2.50
Hdl Handle:
http://hdl.handle.net/10755/622007
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Lessons Learned in Creating Evidence-Based Electronic Oncology Care Plans
Author(s):
Coleman, Meghan; Hammelef, Karen J.
Lead Author STTI Affiliation:
Alpha Nu
Author Details:
Meghan Coleman, DNP, RN CRNP-BC, AOCNP, Professional Experience: Carevive (2016-present) Clinical Development Content Lead-Responsible for clinical content development and implementation of electronic oncology care plans in the areas of treatment planning, distress and symptom management, and survivorship. Several awards reflecting innovations in Oncology and Palliative Care. Multiple poster presentations at clinical conferences. Work group member in several areas of the Oncology Nursing Society, Oncology Nursing Certification Corporation, and Center for the Advancement of Palliative Care. Author Summary: Throughout her career, Dr.Coleman has focused her clinical work in the area of psychosocial care of the oncology patient. This was reflected in her doctoral project: An APN Home Care Intervention: Implementing Evidence Based Coping Mechanisms for Breast Cancer Patients. She has been awarded the 2015 Champion of Palliative Care Award, and the 2016 Operational Award for Quality and Patient Safety. Currently she is employed at Carevive,creating personalized cancer care plans for oncology patients.
Abstract:

The delivery of patient-facing treatment summaries and symptom management care plans has been an important step forward in the provision of evidence-based, patient-centered cancer care. This has also been accelerated by the Institute of Medicine’s recommendation to address the quality chasm in oncology care. Studies of the use of evidence-based electronic care plans in the cancer population have demonstrated an improvement in the overall patient care experience, decreased negative outcomes, and enhanced physician/patient communication. Electronic delivery of these plans can streamline the documentation process, provide an overview of the patient’s care in one concise document, and enhance provider and patient communication through identification of goals of care. Despite this evidence, use of electronic evidence-based care plans remains low.

This presentation details a nurse-led process of creating electronic patient facing care-plans (responsive to unique patient-reported symptoms), that are supported by high level evidence and clinical practice guidelines. Lessons learned, barriers and facilitators to their development and clinical considerations for future products will be reviewed.

This electronic care plan addressed oncology patient needs at one of three phases of the cancer treatment spectrum: treatment planning, active treatment (including distress and symptom management), and survivorship. An over-arching goal of providing the electronic care plan was to reduce distress, improve the quality of patient cancer care, as well as improve patient involvement in care through patient action items supported by high level evidence. Nurse led electronic care plan development can enhance patient understanding and education, which can reduce patient distress. The novel care plan delivery fosters interdisciplinary involvement. Further analytics are needed to assess the effectiveness of reaching these goals.

Clinical nursing staff used the care plans to review common symptom experiences during the treatment planning, active and survivorship care periods. Development of evidence matrixes supported clinician and patient interventions in managing symptom experiences. These interventions were translated into an electronic patient care plan that provided symptom management strategies along with cancer-specific education, recommended referrals and potential treatment-related side-effects. The strength of the care plan content was in the rigorous evidence-based review process which included an expert panel review and consensus building for interventions with low-level supporting evidence. To facilitate implementation of the care plan readability of the content was reviewed by a health educator and targeted at a 7th grade level; plan length was monitored as was ease of electronic use (e.g. connecting to education documents through hyperlinks).

Barriers identified to the process include the continued burden of evidence review and content maintenance to ensure alignment with current best practices (a process facilitated by the electronic nature of this product). Additionally, obtaining resources such as national clinical practice guidelines and oncology experts’ review required unanticipated fees, permissions and consents, resulting in the re-evaluation of the project budget and timeline.

Future nursing research efforts should focus on the electronic care plan’s ability to improve provider-patient communication and document its impact on the patient symptom experience. With a standardized approach to literature review and a process to sustain current supporting evidence, the electronic patient care plan offers the opportunity to close the quality chasm through an effective and patient centered approach.

