Cancer-Related Pain Management in Suitable Intrathecal Therapy Candidates: A Spanish Multidisciplinary Expert Consensus.

A consensus is needed among healthcare professionals involved in easing oncological pain in patients who are suitable candidates for intrathecal therapy. A Delphi consultation was conducted, guided by a multidisciplinary scientific committee. The 18-item study questionnaire was designed based on a literature review together with a discussion group. The first-round questionnaire assessed experts' opinion of the current general practice, as well as their recommendation and treatment feasibility in the near future (2-3-year period) using a 9-point Likert scale. Items for which consensus was not achieved were included in a second round. Consensus was defined as ≥75% agreement (1-3 or 7-9). A total of 67 panelists (response rate: 63.2%) and 62 (92.5%) answered the first and second Delphi rounds, respectively. The participants were healthcare professionals from multiple medical disciplines who had an average of 17.6 (7.8) years of professional experience. A consensus was achieved on the recommendations (100%). The actions considered feasible to implement in the short term included effective multidisciplinary coordination, improvement in communication among the parties, and an assessment of patient satisfaction. Efforts should focus on overcoming the barriers identified, eventually leading to the provision of more comprehensive care and consideration of the patient's perspective.

Tiempos estimados en las intervenciones de enfermería a domicilio: validación y consenso / Estimated times in home care services: validation and consensus

Este estudio presenta una validación en el contexto español de las intervenciones enfermeras que se llevan a cabo en el domicilio del paciente en atención primaria en el IMSALUDMadrid. Para ello, se ha utilizado la técnica del grupo nominal y el método Delphi, y se han empleado 2 paneles de expertos y 3 rondas de consulta. Se ha alcanzado la validación en 192 intervenciones de las 271 seleccionadas por el grupo nominal. No se ha alcanzado un consenso sobre los tiempos estimados para su realización (AU)