Long-term sustainability of a quality improvement program on cancer pain management: a complex intervention in an inpatient setting.
Tumori
; 106(1): 25-32, 2020 Feb.
Article
em En
| MEDLINE
| ID: mdl-31456509
ABSTRACT
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:
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:
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:
Consolidated educational and organizational methodologies support the feasibility of this complex intervention.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Medição da Dor
/
Melhoria de Qualidade
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Manejo da Dor
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Dor do Câncer
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Pacientes Internados
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Limite:
Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article