Abstract
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.
Highlights
Procedural pain reduces the quality of life of cancer patients
There are several papers exploring the epidemiology of procedural pain and its prevention in cancer patients, as analgesic, sedative, topical local anesthetic agent and non-pharmacological methods, there is limited information regarding the obstacles for its management
Technical and relational aspects First, we explored the perception nurses had of pain induced by peripheral venipuncture and changing needle for implantable central venous access port (ICVAP) in adult cancer patients, from a technical point of view
Summary
Procedural pain reduces the quality of life of cancer patients. There are recommendations for its prevention, there are some obstacles for its management. Managing cancer pain is a public health issue in France [1] but awareness of the frequency and impact of incident pain, as well as the necessity for prevention is more recent [2, 3]. The repetition of the procedure favors a secondary hyperalgesia related to Filbet et al BMC Palliative Care (2017) 16:5 quality of life, leading to greater overall suffering [3]. There are several papers exploring the epidemiology of procedural pain and its prevention in cancer patients, as analgesic, sedative, topical local anesthetic agent and non-pharmacological methods, there is limited information regarding the obstacles for its management
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