Date of Award

2012

Document Type

Thesis

Degree Name

Master of Science in Nursing (MSN)

First Advisor

Janie M. Carlton

Abstract

The hospice philosophy is based on pain and symptom management, comfort measures, and enhancement of quality of life at end-of-life (EOL). Pain management at EOL requires advanced knowledge and understanding by the healthcare team caring for these patients. A primary concern for the nurse caring for a patient at EOL is to achieve adequate pain control, provide comfort measures and maximize the patient's quality of life. This descriptive correlation study examined the hospice RN's knowledge and attitude of pain control at end-of-life. Forty-nine nurses employed at a hospice facility in a Southeastern state in the US were surveyed. Findings of the study support that hospice nurses do have adequate knowledge of pain control and demonstrate a positive attitude toward the philosophy of pain control. Correlations of years of nursing experience, years of hospice experience, national Certification of Hospice and Palliative Nurse (CHPN), and End of Life Nursing Curriculum (ELNEC) training showed no statistical significance to the level of knowledge or attitude of pain management.

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