CREATIVE METHOD TO SUPPORT MULTIDISCIPLINARY EVIDENCE BASED PRACTICE IN ONCOLOGY

2.50
Hdl Handle:
http://hdl.handle.net/10755/165218
Category:
Abstract
Type:
Presentation
Title:
CREATIVE METHOD TO SUPPORT MULTIDISCIPLINARY EVIDENCE BASED PRACTICE IN ONCOLOGY
Author(s):
Delengowski, Anne
Author Details:
Anne Delengowski, RN, MSN, AOCN, Oncology Clinical Nurse Specialist, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA, email: anne.delengowski@mail.tju.edu
Abstract:
Evidence-based practice is the core of clinical practice in oncology today. Developing and coordinating these practices across disciplines in any large organization is a significant task. The need to assure the continuity of these practices to the care of the oncology patient is critical. In an attempt to drive evidence based practice across the oncology services, including BMT in a large urban hospital, the oncology nurses initiated and coordinated the development of a multidisciplinary group of professionals with the ongoing task of identifying, developing and implementing standards of care based on interdisciplinary evidence. The group began by identifying the most critical standard that crossed units and disciplines. It identified neutropenic fever as a standard. The group consisted of all disciplines involved in the care of the complicated population, including nurses from inpatient and outpatient areas, physicians from hematology/oncology, ED and infections disease. Pharmacist, nutritionist and representatives from the faculty of the school of nursing were included. In order to accomplish the purpose of developing interdisciplinary evidence-based standards, the group needed to question assumptions about present practices across all disciplines. The group was challenged to pull literature from all the different specialties. All group members' opinions were valued when supported by best evidence. Upon completion and agreement by the committee of the standard, it was then sent to the various hospital committees for final approval. The group has continued to develop standards that are high risk/ high volume issues that cross disciplines. Tumor Lysis syndrome and hypercalcemia were the next projects addressed by the group. In addition to the clinical value of the multidisciplinary evidence based practice, the unifying experience within the group has built mutual respect for the members, including the value of the opinion of each discipline. At the beginning of the process, each member brought certain beliefs and ingrained practices, acknowledging substantiation must be required to prove evidence based theory. The group is moving forward with a committed effort and dedication to seek more standardization in key areas of care. The future of clinical care rests on the strong foundation of the evidence we build today.
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.titleCREATIVE METHOD TO SUPPORT MULTIDISCIPLINARY EVIDENCE BASED PRACTICE IN ONCOLOGYen_GB
dc.contributor.authorDelengowski, Anneen_US
dc.author.detailsAnne Delengowski, RN, MSN, AOCN, Oncology Clinical Nurse Specialist, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA, email: anne.delengowski@mail.tju.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165218-
dc.description.abstractEvidence-based practice is the core of clinical practice in oncology today. Developing and coordinating these practices across disciplines in any large organization is a significant task. The need to assure the continuity of these practices to the care of the oncology patient is critical. In an attempt to drive evidence based practice across the oncology services, including BMT in a large urban hospital, the oncology nurses initiated and coordinated the development of a multidisciplinary group of professionals with the ongoing task of identifying, developing and implementing standards of care based on interdisciplinary evidence. The group began by identifying the most critical standard that crossed units and disciplines. It identified neutropenic fever as a standard. The group consisted of all disciplines involved in the care of the complicated population, including nurses from inpatient and outpatient areas, physicians from hematology/oncology, ED and infections disease. Pharmacist, nutritionist and representatives from the faculty of the school of nursing were included. In order to accomplish the purpose of developing interdisciplinary evidence-based standards, the group needed to question assumptions about present practices across all disciplines. The group was challenged to pull literature from all the different specialties. All group members' opinions were valued when supported by best evidence. Upon completion and agreement by the committee of the standard, it was then sent to the various hospital committees for final approval. The group has continued to develop standards that are high risk/ high volume issues that cross disciplines. Tumor Lysis syndrome and hypercalcemia were the next projects addressed by the group. In addition to the clinical value of the multidisciplinary evidence based practice, the unifying experience within the group has built mutual respect for the members, including the value of the opinion of each discipline. At the beginning of the process, each member brought certain beliefs and ingrained practices, acknowledging substantiation must be required to prove evidence based theory. The group is moving forward with a committed effort and dedication to seek more standardization in key areas of care. The future of clinical care rests on the strong foundation of the evidence we build today.en_GB
dc.date.available2011-10-27T12:14:36Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:14:36Z-
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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