Full metadata
Title
Neurotoxicity Screening Tool: Early Identification of Decompensation
Description
Objective
A needs assessment identified a nursing knowledge gap of chemotherapy-induced neurotoxicity (CIN) symptoms as a significant factor in delayed recognition of patients' neurologic decline. The quality improvement (QI) project aimed to increase nursing comfort levels and knowledge related to screening for CIN in hospitalized pediatric hematology, oncology, and bone marrow transplant (Heme/Onc/BMT) patients.
Methods
Nursing CIN education and pre- and post-education assessment questions were created using best practice parameters to screen and monitor CIN in Heme/Onc/BMT pediatric patients. Pre- and post-surveys included a valid Likert-type scale to assess comfort levels using neurotoxicity screening tools (NST) followed by knowledge-based formative assessments. ASU IRB and hospital QI board standards were maintained.
Results
Heme/Onc/BMT nurses (n=37) participated. The most frequent pre-education comfort level was three or somewhat comfortable (n=13). Most frequent post-education comfort level is four or very comfortable (n=21). The two-tailed Wilcoxon signed rank test for pre- and post-education comfort levels was significant based on an alpha value of .05 and p < .001.
Conclusion
Nursing comfort and knowledge of screening for CIN increased. Early recognition of CIN will improve outcomes for high-risk hospitalized Heme/Onc/BMT pediatric patients.
Date Created
2023-04-27
Contributors
- Best, Brianne (Author)
- Bucci, Aimee (Thesis advisor)
- College of Nursing and Health Innovation (Contributor)
Topical Subject
Keywords
- Pediatrics
- Neurotoxicity Syndromes
- Cancer
- Quality Improvement
- Drug-Related Side Effects and Adverse Reactions
Resource Type
Extent
46 pages
Language
eng
Copyright Statement
In Copyright
Primary Member of
Peer-reviewed
No
Open Access
No
Handle
https://hdl.handle.net/2286/R.2.N.191574
Collaborating institutions
System Created
- 2024-03-11 01:06:27
System Modified
- 2024-03-11 04:43:29
- 8 months 2 weeks ago
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