Oncology Nursing Certification

Relation to Nurses' Knowledge and Attitudes About Pain, Patient-Reported Pain Care Quality, and Pain Outcomes

Susan L. Beck, Jeannine M. Brant, Rebecca Donohue, Ellen M Lavoie Smith, Gail Towsley, Patricia Berry, Jia Wen Guo, Sharifa Al-Qaaydeh, Marjorie A. Pett, Gary Donaldson

    Research output: Contribution to journalArticle

    10 Citations (Scopus)

    Abstract

    PURPOSE/OBJECTIVES: To (a) compare pain knowledge and attitudes between nurses with oncology certified nurse (OCN®) status, non-OCN®-certified nurses, and nurses ineligible for certification and (b) examine the relationships among OCN® status, nurses' knowledge and attitudes about pain, patient-reported quality of nursing pain care, and pain outcomes. 
.

    DESIGN: Prospective, correlational survey design. Patients were nested within nurses. 
.

    SETTING: Six inpatient oncology units in three hospitals.

    SAMPLE: 91 nurses in three states (28 OCN®-certified nurses, 37 noncertified nurses, and 26 not eligible for certification). Certification status was validated for 105 nurses who were matched with a sample of 320 patients. 
.

    METHODS: Nurses completed a survey, and matched adult patients who were experiencing pain rated their pain care quality and pain experience during the past shift. 
.

    MAIN RESEARCH VARIABLES: Demographic characteristics, certification status, and responses to the Nurse Knowledge and Attitudes Survey Regarding Pain (NKASRP), Pain Care Quality Survey-Nursing, and modified Brief Pain Inventory (Short Form). 
.

    FINDINGS: OCN®-certified nurses scored significantly higher on the NKASRP (82% correct) compared to non-OCN® eligible nurses (76%) and non-OCN® ineligible nurses (74%) (p < 0.001). Only 43% overall achieved a benchmark of 80% correct. No statistically significant relationships existed between (a) certification status and pain care quality or pain outcomes or (b) NKASRP and care quality or outcomes (p > 0.05).
.

    CONCLUSIONS: OCN®-certified nurses' knowledge and attitudes related to pain management were superior to noncertified nurses. Neither knowledge and attitudes nor OCN® status were associated with pain care quality or pain outcomes. 
.

    IMPLICATIONS FOR NURSING: Knowledge is necessary but insufficient to improve patient outcomes; providing optimal pain care requires action. Sustained efforts to improve cancer pain management are indicated.

    Original languageEnglish (US)
    Pages (from-to)67-76
    Number of pages10
    JournalOncology Nursing Forum
    Volume43
    Issue number1
    DOIs
    StatePublished - Jan 1 2016

    Fingerprint

    Oncology Nursing
    Quality of Health Care
    Certification
    Nurses
    Pain
    Pain Management

    Keywords

    • nurse certification
    • oncology
    • oncology nurses
    • outcomes
    • pain
    • pain attitudes and knowledge
    • pain care quality

    ASJC Scopus subject areas

    • Oncology(nursing)

    Cite this

    Oncology Nursing Certification : Relation to Nurses' Knowledge and Attitudes About Pain, Patient-Reported Pain Care Quality, and Pain Outcomes. / Beck, Susan L.; Brant, Jeannine M.; Donohue, Rebecca; Smith, Ellen M Lavoie; Towsley, Gail; Berry, Patricia; Guo, Jia Wen; Al-Qaaydeh, Sharifa; Pett, Marjorie A.; Donaldson, Gary.

    In: Oncology Nursing Forum, Vol. 43, No. 1, 01.01.2016, p. 67-76.

    Research output: Contribution to journalArticle

    Beck, SL, Brant, JM, Donohue, R, Smith, EML, Towsley, G, Berry, P, Guo, JW, Al-Qaaydeh, S, Pett, MA & Donaldson, G 2016, 'Oncology Nursing Certification: Relation to Nurses' Knowledge and Attitudes About Pain, Patient-Reported Pain Care Quality, and Pain Outcomes', Oncology Nursing Forum, vol. 43, no. 1, pp. 67-76. https://doi.org/10.1188/16.ONF.67-76
    Beck, Susan L. ; Brant, Jeannine M. ; Donohue, Rebecca ; Smith, Ellen M Lavoie ; Towsley, Gail ; Berry, Patricia ; Guo, Jia Wen ; Al-Qaaydeh, Sharifa ; Pett, Marjorie A. ; Donaldson, Gary. / Oncology Nursing Certification : Relation to Nurses' Knowledge and Attitudes About Pain, Patient-Reported Pain Care Quality, and Pain Outcomes. In: Oncology Nursing Forum. 2016 ; Vol. 43, No. 1. pp. 67-76.
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    abstract = "PURPOSE/OBJECTIVES: To (a) compare pain knowledge and attitudes between nurses with oncology certified nurse (OCN{\circledR}) status, non-OCN{\circledR}-certified nurses, and nurses ineligible for certification and (b) examine the relationships among OCN{\circledR} status, nurses' knowledge and attitudes about pain, patient-reported quality of nursing pain care, and pain outcomes. 
.DESIGN: Prospective, correlational survey design. Patients were nested within nurses. 
.SETTING: Six inpatient oncology units in three hospitals.SAMPLE: 91 nurses in three states (28 OCN{\circledR}-certified nurses, 37 noncertified nurses, and 26 not eligible for certification). Certification status was validated for 105 nurses who were matched with a sample of 320 patients. 
.METHODS: Nurses completed a survey, and matched adult patients who were experiencing pain rated their pain care quality and pain experience during the past shift. 
.MAIN RESEARCH VARIABLES: Demographic characteristics, certification status, and responses to the Nurse Knowledge and Attitudes Survey Regarding Pain (NKASRP), Pain Care Quality Survey-Nursing, and modified Brief Pain Inventory (Short Form). 
.FINDINGS: OCN{\circledR}-certified nurses scored significantly higher on the NKASRP (82{\%} correct) compared to non-OCN{\circledR} eligible nurses (76{\%}) and non-OCN{\circledR} ineligible nurses (74{\%}) (p < 0.001). Only 43{\%} overall achieved a benchmark of 80{\%} correct. No statistically significant relationships existed between (a) certification status and pain care quality or pain outcomes or (b) NKASRP and care quality or outcomes (p > 0.05).
.CONCLUSIONS: OCN{\circledR}-certified nurses' knowledge and attitudes related to pain management were superior to noncertified nurses. Neither knowledge and attitudes nor OCN{\circledR} status were associated with pain care quality or pain outcomes. 
.IMPLICATIONS FOR NURSING: Knowledge is necessary but insufficient to improve patient outcomes; providing optimal pain care requires action. Sustained efforts to improve cancer pain management are indicated.",
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    T1 - Oncology Nursing Certification

