Clinical journal of oncology nursing最新文献

When DNP- and PhD-prepared nurses intentionally span boundaries, they connect discovery and practice, accelerate evidence translation, and drive measurable improvements in health outcomes. Nursing does not advance by working.

Background: Identifying patient care needs per shift and equally balancing nursing workload increases nurse satisfaction and optimizes resources needed to provide appropriate levels of care on an inpatient stem cell transplantation (SCT) unit.

Objectives: The goal of this quality improvement project was to develop and implement an objective tool to accurately define patient acuity based on specific care needs for patients undergoing SCT, balance nursing workloads, increase nurse satisfaction, and determine accuracy and reliability of the tool.

Methods: Using the DMAIC (Define, Measure, Analyze, Improve, Control) framework, an objective acuity tool was designed to meet the needs of the SCT population based on a literature search and staff input. Each nurse completed one acuity tool per shift and turned it into the charge nurse. The total acuity number for each patient was used to equally balance workload among all nurses.

Findings: Implementation of the patient acuity tool was successful, with a 61% increase in accurately grading patient acuity, a 48% increase in balanced nursing workloads, and a 45% increase in satisfaction with patient acuity in nursing assignments. The tool is reliable, with a Cronbach's alpha of 0.93.

Background: The traditional handoff used at a National Cancer Institute-designated comprehensive cancer center was not sensitive to the oncology population, as it was not standardized, lacked automated key elements from electronic health records, and required manual data entry.

Objectives: This project aimed to implement an enhanced automated handoff tool to improve a nonautomated handoff tool used since 2011.

Methods: This quality improvement project incorporated pre- and post-test methodology, educational presentations to licensed independent practitioners, and the Plan-Do-Study-Act cycle model.

Findings: The implementation of a new automated handoff tool with inclusion of key elements resulted in increased adherence among licensed independent practitioners. The pre- and postimplementation survey results indicated that licensed independent practitioners experienced increased satisfaction with the modified handoff tool.

This project examined barriers to engagement among members of an Oncology Nursing Society chapter through a needs assessment. Although surveyed nurses recognized the value of membership, most did not actively participate, cit.

Artificial intelligence (AI) is rapidly transforming oncology practice by enhancing diagnostic precision, personalizing treatment, and streamlining clinical workflows. Preparing oncology nurses with digital and ethical compet.

Background: Anticoagulation and thrombocytopenia are common among patients with cancer.

Objectives: Multiple interventions were implemented to reduce nursing noncompliance with anticoagulation platelet parameter orders in adult patients and increase the percentage of orders with specified hold parameters.

Methods: Hold parameters and pop-up alerts were implemented in the electronic health record to reduce administration noncompliance.

Findings: Preintervention, there were an average of 37 noncompliant events per month, which decreased to 0.7 postintervention. Orders with hold parameters increased from 28% to nearly 100%. Multiple interventions within the electronic health record increased anticoagulant orders with a platelet hold parameter and decreased the number of administrations below those specified parameters.

Background: Heparin has been the preferred locking solution for many organizations for totally implanted vascular access devices (TIVADs). Published data are limited on the use of normal saline alone as a locking solution for TIVAD 90-day maintenance flushing.

Objectives: The purpose of this evidence-based practice initiative was to determine whether locking TIVADs with normal saline alone during a 90-day maintenance flushing protocol resulted in an increase in partial occlusions.

Methods: A clinical team monitored alteplase administration to measure partial occlusions. Prior to heparin deimplementation, nurses maintained TIVADs using 500 units of heparin upon de-access. Infusion nurses received education about published data, pulsatile flushing, and clamping sequences prior to device deimplementation.

Findings: Encounters (N = 2,908) during six months of heparin locking were compared to encounters (N = 3,239) during six months of normal saline locking. Data demonstrated minimal variance between locking with normal saline compared to heparin.

As celebratory as the oncology bell-ringing tradition can be for those who are able to complete treatment, certain populations of patients will often need lifelong treatment. In addition, this tradition is often in a public p.

Background: Anxiety is a common psychosocial concern in people with cancer that was amplified during the COVID-19 pandemic. Mindfulness-based interventions can reduce anxiety; brief, scalable strategies are needed for clinical integration.

Objectives: This study aimed to assess anxiety in patients with cancer during COVID-19 vaccination and to evaluate the feasibility and effectiveness of a brief meditation intervention self-administered during the postvaccination waiting period.

Methods: A DNP-PhD team conducted a quasiexperimental study with 256 adult patients assigned to intervention or control groups based on clinic flow. The intervention group received a five-minute guided meditation via personal mobile devices, and anxiety was measured pre- and postvaccination.

Findings: Some participants (14%) reported moderate to severe anxiety. The intervention group experienced significantly greater reductions in acute anxiety. The intervention reduced anxiety and can be implemented by oncology nurses to support emotional well-being in outpatient cancer care settings.

Quality of life (QOL) during and after cancer has gained importance because more people with cancer are living longer. However, cancer survivors face significant challenges, such as mobility impairment, sleep disturbance, and.