Abstract:
:Most nurses agree that incorporating evidence into practice is necessary to provide quality care, but barriers such as time, resources, and knowledge often interfere with the actual implementation of practice change. Published practice guidelines are one source to direct practice; this article focuses on the use of the National Comprehensive Cancer Network's Clinical Practice Guidelines for Oncology: Distress Management, which articulate standards and demonstrate assessment for psychosocial distress. Planning for the implementation of the guidelines in a feasibility pilot in a busy radiation oncology clinic is described. Results indicate that adding a distress assessment using the distress thermometer and problem checklist did not present substantial burden to nurses in the clinic or overwhelm the mental health, pastoral care, or oncology social work referral sources with more patients. Understanding distress scores and problems identified by patients helped the nurses direct education interventions and referrals appropriately; improved patient satisfaction scores reflected this.
journal_name
Clin J Oncol Nursjournal_title
Clinical journal of oncology nursingauthors
Fulcher CD,Gosselin-Acomb TKdoi
10.1188/07.CJON.817-821subject
Has Abstractpub_date
2007-12-01 00:00:00pages
817-21issue
6eissn
1092-1095issn
1538-067Xpii
13750061J6771528journal_volume
11pub_type
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