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VI.   Education
        A.   Professional Competencies and Educational Programs

This section includes materials from previous Pain Resource Nurse (PRN) programs at the City of Hope and similar programs including agendas, objectives, tests, and syllabi.  Additional resources include self-paced learning modules, pain management competency packets and curriculum, treatment and training guidelines, and case conference packets.  These resources are available in various forms such as interactive CD, videotapes, and bound copies.

For measurement tools on Nurses’ Knowledge and Attitudes refer to Research Instruments.

       City of Hope Publications

  1. Grant, M., Ferrell, B., Hanson, J. Sun, V., & Uman, G. (2012).The enduring need for the Pain Resource Nurse (PRN) training program. Journal of Cancer Education, 26(4), 598-603. DOI: 10.1007/s13187-011-0268-1.

  2. Cohen, M., Ferrell, B. R., Vrabel, M., Visovsky, C., Schaefer, B. (2010). What does it mean to be an oncology nurse? Reexamining the life cycle. Oncology Nursing Forum, 37(5), 561-570. DOI: 10.1188/10.ONF.561-570.

  3. Ferrell, B. R., Virani, R., Malloy, P., & Kelly, K. (2010). The preparation of oncology nurses in palliative care. Seminars in Oncology Nursing, 26(4), 259-265. DOI: 10.1016/j.soncn.2010.08.001.

  4. Otis-Green, S., Ferrell, B., Spolum, M., Uman, G., Mullan, P., Baird, P., Grant, M. (2009). An overview of the ACE project ~ Advocating for clinical excellence: Transdisciplinary palliative care education. Journal of Cancer Education, 24(2), 120-126.     DOI: 10.1080/08858190902854616.

  5. Piper, B. F., Borneman, T., Chih-Yi Sun, V., Koczywas, M., Uman, G., Ferrell, B. R., & James, R. L. (2008). Cancer-related fatigue: Role of oncology nurses in translating national comprehensive cancer network assessment guidelines into practice. Clinical Journal of Oncology Nursing, 12(5), 37-47. DOI: 10.1188/08.CJON.S2.37-47.

  6. Ferrell, B., Paice, J., & Koczywas, M. (2008). New standards and implications for improving the quality of supportive oncology practice.  Journal of Clinical Oncology, 26(23), 3824-3831. DOI: 10.1200/JCO.2007.15.7552.

  7. Otis-Green, S., Lucas, S., Spolum. M., Ferrell, B. R.., & Grant, M. (2008). Promoting excellence in pain management and palliative care for social workers. Journal of Social Work in End-of-Life and Palliative Care, 4(2), 120-134.                                                    DOI: 10.1080/15524250802353942.

       Recommended Publications

  1. Pain Assessment and Pharmacologic Management   
     Pasero, C., & McCaffery, M. (2010). PA: Elsevier.  ISBN #: 0323056962. 

  2. Cancer Nursing: Principles and Practice, 7th Edition
     Yarbro, C. H.
    , Gobel, B. H., & Wujcik, D. (2010).  NM: Jones and Bartlett Publishers. ISBN #: 0763763578.  

  3. Pain: Clinical Manual, 2nd Edition
    - McCaffery, M.,  & Pasero, C. (1999).
     PA: Elsevier.
    ISBN #: 081515609X.  

       Education Materials/Curriculum

  1. Advanced Certification for Palliative Care Programs - The Joint Commission
     This certification is designed to recognize hospital inpatient programs that demonstrate exceptional patient and family-centered care in order to optimize the quality of life for patients with serious illness. Palliative care involves addressing physical, emotional, social and spiritual needs and facilitating patient autonomy, access to information and choice.

  2. Competency Guidelines for Cancer Pain Management in Nursing Education and Practice - Wisconsin Cancer Pain Initiative 

  3. Creating Organizational Change Through the Pain Resource Nurse Program - Joint Commission Journal on Quality and Patient Safety
    Establishing a PRN program entails conquering a number of management challenges and is an effective strategy in creating organizational change to improve the state of pain control.      

  4. Developing Patient/Client Health Information - Calgary Health Region, CAN
    - This online manual was created to serve as a reference for busy healthcare providers in developing attractive, informative and easy to read materials to enhance patient learning.

  5. End-of-Life Nursing Education Consortium (ELNEC) - American Association of Colleges of Nursing (AACN)
     A comprehensive national education program to improve end-of-life care by nurses.  

  6. Fact Sheets on Cancer Pain – International Association for the Study of Pain (IASP)
         Barriers to Cancer Pain Treatment
        -     Epidemiology of Cancer Pain
        -     Psychological Aspects of Cancer Pain
         Psychological Interventions for Cancer Pain
         Treatment-Related Pain             

  7. Guidelines for Pain Case Conferences & Guidelines for a Pain Conference for an Individual Patient - University of Wisconsin Hospital & Clinics, Madison, WI

  8. Master of Science in Pain Research, Education and Policy – Tufts University
    - An interdisciplinary postgraduate education that sets the standard for pain education.   

