Implementing national standards for cancer pain management: program model and evaluation
Title
Implementing national standards for cancer pain management: program model and evaluation
Creator
Bookbinder M; Coyle N; Kiss M; Goldstein ML; Holritz K; Thaler H; Gianella A; Derby S; Brown M; Racolin A; Ho MN; Portenoy RK
Identifier
Publisher
Journal Of Pain And Symptom Management
Date
1996
Description
The purpose of this quasi-experimental (pre and posttest) study was to test a model pain management program (PMP) to implement the American Pain Society (APS) quality assurance standards for the management of acute and chronic cancer pain using a continuous quality improvement (CQI) approach to improve professionals' knowledge and skills, patient satisfaction, and to identify areas needing improvement. The sample consisted of 1210 nurse responses and 698 interviews of patients with pain during hospitalization at a major urban cancer center. The PMP provided a structure (standards), educational opportunities, and training in CQI methods. Outcome measures included a patient evaluation questionnaire and concerns checklist; nurse knowledge, attitude and barriers questionnaire; and focus groups to identify areas needing improvement. Significant improvements were found in patients' satisfaction, nurses' knowledge and attitude scores, and reductions in nurses' perceptions of barriers. Focus groups revealed the need for improved communication among disciplines about pain and better assessment of patients unable to self-report. The program met its goal of implementing the APS standards, educating nurses, and identifying "system" problems, and improving overall patient satisfaction.
1996
Rights
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Type
Journal Article
Citation List Month
Backlog
URL Address
Citation
Bookbinder M; Coyle N; Kiss M; Goldstein ML; Holritz K; Thaler H; Gianella A; Derby S; Brown M; Racolin A; Ho MN; Portenoy RK, “Implementing national standards for cancer pain management: program model and evaluation,” Pediatric Palliative Care Library, accessed March 29, 2023, https://pedpalascnetlibrary.omeka.net/items/show/12203.