Knowledge Analysis During Educational Awareness Sessions for Pain Relief, In the Framework of an Accreditation Process: Lessons Learned.
##plugins.themes.bootstrap3.article.details##
Background: Knowledge gaps in the health personnel can generate negative results in the detection, assessment and management for pain relief. This work puts them in evidence and shows how a health accreditation process can diagnose problems and generate plans for improvement. Objective: Analyze knowledge regarding pain relief in the health personnel during an accreditation process to achieve quality standards. Methods: An observational study was conducted with 358 surveys for the health personnel of a hospital, where the perception about the importance, follow-up and treatment for pain relief was evaluated. Results: In congruence with the literature, 61.9% of the participants perceived that there is an inadequate intrahospitalary pain treatment. When detected 55.3% of the times a behavior is taken to alleviate it. 22% think that opioids are only to be used by pain clinics, and 33% considered that all patients should be evaluated by pain clinics. Conclusion: Although pain relief is perceived as an important element, gaps in knowledge are diagnosed, and these are amenable for intervention to optimize care quality.
Pain Management, Accreditation, Acute PainManejo de dolor, Acreditación, Dolor Agudo
2. Rawal N. 10 years of acute pain services--achievements and challenges. Reg Anesth Pain Med. 1999;24(1):68-73.
3. Morone N, Weiner D. Pain as the fifth vital sign: exposing the vital need for pain education. Clin Ther. 2013;35(11):1728-32.
4. Saruwatari Zavala G, Siqueiros-García JM. El alivio del dolor: ¿es un derecho humano? Rev la Soc Esp del Dolor. 2012;19(3):147-56.
5. Campbell J. The fifth vital sign revisited. Pain. 2016;157(1):3-4.
6. Lucas CE, Vlahos AL, Ledgerwood AM. Kindness kills: The negative impact of pain as the fifth vital sign. J Am Coll Surg. 2007;205(1):101-7.
7. The Join Commission. Facts about Joint Commission accreditation standards for health care organizations: Pain assessment and management [Internet]. 26 de febrero de 2018 [citado 2018 nov 18]. Disponible en: https://www.jointcommission.org/topics/pain_management.aspx
8. Gostin LO, Hodge JG, Noe SA. Reframing the opioid epidemic as a national emergency. JAMA. 2017;318(16):1539-40. https://doi.org/10.1001/jama.2017.13358
9. Melotti RM, Samolsky-Dekel BG, Ricchi E, Chiari P, Di Giacinto I, Carosi F, et al. Pain prevalence and predictors among inpatients in a major Italian teaching hospital. A baseline survey towards a pain free hospital. Eur J Pain. 2005;9(5):485-95.
10. El Tiempo. El Hospital Universitario San Ignacio recibió acreditación de calidad [Internet]. 2 de marzo de 2016 [citado 2018 nov 18]. Disponible en: https://www.eltiempo.com/archivo/documento/CMS-16526089
11. Wikström L, Eriksson K, Fridlund B, Årestedt K, Broström A. Healthcare professionals’ descriptions of care experiences and actions when assessing postoperative pain - a critical incident technique analysis. Scand J Caring Sci. 2015;30(4):802-12. https://doi.org/10.1111/scs.12308
12. Tarigopula R, Tyagi N, Jackson J, Gupte C, Raju P, LaRosa J. Health care workers and ICU pain perceptions. Pain Med. 2014;15(6):1027-35. https://doi.org/10.1111/pme.12423
13. Sinatra R, McQuay H, editores. Oral and parenteral opioid analgesics for acute pain management. En: Acute pain management. New York: Cambridge University Press; 2009. p. 188-203. https://doi.org/10.1017/CBO9780511576706.015
14. Nicholas MK. When to refer to a pain clinic. Best Pract Res Clin Rheumatol. 2004;18(4):613-29.
15. Morlion B, Schäfer M, Betteridge N, Kalso E. Non-invasive patient-controlled analgesia in the management of acute postoperative pain in the hospital setting. Curr Med Rese Opin. 2018;34(7):1179-86. https://doi.org/10.1080/03007995.2018