Background: Procedural pain reduces the quality of life of cancer patients. Although there are recommendations\nfor its prevention, there are some obstacles for its management. The purpose of this study was to analyze the\nbarriers to procedural pain prophylaxis in cancer patients reflecting the views of the nurses.\nMethods: We used qualitative methodology based on semi-structured interviews conducted with nurses, focusing\non practices of venipuncture-induced and needle change for implantable central venous access port (ICVAP) pain\nmanagement in cancer patients. A thematic analysis approach informed the data analysis.\nResults: Interviews were conducted with 17 nurses. The study highlighted 4 main themes; technical and relational\nobstacles, nurses� professional recognition, the role of the team, and organizational issues. Participants understood\nthe painful nature of venipuncture. Despite being aware of the benefits of the anesthetic patch, they did not utilize\nit in a systematic way. We identified several barriers at different levels: technical, relational and previous experience\nof incident pain. Several organizational issues were also highlighted (e.g. lack of protocol, lack of time).\nConclusions: The prevention of venipuncture-induced cancer pain requires a structured training program, which\nshould reflect the views of nurses in clinical practice.
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