Pain Standards for Accredited Healthcare Organizations (ACDON Project): A Mixed Methods Study
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....
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-02-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/11/2/102 |
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| author | Concepción Pérez Jimmy Martin-Delgado Mercedes Vinuesa Pedro J. Ibor Mercedes Guilabert José Gomez Carmen Beato Juana Sánchez-Jiménez Ignacio Velázquez Claudio Calvo-Espinos María L. Cánovas José A. Yáñez Mireia Rodríguez José L. Baquero Elisa Gallach Emma Folch Albert Tuca Manel Santiña José J. Mira |
| author_facet | Concepción Pérez Jimmy Martin-Delgado Mercedes Vinuesa Pedro J. Ibor Mercedes Guilabert José Gomez Carmen Beato Juana Sánchez-Jiménez Ignacio Velázquez Claudio Calvo-Espinos María L. Cánovas José A. Yáñez Mireia Rodríguez José L. Baquero Elisa Gallach Emma Folch Albert Tuca Manel Santiña José J. Mira |
| author_sort | Concepción Pérez |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T05:35:52Z |
| format | Article |
| id | doaj.art-bb7f1f862d074a8fb85767ae696f69e2 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T05:35:52Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-bb7f1f862d074a8fb85767ae696f69e22023-12-03T12:28:57ZengMDPI AGJournal of Personalized Medicine2075-44262021-02-0111210210.3390/jpm11020102Pain Standards for Accredited Healthcare Organizations (ACDON Project): A Mixed Methods StudyConcepción Pérez0Jimmy Martin-Delgado1Mercedes Vinuesa2Pedro J. Ibor3Mercedes Guilabert4José Gomez5Carmen Beato6Juana Sánchez-Jiménez7Ignacio Velázquez8Claudio Calvo-Espinos9María L. Cánovas10José A. Yáñez11Mireia Rodríguez12José L. Baquero13Elisa Gallach14Emma Folch15Albert Tuca16Manel Santiña17José J. Mira18Pain Unit, Quality Department, La Princesa University Hospital, 28006 Madrid, SpainAtenea Research Group, Foundation for the Promotion of Health and Biomedical Research, 03550 Sant Joan d’Alacant, SpainPain Unit, Quality Department, La Princesa University Hospital, 28006 Madrid, SpainPain Research Group, Spanish Society of Primary Care Physicians, 28009 Valencia, SpainHealth Psychology Department, Miguel Hernandez University, 03202 Elche, SpainOncology Department, La Fe Hospital, 46026 Valencia, SpainOncology Department, Virgen del Rocio University Hospital, 41013 Sevilla, SpainFamily Medicine Department, Daroca Health Center, 28017 Madrid, SpainPain Unit, Guadix High Resolution Hospital, 18500 Guadix, SpainPalliative Care Department, Rioja Salud Foundation, 26006 La Rioja, SpainAnesthesiology Department, Ourense Hospital Complex, 32005 Ourense, SpainNursery Department, Carlos Haya Hospital, 29010 Malaga, SpainNursery Department, Terrassa Health Consortium, 08227 Terrasa, SpainScientific Coordination, Spanish Forum of Patients, 28018 Madrid, SpainPsychology Department, La Fe Hospital, 46026 Valencia, SpainNursery Department, Francolí Sociosanitary Hospital, 43005 Tarragona, SpainOncology Department, Barcelona Clinic Hospital, 08036 Barcelona, SpainSpanish Society for Quality of Care, 33003 Oviedo, SpainAtenea Research Group, Foundation for the Promotion of Health and Biomedical Research, 03550 Sant Joan d’Alacant, SpainUp 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.https://www.mdpi.com/2075-4426/11/2/102paincancerquality of careaccreditationpatient-centered carepatient-safety |
| spellingShingle | Concepción Pérez Jimmy Martin-Delgado Mercedes Vinuesa Pedro J. Ibor Mercedes Guilabert José Gomez Carmen Beato Juana Sánchez-Jiménez Ignacio Velázquez Claudio Calvo-Espinos María L. Cánovas José A. Yáñez Mireia Rodríguez José L. Baquero Elisa Gallach Emma Folch Albert Tuca Manel Santiña José J. Mira Pain Standards for Accredited Healthcare Organizations (ACDON Project): A Mixed Methods Study Journal of Personalized Medicine pain cancer quality of care accreditation patient-centered care patient-safety |
| title | Pain Standards for Accredited Healthcare Organizations (ACDON Project): A Mixed Methods Study |
| title_full | Pain Standards for Accredited Healthcare Organizations (ACDON Project): A Mixed Methods Study |
| title_fullStr | Pain Standards for Accredited Healthcare Organizations (ACDON Project): A Mixed Methods Study |
| title_full_unstemmed | Pain Standards for Accredited Healthcare Organizations (ACDON Project): A Mixed Methods Study |
| title_short | Pain Standards for Accredited Healthcare Organizations (ACDON Project): A Mixed Methods Study |
| title_sort | pain standards for accredited healthcare organizations acdon project a mixed methods study |
| topic | pain cancer quality of care accreditation patient-centered care patient-safety |
| url | https://www.mdpi.com/2075-4426/11/2/102 |
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