Abstract: Background: Nurses need training and development to provide safe and effective pain treatment. Although nurses get pain management training, little is known about how nursing leadership improves nurses' competencies in diverse nursing care domains. Implementing training and development techniques might be difficult since nurses must apply their learning to their specialty. Researchers needed this pilot study to examine research methodologies, find problems, and improve the research instrument before the major study. Aim: This preliminary study aimed to explore nursing leadership strategies for training and developing nurses' competence in managing pain and improving the reliability and validity of the main study data. Methods: The sequential mixed-methods approach began with descriptive quantitative methods. In this initial quantitative phase, 10% of a proportionate stratified probability sampling of nurse managers and clinical facilitators was used to generate these pilot study results. Results: This pilot study revealed three main training and development strategies that nurse managers and clinical facilitators employ to ensure nurses' pain management competence. These encompass (1) the four foremost on-the-job pain management training and development strategies such as preceptorship, career development, in-service training, and hands-on training; (2) the four topmost off-the-job strategies that include group discussions, e-learning, competency-based training, and simulation; (and (3) nurse leaders' distinctive pain management training and development strategies. The survey instrument demonstrated stability and consistency with a Cronbach's alpha (α) score of 0.66 for the initial assessment and 0.79 for the second assessment, requiring adjustments before the main study. Conclusion: The findings of this pilot study help inform the modifications needed before executing the main study and healthcare institutions' training and development strategies that play a crucial role in enhancing nurses’ competency, which is essential for delivering high-quality pain nursing interventions that can be employed by nursing leadership. Nursing Management Implications: These pain management nursing training and development initiatives can improve patient experience and satisfaction outcomes, nurses' competence, and healthcare facilities' excellence.
Abstract: Background: Nurses need training and development to provide safe and effective pain treatment. Although nurses get pain management training, little is known about how nursing leadership improves nurses' competencies in diverse nursing care domains. Implementing training and development techniques might be difficult since nurses must apply their lea...Show More
Abstract: Background: Chronic cancer-related pain can seriously damage physical and mental health of cancer patients. Eliminating cancer pain is basic right of cancer patients, controlling and eliminating cancer pain is the responsibility of medical staff. Objective: To further enhance the diagnosis and treatment capabilities for chronic cancer-related pain management, the Chinese Clinical Guideline for Chronic Cancer-Related Pain convened an expert panel to develop the guideline. Main ideas: Based on high quality evidence of medical researches on the diagnosis and treatment of chronic cancer-related pain published domestically and internationally in the past 10 years, the expert group has formed recommendations for common treatment methods through rigorous argumentation and expert voting, to provide references for standardized diagnosis and treatment of chronic cancer-related pain. This guideline adopts GRADE methodology to evaluate the level of evidence and strength of recommendation for the treatments of chronic cancer-related pain. This guideline gives treatment recommendations for different types of chronic cancer-related pain in International Classification of Diseases-11, as well as for breakthrough cancer pain. Conclusion: Although there are many treatments to relieve chronic cancer-related pain, it is still a global medical challenge. According to the characteristics of cancer-related pain, stepped and personalized treatment is the key to relieve pain.Abstract: Background: Chronic cancer-related pain can seriously damage physical and mental health of cancer patients. Eliminating cancer pain is basic right of cancer patients, controlling and eliminating cancer pain is the responsibility of medical staff. Objective: To further enhance the diagnosis and treatment capabilities for chronic cancer-related pain ...Show More