    T2 - Relation to Nurses' Knowledge and Attitudes About Pain, Patient-Reported Pain Care Quality, and Pain Outcomes

    AU - Beck, Susan L.

    AU - Brant, Jeannine M.

    AU - Donohue, Rebecca

    AU - Smith, Ellen M Lavoie

    AU - Towsley, Gail

    AU - Berry, Patricia

    AU - Guo, Jia Wen

    AU - Al-Qaaydeh, Sharifa

    AU - Pett, Marjorie A.

    AU - Donaldson, Gary

    PY - 2016/1/1

    Y1 - 2016/1/1

    N2 - PURPOSE/OBJECTIVES: To (a) compare pain knowledge and attitudes between nurses with oncology certified nurse (OCN®) status, non-OCN®-certified nurses, and nurses ineligible for certification and (b) examine the relationships among OCN® status, nurses' knowledge and attitudes about pain, patient-reported quality of nursing pain care, and pain outcomes. 
.DESIGN: Prospective, correlational survey design. Patients were nested within nurses. 
.SETTING: Six inpatient oncology units in three hospitals.SAMPLE: 91 nurses in three states (28 OCN®-certified nurses, 37 noncertified nurses, and 26 not eligible for certification). Certification status was validated for 105 nurses who were matched with a sample of 320 patients. 
.METHODS: Nurses completed a survey, and matched adult patients who were experiencing pain rated their pain care quality and pain experience during the past shift. 
.MAIN RESEARCH VARIABLES: Demographic characteristics, certification status, and responses to the Nurse Knowledge and Attitudes Survey Regarding Pain (NKASRP), Pain Care Quality Survey-Nursing, and modified Brief Pain Inventory (Short Form). 
.FINDINGS: OCN®-certified nurses scored significantly higher on the NKASRP (82% correct) compared to non-OCN® eligible nurses (76%) and non-OCN® ineligible nurses (74%) (p < 0.001). Only 43% overall achieved a benchmark of 80% correct. No statistically significant relationships existed between (a) certification status and pain care quality or pain outcomes or (b) NKASRP and care quality or outcomes (p > 0.05).
.CONCLUSIONS: OCN®-certified nurses' knowledge and attitudes related to pain management were superior to noncertified nurses. Neither knowledge and attitudes nor OCN® status were associated with pain care quality or pain outcomes. 
.IMPLICATIONS FOR NURSING: Knowledge is necessary but insufficient to improve patient outcomes; providing optimal pain care requires action. Sustained efforts to improve cancer pain management are indicated.

    AB - PURPOSE/OBJECTIVES: To (a) compare pain knowledge and attitudes between nurses with oncology certified nurse (OCN®) status, non-OCN®-certified nurses, and nurses ineligible for certification and (b) examine the relationships among OCN® status, nurses' knowledge and attitudes about pain, patient-reported quality of nursing pain care, and pain outcomes. 
.DESIGN: Prospective, correlational survey design. Patients were nested within nurses. 
.SETTING: Six inpatient oncology units in three hospitals.SAMPLE: 91 nurses in three states (28 OCN®-certified nurses, 37 noncertified nurses, and 26 not eligible for certification). Certification status was validated for 105 nurses who were matched with a sample of 320 patients. 
.METHODS: Nurses completed a survey, and matched adult patients who were experiencing pain rated their pain care quality and pain experience during the past shift. 
.MAIN RESEARCH VARIABLES: Demographic characteristics, certification status, and responses to the Nurse Knowledge and Attitudes Survey Regarding Pain (NKASRP), Pain Care Quality Survey-Nursing, and modified Brief Pain Inventory (Short Form). 
.FINDINGS: OCN®-certified nurses scored significantly higher on the NKASRP (82% correct) compared to non-OCN® eligible nurses (76%) and non-OCN® ineligible nurses (74%) (p < 0.001). Only 43% overall achieved a benchmark of 80% correct. No statistically significant relationships existed between (a) certification status and pain care quality or pain outcomes or (b) NKASRP and care quality or outcomes (p > 0.05).
.CONCLUSIONS: OCN®-certified nurses' knowledge and attitudes related to pain management were superior to noncertified nurses. Neither knowledge and attitudes nor OCN® status were associated with pain care quality or pain outcomes. 
.IMPLICATIONS FOR NURSING: Knowledge is necessary but insufficient to improve patient outcomes; providing optimal pain care requires action. Sustained efforts to improve cancer pain management are indicated.

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    KW - oncology

    KW - oncology nurses

    KW - outcomes

    KW - pain

    KW - pain attitudes and knowledge

    KW - pain care quality

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