Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.

Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.

Document Type

Thesis - University Access Only

Award Date


Degree Name

Master of Science (MS)


Graduate Nursing

First Advisor

Barbara Heater


cancer pain treatment, cancer patient attributes, nurse attitudes, nurse and patient


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.

Library of Congress Subject Headings

Cancer pain -- Treatment
Cancer -- Patients -- Attitudes
Nurses -- Attitudes
Nurse and patient



Number of Pages



South Dakota State University


Copyright © 1999 Pamela Gabbert. All rights reserved