Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Palliative Care
Published in: BMC Palliative Care 1/2017

Open Access 01-12-2017 | Research article

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

Authors: Marilène Filbet, Philip Larkin, Claire Chabloz, Anne Chirac, Léa Monsarrat, Murielle Ruer, Wadih Rhondali, Cyrille Collin

Published in: BMC Palliative Care | Issue 1/2017

Login to get access

Abstract

Background

Procedural 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.

Methods

We 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.

Results

Interviews 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).

Conclusions

The prevention of venipuncture-induced cancer pain requires a structured training program, which should reflect the views of nurses in clinical practice.
Literature
1.
Krakowski I, Gestin Y, Jaulmes F, Lakdja F, Meynadier J, et al. Recommendations for a successful cancer pain management in adults and children. Bull Cancer. 1996;83 Suppl 1:9s–79s.PubMed
2.
Infante A. Preventing iatrogenic pain in oncology patients. European J Palliative Care. 2011;18(6):266–9.
3.
Puntillo KA, Wild LR, Morris AB, Stanik-Hutt J, Thompson CL, et al. Practices and predictors of analgesic interventions for adults undergoing painful procedures. Am J Crit Care. 2002;11(5):415–29. quiz 430–1.PubMed
4.
Ministère délégué à la santé. Programme de lutte contre la douleur 2002-2005. Ministère de l'emploi et de la solidarité. Paris. 2002.
5.
Schmitt C, Theobald S, Fabre N, Kasparian C, Séblain C, et al. Standards, Options et Recommandations pour la prise en charge des douleurs provoquées lors des ponctions lombaires, sanguines et osseuses chez l’enfant atteint de cancer (rapport abrégé ). Douleur et Analgésie. 2006;19(1):29–36.
6.
Donnadieu S. Douleurs induites par les soins chez les personnes âgées. Douleurs: Évaluation - Diagnostic - Traitement. 2008;9(Supplement 1):22–7.
7.
Beroud F. Comment la prévention et la prise en charge des douleurs induites ont-elles évolué en cinq ans ? Douleurs: Évaluation - Diagnostic - Traitement. 2011;12(4):209–13.
8.
Coutaux A, Salomon L, Rosenheim M, Baccard AS, Quiertant C, et al. Care related pain in hospitalized patients: a cross-sectional study. Eur J Pain. 2008;12(1):3–8.CrossRefPubMed
9.
Coutaux A, Collin E. Douleurs induites par les soins: épidémiologie, retentissements, facteurs prédictifs. Douleurs et Analgésie. 2008;20:126–38.CrossRef
10.
Chesebro JW, Borisoff DJ. What makes qualitative research qualitative? Qual Res Rep Commun. 2007;8:3–14.CrossRef
11.
Lindlof TR, Taylor BC. Qualitative communication research methods Thousand Oaks, ed. nth ed. CA: Sage; 2002.
12.
Ortiz M, Calvino S. Prise en charge des douleurs induites : évolutions récentes. Douleurs : Evaluation - Diagnostic - Traitement 10. 2009;Supplement 1(0):S69–72.
13.
Clarke EB, French B, Bilodeau ML, Capasso VC, Edwards A, et al. Pain management knowledge, attitudes and clinical practice: the impact of nurses' characteristics and education. J Pain Symptom Manage. 1996;11(1):8–31.CrossRef
14.
Dalton JA. Nurses perceptions of their pain assessment skills, pain management practices, and attitudes toward pain. Oncol Nurs Forum. 1989;16(2):225–31.PubMed
15.
Hamilton J, Edgar L. A survey examining nurses' knowledge of pain control. J Pain Symptom Manage. 1992;7(1):18–26.CrossRefPubMed
16.
Brunier G, Carson MG, Harrison DE. What do nurses know and believe about patients with pain? Results of a hospital survey. J Pain Symptom Manage. 1995;10(6):436–45.CrossRefPubMed
17.
Ketovuori H. Nurses’ and patients’ conceptions of wound pain and the administration of analgesics. J Pain Symptom Manage. 1987;2(4):213–8.CrossRefPubMed
18.
McCaffery M, Ferrell BR. Nurses’ knowledge about cancer pain: a survey of five countries. J Pain Symptom Manage. 1995;10(5):356–69.CrossRefPubMed
19.
Rhondali W, Hui D, Kim SH, Kilgore K, Kang JH, et al. Association between patient-reported symptoms and nurses' clinical impressions in cancer patients admitted to an acute palliative care unit. J Palliat Med. 2012;15(3):301–17.PubMedPubMedCentral
20.
Alamie M, Aubry M, Chaumier D, Gautier MN, Gautier JM. Douleurs liées aux soins chez l’adulte : le rôle du personnel infirmier. Douleurs : Evaluation - Diagnostic - Traitement. 2007;8(5):294–301.
21.
Cimerman P, Thibault P. Douleurs induites par les soins. Savoirs et soins infirmiers. 2009;1(5).
22.
Véga A. Les infirmières hospitalières françaises: l'ambiguïté et la prégnance des représentations professionnelles. Sciences sociales et santé. 1997;15(3):103–132.
23.
Alcalay V, Perdereau S, Adiceom F, Kipper M-C, Perriot M, et al. Douleurs induites par les soins en situation de fin de vie : analyse, réflexion et propositions à partir de l’expérience des soignants. Médecine Palliative : Soins de Support - Accompagnement - Éthique. 2010;9(3):142–7.
24.
Ferrell BR, Grant M, Ritchey KJ, Ropchan R, Rivera LM. The pain resource nurse training program: a unique approach to pain management. J Pain Symptom Manage. 1993;8(8):549–56.CrossRefPubMed
Metadata
Title
Barriers to venipuncture-induced pain prevention in cancer patients: a qualitative study
Authors
Marilène Filbet
Philip Larkin
Claire Chabloz
Anne Chirac
Léa Monsarrat
Murielle Ruer
Wadih Rhondali
Cyrille Collin
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Palliative Care / Issue 1/2017
Electronic ISSN: 1472-684X
DOI
https://doi.org/10.1186/s12904-016-0180-x

Other articles of this Issue 1/2017

BMC Palliative Care 1/2017 Go to the issue

Study protocol

Pain Intervention for people with Dementia in nursing homes (PID): study protocol for a quasi-experimental nurse intervention

Research article

Is the content of guidelines/pathways a barrier for the integration of palliative Care in Chronic Heart Failure (CHF) and chronic pulmonary obstructive disease (COPD)? A comparison with the case of cancer in Europe

Study protocol

Palliative care for patients with Parkinson’s disease: study protocol for a mixed methods study

Research article

A good resource for parents, but will clinicians use it?: Evaluation of a resource for paediatric end-of-life decision making

Research article

‘Worried to death’: the assessment and management of anxiety in patients with advanced life-limiting disease, a national survey of palliative medicine physicians

Research article

Palliative care in the neonatal unit: neonatal nursing staff perceptions of facilitators and barriers in a regional tertiary nursery