Robinson, O.C. orcid.org/0000-0002-3171-4407, Pini, S., Flemming, K. et al. (9 more authors) (2023) Exploration of pain assessment and management processes in oncology outpatient services with healthcare professionals: a qualitative study. BMJ Open, 13 (12). e078619. e078619-e078619. ISSN 2044-6055
Abstract
<jats:sec><jats:title>Objectives</jats:title><jats:p>This study explored cancer pain management practices and clinical care pathways used by healthcare professionals (HCPs) to understand the barriers and facilitators for standardised pain management in oncology outpatient services (OS).</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Data were collected using semistructured interviews that were audio-recorded and transcribed. The data were analysed using thematic analysis.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>Three NHS trusts with oncology OS in Northern England.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>Twenty HCPs with varied roles (eg, oncologist and nurse) and experiences (eg, registrar and consultant) from different cancer site clinics (eg, breast and lung). Data were analysed using thematic analysis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>HCPs discussed cancer pain management practices during consultation and supporting continuity of care beyond consultation. Key findings included : (1) HCPs’ level of clinical experience influenced pain assessments; (2) remote consulting impeded experienced HCPs to do detailed pain assessments; (3) diffusion of HCP responsibility to manage cancer pain; (4) nurses facilitated pain management support with patients and (5) continuity of care for pain management was constrained by the integration of multidisciplinary teams.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>These data demonstrate HCP cancer pain management practices varied and were unstructured. Recommendations are made for a standardised cancer pain management intervention: (1) detailed evaluation of pain with a tailored self-management strategy; (2) implementation of a structured pain assessment that supports remote consultations, (3) pain assessment tool that can support both experienced and less experienced clinicians. These findings will inform the development of a cancer pain management tool to integrate within routine oncology OS.</jats:p></jats:sec>
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | Humans; Neoplasms; Pain; Pain Measurement; Ambulatory Care; Qualitative Research; Health Personnel; Delivery of Health Care |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Primary Care (Leeds) |
Funding Information: | Funder Grant number Yorkshire Cancer Research Account Ref: 2UOLEEDS L428 |
Depositing User: | Symplectic Publications |
Date Deposited: | 09 Jan 2024 16:04 |
Last Modified: | 09 Jan 2024 16:04 |
Published Version: | http://dx.doi.org/10.1136/bmjopen-2023-078619 |
Status: | Published |
Publisher: | BMJ |
Identification Number: | 10.1136/bmjopen-2023-078619 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:207378 |