 91010.
J Pain Symptom Manage. 1993 Nov;8(8):549-56. doi: 10.1016/0885-3924(93)90084-9.
Adequate pain management is a 24 hr a day responsibility for health-care professionals working with cancer patients. Because nurses spend more time with patients in pain than any other member of the health-care team, they play a central role in pain assessment and pain management. The City of Hope National Medical Center, a clinical cancer center, developed a pain management course for staff nurses entitled "The Pain Resource Nurse (PRN) Training Program." The purpose of this innovative course was to prepare staff nurses to assume an active role in pain management. Twenty-six registered nurses participated in the 40-hr didactic and clinical course. The curriculum included information on pain assessment, pharmacology, nondrug interventions, and cultural, ethical, and psychosocial issues related to pain. After completion of the course, program staff have remained available to the PRNs to provide current information on pain management, and to assist with role implementation and guidance on interfacing with staff. This paper reports on the development, implementation, and 3-mo evaluation of this unique program.
对于照顾癌症患者的医护人员来说，提供充分的疼痛管理是一项需要全天候负责的工作。由于护士与疼痛患者相处的时间比医疗团队中的其他任何成员都要长，所以他们在疼痛评估和疼痛管理中发挥着核心作用。希望之城国家医疗中心是一家临床癌症中心，为护士开发了一门名为“疼痛资源护士（PRN）培训项目”的疼痛管理课程。这一创新课程的目的是让护士在疼痛管理中发挥积极作用。26名注册护士参加了为期40小时的理论和临床课程。课程内容包括疼痛评估、药理学、非药物干预以及与疼痛相关的文化、伦理和社会心理问题。课程结束后，项目工作人员随时为疼痛资源护士提供有关疼痛管理的最新信息，并协助他们落实职责，指导他们与其他工作人员沟通协作。本文报告了这个独特项目的开发、实施和为期3个月的评估情况。
