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Healthcare Worker Factors Influencing Reports of Pain Judgments about Older Patients with Cancer and Delirium

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dc.contributor.advisorGagliese, Lucia
dc.contributor.authorCarbone, Vanessa Luisa
dc.date.accessioned2024-03-18T17:51:57Z
dc.date.available2024-03-18T17:51:57Z
dc.date.issued2024-03-16
dc.date.updated2024-03-16T10:55:40Z
dc.degree.disciplineKinesiology & Health Science
dc.degree.levelMaster's
dc.degree.nameMSc - Master of Science
dc.description.abstractHealthcare workers (HCWs) rely on behavioural cues to judge pain in older adults with cancer and delirium. This study identified HCW factors associated with pain judgments about older patients with advanced cancer who are cognitively intact or have delirium, including the hypoactive, hyperactive, and mixed subtypes. Fifty-three HCWs with experience in pain-related specialties were interviewed on their experiences regarding pain judgments about this patient population. The Cancer Pain and Delirium Scale (CPDS) was used to score each interview transcript for reported pain cues for each patient group. Backward regression models found that age, discipline, specialty, years of experience in palliative oncology or geriatrics, percentage of older patients cared for per month, and pain catastrophizing each contributed to at least one of the models for CPDS INT, DEL, HYPO, and HYPER. These results support the biopsychosocial model of pain and aging and highlight the influence HCW factors have on pain assessments.
dc.identifier.urihttps://hdl.handle.net/10315/41857
dc.languageen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectOncology
dc.subjectHealth sciences
dc.subjectKinesiology
dc.subject.keywordsPain
dc.subject.keywordsDelirium
dc.subject.keywordsDelirium subtypes
dc.subject.keywordsHypoactive delirium
dc.subject.keywordsHyperactive delirium
dc.subject.keywordsMixed delirium
dc.subject.keywordsCancer
dc.subject.keywordsAdvanced cancer
dc.subject.keywordsHealthcare workers
dc.subject.keywordsHCWs
dc.subject.keywordsHealthcare professionals
dc.subject.keywordsHCPs
dc.subject.keywordsEnd-of-life care
dc.subject.keywordsPalliative care
dc.subject.keywordsOncology
dc.subject.keywordsAging
dc.subject.keywordsOlder adults
dc.subject.keywordsOlder patients
dc.subject.keywordsPain assessment
dc.subject.keywordsPain judgment
dc.subject.keywordsPain management
dc.subject.keywordsObservational measure
dc.subject.keywordsObservational pain scale
dc.subject.keywordsObservational pain measure
dc.subject.keywordsCancer Pain and Delirium Scale
dc.subject.keywordsPain cues
dc.subject.keywordsPain behaviours
dc.subject.keywordsRegression analysis
dc.subject.keywordsMultivariable regression analysis
dc.subject.keywordsQualitative-quantitative content analysis
dc.subject.keywordsQualitative
dc.subject.keywordsQuantitative
dc.subject.keywordsContent analysis
dc.subject.keywordsMixed-methods
dc.subject.keywordsSemi-structured interviews
dc.subject.keywordsBiopsychosocial
dc.subject.keywordsBiopsychosocial model of pain and aging
dc.subject.keywordsHealthcare worker factors
dc.subject.keywordsHCW factors
dc.titleHealthcare Worker Factors Influencing Reports of Pain Judgments about Older Patients with Cancer and Delirium
dc.typeElectronic Thesis or Dissertation

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