| Autor: |
Pérez C; Pain Unit, Quality Department, La Princesa University Hospital, 28006 Madrid, Spain., Martin-Delgado J; Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, 03550 Sant Joan d'Alacant, Spain., Vinuesa M; Pain Unit, Quality Department, La Princesa University Hospital, 28006 Madrid, Spain., Ibor PJ; Pain Research Group, Spanish Society of Primary Care Physicians, 28009 Valencia, Spain., Guilabert M; Health Psychology Department, Miguel Hernandez University, 03202 Elche, Spain., Gomez J; Oncology Department, La Fe Hospital, 46026 Valencia, Spain., Beato C; Oncology Department, Virgen del Rocio University Hospital, 41013 Sevilla, Spain., Sánchez-Jiménez J; Family Medicine Department, Daroca Health Center, 28017 Madrid, Spain., Velázquez I; Pain Unit, Guadix High Resolution Hospital, 18500 Guadix, Spain., Calvo-Espinos C; Palliative Care Department, Rioja Salud Foundation, 26006 La Rioja, Spain., Cánovas ML; Anesthesiology Department, Ourense Hospital Complex, 32005 Ourense, Spain., Yáñez JA; Nursery Department, Carlos Haya Hospital, 29010 Malaga, Spain., Rodríguez M; Nursery Department, Terrassa Health Consortium, 08227 Terrasa, Spain., Baquero JL; Scientific Coordination, Spanish Forum of Patients, 28018 Madrid, Spain., Gallach E; Psychology Department, La Fe Hospital, 46026 Valencia, Spain., Folch E; Nursery Department, Francolí Sociosanitary Hospital, 43005 Tarragona, Spain., Tuca A; Oncology Department, Barcelona Clinic Hospital, 08036 Barcelona, Spain., Santiña M; Spanish Society for Quality of Care, 33003 Oviedo, Spain., Mira JJ; Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, 03550 Sant Joan d'Alacant, Spain.; Health Psychology Department, Miguel Hernandez University, 03202 Elche, Spain.; Alicante-Sant Joan Health District, 03013 Alicante, Spain. |
| Abstrakt: |
Up to 50% of cancer patients and up to 90% of those in terminal stages experience pain associated with disease progression, poor quality of life, and social impact on caregivers. This study aimed to establish standards for the accreditation of oncological pain management in healthcare organizations. A mixed methods approach was used. First, a pragmatic literature review was conducted. Second, consensus between professionals and patients was reached using the Nominal Group and Delphi technique in a step that involved anesthesiologists, oncologists, family physicians, nurses, psychologists, patient representatives, and caregivers. Third, eight hospitals participated in a pilot assessment of the level of fulfillment of each standard. A total of 37 standards were extracted. The Nominal Group produced additional standards, of which 60 were included in Questionnaire 0 that was used in the Delphi Technique. Two Delphi voting rounds were performed to reach a high level of consensus, and involved 64 and 62 participants with response rates of 90% and 87%, respectively. Finally, 39 standards for the management of cancer pain were agreed upon. In the self-evaluation, the average range of compliance was between 56.4% and 100%. The consensus standards of the ACDON Project might improve the monitoring of cancer pain management. These standards satisfied the demands of professionals and patients and could be used for the accreditation of approaches in cancer pain management. |
