The cancer pain practice index: a measure of evidence-based practice adherence for cancer pain management in older adults in hospice care.
Various clinical practice guidelines addressing pain assessment and management have been available for several years that pertain, at least to some extent, to older patients with cancer. Nonetheless, systematic evaluations or methodologically sound studies of adherence to pain management practice guidelines within Medicare-certified hospice programs are lacking. As part of a larger translating-research-into-practice pain improvement study involving older patients with cancer in hospice programs, we recognized the need to create a valid and reliable tool that can facilitate critical evaluation of hospice medical records for nurse and physician adherence to pain management guidelines to create a consolidated score for comparative and quality improvement purposes. We report the process used to create this tool, named the Cancer Pain Practice Index, and a guide to its use.
Fine
Perry
P
Pain Research Center, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Herr
Keela
K
Titler
Marita
M
Sanders
Sara
S
Cavanaugh
Joe
J
Swegle
John
J
Forcucci
Chris
C
Tang
Xiongwen
X
Lane
Kari
K
Reyes
Jimmy
J
D000368:Aged; D019317:Evidence-Based Medicine; D019983:Guideline Adherence; D017051:Hospice Care; D006801:Humans; D008499:Medical Records; D009369:Neoplasms / Q000150:complications*; D010146:Pain / Q000175:diagnosis* / Q000209:etiology*; D010147:Pain Measurement / Q000379:methods*; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000379:methods*; D014481:United States
J Palliat Care. 1999 Autumn;15(3):5-9
10540791
Gerontologist. 2004 Aug;44(4):469-78
15331804
J Hosp Palliat Nurs. 2009 Nov 1;11(6):334-341
20419047
J Eval Clin Pract. 2007 Aug;13(4):639-46
17683308
Med Care Res Rev. 2007 Apr;64(2 Suppl):10S-43S
17406010
JAMA. 2006 Mar 8;295(10):1168-70
16522838
J Hum Hypertens. 2006 Jun;20(6):426-33
16543909
Health Serv Res. 2009 Feb;44(1):264-87
19146568
J Pain Symptom Manage. 2007 Jun;33(6):737-44
17531914
Pain Manag Nurs. 2000 Dec;1(4):116-28
11709865
Health Serv Res. 2005 Jun;40(3):865-85
15960695
Appl Nurs Res. 2009 Nov;22(4):264-73
19875041
Nurs Outlook. 2003 Mar-Apr;51(2):65-9
12712141
Med Care. 2003 Mar;41(3):420-31
12618645
Appl Nurs Res. 2006 Aug;19(3):126-33
16877191
J Pain Symptom Manage. 2005 May;29(5):474-88
15904750