Post-operative pain management in a surgical unit in a tertiary hospital in Spain: a best practice implementation project.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-10-17 DOI:10.1097/XEB.0000000000000462
Laura Collada-Fernández, Gemma Tapiador-Gómez, Leonor García-Tomé, M Consuelo Pardo-Mora, M Rosario Díaz-Rodríguez, Montserrat Prado-Rodríguez Barbero, Marcelina Cañizares-Rabadán, Laura Albornos-Muñoz
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Abstract

Introduction: More than 80% of patients experience post-surgical pain. Poor pain control decreases patients' quality of life; increases associated comorbidity, hospital length of stay and hospital costs; and delays functional recovery. Implementing evidence-based recommendations improves these negative factors as well as the patient's quality of life.

Objectives: This evidence implementation project aimed to improve post-operative pain management by implementing best practice recommendations.

Methods: This project used the JBI Evidence Implementation Framework, which is grounded in an audit and feedback process. The project was conducted in the surgical unit of a tertiary hospital in Ciudad Real, Spain. We performed a baseline audit and two follow-up audits to measure audit criteria derived from a JBI evidence summary on pain management. A total of 30 surgical patients took part. We assessed the results of the baseline audit, identified the barriers to best practice, and implemented strategies to improve post-operative pain management.

Results: The first follow-up audit revealed an improvement in practice; however, these results worsened due to the delay in protocol approval and subsequent lack of staff motivation. The second follow-up audit showed greater compliance with best practices, although considerable room for improvement remains.

Conclusions: Implementing evidence-based practices in health care improved nurses' clinical practice. The health care staff complied with the recommendations more readily since they associated the best practices with a clear benefit for the patient.

Spanish abstract: http://links.lww.com/IJEBH/A276.

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西班牙一家三甲医院外科的术后疼痛管理:最佳实践实施项目。
简介80% 以上的患者在手术后会感到疼痛。疼痛控制不佳会降低患者的生活质量,增加相关并发症、住院时间和住院费用,并延迟功能恢复。实施循证建议可改善这些不利因素,提高患者的生活质量:该循证实施项目旨在通过实施最佳实践建议来改善术后疼痛管理:方法:该项目采用了以审计和反馈过程为基础的 JBI 证据实施框架。该项目在西班牙雷阿尔城一家三甲医院的外科进行。我们进行了一次基线审核和两次后续审核,以衡量从 JBI 疼痛管理证据摘要中得出的审核标准。共有 30 名手术患者参加了审核。我们评估了基线审核的结果,确定了最佳实践的障碍,并实施了改善术后疼痛管理的策略:结果:第一次跟踪审计显示,实践情况有所改善;但是,由于方案审批的延迟以及随后员工缺乏积极性,结果有所恶化。第二次跟踪审计表明,虽然仍有相当大的改进空间,但最佳实践的遵守情况有所改善:结论:在医疗保健中实施循证实践改善了护士的临床实践。医护人员更愿意遵守建议,因为他们将最佳实践与对病人的明显益处联系在一起。西班牙文摘要:http://links.lww.com/IJEBH/A276。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
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