2.50
Hdl Handle:
http://hdl.handle.net/10755/164083
Category:
Abstract
Type:
Presentation
Title:
Using Best Practices in a Clinical Guideline for Sickle Cell Anemia
Author(s):
Hanes, Deborah
Author Details:
Deborah Hanes, MSN, RN, CNS, CNP, The Ohio State University Comprehensive Cancer Center - The James Cancer Hospital, Columbus, Indiana, USA, email: deborah.hanes@osumc.edu
Abstract:
PURPOSE/OBJECTIVES: A quality improvement project was undertaken to improve communication and pain control in hospitalized patients with sickle cell anemia pain episode. A clinical guideline was developed and outcomes identified. The guideline was to provide a source of evidenced based, consistent interventions for healthcare providers. Following implementation, outcomes were analyzed. Several outcomes reached statistical significance. SIGNIFICANCE: Using an evidenced based clinical guideline can aid in standardizing care of patients, facilitating communication and improving care, particularly when several medical specialties are involved. BACKGROUND/RATIONALE: The care of sickle cell patients in a large academic medical center comprehensive cancer hospital was inconsistent and fragmented. Patients complained of unrelieved pain and poor communication. Healthcare providers were frustrated. DESCRIPTION: The Clinical Nurse Specialist (CNS) proposed and facilitated a quality improvement process in the form of a clinical guideline. The interdisciplinary healthcare team developed a clinical guideline based on National Heart Lung Blood Institute and The American Pain Society Guidelines on the care of sickle cell patients. Outcomes were identified. Data was compared with other medical surgical hospitals as well as other cancer hospitals. OUTCOME: Outcomes included a decrease in the time to first dose of opioid following admission, a decrease in the variance of length of stay, and an increase in the utilization of pain and palliative medicine consults. INTERPRETATION/CONCLUSION: Outcomes following the implementation of a clinical guideline were positive. Some outcomes reached statistical significance. IMPLICATIONS FOR PRACTICE: Clinical guidelines, developed with interdisciplinary input, are useful tools for standardizing patient care, providing evidenced based treatment information to healthcare providers and optimizing patient outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUsing Best Practices in a Clinical Guideline for Sickle Cell Anemiaen_GB
dc.contributor.authorHanes, Deborahen_US
dc.author.detailsDeborah Hanes, MSN, RN, CNS, CNP, The Ohio State University Comprehensive Cancer Center - The James Cancer Hospital, Columbus, Indiana, USA, email: deborah.hanes@osumc.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/164083-
dc.description.abstractPURPOSE/OBJECTIVES: A quality improvement project was undertaken to improve communication and pain control in hospitalized patients with sickle cell anemia pain episode. A clinical guideline was developed and outcomes identified. The guideline was to provide a source of evidenced based, consistent interventions for healthcare providers. Following implementation, outcomes were analyzed. Several outcomes reached statistical significance. SIGNIFICANCE: Using an evidenced based clinical guideline can aid in standardizing care of patients, facilitating communication and improving care, particularly when several medical specialties are involved. BACKGROUND/RATIONALE: The care of sickle cell patients in a large academic medical center comprehensive cancer hospital was inconsistent and fragmented. Patients complained of unrelieved pain and poor communication. Healthcare providers were frustrated. DESCRIPTION: The Clinical Nurse Specialist (CNS) proposed and facilitated a quality improvement process in the form of a clinical guideline. The interdisciplinary healthcare team developed a clinical guideline based on National Heart Lung Blood Institute and The American Pain Society Guidelines on the care of sickle cell patients. Outcomes were identified. Data was compared with other medical surgical hospitals as well as other cancer hospitals. OUTCOME: Outcomes included a decrease in the time to first dose of opioid following admission, a decrease in the variance of length of stay, and an increase in the utilization of pain and palliative medicine consults. INTERPRETATION/CONCLUSION: Outcomes following the implementation of a clinical guideline were positive. Some outcomes reached statistical significance. IMPLICATIONS FOR PRACTICE: Clinical guidelines, developed with interdisciplinary input, are useful tools for standardizing patient care, providing evidenced based treatment information to healthcare providers and optimizing patient outcomes.en_GB
dc.date.available2011-10-27T11:41:43Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:43Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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