Type of clinical outcomes used by healthcare professionals to evaluate health-related quality of life domains to inform clinical decision making for chronic pain management

Zidarov, Diana; Visca, Regina; Ahmed, Sara

doi:10.1007/s11136-019-02215-8

Cited by 8 publications

(11 citation statements)

References 39 publications

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“…In addition, another concept that has become widespread in recent years in relation to the state of health of individuals is Health-Related Quality of Life (HRQoL) [12]. This concept refers to the assessment of individuals' perceived health, including both objective and subjective aspects [13] of their physical, psychological, social and spiritual well-being [14]. HRQoL is a multidimensional concept, which consists of variables from the physical, mental, social and cultural contexts [15].…”

Section: Introductionmentioning

confidence: 99%

“…This results in reduced HRQoL, which, in turn, results in a reduction in the quality of patient care [17]. According to the existing literature, several components have been assessed and classified as unfavourable by professionals [18], indicating that they may have consequences for the professionals' perception of their HRQoL [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. These components include characteristics of their work environment (shift, employment status, setting), work-related stress [20], and sociodemographic factors affecting them, such as age, marital status, years of work experience and particularly gender [21].…”

Section: Introductionmentioning

confidence: 99%

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Occupational Factors Associated with Health-Related Quality of Life in Nursing Professionals: A Multi-Centre Study

Fernández

Ortega‐Galán

Fernández‐Sola

et al. 2020

IJERPH

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Background: Nursing professionals are exposed to stressful situations arising from the work context that may affect health-related quality of life (HRQoL). The objective of this study was to analyse the relationship between sociodemographic and work-related variables regarding HRQoL in nursing professionals. Methods: A multi-centre, cross-sectional descriptive design was used. The participants consisted 1521 nurses working in healthcare centres, in both primary care and hospital care, in the eight provinces of the Andalusian Public Health System (APHS), Spain. Sociodemographic and work-related variables were analysed: Compassion fatigue, compassion satisfaction and burnout were measured using the professional quality of life questionnaire (ProQOL), and HRQoL was measured using the SF-12 health questionnaire. Results: Compassion fatigue, burnou, and, to a lesser extent, compassion satisfaction significantly influence the physical and mental components of HRQoL. The simple regression analysis showed that burnout and compassion fatigue were significantly associated with the mental component of HRQoL. Gender influenced the mental component of HRQoL. The rest of the sociodemographic and work-related variables were not significantly related to HRQoL. Conclusion: Work-related stress and repeated contact with situations of suffering influence HRQoL. Health systems must implement programmes to increase the emotional well-being of workers.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Occupational Factors Associated with Health-Related Quality of Life in Nursing Professionals: A Multi-Centre Study

Fernández

Ortega‐Galán

Fernández‐Sola

et al. 2020

IJERPH

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“…Patient-Reported Outcome Measures (PROMs) enable clinicians to incorporate the patient voice in evaluating the impact of their health condition on their function and health-related quality of life (HRQL), [ 7 – 9 ] and in optimizing treatment planning. There is evidence to support that PROMs are necessary to capture outcomes that are meaningful to individuals with chronic pain and to support a patient-centred care approach [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Prospective application of implementation science theories and frameworks to inform use of PROMs in routine clinical care within an integrated pain network

et al. 2020

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Purpose The objective of this study is to present the implementation science approaches that were used before implementing electronic patient-reported outcome measures (ePROMs) across an integrated chronic pain network that includes primary, rehabilitation, and hospital-based care. Methods The Theoretical Domains Framework (TDF) was used to identify potential barriers and enablers to the use of ePROMS by primary care clinicians. In rehabilitation and tertiary care, the Consolidated Framework for Implementation (CFIR) was used to guide the identification of determinants of implementations, through observation of workflow, patient and clinician surveys, and clinician interviews. A mixed-method concurrent design comprising a quantitative and qualitative analysis was used. The results were reviewed by a steering committee to iteratively inform the ePROM implementation plan. The Proctor framework of evaluation was used to guide the development of an evaluation plan for the implementation of ePROMs in the integrated chronic pain network. Results Both frameworks provided similar results with respect to healthcare provider knowledge, behaviour, and experience interpreting PROM scores. The TDF and CFIR frameworks differed in identifying organizational-level determinants. The resultant implementation plan was structured around the adoption of PROMs to inform individual treatment planning and quality improvement. The evaluation plan focused on implementation and impact outcomes to evaluate the ePROM intervention. Conclusions The TDF and CFIR guided the development of a multi-component knowledge translation and training intervention that will address multiple gaps and barriers to implementation of PROMs across the integrated network. The ePROM intervention will aim to increase clinicians' knowledge and skills and foster best practices.

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“…Primary care physicians see patients with chronic pain longitudinally over time [50], so are well placed to recognize functional deterioration. However, as is evident from our survey results, their ability to formally assess functional deterioration is hampered by insufficient pain education [36] and lack of consensus on how to address the patients' overall function (physical and psychosocial) using standardized assessment tools [51].…”

Section: Discussionmentioning

confidence: 99%

Unmet Needs in the Management of Functional Impairment in Patients with Chronic Pain: A Multinational Survey

Karra

Holten-Rossing²,

Mohammed³

et al. 2020

Pain Manag.

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Background: A survey of European Pain Federation 2019 attendees was conducted to identify unmet needs in chronic pain patients. Materials & methods: Four questions were asked focusing on functional impairment in chronic pain, including who are at increased risk and ways to better identify and manage these patients. Results: In total 143 respondents indicated that key issues were lack of knowledge, lack of resources/time to assess and manage chronic pain and lack of sufficient tools to identify patients at risk for functional impairment. Education and training of primary care physicians, simplified guidelines and practical tools for assessment and use of multidisciplinary teams to treat chronic pain were recommended. Conclusion: There are many unmet needs in the management of functional impairment in chronic pain patients.

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Type of clinical outcomes used by healthcare professionals to evaluate health-related quality of life domains to inform clinical decision making for chronic pain management

Cited by 8 publications

References 39 publications

Occupational Factors Associated with Health-Related Quality of Life in Nursing Professionals: A Multi-Centre Study

Occupational Factors Associated with Health-Related Quality of Life in Nursing Professionals: A Multi-Centre Study

Prospective application of implementation science theories and frameworks to inform use of PROMs in routine clinical care within an integrated pain network

Unmet Needs in the Management of Functional Impairment in Patients with Chronic Pain: A Multinational Survey

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