Transitions of Care: A Hematopoietic Stem Cell Transplantation Nursing Education Project Across the Trajectory.

Abstract:

BACKGROUND:Hematopoietic stem cell transplantation (HCT) is a complicated treatment modality used to address hematologic malignancies and other disorders. The complex care of patients undergoing HCT places them at high risk for poor outcomes during times of transition. Education is a critical component of preparing patients and caregivers to move through the many phases of the HCT treatment trajectory (i.e., preadmission, preparative regimens, inpatient admission, discharge, outpatient management, survivorship). OBJECTIVES:The purpose of this article is to provide a useful systematic approach to the standardization of patient teaching methods across various professional nursing roles in the HCT trajectory (i.e., nurse coordinator, midlevel staff, case manager, inpatient nurse, day hospital nurse) in an effort to improve outcomes related to patient transitions. METHODS:A performance improvement project based on physician and health services researcher Avedis Donabedian's conceptual framework was implemented at a National Cancer Institute-designated comprehensive cancer center in the western United States, with the intention of enhancing nurses' knowledge and standardizing the education of patients undergoing HCT and their caregivers from pretransplantation to survivorship. FINDINGS:Donabedian's framework was a helpful model in enacting changes focused on transitions in care for the population of patients undergoing transplantation. For this population, implementing and sustaining coordinated care across multiple nursing roles in a treatment trajectory is complex. However, early possible indicators of success (e.g., decreased length of stay, lower readmission rates) were promising outcomes.

journal_name

Clin J Oncol Nurs

authors

Thomson B,Gorospe G,Cooke L,Giesie P,Johnson S

doi

10.1188/15.CJON.E74-E79

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

E74-9

issue

4

eissn

1092-1095

issn

1538-067X

journal_volume

19

pub_type

杂志文章
  • Standing Up Together.

    abstract::Nurses represent the heart, soul, and future of the movement to end cancer. We are the ultimate collaborators. We interact across the spectrum of healthcare professionals, and we know the patients better than anyone. As the first line in the inpatient setting and the primary contact in the outpatient world, we often a...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/18.CJON.371

    authors: Poblete SA

    更新日期:2018-08-01 00:00:00

  • COVID-19 Vaccines: Preparing for Vaccination in the Context of Clinical Oncology Care.

    abstract:BACKGROUND:In the environment of an infectious pandemic, vaccines are a primary public health strategy to prevent the spread of disease. With the COVID-19 pandemic, there is heightened interest in safe and effective vaccines and their use in the context of clinical oncology practice. OBJECTIVES:This article provides f...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/21.CJON.76-84

    authors: Carr E

    更新日期:2021-02-01 00:00:00

  • Nursing Roles: Clinical Implications Regarding Trends, Administration, and Education for Biosimilars in Oncology Practice.

    abstract:BACKGROUND:With the advent of biosimilars into the U.S. healthcare market, knowledge deficits exist for nurses and patients regarding the regulatory approval process and key nursing considerations for each of these new medications. OBJECTIVES:This article provides essential clinical information for oncology nurses who...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/18.CJON.S1.21-26

    authors: Zack E

    更新日期:2018-10-01 00:00:00

  • Cytokine Release Syndrome: Inpatient Care for Side Effects of CAR T-Cell Therapy
.

    abstract:BACKGROUND:Pediatric patients with relapsed and refractory acute lymphoblastic leukemia are more often being treated with chimeric antigen receptor (CAR) T-cell therapy. As with any new therapy, the management of this patient population has a unique set of challenges. The side effects of this therapy can range from mil...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/17.CJON.S2.29-34

    authors: Smith L,Venella K

    更新日期:2017-04-01 00:00:00

  • Ribavirin: the need for exposure precautions.

    abstract::Ribavirin is used in the treatment of respiratory syncytial virus (RSV) in high-risk patients, including patients who have undergone hematopoietic stem cell transplantation, to reduce mortality from RSV pneumonia. It is classified as a hazardous drug with potential for carcinogenicity and teratogenicity. Very few rece...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/14.CJON.E93-E96

    authors: Mooney K,Melvin M,Douglas T

    更新日期:2014-10-01 00:00:00

  • Outpatient Palliative Care: A Case Study Illustrating Clinic Support Offered to Patients Receiving Cancer Treatment.

    abstract:BACKGROUND:Palliative care programs in the United States are becoming more integrated with oncology outpatient practices. OBJECTIVES:This article offers a condensed review of available literature on the usefulness of palliative care in the oncology clinic setting and a case study to illustrate these ideas. METHODS:Li...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:10.1188/19.CJON.203-208

    authors: Hallman K,Newton S

    更新日期:2019-04-01 00:00:00

  • Opioid-Induced Hyperalgesia: Clinical Implications for Advanced Practice Nurses in Oncology.

    abstract::Opioid-induced hyperalgesia (OIH) is a key factor in the clinical management of patients experiencing pain. However, limited knowledge exists regarding the specific mechanisms involved in OIH and its treatment. A thorough assessment is usually required, and clinical diagnosis is mainly determined by exclusion in medic...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/17.CJON.294-296

    authors: Guastella A,Latchman J,Tofthagen CS

    更新日期:2017-06-01 00:00:00

  • Central Line Care: Reducing Central Line-Associated Bloodstream Infections on a Hematologic Malignancy and Stem Cell Transplant Unit.

