Guiding the Management of Acute Promyelocytic Leukemia: A Quality Improvement Project.

IF 1.3 4区 医学 Q3 NURSING Clinical journal of oncology nursing Pub Date : 2024-07-19 DOI:10.1188/24.CJON.389-396
Lauren Sheldon, Donna M Tydings, Tara L Sacco
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Abstract

Background: Despite successful treatment regimens and remission rates of greater than 90%, early death is a concern for patients with acute promyelocytic leukemia (APL). The challenges surrounding proper care for APL are centered on the low volume of patients, which limits healthcare professionals' knowledge of disease management.

Objectives: The purpose of this project was to develop resources and present an educational module specific to managing patients newly diagnosed with APL. An intervention to evaluate bedside nurses' knowledge of APL was implemented.

Methods: Thirty-four RNs were recruited for participation. A clinical practice guideline, an algorithm, and a fact sheet were developed to provide resources for providers. An educational module was presented to the RNs to increase their knowledge of APL. Pre- and postintervention surveys were created to assess knowledge and confidence before and after the intervention.

Findings: Thirty-four RNs completed the module, and 27 participated in the pre- and postintervention surveys. Mean knowledge test scores increased significantly from 7.19 preintervention to 14.04 postintervention (p < 0.001).

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指导急性早幼粒细胞白血病的治疗:质量改进项目。
背景:尽管急性早幼粒细胞白血病(APL)的治疗方案很成功,缓解率超过 90%,但患者过早死亡仍是一个令人担忧的问题。适当治疗 APL 所面临的挑战主要集中在患者数量少,这限制了医护人员对疾病管理的了解:本项目旨在开发资源,并提供一个专门用于管理新诊断为 APL 患者的教育模块。方法:34 名护士参加了该项目:方法:招募 34 名护士参与。制定了临床实践指南、算法和概况介绍,为医疗服务提供者提供资源。向护士介绍了一个教育模块,以增加她们对 APL 的了解。干预前和干预后调查用于评估干预前后的知识和信心:34 名护士完成了该模块,27 人参与了干预前后的调查。知识测试的平均分从干预前的 7.19 分大幅提高到干预后的 14.04 分(p < 0.001)。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
127
审稿时长
6-12 weeks
期刊介绍: The Clinical Journal of Oncology Nursing (CJON) is an official publication of the Oncology Nursing Society (ONS) and is directed to the practicing nurse specializing in the care of patients with an actual or potential diagnosis of cancer. CJON is a vehicle to promote the mission of ONS, which is to advance excellence in oncology nursing and quality cancer care. The CJON mission is twofold: to provide practical information necessary to care for patients and their families across the cancer continuum and to develop publication skills in oncology nurses.
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