Long-term sustainability of a quality improvement program on cancer pain management: a complex intervention in an inpatient setting.
Palliative care
complex intervention
pain management
Journal
Tumori
ISSN: 2038-2529
Titre abrégé: Tumori
Pays: United States
ID NLM: 0111356
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
pubmed:
29
8
2019
medline:
14
2
2020
entrez:
29
8
2019
Statut:
ppublish
Résumé
Several approaches towards pain control for admitted cancer patients have been suggested by the literature without achieving satisfactory results. In this quality improvement project, we proposed a multicomponent intervention. A set of indicators was established for each component of the project. The feasibility of both the intervention and its evaluation system was measured. According to the literature review and the analysis of the local context, 5 active components were identified, piloted, and assessed: training of ward professionals, education of patients and nonprofessional caregivers, regular pain assessment, specialist-level pain consultation procedures, and involvement of hospital management. Multiprofessional training programs with daily discussions, daily pain assessment, and a readily available specialized palliative care service seem to be the active components of this complex intervention. The quality improvement project achieved 2 years sustainability. Consolidated educational and organizational methodologies support the feasibility of this complex intervention.
Sections du résumé
BACKGROUND
BACKGROUND
Several approaches towards pain control for admitted cancer patients have been suggested by the literature without achieving satisfactory results. In this quality improvement project, we proposed a multicomponent intervention.
MEASURES
METHODS
A set of indicators was established for each component of the project. The feasibility of both the intervention and its evaluation system was measured. According to the literature review and the analysis of the local context, 5 active components were identified, piloted, and assessed: training of ward professionals, education of patients and nonprofessional caregivers, regular pain assessment, specialist-level pain consultation procedures, and involvement of hospital management.
RESULTS
RESULTS
Multiprofessional training programs with daily discussions, daily pain assessment, and a readily available specialized palliative care service seem to be the active components of this complex intervention. The quality improvement project achieved 2 years sustainability.
CONCLUSION
CONCLUSIONS
Consolidated educational and organizational methodologies support the feasibility of this complex intervention.
Identifiants
pubmed: 31456509
doi: 10.1177/0300891619869513
doi:
Types de publication
Journal Article
Meta-Analysis
Langues
eng
Sous-ensembles de citation
IM