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

Authors
 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 
Citation
 International Journal of Nursing Practice, Vol.20(1) : 60-69, 2014 
Journal Title
 International Journal of Nursing Practice 
ISSN
 1322-7114 
Issue Date
2014
Abstract
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.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/ijn.12122/abstract
DOI
10.1111/ijn.12122
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
김선아(Kim, Sun Ah) ORCID logo https://orcid.org/0000-0001-5922-6598
김소선(Kim, So Sun)
오의금(Oh, Eui Geum) ORCID logo https://orcid.org/0000-0002-6941-0708
유재용(Yoo, Jae Yong)
최모나(Choi, Mona) ORCID logo https://orcid.org/0000-0003-4694-0359
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98235
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