Increasing Provider Self-Efficacy to Manage Chronic Cancer Pain
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Pain is a significant problem for those with a cancer diagnosis. Oncology providers often use opioid therapy to manage cancer related pain. Access to opioid therapy has been limited due to the opioid epidemic. The American Society of Clinical Oncology (ASCO) released guidelines to optimize pain management for patients with oncologic diagnosis. The goal of this doctor of nursing practice (DNP) project was to create an educational session and evaluate self-efficacy in providers who manage chronic cancer pain. There was a voice over PowerPoint educational intervention used to discuss key points of the guidelines, which included addressing aberrant behaviors, safe opioid prescribing and interdisciplinary pain management. . The Plan-Do-Study-Act was used as the framework for this quasi-experimental study with a pre/post education survey design. A total of 18 advance practice providers were recruited from a level 1-trauma center in upstate, NY. Participants reviewed the educational intervention and completed a series of surveys to assess tool satisfaction and self-efficacy scores. Data analysis revealed a significant increase in the mean self-efficacy scores on the post-education Jackson Opioid Therapy Self-Efficacy tool. The educational intervention was associated with improved perceptions of self-efficacy when managing chronic cancer pain. The guidelines released by ASCO should be reviewed and used to optimize pain management and self-efficacy in providers who work with oncologic patients. Furthermore, future research is recommended to assess if reviewing evidence based guidelines affect patient outcomes.