Abstract : Fear of engendering addiction is frequently reported as both a provider and a patient barrier to ef
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Abstract : Fear of engendering addiction is frequently reported as both a provider and a patient barrier to effective pain management. In this study a clinical scenario ascertained nursing staff members usual practice in addressing addiction fears for patients with concerns about the addictive potential of pain medication. One hundred forty-five Veterans Health Administration nursing staff members from eight ambulatory care sites were queried to identify variables associated with proclivity to address patient fears about addiction risks in a population where pain is prevalent and the risk for substance abuse is high. Regarding addressing addiction concerns 66 of nursing staff were very likely 16 somewhat likely 9 unsure 6 somewhat unlikely and 2 very unlikely to take action. Health technicians were less likely to address addiction concerns than registered or licensed vocational nurses (odds ratio OR 0.116 p=.004). Nursing staff with more years experience (OR 1.070 p=.005) and higher levels of self-efficacy/confidence (OR 1.380 p=.001) were more likely to engage in discussions related to addiction risks. Targeted efforts to improve pain management activities should focus on retaining experienced nursing staff in initial assessment positions and improving the skills and confidence of less experienced and less skilled staff.(c) 2010 American Society for Pain Management Nursing. All rights reserved.PMID 20510839 PubMed - indexed for MEDLINEMeSH TermsMeSH TermsAdultAgedAttitude of Health Personnel*Attitude to Health*Clinical CompetenceFearFemaleHealth Knowledge Attitudes PracticeHumansLogistic ModelsLos AngelesMaleMiddle AgedMultivariate AnalysisNurses Practice Patterns/organization amp administrationNurses Role/psychologyNursing Methodology ResearchNursing Staff/educationNursing Staff/organization amp administrationNursing Staff/psychology*Pain/complicationsPain/drug therapyPain/psychology*Patient Education as TopicRisk FactorsSelf EfficacySubstance-Related Disorders*/etiologySubstance-Related Disorders*/prevention amp controlUnited StatesUnited States Department of Veterans AffairsLinkOut - more resourcesFull Text SourcesElsevier ScienceEBSCONursing ConsultOhioLINK Electronic Journal CenterOvid Technologies Inc.Swets Information ServicesEducationNew England Research Institutes Inc.MedicalPain - MedlinePlus Health InformationDrug Abuse - MedlinePlus Health Information Supplemental Content Related citations Barriers and facilitators to the incorporation of environmental health into public health nursing practice. 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Review Towards a domain of nursing concepts methods of approach and first elements. Rech Soins Infirm. 1996 Review Towards a domain of nursing concepts methods of approach and first elements.Giordan A. Rech Soins Infirm. 1996 Dec (47)6-18. See reviews... See all... Recent activity Clear Turn Off Turn On Addressing patients concerns about pain management and addiction risks. Addressing patients concerns about pain management and addiction risks.Pain Manag Nurs. 2010 Jun 11(2)92-8. Epub 2009 Sep 12 . PubMed Your browsing activity is empty. Activity recording is turned off. Turn recording back on See more... 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