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Developing guideline-based quality indicators: assessing gaps in pain management practice.

Valerie J Fiset1, Barbara L Davies, Ian D Graham

  • 11School of Nursing 2School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa 3Trent/Fleming School of Nursing, Peterborough, Ontario, Canada.

International Journal of Evidence-Based Healthcare
|January 12, 2019
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Summary
This summary is machine-generated.

Developing quality indicators from pain practice guidelines can identify practice gaps in nursing care. This multiphase approach, though challenging, aids in evaluating changes after implementing guidelines.

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Area of Science:

  • Nursing Practice
  • Healthcare Quality Improvement
  • Evidence-Based Practice

Background:

  • Pain management guidelines are crucial for quality healthcare.
  • Developing effective quality indicators from these guidelines presents challenges.
  • Standardized reporting is needed for guideline-based quality indicators.

Purpose of the Study:

  • To discuss a multiphase approach for developing quality indicators based on pain practice guidelines.
  • To highlight the challenges encountered during this development process.

Main Methods:

  • A multiphase approach was used, including topic and guideline selection.
  • Recommendations were extracted from high-quality guidelines.
  • A consensus process identified quality indicators, followed by a practice test.

Main Results:

  • Eleven practice guidelines were reviewed; three high-quality guidelines were selected.
  • Twelve recommendations were extracted to assess practice gaps in oncology and palliative care nursing.
  • Twenty-four discrete quality indicators were identified and included in a practice test.

Conclusions:

  • Quality indicators effectively identify gaps in pain management practice.
  • These indicators can evaluate changes post-guideline implementation.
  • Guideline developers should integrate clear quality indicators to improve guideline adoption.