Barriers to venipuncture-induced pain prevention in cancer patients: a qualitative study

BMC Palliative Care

Research Article

Cyrille Collin¹  Claire Chabloz¹  Léa Monsarrat²  Wadih Rhondali²  Marilène Filbet²  Murielle Ruer²  Anne Chirac³  Philip Larkin⁴ 

[1] Coordination for the Evaluation of Professional Practices in Healthcare in the Rhône-Alpes Region, 162 Avenue Lacassagne Bâtiment A - 7ème étage, 69424, Lyon Cedex 03, France;Department of Palliative Care, Centre Hospitalier de Lyon-Sud, Hospices Civils de Lyon, 165 Chemin du Grand Revoyet, 69310, Pierre-Bénite, France;Department of Palliative Care, Centre Hospitalier de Lyon-Sud, Hospices Civils de Lyon, 165 Chemin du Grand Revoyet, 69310, Pierre-Bénite, France;Lyon 2 University, Psychology Institute, 5 Avenue Pierre Mendès France, 69500, Bron, France;UCD School of Nursing, Midwifery and Health Systems & Our Lady’s Hospice and Care Services University College Dublin, Stillorgan Rd, Belfield, Co., Dublin, Ireland;

关键词: Procedural pain;    Cancer;    Prophylaxis;    Nursing;    Incidental pain;   

DOI  :  10.1186/s12904-016-0180-x

 received in 2016-06-26, accepted in 2016-12-23,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundProcedural pain reduces the quality of life of cancer patients. Although there are recommendations for its prevention, there are some obstacles for its management. The purpose of this study was to analyze the barriers to procedural pain prophylaxis in cancer patients reflecting the views of the nurses.MethodsWe used qualitative methodology based on semi-structured interviews conducted with nurses, focusing on practices of venipuncture-induced and needle change for implantable central venous access port (ICVAP) pain management in cancer patients. A thematic analysis approach informed the data analysis.ResultsInterviews were conducted with 17 nurses. The study highlighted 4 main themes; technical and relational obstacles, nurses’ professional recognition, the role of the team, and organizational issues. Participants understood the painful nature of venipuncture. Despite being aware of the benefits of the anesthetic patch, they did not utilize it in a systematic way. We identified several barriers at different levels: technical, relational and previous experience of incident pain. Several organizational issues were also highlighted (e.g. lack of protocol, lack of time).ConclusionsThe prevention of venipuncture-induced cancer pain requires a structured training program, which should reflect the views of nurses in clinical practice.

【 授权许可】

CC BY   
© The Author(s). 2017