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  4. Controlling Chemotherapy-Induced Nausea and Vomiting Through Guideline Adherence
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Controlling Chemotherapy-Induced Nausea and Vomiting Through Guideline Adherence

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Description

Background:
Thirty to fifty percent of cancer patients undergoing chemotherapy will experience
chemotherapy induced nausea and or vomiting (CINV) despite the use of antiemetic prophylaxis Uncontrollable CINV can lead to complications that add extra stress to patients, increase in healthcare costs, and utilization of resources. CINV can lead to chemotherapy dose reductions, treatment delays, chemotherapy changes, or discontinuation of treatment. Guidelines exist to better prevent and treat CINV. Evidence supports the use of guidelines to prevent CINV, however patients still suffer from CINV often due to a lack of guideline adherence.

Objectives:
The purpose of this project was to increase CINV guideline adherence by increasing knowledge of antiemetic guidelines utilizing an educational intervention for providers and nurses at an outpatient oncology office.

Methods:
A brief educational intervention on CINV and recommended NCCN guidelines was
conducted with providers and nurse (n=6) at an oncology practice in Southwestern United States. An evaluation to assess change in knowledge was performed using a pre and post test format. Statistical analysis was performed using descriptive statistics, McNemar tests and Wicoxan Signed Rank Test.

Findings:
There was a significant effect on knowledge of NCCN antiemetic guidelines (Z=-1.89, p=0.059, mean 2.5) post intervention. There also was a significant impact on likelihood to use guidelines in practice (Z=-1.89, p=0.059, mean 2.5). Increasing awareness and likelihood to CHEMOTHERAPY INDUCED NAUSEA AND VOMITING 3 follow recommended guidelines may improve CINV symptoms in patients undergoing chemotherapy and improve the treatment outcomes for these patients.

Date Created
2018-04-29
Contributors
  • Barbosa, Jennifer (Author)
  • Baker, Laurie (Thesis advisor)
Topical Subject
  • Chemotherapy
  • Vomiting
  • Nausea
  • Guidelines
  • Education
Resource Type
Text
Extent
38 pages
Language
eng
Copyright Statement
In Copyright
Primary Member of
Doctor of Nursing Practice (DNP) Final Projects
Peer-reviewed
No
Open Access
No
Handle
https://hdl.handle.net/2286/R.I.48646
Embargo Release Date
Wed, 05/01/2019 - 08:27
Level of coding
intermediate
Cataloging Standards
asu1
Collaborating institutions
College of Nursing and Health Innovation
System Created
  • 2018-05-08 06:39:46
System Modified
  • 2021-06-19 02:51:10
  •     
  • 1 year 9 months ago
Additional Formats
  • OAI Dublin Core
  • MODS XML

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