Post-surgical pain management among adult cancer patients in a multidisciplinary surgical unit: a best practice implementation project

Feruza Saduyeva, Zhuldyz Kuanysh, Jamilya Zainulina, Ainash Sadvokassova, Alma Syzdykova, Anargul Kuntuganova, Dmitriy Viderman, Paolo C. Colet

2025

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DOI 10.1097/xeb.0000000000000529
Data confidence 85 high
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Abstract

OBJECTIVE: The study aimed to improve post-surgical pain management among adult cancer patients in a multidisciplinary surgical unit in Kazakhstan. METHODS: The study followed the JBI Evidence Implementation Framework and was conceptually guided by the JBI Model of Evidence-Based Healthcare. Eight audit criteria were used to assess compliance with best practices in a baseline audit. JBI's Getting Research into Practice (GRiP) approach was used to identify barriers and strategies for improvement. A follow-up audit measured any improvements in compliance with the recommended practices. RESULTS: In the follow-up audit, increased compliance was noted for Criterion 7 (0% to 96.03%). Similarly, increased compliance was noted for Criteria 2 to 6. Criterion 8 scored 100% at both baseline and follow-up. However, Criterion 1 scored 0% compliance in both audit cycles. CONCLUSIONS: This study demonstrated a modest improvement in compliance with best practices for post-surgical pain management among adult cancer patients in a multidisciplinary surgical unit. Despite our efforts to improve the unit's practices through training, pre-operative patient education, patient documentation records, and interprofessional collaboration, Criterion 1 received 0% compliance. Our findings highlight the need for a multimodal post-surgical pain management approach incorporating policy change, resource allocation, and dedicated pain management specialists. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A402.