Development and Evaluation of Care Guideline in Jejunostomy for Esophageal Cancer Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/152975
Type:
Presentation
Title:
Development and Evaluation of Care Guideline in Jejunostomy for Esophageal Cancer Patients
Abstract:
Development and Evaluation of Care Guideline in Jejunostomy for Esophageal Cancer Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Chang, Yu-Jen, MS, RN
P.I. Institution Name:Taipei Veterans General Hospital
Title:RN
Co-Authors:Yu-Chu Pai , Reducing the Infectious Wastes of an Intensive Care Unit by Job
Shin-shang Chou RN, MSN, MBA, Nursing Supervisor
Shu-Chen Liao , Assist Head Nurse
Hui-Wen Huang BS, Assistant Head Nurse
[22nd International Nursing Research Congress - Evidence-based Practice Presentation] Background: Jejunostomy was often constructed to provide nutrition for esophageal cancer patients with difficulties in oral intake. However, complications including diarrhea, occlusion, and skin erosion were often accompanied with jejunostomy and significantly affect the quality of life in patients. Objective: The aim of the study was to develop Taiwan clinical guideline for esophageal cancer patients with jejunostomy. Methods: Evidence-based methodologies included comprehensive systematic review, focus group with clinical experts and questionnaire survey with professionals. Results: The established guideline for jejunostomy care was constructed with 55items and was based on one clinical guideline(grade of recommendation: A), one randomized control trail(level of evidence: 2) and three relevant literatures. The guidelines comprised standards and notices of jejunostomy feeding, including feeding process assessments (22 items), monitors of complications(6 items), infection control(3 items) and prevention of tube occlusion(3 items). It also contained principles of timing, formula and rate control for initial feeding(9 items), drug administration(5 items), wound care(4 items) and documentation(3 items). Two focus groups were held to validate its cultural acceptance and meaningfulness. Ninety-eight percent of the 24 experts reached a consensus and gave suggestions on the details of practice. A questionnaire survey was conducted to assess the guideline feasibility in clinical setting. Ninety-two percent of the 240 staff nurses in the survey agreed with the guidelines. Conclusion: The study integrated literature reviews, clinical guidelines, consensus of interprofessional experts and clinical care providers to successfully establish the care guideline of Taiwan for esophageal cancer patients with jejunostomy, might provide a current best practice guideline for improving the quality of jejunostomy care delivering in Taiwan.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment and Evaluation of Care Guideline in Jejunostomy for Esophageal Cancer Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152975-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Evaluation of Care Guideline in Jejunostomy for Esophageal Cancer Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chang, Yu-Jen, MS, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Taipei Veterans General Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">RN</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">yjchang9@vghtpe.gov.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Yu-Chu Pai , Reducing the Infectious Wastes of an Intensive Care Unit by Job<br/>Shin-shang Chou RN, MSN, MBA, Nursing Supervisor<br/>Shu-Chen Liao , Assist Head Nurse<br/>Hui-Wen Huang BS, Assistant Head Nurse</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Evidence-based Practice Presentation] Background: Jejunostomy was often constructed to provide nutrition for esophageal cancer patients with difficulties in oral intake. However, complications including diarrhea, occlusion, and skin erosion were often accompanied with jejunostomy and significantly affect the quality of life in patients. Objective: The aim of the study was to develop Taiwan clinical guideline for esophageal cancer patients with jejunostomy. Methods: Evidence-based methodologies included comprehensive systematic review, focus group with clinical experts and questionnaire survey with professionals. Results: The established guideline for jejunostomy care was constructed with 55items and was based on one clinical guideline(grade of recommendation: A), one randomized control trail(level of evidence: 2) and three relevant literatures. The guidelines comprised standards and notices of jejunostomy feeding, including feeding process assessments (22 items), monitors of complications(6 items), infection control(3 items) and prevention of tube occlusion(3 items). It also contained principles of timing, formula and rate control for initial feeding(9 items), drug administration(5 items), wound care(4 items) and documentation(3 items). Two focus groups were held to validate its cultural acceptance and meaningfulness. Ninety-eight percent of the 24 experts reached a consensus and gave suggestions on the details of practice. A questionnaire survey was conducted to assess the guideline feasibility in clinical setting. Ninety-two percent of the 240 staff nurses in the survey agreed with the guidelines. Conclusion: The study integrated literature reviews, clinical guidelines, consensus of interprofessional experts and clinical care providers to successfully establish the care guideline of Taiwan for esophageal cancer patients with jejunostomy, might provide a current best practice guideline for improving the quality of jejunostomy care delivering in Taiwan.</td></tr></table>en_GB
dc.date.available2011-10-26T11:57:22Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:57:22Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.