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Publications

Journal Article Epublish

PubMed: 42460917 DOI: 10.1097/XEB.0000000000000529

Post-surgical pain management among adult cancer patients in a multidisciplinary surgical unit: a best practice implementation project.

JBI Evid Implement 24(3):486-495

Authors: Feruza Saduyeva, Zhuldyz Kuanysh, Jamilya Zainulina, Ainash Sadvokassova, Alma Syzdykova, Anargul Kuntuganova, Dmitriy Viderman, Paolo C Colet

Affiliations

  • Karaganda Medical University, Karaganda, Kazakhstan.
  • JBI Kazakhstan Centre for Evidence-Based Nursing, Karaganda Medical University, Karaganda, Kazakhstan.
  • National Research Oncology Center, Astana, Kazakhstan.
  • JBI Kazakhstan Centre for Evidence-Based Nursing, Karaganda Medical University, Karaganda, Kazakhstan. National Research Oncology Center, Astana, Kazakhstan.
  • University Medical Center Corporate Fund, Astana, Kazakhstan.
  • Department of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana, Kazakhstan.
  • Department of Surgery, School of Medicine, Nazarbayev University, Astana, Kazakhstan.
  • Department of Medicine, School of Medicine, Nazarbayev University, Astana, Kazakhstan.

Abstract

OBJECTIVE

The study aimed to improve post-surgical pain management among adult cancer patients in a multidisciplinary surgical unit in Kazakhstan.

METHODS

The study followed the JBI Evidence Implementation Framework and was conceptually guided by the JBI Model of Evidence-Based Healthcare. Eight audit criteria were used to assess compliance with best practices in a baseline audit. JBI's Getting Research into Practice (GRiP) approach was used to identify barriers and strategies for improvement. A follow-up audit measured any improvements in compliance with the recommended practices.

RESULTS

In the follow-up audit, increased compliance was noted for Criterion 7 (0% to 96.03%). Similarly, increased compliance was noted for Criteria 2 to 6. Criterion 8 scored 100% at both baseline and follow-up. However, Criterion 1 scored 0% compliance in both audit cycles.

CONCLUSIONS

This study demonstrated a modest improvement in compliance with best practices for post-surgical pain management among adult cancer patients in a multidisciplinary surgical unit. Despite our efforts to improve the unit's practices through training, pre-operative patient education, patient documentation records, and interprofessional collaboration, Criterion 1 received 0% compliance. Our findings highlight the need for a multimodal post-surgical pain management approach incorporating policy change, resource allocation, and dedicated pain management specialists.

SPANISH ABSTRACT

http://links.lww.com/IJEBH/A402.

MeSH

Pain, Pain Management, Neoplasms, Evidence-Based Medicine, Patient Education As Topic, Pain, Postoperative