COLLABORATING TO DEVELOP EVIDENCE-BASED SYMPTOM MANAGEMENT GUIDELINES IN A COMMUNITY ONCOLOGY PRACTICE

2.50
Hdl Handle:
http://hdl.handle.net/10755/165119
Category:
Abstract
Type:
Presentation
Title:
COLLABORATING TO DEVELOP EVIDENCE-BASED SYMPTOM MANAGEMENT GUIDELINES IN A COMMUNITY ONCOLOGY PRACTICE
Author(s):
Scholl, Miriam; Purl, Sandy; Barbour, Laurel; Gibbs, Maureen; Mardjetko, Beth; Dillon, Abigail; Dy, Rossini
Author Details:
Miriam Scholl, RN MSN, Aim Higher program coordinator, Oncology Specialists, Park Ridge, Illinois, USA, email: mscholl@oncmed.net; Sandy Purl, RN, MS, AOCN; Laurel Barbour, RN, MS, AOCN; Maureen Gibbs, RN, MS, NP; Mary Beth Mardjetko, RN, MN; Abigail Dillon, RN, BSN, OCN; Rossini Dy, PharmD
Abstract:
Many patients have problems with symptoms related to cancer treatment despite significant advances in supportive care options. The literature suggests that new knowledge is inconsistently applied in the clinical setting. One strategy for improving this situation is the implementation of evidence-based symptom management guidelines. Oncology Specialists is part of the AIM Higher Initiative, designed to aid in the assessment, information provision, and management of cancer treatment-related symptoms. We are a 10-physician community oncology private practice with 3 locations in the north and northwest suburbs of Chicago, each of which utilizes a primary nursing model. The purpose of this quality-improvement project was to standardize the assessment, education, management, and documentation of symptoms in our practice through the use of evidence-based practice (EBP) guidelines. A Chemotherapy and Biotherapy-Induced Nausea and Vomiting (CBINV) guideline was the first to be developed and became the template for other symptom guidelines. Our process began with a literature review and the development of a multidisciplinary task force. The National Comprehensive Cancer Network (NCCN) (v. 1.2006) and the Multinational Association of Supportive Care in Cancer (MASCC) (2004) guidelines provided EBP data to update the practice's previous CBINV guidelines (written in 1998 and first updated in 2003). A baseline chart audit was performed to assess adherence with and effectiveness of the practice's previous CBINV guidelines. Data from the chart audit revealed there was an inconsistent and inadequate nursing standard for assessing, educating, managing, and documenting CBINV. The anticipated outcome of this project is improved symptom management for nausea and vomiting as well as greater adherence to the practice's new CBINV guidelines. Chart audit data will be collected six months post implementation of the CBINV pocket guide. Evidence-based guidelines are tools that empower clinicians to make appropriate decisions. We used a collaborative approach to develop guidelines for CBINV and subsequently for diarrhea, constipation, and hypersensitivity reactions.
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.titleCOLLABORATING TO DEVELOP EVIDENCE-BASED SYMPTOM MANAGEMENT GUIDELINES IN A COMMUNITY ONCOLOGY PRACTICEen_GB
dc.contributor.authorScholl, Miriamen_US
dc.contributor.authorPurl, Sandyen_US
dc.contributor.authorBarbour, Laurelen_US
dc.contributor.authorGibbs, Maureenen_US
dc.contributor.authorMardjetko, Bethen_US
dc.contributor.authorDillon, Abigailen_US
dc.contributor.authorDy, Rossinien_US
dc.author.detailsMiriam Scholl, RN MSN, Aim Higher program coordinator, Oncology Specialists, Park Ridge, Illinois, USA, email: mscholl@oncmed.net; Sandy Purl, RN, MS, AOCN; Laurel Barbour, RN, MS, AOCN; Maureen Gibbs, RN, MS, NP; Mary Beth Mardjetko, RN, MN; Abigail Dillon, RN, BSN, OCN; Rossini Dy, PharmDen_US
dc.identifier.urihttp://hdl.handle.net/10755/165119-
dc.description.abstractMany patients have problems with symptoms related to cancer treatment despite significant advances in supportive care options. The literature suggests that new knowledge is inconsistently applied in the clinical setting. One strategy for improving this situation is the implementation of evidence-based symptom management guidelines. Oncology Specialists is part of the AIM Higher Initiative, designed to aid in the assessment, information provision, and management of cancer treatment-related symptoms. We are a 10-physician community oncology private practice with 3 locations in the north and northwest suburbs of Chicago, each of which utilizes a primary nursing model. The purpose of this quality-improvement project was to standardize the assessment, education, management, and documentation of symptoms in our practice through the use of evidence-based practice (EBP) guidelines. A Chemotherapy and Biotherapy-Induced Nausea and Vomiting (CBINV) guideline was the first to be developed and became the template for other symptom guidelines. Our process began with a literature review and the development of a multidisciplinary task force. The National Comprehensive Cancer Network (NCCN) (v. 1.2006) and the Multinational Association of Supportive Care in Cancer (MASCC) (2004) guidelines provided EBP data to update the practice's previous CBINV guidelines (written in 1998 and first updated in 2003). A baseline chart audit was performed to assess adherence with and effectiveness of the practice's previous CBINV guidelines. Data from the chart audit revealed there was an inconsistent and inadequate nursing standard for assessing, educating, managing, and documenting CBINV. The anticipated outcome of this project is improved symptom management for nausea and vomiting as well as greater adherence to the practice's new CBINV guidelines. Chart audit data will be collected six months post implementation of the CBINV pocket guide. Evidence-based guidelines are tools that empower clinicians to make appropriate decisions. We used a collaborative approach to develop guidelines for CBINV and subsequently for diarrhea, constipation, and hypersensitivity reactions.en_GB
dc.date.available2011-10-27T12:12:51Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:12:51Z-
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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