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Evidence-based practice for pain management for cancer patients in an acute care setting

 Mona Choi  ;  Hee Sun Kim  ;  Su Kyoung Chung  ;  Mee Jung Ahn  ;  Jae Yong Yoo  ;  Ok Sun Park  ;  So Rah Woo  ;  So Sun Kim  ;  Sun Ah Kim  ;  Eui Geum Oh 
 International Journal of Nursing Practice, Vol.20(1) : 60-69, 2014 
Journal Title
 International Journal of Nursing Practice 
Issue Date
Evidence-Based Practice* ; Humans ; Neoplasms/complications* ; Pain/etiology* ; Pain Management/methods*
audit and feedback ; cancer pain ; evidence-based practice ; pain management ; practice guidelines
The purpose of this study is to implement an evidence utilization project using an audit and feedback approach to improve cancer pain management. A three-phased audit and feedback approach was used. A 46-bed oncology nursing unit in the university's cancer centre was selected as a research site. Nursing records extracted from 137 patients (65 for the baseline assessment and 72 for the follow-up audit) were used to examine nurse compliance with four audit criteria derived from best practice guidelines related to the assessment and management of pain. We observed a significant improvement in compliance from baseline to follow-up for the following criteria: documenting the side effects of opioids (2–83%), use of a formalized pain assessment tool (22–75%), and providing education for pain assessment and management to patients and caregivers (0–47%). The audit and feedback method was applicable to the implementation of clinical practice guidelines for cancer pain management. Leadership from both administrative personnel and staff nurses working together contributes to the spread of an evidence-based practice culture in clinical settings. As it was conducted in a single oncology nursing unit and was implemented over a short period of time, the results should be carefully interpreted.
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3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sun Ah(김선아) ORCID logo https://orcid.org/0000-0001-5922-6598
Kim, So Sun(김소선)
Oh, Eui Geum(오의금) ORCID logo https://orcid.org/0000-0002-6941-0708
Yoo, Jae Yong(유재용)
Choi, Mona(최모나) ORCID logo https://orcid.org/0000-0003-4694-0359
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