Knowledge and practical skills for cancer pain management among nurses on remote islands in Japan and related factors nationwide

IF 1.9 4区 医学 Q2 NURSING Australian Journal of Rural Health Pub Date : 2024-06-10 DOI:10.1111/ajr.13146
Sachiko Shimizu MS, Satomi Yoshida PhD, Yasuhito Nerome PhD
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引用次数: 0

Abstract

Objective

To clarify the knowledge and practical skills needed for cancer pain management among nurses on remote islands in Japan and related factors nationwide.

Setting

Due to geographical factors, nurses working on remote islands in Japan have few opportunities to attend training programs, which makes it difficult to acquire the knowledge and practical skills needed to provide pain management for patients with cancer.

Methods

We conducted a self-administered questionnaire survey regarding knowledge and practical skills in pain management for patients with cancer.

Design

Cross-sectional study.

Participants

Nurses working in cancer pain care in medical facilities and home care on remote islands throughout Japan.

Results

We analysed 128 responses. Regarding knowledge, the average accuracy level was 49.1%. Items with a low accuracy rate included selecting medicine according to the type of pain and the patient's condition. Regarding practice, the items with low scores included analgesics appropriate for the type of pain and relating physical pain to mental, social and spiritual aspects. The most common significant factor in both knowledge and practice was related to postgraduate training.

Conclusions

These findings suggest that to improve the knowledge and practical skills for cancer pain management among nurses on remote islands in Japan, it is necessary to incorporate clinical reasoning into basic education and establish remote education systems and consultation systems with other facilities.

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日本偏远岛屿护士的癌痛管理知识和实践技能以及全国范围内的相关因素。
目的明确日本偏远岛屿护士在癌症疼痛管理方面所需的知识和实践技能以及全国范围内的相关因素:由于地理因素,在日本偏远岛屿工作的护士很少有机会参加培训项目,因此很难掌握为癌症患者提供疼痛治疗所需的知识和实践技能:设计:横断面研究:设计:横断面研究:结果:我们对 128 份答卷进行了分析:我们分析了 128 份答复。在知识方面,平均准确率为 49.1%。准确率较低的项目包括根据疼痛类型和患者病情选择药物。在实践方面,得分较低的项目包括根据疼痛类型选择适当的镇痛药,以及将身体疼痛与心理、社会和精神方面联系起来。在知识和实践方面,最常见的重要因素与研究生培训有关:这些研究结果表明,为了提高日本偏远岛屿护士的癌痛管理知识和实践技能,有必要将临床推理纳入基础教育,并建立远程教育系统和与其他机构的会诊系统。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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