Health Care Worker Beliefs about Pain in Older People with Cancer and Delirium

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dc.contributor.advisorGagliese, Lucia
dc.creatorGhandeharian, Sara
dc.date.accessioned2018-11-21T13:44:50Z
dc.date.available2018-11-21T13:44:50Z
dc.date.copyright2018-04-25
dc.date.issued2018-11-21
dc.date.updated2018-11-21T13:44:50Z
dc.degree.disciplineKinesiology & Health Science
dc.degree.levelMaster's
dc.degree.nameMSc - Master of Science
dc.description.abstractObjectives: Health care workers (HCWs) may rely on their beliefs about pain to inform treatment decisions. The objectives were to explore HCWs beliefs about pain in older patients with cancer, and compare beliefs among nurses and physicians. Methods: Each physician was matched to one nurse on years of clinical experience (+/- 1 year). Thematic analysis of 16 individual interviews was employed using cognitive mapping to identify themes and patterns. Results: Nurses and physicians beliefs about opioid use were inconsistent, but believed opioids play an important role in the relationship of pain and delirium. HCWs provided inconsistent beliefs about the priority of pain management during delirium. HCWs believed difficulty with self-reporting pain was greater in older than younger patients, and doubted the reliability of older patients reports. HCWs described pain assessment as challenging due to difficulties in distinguishing symptoms of pain and delirium. Conclusions: Knowledge gaps about pain in older people with cancer and delirium are common among HCWs. These findings may inform the development of education interventions.
dc.identifier.urihttp://hdl.handle.net/10315/35507
dc.language.isoen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectAging
dc.subject.keywordsHealthcare workers
dc.subject.keywordsNurses
dc.subject.keywordsPhysicians
dc.subject.keywordsBeliefs
dc.subject.keywordsKnowledge
dc.subject.keywordsPerceptions
dc.subject.keywordsCancer pain
dc.subject.keywordsDelirium
dc.subject.keywordsAging
dc.subject.keywordsGeriatrics
dc.subject.keywordsCognitive mapping
dc.subject.keywordsMind mapping
dc.subject.keywordsQualitative research
dc.subject.keywordsThematic analysis
dc.subject.keywordsPalliative care
dc.subject.keywordsEnd-of-life
dc.subject.keywordsPain management
dc.subject.keywordsPain assessment
dc.titleHealth Care Worker Beliefs about Pain in Older People with Cancer and Delirium
dc.typeElectronic Thesis or Dissertation

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