2.50
Hdl Handle:
http://hdl.handle.net/10755/164727
Category:
Abstract
Type:
Presentation
Title:
NEUTROPENIA MANAGEMENT: USE OF A JOURNAL CLUB TO FORMAT CHANGE
Author(s):
O'Leary, Colleen; Holmes Gobel, Barbara; Vancura, Lesley
Author Details:
Colleen O'Leary, RN BSN OCN, RN Staff Educator, Chicago, Illinois, USA, email: coleary@nmh.org; Barbara Holmes Gobel, RN, MS, AOCN; Lesley Vancura, RN, MS, Northwestern Memorial Hospital, Chicago, Illinois
Abstract:
An evidence based neutropenia journal club was initiated to review current evidence regarding our institutional neutropenia management policies and procedures. The current precautions seemed overly restrictive for many patients, resulting in lower patient satisfaction and nurses questioning the restrictions. Three areas of care were identified to review: neutropenic diets, restriction of flowers, plants and balloons, and the use of masks by patients while out of their room. Journal articles from 1994 to 2004 were reviewed. Major gaps were identified as existing in evidence regarding nursing interventions in preventing and controlling infections in neutropenic patients. The role of diet in the development of infection in neutropenic patients was unclear. The review found little evidence for the restriction of plants, flowers, and balloons. There was no evidence that a neutropenic patient needed to wear a mask while out of their rooms as long as they remained on the unit that was hepa filtered. Practice changes were purposed to the existing neutropenic precautions policy based on current published evidence. These changes also correlate with the latest ONS Putting Evidence into Practice (PEP) guidelines. The changes included discontinuing the use of a neutropenic diets, allowing fresh flowers and plants as well as balloons for non-neutropenic patients (excluding the stem cell transplant unit), allowing silk flowers for neutropenic patients and discontinuation of masks for patients remaining on the unit. In order to make these practice changes, the proposals were taken through the nursing governance structure, patient care committee and medical executive committee. The outcome was that the neutropenic diet was discontinued with specific restrictions, patients would not be required to wear masks while on the unit, and silk flowers and balloons would be allowed in patient rooms. There has not been any increase in the number of negative events related to neutropenia. Patient satisfaction scores will be reviewed to verify an increase in satisfaction. Nurses involved in the process feel empowered to advocate for their patients based on evidence. Allowing nurses to identify nursing sensitive patient issues and giving them to the tools necessary to make change empowers them to provide the best possible care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, 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.titleNEUTROPENIA MANAGEMENT: USE OF A JOURNAL CLUB TO FORMAT CHANGEen_GB
dc.contributor.authorO'Leary, Colleenen_US
dc.contributor.authorHolmes Gobel, Barbaraen_US
dc.contributor.authorVancura, Lesleyen_US
dc.author.detailsColleen O'Leary, RN BSN OCN, RN Staff Educator, Chicago, Illinois, USA, email: coleary@nmh.org; Barbara Holmes Gobel, RN, MS, AOCN; Lesley Vancura, RN, MS, Northwestern Memorial Hospital, Chicago, Illinoisen_US
dc.identifier.urihttp://hdl.handle.net/10755/164727-
dc.description.abstractAn evidence based neutropenia journal club was initiated to review current evidence regarding our institutional neutropenia management policies and procedures. The current precautions seemed overly restrictive for many patients, resulting in lower patient satisfaction and nurses questioning the restrictions. Three areas of care were identified to review: neutropenic diets, restriction of flowers, plants and balloons, and the use of masks by patients while out of their room. Journal articles from 1994 to 2004 were reviewed. Major gaps were identified as existing in evidence regarding nursing interventions in preventing and controlling infections in neutropenic patients. The role of diet in the development of infection in neutropenic patients was unclear. The review found little evidence for the restriction of plants, flowers, and balloons. There was no evidence that a neutropenic patient needed to wear a mask while out of their rooms as long as they remained on the unit that was hepa filtered. Practice changes were purposed to the existing neutropenic precautions policy based on current published evidence. These changes also correlate with the latest ONS Putting Evidence into Practice (PEP) guidelines. The changes included discontinuing the use of a neutropenic diets, allowing fresh flowers and plants as well as balloons for non-neutropenic patients (excluding the stem cell transplant unit), allowing silk flowers for neutropenic patients and discontinuation of masks for patients remaining on the unit. In order to make these practice changes, the proposals were taken through the nursing governance structure, patient care committee and medical executive committee. The outcome was that the neutropenic diet was discontinued with specific restrictions, patients would not be required to wear masks while on the unit, and silk flowers and balloons would be allowed in patient rooms. There has not been any increase in the number of negative events related to neutropenia. Patient satisfaction scores will be reviewed to verify an increase in satisfaction. Nurses involved in the process feel empowered to advocate for their patients based on evidence. Allowing nurses to identify nursing sensitive patient issues and giving them to the tools necessary to make change empowers them to provide the best possible care.en_GB
dc.date.available2011-10-27T12:05:52Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:05:52Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, 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.-
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