Kasasbeh Mohammed Ali Mohammed, McCabe Catherine, Payne Sheila
Connolly Hospital Blanchardstown, Dublin 15, Ireland.
School of Nursing & Midwifery, Trinity College Dublin, Dublin 2, Ireland.
J Clin Nurs. 2017 Nov;26(21-22):3430-3441. doi: 10.1111/jocn.13709. Epub 2017 Mar 2.
To evaluate the efficacy of action learning for improving cancer related pain management in the acute healthcare settings.
Despite the prevalent use of action learning in private, public, clinical and non-clinical settings, no studies were found in the literature that either examined cancer pain management or used action learning as an approach to improve patient care in acute healthcare settings.
An intervention pre - posttest design was adopted using an action learning programme (ALPs) as the intervention. Healthcare professionals' knowledge, attitudes and practice were assessed and evaluated before and after the implementation of the six-month ALPs. A pre and post audit and survey were conducted for data collection. The data were collected from the entire population of 170 healthcare professionals in one healthcare organisation.
The management of cancer related pain improved significantly following the intervention. Significant improvement were also seen in healthcare professionals' knowledge, attitudes with improved cancer related pain management as a consequence of this.
Despite many organisational challenges to practice development and collaborative working in healthcare settings there is evidence that action learning can achieve positive outcomes for improving CRP and supporting collaborative working.
Action learning needs to be considered as a strategy for achieving high quality standards.
评估行动学习法在改善急性医疗环境中癌症相关疼痛管理方面的效果。
尽管行动学习法在私人、公共、临床和非临床环境中广泛应用，但文献中未发现有研究考察癌症疼痛管理或使用行动学习法作为改善急性医疗环境中患者护理的方法。
采用干预前后测试设计，将行动学习项目（ALPs）作为干预措施。在实施为期六个月的ALPs前后，对医疗专业人员的知识、态度和实践进行评估。通过前后审核和调查收集数据。数据收集自一个医疗组织中的170名医疗专业人员。
干预后，癌症相关疼痛的管理有显著改善。医疗专业人员的知识、态度也有显著改善，从而改善了癌症相关疼痛的管理。
尽管在医疗环境中实践发展和协作工作面临诸多组织挑战，但有证据表明行动学习法在改善癌症相关疼痛管理和支持协作工作方面可取得积极成果。
行动学习法应被视为实现高质量标准的一种策略。
