"Show Me the Evidence": Using an Evidence-Based Practice Model to Develop an Oncology Oral Care Clinical Practice Guideline (CPG)

2.50
Hdl Handle:
http://hdl.handle.net/10755/165574
Category:
Abstract
Type:
Presentation
Title:
"Show Me the Evidence": Using an Evidence-Based Practice Model to Develop an Oncology Oral Care Clinical Practice Guideline (CPG)
Author(s):
Stricker, Carrie
Author Details:
Carrie Stricker, University of Pennsylvania Cancer Center, Philadelphia, Pennsylvania, USA
Abstract:
Integrating contemporary evidence into nursing practice is an ongoing challenge which our health system's Nursing Research Committee has begun to address by designing and promoting an "Evidence Based Practice (EBP) Framework." The model's first two steps involve identifying a clinical problem and determining it as a priority for practice change. At our institution, the Products Committee's re-examination of oral care products prompted the review of nurses' oral care practices. Consultation with the Practice Committee revealed that no institutional guideline existed, and a subsequent staff survey identified that tradition, patient preference, and physician orders predominantly guided nurses' oral care practices, with the exception of existing standards in head and neck surgery and allogeneic bone marrow transplant. Therefore, the creation of a health system-wide Oral Care Clinical Practice Guideline (CPG) was identified as a priority. Oncology recommendations were prioritized due to a high incidence of oral alterations and product usage within the hematology/oncology division. The next phase in the EBP framework involves gathering and evaluating evidence. Using the model's suggested resources, existing guidelines and literature related to oncology oral care were compiled and then evaluated for strength using model criteria such as evidence of peer review. Pertinent findings from over one hundred research and scholarly articles, one national consensus statement, and two published institutional standards were synthesized and then revised with the guidance of a doctorally prepared international nursing expert. General oncology recommendations were presented to the Products and Practice Committees, and have been integrated into product purchasing decisions and the Oral Care CPG for the health system. We will next utilize the "Changing Practice" steps of the EBP framework to refine, implement, and evaluate a comprehensive clinical practice guideline specific to hematology/oncology. A nurse-coordinated focus group will ensure interdisciplinary revision and approval. Nursing staff will be educated about the new CPG. Through collaboration with the Nursing Research Committee, a quasi-experimental pre-test/post-test design will be used to measure statistically and clinically significant changes in nursing knowledge and patient outcomes related to the implementation of this evidence-based CPG. This project offers an excellent example of a systematic, nursing-led approach to evidence based oncology care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., 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.title"Show Me the Evidence": Using an Evidence-Based Practice Model to Develop an Oncology Oral Care Clinical Practice Guideline (CPG)en_GB
dc.contributor.authorStricker, Carrieen_US
dc.author.detailsCarrie Stricker, University of Pennsylvania Cancer Center, Philadelphia, Pennsylvania, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165574-
dc.description.abstractIntegrating contemporary evidence into nursing practice is an ongoing challenge which our health system's Nursing Research Committee has begun to address by designing and promoting an "Evidence Based Practice (EBP) Framework." The model's first two steps involve identifying a clinical problem and determining it as a priority for practice change. At our institution, the Products Committee's re-examination of oral care products prompted the review of nurses' oral care practices. Consultation with the Practice Committee revealed that no institutional guideline existed, and a subsequent staff survey identified that tradition, patient preference, and physician orders predominantly guided nurses' oral care practices, with the exception of existing standards in head and neck surgery and allogeneic bone marrow transplant. Therefore, the creation of a health system-wide Oral Care Clinical Practice Guideline (CPG) was identified as a priority. Oncology recommendations were prioritized due to a high incidence of oral alterations and product usage within the hematology/oncology division. The next phase in the EBP framework involves gathering and evaluating evidence. Using the model's suggested resources, existing guidelines and literature related to oncology oral care were compiled and then evaluated for strength using model criteria such as evidence of peer review. Pertinent findings from over one hundred research and scholarly articles, one national consensus statement, and two published institutional standards were synthesized and then revised with the guidance of a doctorally prepared international nursing expert. General oncology recommendations were presented to the Products and Practice Committees, and have been integrated into product purchasing decisions and the Oral Care CPG for the health system. We will next utilize the "Changing Practice" steps of the EBP framework to refine, implement, and evaluate a comprehensive clinical practice guideline specific to hematology/oncology. A nurse-coordinated focus group will ensure interdisciplinary revision and approval. Nursing staff will be educated about the new CPG. Through collaboration with the Nursing Research Committee, a quasi-experimental pre-test/post-test design will be used to measure statistically and clinically significant changes in nursing knowledge and patient outcomes related to the implementation of this evidence-based CPG. This project offers an excellent example of a systematic, nursing-led approach to evidence based oncology care.en_GB
dc.date.available2011-10-27T12:21:08Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:21:08Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., 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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