{"id":{"repo_id":"sdstate","oai_identifier":"oai:openprairie.sdstate.edu:etd-1836"},"canonical_url":"https://search.dev.ndltd.org/etd/sdstate/oai:openprairie.sdstate.edu:etd-1836","repository":{"repo_id":"sdstate","name":"South Dakota State University","base_url":"https://openprairie.sdstate.edu/do/oai/"},"display":{"title":"Hospice Cancer Patients' and Hospice Nurses' Reported Barriers to Management of Pain","abstract":"One of the goals of hospice is to provide management of cancer pain. In order to achieve the above goal, barriers to pain management must be recognized and overcome. Barriers to pain management include fatalism, fear of addiction, fear of side effects from analgesics, fear of the disease progression, fear of tolerance to pain medications, fear of injections, and the desire to be a good patient. A review of the literature indicates these barriers to the pain management impact patients and health care providers. The modified Barriers Questionnaire addresses these barriers in a twenty-four item survey instrument. This instrument was mailed to sixty home hospice nurses and fifty-four home hospice cancer patients with a return response of forty nurses and ten patients. Significant statistical differences were found between hospice nurses' and hospice patients' barriers to pain management. In the upper Midwestern region, hospice patients scored higher than the hospice nurses on the barrier items. Thus, the nurses underestimated the patient barriers. This underestimation may result in decreased patient education by the hospice nurses.","abstract_html":"One of the goals of hospice is to provide management of cancer pain. In order to achieve the above goal, barriers to pain management must be recognized and overcome. Barriers to pain management include fatalism, fear of addiction, fear of side effects from analgesics, fear of the disease progression, fear of tolerance to pain medications, fear of injections, and the desire to be a good patient. A review of the literature indicates these barriers to the pain management impact patients and health care providers. The modified Barriers Questionnaire addresses these barriers in a twenty-four item survey instrument. This instrument was mailed to sixty home hospice nurses and fifty-four home hospice cancer patients with a return response of forty nurses and ten patients. Significant statistical differences were found between hospice nurses' and hospice patients' barriers to pain management. In the upper Midwestern region, hospice patients scored higher than the hospice nurses on the barrier items. Thus, the nurses underestimated the patient barriers. This underestimation may result in decreased patient education by the hospice nurses.","abstract_has_math":false,"creators":["Gabbert, Pamela S."],"institution":null,"degree_name":"Master of Science (MS)","degree_level":"Thesis - University Access Only","degree_discipline":"Graduate Nursing","degree_department":null,"school":null,"contributors":["Barbara Heater"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":1999,"date_issued":"1999-01-01T08:00:00Z","date_published":"1999-01-01T08:00:00Z","updated_at":"2026-07-24T04:28:23Z","subjects":["cancer pain treatment","cancer patient attributes","nurse attitudes","nurse and patient","Nursing"],"languages":["en"],"rights":["Copyright © 1999 Pamela Gabbert. All rights reserved"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://openprairie.sdstate.edu/etd/836","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Barbara Heater"]},{"key":"dc:creator","label":"Author","values":["Gabbert, Pamela S."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Graduate Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Thesis - University Access Only"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science (MS)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["cancer pain treatment","cancer patient attributes","nurse attitudes","nurse and patient","Nursing"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright © 1999 Pamela Gabbert. All rights reserved"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://openprairie.sdstate.edu/etd/836"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["One of the goals of hospice is to provide management of cancer pain. In order to achieve the above goal, barriers to pain management must be recognized and overcome. Barriers to pain management include fatalism, fear of addiction, fear of side effects from analgesics, fear of the disease progression, fear of tolerance to pain medications, fear of injections, and the desire to be a good patient. A review of the literature indicates these barriers to the pain management impact patients and health care providers. The modified Barriers Questionnaire addresses these barriers in a twenty-four item survey instrument. This instrument was mailed to sixty home hospice nurses and fifty-four home hospice cancer patients with a return response of forty nurses and ten patients. Significant statistical differences were found between hospice nurses' and hospice patients' barriers to pain management. In the upper Midwestern region, hospice patients scored higher than the hospice nurses on the barrier items. Thus, the nurses underestimated the patient barriers. This underestimation may result in decreased patient education by the hospice nurses."]},{"key":"dc:title","label":"Title","values":["Hospice Cancer Patients' and Hospice Nurses' Reported Barriers to Management of Pain"]}]}],"canonical_facts":{"dc:contributor":["Barbara Heater"],"dc:creator":["Gabbert, Pamela S."],"dc:description.abstract":["One of the goals of hospice is to provide management of cancer pain. In order to achieve the above goal, barriers to pain management must be recognized and overcome. Barriers to pain management include fatalism, fear of addiction, fear of side effects from analgesics, fear of the disease progression, fear of tolerance to pain medications, fear of injections, and the desire to be a good patient. A review of the literature indicates these barriers to the pain management impact patients and health care providers. The modified Barriers Questionnaire addresses these barriers in a twenty-four item survey instrument. This instrument was mailed to sixty home hospice nurses and fifty-four home hospice cancer patients with a return response of forty nurses and ten patients. Significant statistical differences were found between hospice nurses' and hospice patients' barriers to pain management. In the upper Midwestern region, hospice patients scored higher than the hospice nurses on the barrier items. Thus, the nurses underestimated the patient barriers. This underestimation may result in decreased patient education by the hospice nurses."],"dc:identifier":["https://openprairie.sdstate.edu/etd/836"],"dc:language":["en"],"dc:rights":["Copyright © 1999 Pamela Gabbert. All rights reserved"],"dc:subject":["cancer pain treatment","cancer patient attributes","nurse attitudes","nurse and patient","Nursing"],"dc:title":["Hospice Cancer Patients' and Hospice Nurses' Reported Barriers to Management of Pain"],"thesis:degree_discipline":["Graduate Nursing"],"thesis:degree_level":["Thesis - University Access Only"],"thesis:degree_name":["Master of Science (MS)"]},"updated_at":"2026-07-24T04:28:23Z"}