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Related Experiment Videos

Implementing national standards for cancer pain management: program model and evaluation

M Bookbinder1, N Coyle, M Kiss

  • 1Department of Nursing, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.

Journal of Pain and Symptom Management
|December 1, 1996
PubMed
Summary

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A model pain management program improved cancer patient satisfaction and nurse knowledge by implementing American Pain Society standards. Continuous quality improvement identified needs for better interdisciplinary communication and patient assessment.

Area of Science:

  • Oncology Nursing
  • Quality Improvement in Healthcare
  • Pain Management

Background:

  • Cancer pain management requires adherence to quality assurance standards.
  • Implementing evidence-based practices can enhance patient outcomes and satisfaction.
  • Continuous quality improvement (CQI) offers a framework for healthcare program refinement.

Purpose of the Study:

  • To evaluate a model pain management program (PMP) for implementing American Pain Society (APS) standards.
  • To assess the impact of the PMP on nurse knowledge, skills, and patient satisfaction.
  • To identify areas for improvement in cancer pain management using a CQI approach.

Main Methods:

  • A quasi-experimental pretest-posttest design was employed.
  • The study involved 1210 nurses and 698 cancer patients at an urban cancer center.

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  • Data were collected via questionnaires, patient interviews, and focus groups.

    • Main Results:

    • Significant improvements were observed in patient satisfaction and nurse knowledge and attitude scores.
    • Nurses reported reduced perceived barriers to pain management.
    • Focus groups highlighted the need for enhanced interdisciplinary communication and improved assessment of non-reporting patients.

    Conclusions:

    • The PMP successfully implemented APS standards and improved nurse education.
    • The CQI approach effectively identified systemic issues in pain management.
    • The program led to enhanced overall patient satisfaction in cancer pain care.