Keywords:
Evidence Based Practice; Oncology Patient Careplans; Oncology Quality Chasm
Repository Posting Date:
21-Jul-2017
Date of Publication:
21-Jul-2017
Other Identifiers:
INRC17PST13
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleLessons Learned in Creating Evidence-Based Electronic Oncology Care Plansen_US
dc.contributor.authorColeman, Meghanen
dc.contributor.authorHammelef, Karen J.en
dc.contributor.departmentAlpha Nuen
dc.author.detailsMeghan Coleman, DNP, RN CRNP-BC, AOCNP, Professional Experience: Carevive (2016-present) Clinical Development Content Lead-Responsible for clinical content development and implementation of electronic oncology care plans in the areas of treatment planning, distress and symptom management, and survivorship. Several awards reflecting innovations in Oncology and Palliative Care. Multiple poster presentations at clinical conferences. Work group member in several areas of the Oncology Nursing Society, Oncology Nursing Certification Corporation, and Center for the Advancement of Palliative Care. Author Summary: Throughout her career, Dr.Coleman has focused her clinical work in the area of psychosocial care of the oncology patient. This was reflected in her doctoral project: An APN Home Care Intervention: Implementing Evidence Based Coping Mechanisms for Breast Cancer Patients. She has been awarded the 2015 Champion of Palliative Care Award, and the 2016 Operational Award for Quality and Patient Safety. Currently she is employed at Carevive,creating personalized cancer care plans for oncology patients.en
dc.identifier.urihttp://hdl.handle.net/10755/622007-
dc.description.abstract<p><span>The delivery of patient-facing treatment summaries and symptom management care plans has been an important step forward in the provision of evidence-based, patient-centered cancer care. This has also been accelerated by the Institute of Medicine’s recommendation to address the quality chasm in oncology care. Studies of the use of evidence-based electronic care plans in the cancer population have demonstrated an improvement in the overall patient care experience, decreased negative outcomes, and enhanced physician/patient communication. Electronic delivery of these plans can streamline the documentation process, provide an overview of the patient’s care in one concise document, and enhance provider and patient communication through identification of goals of care. Despite this evidence, use of electronic evidence-based care plans remains low.</span></p> <p>This presentation details a nurse-led process of creating electronic patient facing care-plans (responsive to unique patient-reported symptoms), that are supported by high level evidence and clinical practice guidelines. Lessons learned, barriers and facilitators to their development and clinical considerations for future products will be reviewed.</p> <p>This electronic care plan addressed oncology patient needs at one of three phases of the cancer treatment spectrum: treatment planning, active treatment (including distress and symptom management), and survivorship. An over-arching goal of providing the electronic care plan was to reduce distress, improve the quality of patient cancer care, as well as improve patient involvement in care through patient action items supported by high level evidence. Nurse led electronic care plan development can enhance patient understanding and education, which can reduce patient distress. The novel care plan delivery fosters interdisciplinary involvement. Further analytics are needed to assess the effectiveness of reaching these goals.</p> <p>Clinical nursing staff used the care plans to review common symptom experiences during the treatment planning, active and survivorship care periods. Development of evidence matrixes supported clinician and patient interventions in managing symptom experiences. These interventions were translated into an electronic patient care plan that provided symptom management strategies along with cancer-specific education, recommended referrals and potential treatment-related side-effects. The strength of the care plan content was in the rigorous evidence-based review process which included an expert panel review and consensus building for interventions with low-level supporting evidence. To facilitate implementation of the care plan readability of the content was reviewed by a health educator and targeted at a 7<sup>th</sup> grade level; plan length was monitored as was ease of electronic use (e.g. connecting to education documents through hyperlinks).</p> <p>Barriers identified to the process include the continued burden of evidence review and content maintenance to ensure alignment with current best practices (a process facilitated by the electronic nature of this product). Additionally, obtaining resources such as national clinical practice guidelines and oncology experts’ review required unanticipated fees, permissions and consents, resulting in the re-evaluation of the project budget and timeline.</p> <p>Future nursing research efforts should focus on the electronic care plan’s ability to improve provider-patient communication and document its impact on the patient symptom experience. With a standardized approach to literature review and a process to sustain current supporting evidence, the electronic patient care plan offers the opportunity to close the quality chasm through an effective and patient centered approach.</p>en
dc.subjectEvidence Based Practiceen
dc.subjectOncology Patient Careplansen
dc.subjectOncology Quality Chasmen
dc.date.available2017-07-21T14:14:20Z-
dc.date.issued2017-07-21-
dc.date.accessioned2017-07-21T14:14:20Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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