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Original Research|Articles in Press

Psychometric Evaluation of the Nurses' Cancer Pain Management Competency Scale

Published:September 25, 2022DOI:https://doi.org/10.1016/j.pmn.2022.08.009

      Abstract

      Background

      There is lack of instruments for assessing nurses' comprehensive pain management competency.

      Aim

      This study aimed to assess the psychometric properties of the Nurses' Cancer Pain Management Competency Scale and to conduct a cursory survey of the pain management educational needs/resources of nurses caring for patients with cancer pain.

      Method

      A convenience sample of 230 Korean nurses who met the eligibility criteria completed the researcher developed the Nurses' Cancer Pain Management Competency Scale and a pain management educational needs/resources survey. The Nurses' Cancer Pain Management Competency Scale was based on the pain management core competencies identified by Fishman et al (2013). Internal consistency was assessed using Cronbach's alpha, and construct validity was examined using exploratory factor analysis with varimax rotation.

      Results

      Cronbach's alpha of the scale was 0.89. Nurse cancer pain management competency includes four factors, which accounted for 68.44% of the variance: the context of pain management, pain assessment and measurement, management of pain, and multidimensional nature of pain. Approximately 42% of nurses had no available protocols related to cancer pain management. Nurses preferred multi-component educational modalities, including simulation-based learning.

      Conclusions

      Findings support internal consistency reliability and content and construct validity of the Nurses' Cancer Pain Management Competency Scale that can help examine pain management competency of nurses. Adopting an evidence-based clinical cancer pain management-related protocol and multi-component training programs are needed to achieve optimal cancer pain management competency in nurses.

      Keywords

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      References

        • Al-Atiyyat N.
        • Salim N.A.
        • Tuffaha M.G.
        • Abu Nigim H.A.
        • Saleh M.M.
        • Alkhodary M.E.
        • Brant J.M.
        A survey of the knowledge and attitudes of oncology nurses toward pain in United Arab Emirates oncology settings.
        Pain Management Nursing. 2019; 20: 276-283
        • Bae K.S.
        • Roh Y.S.
        Training needs analysis of Korean nurses' neurological assessment competency.
        Nursing & Health Sciences. 2020; 22: 99-107
        • Baratta J.L.
        • Schwenk E.S.
        • Viscusi E.R.
        Clinical consequences of inadequate pain relief: Barriers to optimal pain management.
        Plastic and Reconstructive Surgery. 2014; 134: 15S-21S
        • Bartlett J.E.
        • Kotrlik J.W.
        • Higgins C.C.
        Organizational research: Determining appropriate sample size in survey research.
        Information Technology, Learning, and Performance Journal. 2001; 19: 43-50
        • Bouya S.
        • Balouchi A.
        • Maleknejad A.
        • Koochakzai M.
        • AlKhasawneh E.
        • Abdollahimohammad A.
        Cancer pain management among oncology nurses: Knowledge, attitude, related factors, and clinical recommendations: a systematic review.
        Journal of Cancer Education. 2019; 34: 839-846
        • Can G.
        • Mushani T.
        • Rajhi B.H.A.
        • Brant J.M.
        The global burden of cancer pain.
        Seminars in Oncology Nursing. 2019; 35: 315-321
        • Cousins M.
        • Lane-Krebs K.
        • Matthews J.
        • Johnston-Devin C.
        Student nurses' pain knowledge and attitudes towards pain management over the last 20 years: A systematic review.
        Nurse Education Today. 2022; 108105169
        • DeVellis R.F.
        Scale development: Theory and applications.
        3rd ed. Sage Publications, Thousand Oaks, CA2011
        • Fallon M.
        • Giusti R.
        • Aielli F.
        • Hoskin P.
        • Rolke R.
        • Sharma M.
        • Ripamonti C.I.
        • Guidelines Committee ESMO
        Management of cancer pain in adult patients: ESMO Clinical Practice Guidelines.
        Annals of Oncology. 2018; 29 (iv166-iv191)
      1. Ferrell, B. R. & McCaffrey, M. (2014). Knowledge and attitudes survey regarding pain. Retrieved May 10, 2022, from https://prc.coh.org/Knowldege%20%20&%20Attitude%20Survey%207-14.pdf.