  9. National Association of Social Workers (NASW) Online Courses
    - Achieving Cultural Competence to Reduce Health Disparities in End of Life Care

    Understanding End-of-Life Care: The Social Worker’s Role  
    - Understanding Cancer: The Social Worker’s Role


  10. National Comprehensive Cancer Network (NCCN) Interactive CME
    NCCN interactive learning includes presentation webcasts, streaming videos, podcasts, and an audio library.

  11. Nurses Self Paced Learning Module on Pain Management - Dominican Santa Cruz Hospital, Santa Cruz, CA
    - Learning module directed at nurses in the area of pain management. 

  12. Pain Management Certification for Nurses - American Nurses Credentialing Center (ANCC), Baltimore, MD
    - ANCC collaborated with the American Society for Pain Management Nursing (ASPMN) for the first nurse-focused pain management certification available in the United States.

  13. Pain Management Nursing Certification Preparation Course  - American Society for Pain Management Nursing (ASPMN)
    Certification Prep Course
    -  ASPMN has a variety of materials available for sale to assist you prepare to take the pain management nursing exam.   

  14. Pain Management Competency Packet - To assist preceptors to provide feedback to new nurses on ability to assess and manage pain.  These tools define the competencies for clinical nurses in hospitals with a structured pain program.
    Pain Management Competency - Developed by Nursing Research & Education at the City of Hope National Medical Center, Duarte, CA 
    Pain Management Competency - Developed by the Patient Care Team at the University of Wisconsin Hospital & Clinics, Madison, WI 

  15. Pain Management: An Interactive CD for Clinical Staff Development  - Abbott Northwestern Hospital, Minneapolis, MN 
    - A comprehensive pain management training tool based on evidence-based procedures and JACHO guidelines with 
    6-7.2 hours of CEU credits are available for nurses, physicians and pharmacists.  

  16. Pain Management Resources Packet  - Margo McCaffery, RN, MS, FAAN
    Pain Management: Assessment & Overview of Analgesics (CD) - Margo McCaffery, RN, MS, FAAN & Chris Pasero, MS, RN    
    Contemporary Issues in Pain Management (Video) - This video series addresses the problems nurses encounter in daily practice.  Videos include Pain in Infants and Children, Pain in the Elderly and the Physiology and Pharmacologic Management of Pain.  Email:
    Pain: Clinical Manual, 2nd Edition
    Pain Management and Pharmacologic Management - Margo McCaffery, RN, MS, FAAN & Chris Pasero, MS, RN

  17. Pain Management Self Learning Module - Kaiser Permanente, Los Angeles, CA
    - A self-learning module based on current standards of care in pain management.

  18. Pain Research Forum
     An interactive web community dedicated to finding treatments for untreatable pain conditions and help researchers by improving information sharing, by fostering new collaborations among researchers, and by raising interest in pain research among a wider community of scientists and clinicians.

  19. Pain Resource Nurse (PRN) Training Program - City of Hope, Duarte, CA
    - Agenda and Objectives for the 2014 PRN Training Program.  

  20. Pain Resource Nurse (PRN) Program Curriculum & Planning Guide  - The Resource Center, Madison, WI
    - Implementation tool-kit designed to assist clinicians/educators in hospital settings to coordinate and implement a PRN Program as a means of improving the quality of pain management. 

  21. Pain Resource Nurse Training Program Packet - University of Wisconsin Hospital and Clinics, Madison, WI         
    Privilege: Pain Resource Nurse - Guidelines developed for job evaluation and performance criteria to be utilized for annual review of the Pain Resource Nurse position.
    Pain Resource Nurse Role: Description and Responsibilities - Purpose and Policy governing description and responsibilities of the Pain Resource Nurse role.
    Pre-test - Pain Resource Nurse Training Program - this 47 question post-test (complete with answer sheet) is developed for the Pain Resource Nurse Training Program.

  22. The Pain Community
    To build and strengthen an active, energized and diverse community of people affected by pain by providing a foundation of support where education, wellness information and advocacy are promoted.

  23. Palliative Care/Pain Management Training Programs
    -  Preceptorships, fellowships and pain training programs for nurses, physicians and others.      

  24. Program in Palliative Care Education and Practice - Harvard University
    -  Palliative care course offered at Harvard University for medical and nursing educators. 
  25. The Future of Nursing: Leading Change, Advancing Health – Institute of Medicine
       This IOM report is a thorough examination of the nursing workforce. Their recommendations focus on the critical intersection between the health needs of diverse, changing patient populations across the lifespan and the actions of the nursing workforce.   


      Guidelines/Clinical Pathways

  1. Core Curriculum for Pain Management Nursing – American Society for Pain Management Nursing       
    - A comprehensive guide to effective pain management in the healthcare setting and a review of course material for passing the pain management certification

       Other Organizational Links

         Advancing Expert Care: HPNA, HPNF, HPCC     
         American Association of Colleges of Nursing  
         American Medical Association  
         American Society of Law, Medicine & Ethics  

         American Society of Pain Management Nurses


         National League for Nursing  
         Oncology Nursing Society Continuing Education  
         Online Nurse Practitioner Programs  

       Position Statements/Standards

  1. Hospice and Palliative Nurses Association
    Pain Management
  2. State of California Board of Registered Nursing
    - The Nurses Role in Pain Management


Website last modified:  February 16, 2015