title: Barriers to pain management by home care nurses.
abstract: This study examined home care nurses' perceived barriers to pain management. Major barriers included lack of knowledge, inadequate pain assessment, and difficulty managing opioid-related side effects. Home care nurses with more knowledge about pain management had significantly lower scores on the Barriers Questionnaire. The study documented the need for continued pain management education for home care nurses. Practice implications are provided.
authors.affiliation: Wayne State University College of Nursing, Detroit, MI 48202, USA. April.Vallerand@wayne.edu
authors.forename: April Hazard
authors.initials: AH
authors.lastname: Vallerand
authors.forename: Susan M
authors.initials: SM
authors.lastname: Hasenau
authors.forename: Thomas
authors.initials: T
authors.lastname: Templin
mesh_terms: D000701:Analgesics, Opioid / Q000009:adverse effects* / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003152:Community Health Nursing / Q000592:standards*; D005260:Female; D019538:Health Care Surveys; D006301:Health Services Needs and Demand; D006699:Home Care Services / Q000592:standards* / Q000639:trends; D006801:Humans; D008297:Male; D009730:Nursing Assessment; D009293:Opioid-Related Disorders / Q000175:diagnosis / Q000451:nursing; D010146:Pain / Q000175:diagnosis / Q000188:drug therapy* / Q000451:nursing; D010147:Pain Measurement / Q000451:nursing; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care; D018570:Risk Assessment; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
chemical_list: D000701:Analgesics, Opioid