Implementation of cancer pain management guidelines in an ambulatory setting: a best practice implementation project

JBI Evid Implement. 2026 Mar 25. doi: 10.1097/XEB.0000000000000575. Online ahead of print.

ABSTRACT

INTRODUCTION: The management of cancer pain requires specific knowledge and skills from health professionals.

OBJECTIVES: The aim of this project was to improve compliance with best practices for the management of cancer pain in outpatients at an oncology center of a philanthropic hospital in São Paulo.

METHODS: This project was based on the evidence implementation methodology proposed by JBI. The JBI approach comprises a baseline audit, analysis of barriers, tailored strategies, and follow-up audit to assess impact and sustainability.

RESULTS: The baseline audit included 34 patients and 45 health care professionals. Eight criteria were assessed, with two showing high compliance and the remaining six showing low compliance. Following the implementation of improvement strategies, a follow-up audit was conducted with 59 patients and 45 health care professionals. The audit revealed improved compliance of >50% for seven of the eight audited criteria.

CONCLUSIONS: The use of JBI's implementation framework improved compliance with recommendations for cancer pain as well as identifying new opportunities for the sustainability of best practices. These findings reinforce the importance of structured methodologies for better pain relief implementation.

SPANISH ABSTRACT: http://links.lww.com/IJEBH/A534.

PMID:41879357 | DOI:10.1097/XEB.0000000000000575