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Pain is one of the most feared consequences of cancer experienced by patients. It has a profound impact on every aspects of quality of life and is thus the dominant cause of total suffering of cancer patients, 1 although pain relief is achievable in more than 90% of cases. 2 Some studies have determined that up to 77% of patients with advanced disease report pain of severe intensity and 70% to 85% experience more than 1 pain syndrome. 3, 4 Patients not adequately treated for pain relief is well documented and can involve up to 40% patients. 5, 6

Caring for patients in pain is a pivotal function of nursing practice. In particular, pain control is a primary concern of hospice nurses to ensure comfort in the terminal phase of the person’s life. 7 However, nurses may not be prepared to assume a critical role because their lack of knowledge and individual attitudes can interfere with their ability to practice effectively in the …