        • Fishman S.M.
        • Young H.M.
        • Lucas Arwood E.
        • Chou R.
        • Herr K.
        • Murinson B.B.
        • Watt-Watson J.
        • Carr D.B.
        • Gordon D.B.
        • Stevens B.J.
        • Bakerjian D.
        • Ballantyne J.C.
        • Courtenay M.
        • Djukic M.
        • Koebner I.J.
        • Mongoven J.M.
        • Paice J.A.
        • Prasad R.
        • Singh N.
        • et al.
        Core competencies for pain management: Results of an interprofessional consensus summit.
        Pain Medicine. 2013; 14: 971-981
        • Fukada M.
        Nursing competency: Definition, structure and development.
        Yonago Acta Medica. 2018; 61: 1-7
        • Hassan S.
        • Sidrak H.
        • Stevens B.
        • Watt-Watson J.
        • Switzer-McIntyre S.
        • Babineau J.
        • Furlan A.D.
        Clinicians' knowledge in chronic pain: A systematic search and critical review of existing questionnaires.
        Journal of Pain Management. 2018; 11: 99-112
        • Hassan S.
        • Stevens B.
        • Watt-Watson J.
        • Switzer-McIntyre S.
        • Flannery J.
        • Furlan A.
        Development and initial evaluation of psychometric properties of a pain competence assessment tool (PCAT).
        Journal of Pain. 2022; 23: 398-410
        • Herr K.
        • St. Marie B.
        • Gordon D.B.
        • Paice J.A.
        • Watt-Watson J.
        • Stevens B.J.
        • Bakerjian D.
        • Young H.M.
        An interprofessional consensus of core competencies for prelicensure education in pain management: curriculum application for nursing.
        Journal of Nursing Education. 2015; 54: 317-327
        • Jung M.Y.
        • Matthews A.K.
        Understanding nurses' experiences and perceptions of end-of-life care for cancer patients in Korea: A scoping review.
        Journal of Palliative Care. 2021; 36: 255-264
        • Kasasbeh M.A.M.
        • McCabe C.
        • Payne S.
        Cancer-related pain management: A review of knowledge and attitudes of healthcare professionals.
        European Journal of Cancer Care. 2017; : 26
        • Kasasbeh M.A.M.
        • McCabe C.
        • Payne S.
        Action learning: an effective way to improve cancer-related pain management.
        Journal of Clinical Nursing. 2017; 26: 3430-3441
        • Kelley K.
        • Clark B.
        • Brown V.
        • Sitzia J.
        Good practice in the conduct and reporting of survey research.
        International Journal for Quality in Health Care. 2003; 15: 261-266
        • Kim H.
        • Choi S.
        • Kim S.
        • Lee J.
        • Kim S.H.
        • Lee I.
        • Shin Y.
        • Jang H.Y.
        The knowledge, attitudes, performance, and barriers of nurses to pain in oncology settings: A multi-center study.
        Asian Oncology Nursing. 2021; 21: 15-23
        • Kusi Amponsah A.
        • Kyei-Dompim J.
        • Bam V.
        • Kyei E.F.
        • Oduro E.
        • Ahoto C.K.
        • Axelin A.
        Exploring the educational needs of nurses on children's pain management: A descriptive qualitative study.
        Nursing Open. 2020; 7: 841-849
        • Leegaard M.
        • Watt-Watson J.
        • McGillion M.
        • Costello J.
        • Elgie-Watson J.
        • Partridge K.
        Nurses' educational needs for pain management of post-cardiac surgery patients: A qualitative study.
        Journal of Cardiovascular Nursing. 2011; 26: 312-320
        • Leung Y.W.
        • Wong J.
        • Kiteley C.
        • Ellis J.
        • Esplen M.J.
        Addressing educational needs in managing complex pain in cancer populations: evaluation of APAM: An online educational intervention for nurses.
        American Journal of Hospice & Palliative Medicine. 2019; 36: 587-597
        • Li D.
        • Gao L.
        • Ren L.Y.
        • Zeng X.
        • Cui E.P.
        • Zhang L.J.
        • Wu Q.
        Knowledge and attitudes regarding cancer pain management among oncology nurses in China.
        Journal of International Medical Research. 2021; 490300060520979448
        • Liu J.
        • Zhang M.
        • Luo J.
        • Xie J.
        • Chen X.
        • Wang H.
        • Li S.
        • Yang S.
        • Peng C.
        • Yang L.
        • Deng B
        • Zhang Y.
        • Wang C.
        • Hu J.
        • Shi C.
        Practice, knowledge, and attitude of health care providers regarding cancer pain management: A national survey.
        Pain Research and Management. 2021; 20211247202
        • Makhlouf S.M.
        • Pini S.
        • Ahmed S.
        • Bennett M.I.
        Managing pain in people with cancer—a systematic review of the attitudes and knowledge of professionals, patients, caregivers and public.
        Journal of Cancer Education. 2020; 35: 214-240
        • McCaughan E.
        • Parahoo K.
        Medical and surgical nurses' perceptions of their level of competence and educational needs in caring for patients with cancer.
        Journal of Clinical Nursing. 2000; 9: 420-428
        • Meraviglia M.G.
        • McGuire C.
        • Chesley D.A.
        Nurses' needs for education on cancer and end-of-life care.
        Journal of Continuing Education in Nursing. 2003; 34: 122-127
      2. Ministry of Health and Welfare, National Cancer Center. (2021). Cancer pain management guideline, 6th ed. Retrieved March 1, 2022, from https://hospice.go.kr.

