IMPLEMENTATION OF AN EVIDENCE BASED ORAL CARE GUIDELINE CHANGES PRACTICE AT A NCI-DESIGNATED CANCER CENTER

2.50
Hdl Handle:
http://hdl.handle.net/10755/165308
Category:
Abstract
Type:
Presentation
Title:
IMPLEMENTATION OF AN EVIDENCE BASED ORAL CARE GUIDELINE CHANGES PRACTICE AT A NCI-DESIGNATED CANCER CENTER
Author(s):
Stricker, Carrie; Sullivan, Jacqueline
Author Details:
Carrie Stricker, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA; Jacqueline Sullivan, PhD, RN
Abstract:
Mucositis is one of the most common and significant side effects of cancer therapy, occuring in 80% of high-risk populations such as head/neck radiotherapy and stem-cell transplant (SCT). The purpose of this project was to synthesize into a clinical practice guideline (CPG) the contemporary evidence on prevention and management of oral mucositis in cancer patients undergoing chemotherapy, head and neck radiotherapy, and hematopoetic stem cell transplant, and evaluate the impact of this CPG on both nursing and physician practices and patient care outcomes in radiation oncology and inpatient oncology/SCT at a northeastern US NCI-designated comprehensive cancer center. A multidisciplinary workgroup composed of staff nurses, nurse practitioners, medical oncologists, oral medicine, and an academic nurse researcher was convened to synthesize the contemporary evidence into a CPG and direct the implementation and evaluation of the evidence based CPG. A quasi-experimental pre-test/post-test design was undertaken to measure significant changes in provider and patient- specific outcomes. Provider outcomes included 1) inpatient and radiation oncology staff nurse knowledge of evidence-based oral care practices (n = 35 pretest, n = 29 posttest), measured by an investigator developed, expert content-validated questionnaire, and 2) physician house staff/inpatient nurse practitioner (NP) oral care ordering practices (33 patients pretest, 34 posttest) evaluated by retrospective chart review. Patient outcomes included 1) oral mucositis measured by the Oral Assessment Guide (Eilers, 1988) and 2) oral pain measured by the Brief Pain Inventory (Cleeland et al., 1982). The multidisciplinary implementation of the CPG had a significant effect on staff nurse knowledge and physician/NP oral care orders. While pre-implementation testing described the incidence and timing of oral complications, the effect of the CPG on patient care outcomes was unable to be determined due to the introduction of a clinical trial with potential to increase oral mucositis between pre-test and post-test timepoints. The multidisciplinary development and implementation of an evidence-based oncology oral care clinical practice guideline significantly changed the mucositis prevention and management practices at a NCI-designated comprehensive cancer center. Not only can these oral care guidelines be applied to other practices to improve oncology care, but this model of evidence-based practice can guide the development, implementation, and evaluation of other guidelines for evidence-based oncology practice.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
30th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Orlando, Florida, 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.titleIMPLEMENTATION OF AN EVIDENCE BASED ORAL CARE GUIDELINE CHANGES PRACTICE AT A NCI-DESIGNATED CANCER CENTERen_GB
dc.contributor.authorStricker, Carrieen_US
dc.contributor.authorSullivan, Jacquelineen_US
dc.author.detailsCarrie Stricker, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA; Jacqueline Sullivan, PhD, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/165308-
dc.description.abstractMucositis is one of the most common and significant side effects of cancer therapy, occuring in 80% of high-risk populations such as head/neck radiotherapy and stem-cell transplant (SCT). The purpose of this project was to synthesize into a clinical practice guideline (CPG) the contemporary evidence on prevention and management of oral mucositis in cancer patients undergoing chemotherapy, head and neck radiotherapy, and hematopoetic stem cell transplant, and evaluate the impact of this CPG on both nursing and physician practices and patient care outcomes in radiation oncology and inpatient oncology/SCT at a northeastern US NCI-designated comprehensive cancer center. A multidisciplinary workgroup composed of staff nurses, nurse practitioners, medical oncologists, oral medicine, and an academic nurse researcher was convened to synthesize the contemporary evidence into a CPG and direct the implementation and evaluation of the evidence based CPG. A quasi-experimental pre-test/post-test design was undertaken to measure significant changes in provider and patient- specific outcomes. Provider outcomes included 1) inpatient and radiation oncology staff nurse knowledge of evidence-based oral care practices (n = 35 pretest, n = 29 posttest), measured by an investigator developed, expert content-validated questionnaire, and 2) physician house staff/inpatient nurse practitioner (NP) oral care ordering practices (33 patients pretest, 34 posttest) evaluated by retrospective chart review. Patient outcomes included 1) oral mucositis measured by the Oral Assessment Guide (Eilers, 1988) and 2) oral pain measured by the Brief Pain Inventory (Cleeland et al., 1982). The multidisciplinary implementation of the CPG had a significant effect on staff nurse knowledge and physician/NP oral care orders. While pre-implementation testing described the incidence and timing of oral complications, the effect of the CPG on patient care outcomes was unable to be determined due to the introduction of a clinical trial with potential to increase oral mucositis between pre-test and post-test timepoints. The multidisciplinary development and implementation of an evidence-based oncology oral care clinical practice guideline significantly changed the mucositis prevention and management practices at a NCI-designated comprehensive cancer center. Not only can these oral care guidelines be applied to other practices to improve oncology care, but this model of evidence-based practice can guide the development, implementation, and evaluation of other guidelines for evidence-based oncology practice.en_GB
dc.date.available2011-10-27T12:16:12Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:16:12Z-
dc.conference.date2005en_US
dc.conference.name30th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationOrlando, Florida, 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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