[“Do Nurses have enough education and knowledge on pain management to care for sickle cell disease patient when they are in crisis”]

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ACKNOWLEDGEMENT

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TABLE OF CONTENTS

ACKNOWLEDGEMENTii

DECLARATIONiii

LITERATURE REVIEW PROPOSAL1

Significance of Topic1

Availability of Literature Review2

Proposed Research Questions(s)3

Search Strategy4

Example Paper4

Appraisal Tools5

Timescale5

References7

LITERATURE REVIEW PROPOSAL

Significance of Topic

In United Kingdom, the numbers of people who are suffering with haemoglobinopathies are increasing. This makes clear, that the nurses and health care staff deal with more patients on a daily basis, who are suffering through sickle cell disease and thalassaemia. Over the last decade, there has been a significant reduction for the time of biological sciences teaching in the education of nurses, at both post and pre-registration. This insufficient knowledge and awareness may lead to inequalities in terms of health provision for the ethnic minorities. The aim of this research is to analyse how competent and educated nurses are today to handle the patients of sickle cell disease. It is an important because it is affecting the ethnic minorities residing in United Kingdom drastically. Sickle cell disease is an inherited red blood cell disease that affects approximately 70,000 British people and 1,000 babies yearly.

Chronic episodes of pain are the most frequent symptoms for people with sickle cell disease. Children experience more frequent episodes of pain, which last longer than in adults. These pain episodes in children contribute to increased school absenteeism and poor school performance. Because many children return to school in some degree of pain, school nurses have a vital role in pain management. The nurse's knowledge/attitude about sickle cell disease can significantly impact the care children and adults receive during pain episodes. Nurses' lack of knowledge and fear of addiction to medications are two barriers that make it difficult for children and adolescents to obtain effective pain management in the hospital/clinic setting.

Many children and adolescents with sickle cell disease need to carry out regular activities when they are in pain, yet there are no studies that address sickle cell pain management in the school setting and routine activities. The nurses' ability to recognise and intervene during this terrible pain episode is essential for comfort and well-being of patients with sickle cell disease. Studies document that nurses often do not believe patient report of pain in the hospital/clinic setting, which impedes effective pain management. Other studies showed that patients' coping behaviours make assessment difficult; these coping behaviours in patients do not always indicate pain to an adult. All of these barriers may delay effective pain management interventions in the hospital/clinic ...