Practice, Knowledge, and Attitude of Health Care Providers regarding Cancer Pain Management: A National Survey

Background. A lack of knowledge and inadequate practices of health care providers (HCPs) are the main obstacles to effective cancer pain management (CPM). The main objective of the study was to evaluate the CPM knowledge, CPM practice, and attitudes towards pharmacists’ participation and advanced me...

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Main Authors: Jinmei Liu, Ming Zhang, Juan Luo, Jiyi Xie, Xu Chen, Hanxiang Wang, Shijun Li, Shengli Yang, Chunfen Peng, Liangle Yang, Bin Deng, Yu Zhang, Cong Wang, Jianli Hu, Chen Shi
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2021/1247202
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author Jinmei Liu
Ming Zhang
Juan Luo
Jiyi Xie
Xu Chen
Hanxiang Wang
Shijun Li
Shengli Yang
Chunfen Peng
Liangle Yang
Bin Deng
Yu Zhang
Cong Wang
Jianli Hu
Chen Shi
author_facet Jinmei Liu
Ming Zhang
Juan Luo
Jiyi Xie
Xu Chen
Hanxiang Wang
Shijun Li
Shengli Yang
Chunfen Peng
Liangle Yang
Bin Deng
Yu Zhang
Cong Wang
Jianli Hu
Chen Shi
author_sort Jinmei Liu
collection DOAJ
description Background. A lack of knowledge and inadequate practices of health care providers (HCPs) are the main obstacles to effective cancer pain management (CPM). The main objective of the study was to evaluate the CPM knowledge, CPM practice, and attitudes towards pharmacists’ participation and advanced methods in CPM of physicians, nurses, and pharmacists in China. Methods. An open online survey was adopted using social media software (WeChat) as the platform to conduct a nationwide survey of HCPs involved in CPM in public medical institutions at all levels in China from March to June 2019. Results. A total of 1279 physicians, 2267 nurses, and 1466 pharmacists participated in the survey. Among the three types of professionals, nurses had the highest level of practical ability (61.63 ± 28.99) and best attitudes towards pharmacists’ participation and advanced methods in CPM (72.05 ± 33.71) and physicians had the best mastery of CPM-related knowledge (69.60 ± 28.45), while pharmacists performed the worst in these three aspects (50.04 ± 26.69, 61.49 ± 28.95, and 62.07 ± 36.46, respectively). Only 19.69% of the hospitals had a pharmacist to tumor patient ratio ≥1 : 50. Hierarchical analysis showed that passing a good pain management (GPM) ward program and participating in advanced training had positive impacts on the scores of all three parts in the three professions (ptrend <0.05). Conclusions. HCPs’ levels of practice, knowledge, and attitudes towards pharmacists and advanced methods of CPM were average in China; however, pharmacists had the worst performance, which demonstrates a need for further improvement. Furthermore, GPM ward programs and advanced trainings are helpful for improving CPM levels.
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spelling doaj-art-c842d91901c94a718bd3afe8d133d5812025-02-03T06:10:47ZengWileyPain Research and Management1203-67651918-15232021-01-01202110.1155/2021/12472021247202Practice, Knowledge, and Attitude of Health Care Providers regarding Cancer Pain Management: A National SurveyJinmei Liu0Ming Zhang1Juan Luo2Jiyi Xie3Xu Chen4Hanxiang Wang5Shijun Li6Shengli Yang7Chunfen Peng8Liangle Yang9Bin Deng10Yu Zhang11Cong Wang12Jianli Hu13Chen Shi14Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaPresident's Office of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Occupational and Environmental Health, Ministry of Education and Ministry of Environmental Protection, and Key Laboratory of Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaBackground. A lack of knowledge and inadequate practices of health care providers (HCPs) are the main obstacles to effective cancer pain management (CPM). The main objective of the study was to evaluate the CPM knowledge, CPM practice, and attitudes towards pharmacists’ participation and advanced methods in CPM of physicians, nurses, and pharmacists in China. Methods. An open online survey was adopted using social media software (WeChat) as the platform to conduct a nationwide survey of HCPs involved in CPM in public medical institutions at all levels in China from March to June 2019. Results. A total of 1279 physicians, 2267 nurses, and 1466 pharmacists participated in the survey. Among the three types of professionals, nurses had the highest level of practical ability (61.63 ± 28.99) and best attitudes towards pharmacists’ participation and advanced methods in CPM (72.05 ± 33.71) and physicians had the best mastery of CPM-related knowledge (69.60 ± 28.45), while pharmacists performed the worst in these three aspects (50.04 ± 26.69, 61.49 ± 28.95, and 62.07 ± 36.46, respectively). Only 19.69% of the hospitals had a pharmacist to tumor patient ratio ≥1 : 50. Hierarchical analysis showed that passing a good pain management (GPM) ward program and participating in advanced training had positive impacts on the scores of all three parts in the three professions (ptrend <0.05). Conclusions. HCPs’ levels of practice, knowledge, and attitudes towards pharmacists and advanced methods of CPM were average in China; however, pharmacists had the worst performance, which demonstrates a need for further improvement. Furthermore, GPM ward programs and advanced trainings are helpful for improving CPM levels.http://dx.doi.org/10.1155/2021/1247202
spellingShingle Jinmei Liu
Ming Zhang
Juan Luo
Jiyi Xie
Xu Chen
Hanxiang Wang
Shijun Li
Shengli Yang
Chunfen Peng
Liangle Yang
Bin Deng
Yu Zhang
Cong Wang
Jianli Hu
Chen Shi
Practice, Knowledge, and Attitude of Health Care Providers regarding Cancer Pain Management: A National Survey
Pain Research and Management
title Practice, Knowledge, and Attitude of Health Care Providers regarding Cancer Pain Management: A National Survey
title_full Practice, Knowledge, and Attitude of Health Care Providers regarding Cancer Pain Management: A National Survey
title_fullStr Practice, Knowledge, and Attitude of Health Care Providers regarding Cancer Pain Management: A National Survey
title_full_unstemmed Practice, Knowledge, and Attitude of Health Care Providers regarding Cancer Pain Management: A National Survey
title_short Practice, Knowledge, and Attitude of Health Care Providers regarding Cancer Pain Management: A National Survey
title_sort practice knowledge and attitude of health care providers regarding cancer pain management a national survey
url http://dx.doi.org/10.1155/2021/1247202
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