title: Knowledge, practices, and perceived barriers regarding cancer pain management among physicians and nurses in Korea: a nationwide multicenter survey.
abstract: OBJECTIVE
  Medical professionals' practices and knowledge regarding cancer pain management have often been cited as inadequate. This study aimed to evaluate knowledge, practices and perceived barriers regarding cancer pain management among physicians and nurses in Korea.
  
  
  METHODS
  A nationwide questionnaire survey was administered to physicians and nurses involved in the care of cancer patients. Questionnaire items covered pain assessment and documentation practices, knowledge regarding cancer pain management, the perceived barriers to cancer pain control, and processes perceived as the major causes of delay in opioid administration.
  
  
  RESULTS
  A total of 333 questionnaires (149 physicians and 284 nurses) were analyzed. Nurses performed pain assessment and documentation more regularly than physicians did. Although physicians had better knowledge of pain management than did nurses, both groups lacked knowledge regarding the side effects and pharmacology of opioids. Physicians working in the palliative care ward and nurses who had received pain management education obtained higher scores on knowledge. Physicians perceived patients' reluctance to take opioids as a barrier to pain control, more so than did nurses, while nurses perceived patients' tendency to under-report of pain as a barrier, more so than did physicians. Physicians and nurses held different perceptions regarding major cause of delay during opioid administration.
  
  
  CONCLUSIONS
  There were differences between physicians and nurses in knowledge and practices for cancer pain management. An effective educational strategy for cancer pain management is needed in order to improve medical professionals' knowledge and clinical practices.
authors.affiliation: Hospice & Palliative Care Branch, National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea.
authors.forename: Hyun Jung
authors.initials: HJ
authors.lastname: Jho
authors.affiliation: Division of Cancer Management & Policy, National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea.
authors.forename: Yeol
authors.initials: Y
authors.lastname: Kim
authors.affiliation: Clinical Trial Center, Ewha Womans University Medical Center, Seoul, Republic of Korea.
authors.forename: Kyung Ae
authors.initials: KA
authors.lastname: Kong
authors.affiliation: Department of Pain and Anesthesiology, Hospital, National Cancer Center, Goyang, Republic of Korea.
authors.forename: Dae Hyun
authors.initials: DH
authors.lastname: Kim
authors.affiliation: Hospice & Palliative Care Branch, National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea.
authors.forename: Jin Young
authors.initials: JY
authors.lastname: Choi
authors.affiliation: Department of Nursing, Hospital, National Cancer Center, Goyang, Republic of Korea.
authors.forename: Eun Jeong
authors.initials: EJ
authors.lastname: Nam
authors.affiliation: Department of Nursing, Hospital, National Cancer Center, Goyang, Republic of Korea.
authors.forename: Jin Young
authors.initials: JY
authors.lastname: Choi
authors.affiliation: Department of Hematology and Oncology, Ulsan University Hospital, Ulsan, Republic of Korea.
authors.forename: Sujin
authors.initials: S
authors.lastname: Koh
authors.affiliation: Korean Hospice & Palliative Nurse Association, Daejeon, Republic of Korea.
authors.forename: Kwan Ok
authors.initials: KO
authors.lastname: Hwang
authors.affiliation: Department of Medical Oncology and Hematology, Kyung Hee University Medical Center, Seoul, Republic of Korea.
authors.forename: Sun Kyung
authors.initials: SK
authors.lastname: Baek
authors.affiliation: Hospice & Palliative Care Branch, National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea.
authors.forename: Eun Jung
authors.initials: EJ
authors.lastname: Park
mesh_terms: D000701:Analgesics, Opioid / Q000627:therapeutic use*; D005260:Female; D019983:Guideline Adherence; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000628:therapy*; D009726:Nurses; D010146:Pain; D059408:Pain Management; D010820:Physicians; D011795:Surveys and Questionnaires
chemical_list: D000701:Analgesics, Opioid