Development and Implementation of a Unit-Based Program for the Management of the Esophagectomy Patient with Cancer

2.50
Hdl Handle:
http://hdl.handle.net/10755/164824
Category:
Abstract
Type:
Presentation
Title:
Development and Implementation of a Unit-Based Program for the Management of the Esophagectomy Patient with Cancer
Author(s):
Taubert, Janet; Sequitin, Marilou; Kan, Lousia; Tanglao, Marites
Author Details:
Janet Taubert, RN, MSN , PCCN, Clinical Nurse Specialist, M.D. Anderson Cancer Center, Houston, Texas, USA, email: jtaubert@mdanderson.org; Marilou Sequitin, RN, BSN; Lousia Kan, RN, BSN, OCN, PCCN; Marites Tanglao, RN, BSN
Abstract:
Clinical/Evidence Based Practice: Patients with esophageal cancer who undergo an Esophageal Resection are a key patient population on our Progressive Care Cardiovascular Surgical (PCCS) Unit. In 2008, the National Cancer Institute identified 16,470 new cases of esophageal cancer and 14,280 deaths. Esophageal Resection, a modality for the treatment of esophageal cancer, carries a significant risk of mortality and morbidity, along with multiple potential complications. Through the care, knowledge, and management of these patients by the oncology nurse using evidence-based practice, the risks associated with this surgery can be managed, minimized, and sometimes prevented. The goal of our program was to provide nursing education, development of unit-based guidelines, and the delivery of consistent, cost-effective, and comprehensive nursing care utilizing an evidence-based approach for the management of the postesophagectomy patient. Our first step was to assess our nurses' baseline knowledge using a written examination, focusing on areas of anatomy, assessment skills, interventions, and critical thinking with esophagectomy care. Our group examined the evidence and developed a Power Point Presentation, "Management of The Esophagectomy Patient," which was electronically sent to all of the nurses on our PCCS Unit. To evaluate the nurses' knowledge following these interventions, an Esophagectomy Jeopardy Game was developed in which all nurses participated. Our surgeons also played a role in re-education through in-services on various surgical approaches to esophageal resection and potential complications. A post-test to re-assess nurses' knowledge will be performed. Our pre-assessment scores of nursing knowledge, consisting of both years of experience with the esophagectomy patient and categories of clinical practice, demonstrated areas for improvement. In examining where nurses obtained their knowledge on esophagectomy care, 76% of the 46 nurses evaluated, identified receiving their information during orientation. The categories of both Interventions and Critical Thinking presented areas to improve upon for both nurses employed less than 1 year and nurses employed 2-4 years. A post-test will be performed. Through re-education, evidence-based guideline development, and collaboration with the multidisciplinary team, we are providing a consistent and effective practice for esophagectomy patients, focusing on prevention, early identification, and implementation of interventions for complications.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, 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.titleDevelopment and Implementation of a Unit-Based Program for the Management of the Esophagectomy Patient with Canceren_GB
dc.contributor.authorTaubert, Janeten_US
dc.contributor.authorSequitin, Marilouen_US
dc.contributor.authorKan, Lousiaen_US
dc.contributor.authorTanglao, Maritesen_US
dc.author.detailsJanet Taubert, RN, MSN , PCCN, Clinical Nurse Specialist, M.D. Anderson Cancer Center, Houston, Texas, USA, email: jtaubert@mdanderson.org; Marilou Sequitin, RN, BSN; Lousia Kan, RN, BSN, OCN, PCCN; Marites Tanglao, RN, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164824-
dc.description.abstractClinical/Evidence Based Practice: Patients with esophageal cancer who undergo an Esophageal Resection are a key patient population on our Progressive Care Cardiovascular Surgical (PCCS) Unit. In 2008, the National Cancer Institute identified 16,470 new cases of esophageal cancer and 14,280 deaths. Esophageal Resection, a modality for the treatment of esophageal cancer, carries a significant risk of mortality and morbidity, along with multiple potential complications. Through the care, knowledge, and management of these patients by the oncology nurse using evidence-based practice, the risks associated with this surgery can be managed, minimized, and sometimes prevented. The goal of our program was to provide nursing education, development of unit-based guidelines, and the delivery of consistent, cost-effective, and comprehensive nursing care utilizing an evidence-based approach for the management of the postesophagectomy patient. Our first step was to assess our nurses' baseline knowledge using a written examination, focusing on areas of anatomy, assessment skills, interventions, and critical thinking with esophagectomy care. Our group examined the evidence and developed a Power Point Presentation, "Management of The Esophagectomy Patient," which was electronically sent to all of the nurses on our PCCS Unit. To evaluate the nurses' knowledge following these interventions, an Esophagectomy Jeopardy Game was developed in which all nurses participated. Our surgeons also played a role in re-education through in-services on various surgical approaches to esophageal resection and potential complications. A post-test to re-assess nurses' knowledge will be performed. Our pre-assessment scores of nursing knowledge, consisting of both years of experience with the esophagectomy patient and categories of clinical practice, demonstrated areas for improvement. In examining where nurses obtained their knowledge on esophagectomy care, 76% of the 46 nurses evaluated, identified receiving their information during orientation. The categories of both Interventions and Critical Thinking presented areas to improve upon for both nurses employed less than 1 year and nurses employed 2-4 years. A post-test will be performed. Through re-education, evidence-based guideline development, and collaboration with the multidisciplinary team, we are providing a consistent and effective practice for esophagectomy patients, focusing on prevention, early identification, and implementation of interventions for complications.en_GB
dc.date.available2011-10-27T12:07:40Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:07:40Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, 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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