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

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

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

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 June 15, 2024, https://pedpalascnetlibrary.omeka.net/items/show/12203.