        • Neme A.
        • Nemera G.
        • Bekele G.
        Nurses' pain management competency and associated factors among nurses working in public hospitals, jimma zone, oromia regional state, southwest Ethiopia.
        Clinical Practice. 2018; 16: 1035-1049
        • Pilcher J.
        Learning needs assessment: Not only for continuing education.
        Journal for Nurses in Professional Development. 2016; 32: 122-129
        • Phillips J.L.
        • Heneka N.
        • Hickman L.
        • Lam L.
        Self-Perceived Pain Assessment Knowledge and Confidence (Self-PAC) Scale for cancer and palliative care nurses: A preliminary validation study.
        Pain Management Nursing. 2018; 19: 619-626
        • Phillips J.L.
        • Heneka N.
        • Hickman L.
        • Lam L.
        • Shaw T.
        Can a complex online intervention improve cancer nurses' pain screening and assessment practices? Results from a multicenter, pre-post test pilot study.
        Pain Management Nursing. 2017; 18: 75-89
        • Polit D.F.
        • Beck C.T.
        The content validity index: Are you sure you know what's being reported? Critique and recommendations.
        Research in Nursing & Health. 2006; 29: 489-497
        • Scarborough B.M.
        • Smith C.B.
        Optimal pain management for patients with cancer in the modern era.
        CA: A Cancer Journal for Clinicians. 2018; 68: 182-196
        • Schuller K.A.
        • Buchman S.A.
        A qualitative understanding of nurses' challenges with pain management.
        Nursing Outlook. 2022; 70: 292-299
        • Swarm R.A.
        • Paice J.A.
        • Anghelescu D.L.
        • Are M.
        • Bruce J.Y.
        • Buga S.
        • Chwistek M.
        • Cleeland C.
        • Craig D.
        • Gafford E.
        • Greenlee H.
        • Hansen E.
        • Kamal A.H.
        • Kamdar M.M.
        • LeGrand S.
        • Mackey S.
        • McDowell M.R.
        • Moryl N.
        • Nabell L.M.
        • Gurski L.A.
        Adult Cancer Pain, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology.
        Journal of the National Comprehensive Cancer Network. 2019; 17 (. . . .): 977-1007
        • Vallerand A.H.
        • Musto S.
        • Polomano R.C.
        Nursing's role in cancer pain management.
        Current Pain and Headache Reports. 2011; 15: 250-262
        • van den Beuken-van Everdingen M.H.J.
        • Hochstenbach L.M.J.
        • Joosten E.A.J.
        • Tjan-Heijnen V.C.G.
        • Janssen D.J.A.
        Update on prevalence of pain in patients with cancer: Systematic review and meta-analysis.
        Journal of Pain and Symptom Management. 2016; 51: 1070-1090
        • Van Hecke A.
        • Van Lancker A.
        • De Clercq B.
        • De Meyere C.
        • Dequeker S.
        • Devulder J.
        Pain intensity in hospitalized adults: a multilevel analysis of barriers and facilitators of pain management.
        Nursing Research. 2016; 65: 290-300
        • Webb J.A.
        • LeBlanc T.W.
        Evidence-based management of cancer pain.
        Seminars in Oncology Nursing. 2018; 34: 215-226
        • Wengström Y.
        • Rundström C.
        • Geerling J.
        • Pappa T.
        • Weisse I.
        • Williams S.C.
        • Zavratnik B.
        • Rustøen T.
        The management of breakthrough cancer pain − educational needs a European nursing survey.
        European Journal of Cancer Care. 2014; 23: 121-128
      3. World Health Organization. (2018). WHO guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents. Retrieved March 1, 2022, from https://www.ncbi.nlm.nih.gov/books/NBK537492/

        • Yamani N.
        • Taleghani F.
        • Alizadeh M.
        • Khabaz-Mafinejad M.
        Determining the expected competencies for oncology nursing: a needs assessment study.
        Iranian Journal of Nursing and Midwifery Research. 2018; 23: 188-192
        • Yu Z.
        • Li W.
        • Shangguan X.
        • Cai Y.
        • Gao Q.
        • Wang X.
        • Chen Y.
        • Liu D.
        • Zhang C.
        Knowledge, practices, and perceived barriers in cancer pain management at oncology units: A cross-sectional survey of medical staff in China.
        Journal of Pain Research. 2022; 15: 159-169