Evidence-based practice beliefs and behaviors of nurses providing cancer pain management: a mixed-methods approach.

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  • Additional Information
    • Source:
      Publisher: Oncology Nursing Society Country of Publication: United States NLM ID: 7809033 Publication Model: Print Cited Medium: Internet ISSN: 1538-0688 (Electronic) Linking ISSN: 0190535X NLM ISO Abbreviation: Oncol Nurs Forum Subsets: MEDLINE
    • Publication Information:
      Publication: Pittsburgh, PA : Oncology Nursing Society
      Original Publication: New York, Oncology Nursing Society.
    • Subject Terms:
    • Abstract:
      Purpose/objectives: To describe evidence-based practice (EBP) beliefs and behaviors of nurses who provide cancer pain management.
      Design: Descriptive, cross-sectional with a mixed-methods approach.
      Setting: Two inpatient oncology units in the Pacific Northwest.
      Sample: 40 RNs.

      Methods: Data collected by interviews and web-based surveys.
      Main Research Variables: EBP beliefs, EBP implementation, evidence-based pain management.
      Findings: Nurses agreed with the positive aspects of EBP and their implementation ability, although implementation level was low. They were satisfied with their pain management practices. Oncology nursing certification was associated with innovativeness, and innovativeness was associated with EBP beliefs. Themes identified were (a) limited definition of EBP, (b) varied evidence-based pain management decision making, (c) limited identification of evidence-based pain management practices, and (d) integration of nonpharmacologic interventions into patient care.
      Conclusions: Nurses' low level of EBP implementation in the context of pain management was explained by their trust that standards of care and medical orders were evidence-based.
      Implications for Nursing: Nurses' EBP beliefs and behaviors should be considered when developing strategies for sustaining evidence-based pain management practices. Implementation of the EBP process by nurses may not be realistic in the inpatient setting; therefore, hospital pain management policies need to be evidence-based and reinforced with nurses.
    • References:
      Pain Med. 2012 Aug;13(8):1004-17. (PMID: 22758921)
      Ann Oncol. 2007 Sep;18(9):1437-49. (PMID: 17355955)
      N Engl J Med. 1994 Mar 3;330(9):592-6. (PMID: 7508092)
      Outcomes Manag Nurs Pract. 2000 Jul-Sep;4(3):136-43. (PMID: 11299583)
      J Adv Nurs. 2008 Dec;64(6):632-43. (PMID: 19120578)
      Oncol Nurs Forum. 2001 Jun;28(5):867-74. (PMID: 11421146)
      J Adv Nurs. 2008 Mar;61(5):531-9. (PMID: 18261062)
      J Nurs Adm. 2012 Sep;42(9):410-7. (PMID: 22922750)
      J Nurs Care Qual. 2009 Jul-Sep;24(3):223-31. (PMID: 19525763)
      Can J Nurs Res. 2005 Sep;37(3):66-85. (PMID: 16268090)
      J Evid Based Soc Work. 2008;5(1-2):271-93. (PMID: 19064451)
      BMJ. 1996 Jan 13;312(7023):71-2. (PMID: 8555924)
      Implement Sci. 2011;6:1. (PMID: 21208425)
      Nurs Outlook. 2010 Nov-Dec;58(6):301-8. (PMID: 21074647)
      J Nurs Adm. 2014 Jan;44(1):10-6. (PMID: 24316613)
      Qual Health Res. 2005 Nov;15(9):1277-88. (PMID: 16204405)
      Am J Nurs. 2005 Sep;105(9):40-51; quiz 52. (PMID: 16138038)
      Implement Sci. 2008 Jun 02;3:31. (PMID: 18518966)
      Ann Oncol. 2008 Dec;19(12):1985-91. (PMID: 18632721)
      Oncol Nurs Forum. 2007 May;34(3):661-71. (PMID: 17573325)
      Clin J Pain. 2010 Jul-Aug;26(6):449-62. (PMID: 20551720)
      Worldviews Evid Based Nurs. 2004;1(3):185-93. (PMID: 17163896)
      Br J Nurs. 2009 Feb 12-25;18(3):153-6. (PMID: 19223798)
      J Clin Nurs. 2007 Jun;16(6):1012-20. (PMID: 17518877)
      J Adv Nurs. 2009 Feb;65(2):371-81. (PMID: 19040688)
      Res Nurs Health. 2000 Aug;23(4):334-40. (PMID: 10940958)
      Res Nurs Health. 2008 Aug;31(4):298-309. (PMID: 18231975)
      J Pain Symptom Manage. 2002 Nov;24(5):494-505. (PMID: 12547049)
      Worldviews Evid Based Nurs. 2008;5(4):208-16. (PMID: 19076922)
      J Nurs Adm. 2010 Nov;40(11):471-6. (PMID: 20978415)
    • Grant Information:
      K24NR015340 United States NR NINR NIH HHS; T32 NR013456 United States NR NINR NIH HHS; K24 NR015340 United States NR NINR NIH HHS; T32NR013456 United States NR NINR NIH HHS; R01NR012450 United States NR NINR NIH HHS; R01 NR012450 United States NR NINR NIH HHS
    • Contributed Indexing:
      Keywords: cancer pain management; evidence-based practice; evidence-based practice behaviors; evidence-based practice beliefs; mixed methods
    • Publication Date:
      Date Created: 20150326 Date Completed: 20151230 Latest Revision: 20220316
    • Publication Date:
      20240104
    • Accession Number:
      PMC4422834
    • Accession Number:
      10.1188/15.ONF.165-173
    • Accession Number:
      25806883