    abstract:BACKGROUND:Patients with hematologic malignancies and stem cell transplant recipients are at increased risk for infections because of their prolonged periods of profound neutropenia. Central line-associated bloodstream infections (CLABSIs) can result in lengthy hospitalizations, increased healthcare costs, and increase...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/20.CJON.148-152

    authors: Beaudry J,ScottoDiMaso K

    更新日期:2020-04-01 00:00:00

  • Effect of massage therapy for postsurgical mastectomy recipients.

    abstract::This quality improvement pilot study evaluated the effect of massage therapy on pain, anxiety, and overall well-being in women who received mastectomies at a busy hospital practice. Participants reported a significant reduction in pain, stress, and muscle tension, as well as an increase in relaxation. Oncology nurses ...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/12.CJON.121-124

    authors: Drackley NL,Degnim AC,Jakub JW,Cutshall SM,Thomley BS,Brodt JK,Vanderlei LK,Case JK,Bungum LD,Cha SS,Bauer BA,Boughey JC

    更新日期:2012-04-01 00:00:00

  • Breast Cancer Early Detection: An Academic-Community Partnership in the Philippines.

    abstract::A high proportion of patients with breast cancer in the Philippines present at an advanced stage and have a rapid, unfavorable outcome. Providing breast cancer education and early detection to this population is important to help reduce this health disparity. This article describes the impact of a train-the-trainer pr...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/19.CJON.547-551

    authors: Wu TY,Hoffman JL

    更新日期:2019-10-01 00:00:00

  • When "No" Is Not an Acceptable Answer for Treatment.

    abstract::The focus of health care has moved toward prevention, and insurance companies are supporting preventive practices that enable their members to remain healthy. Many insurance companies have recorded healthy tips delivered by phone, employed case managers to assist patients in keeping physician appointments, created ded...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/16.CJON.566-567

    authors: Menonna-Quinn D

    更新日期:2016-10-01 00:00:00

  • Tumor-Treating Fields: Nursing Implications for an Emerging Technology
.

    abstract::Tumor-treating fields (TTFields) are a new technology used for cancer treatment consisting of battery-powered, insulated electromagnetic transducers that are placed on the scalp. This wearable, adhesive device is a certified physician-prescribed therapy for patients with glioblastoma multiforme, a type of primary brai...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/17.CJON.302-304

    authors: Chang A

    更新日期:2017-06-01 00:00:00

  • Port navigation: let the journey begin.

    abstract::Central venous access plays an important role in modern medical patient assessment and treatment. The use of central venous access devices has become routine in the oncology setting. Clinical oncology nurses need to know how the devices function, how to provide proper care, and how to manage potential side effects. Th...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:10.1188/07.CJON.485-488

    authors: Arch P

    更新日期:2007-08-01 00:00:00

  • Use of Exemplars: Identification of Best Practices in Cancer Prevention and Screening.

    abstract:BACKGROUND:Prevention strategies help to teach what individuals can do to potentially offset cancer risks. Screenings can detect cancer at earlier stages, allowing for earlier treatments and better outcomes. OBJECTIVES:This article seeks to identify best practices in cancer prevention and screening. METHODS:This arti...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/20.CJON.S2.45-48

    authors: O'Leary C

    更新日期:2020-10-01 00:00:00

  • Oncology nursing society putting evidence into practice resources: where are we now and what is next?

    abstract::Evidence-based practice can be hard to implement in the "real world" of clinical care. A set of reference cards with outcome-specific intervention options can make that practice possible. The Oncology Nursing Society Putting Evidence Into Practice (ONS PEP) resources cover 16 topics to improve care for patients with c...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/08.CJON.965-970

    authors: Doorenbos AZ,Berger AM,Brohard-Holbert C,Eaton L,Kozachik S,LoBiondo-Wood G,Mallory G,Rue T,Varricchio C

    更新日期:2008-12-01 00:00:00

  • Considering the patient-partner relationship in cancer care: coping strategies for couples.

    abstract::A cancer diagnosis, regardless of type or site, raises feelings of fear and loss of control in patients and their partners. Being married is associated with lower mortality from a wide range of illnesses, including cancer.However, the quality of marital interactions is a stronger predictor of health outcomes than mari...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/09.CJON.65-72

    authors: Morgan MA

    更新日期:2009-02-01 00:00:00

  • Oncology-critical care nursing collaboration: recommendations for optimizing continuity of care of critically ill patients with cancer.

    abstract::Highly specialized care is required for critically ill patients with cancer, but continuity of care equally is important to their survival when they are admitted to the critical care setting. The use of oncology nurses as liaisons to critical care nurses may help ensure the continuity of care and reduce rates of morbi...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:10.1188/07.CJON.925-927

    authors: Hull CS,O'Rourke ME

    更新日期:2007-12-01 00:00:00

  • Precautionary Principle: Cancer Prevention Efforts During Critical Periods of Growth and Development.

    abstract::Although the mechanisms of action for all cancer types are not fully known, best practice recommends promoting a healthy lifestyle while avoiding certain substances. Based on environmental science, the precautionary principle is a guideline that suggests that preventive action should be taken when the effects of a sub...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/19.CJON.659-663

    authors: Cormier AC

    更新日期:2019-12-01 00:00:00

  • Assessment and implementation of spirituality and religiosity in cancer care: effects on patient outcomes.

    abstract::Spirituality and religiosity have been defined by several governing bodies to mean everything from purpose in life, beliefs, faith, and hope, to transcendence with a higher being. The absence of uniformity regarding the components of spirituality and religiosity has created a barrier for professional caregivers in ide...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:10.1188/12.CJON.E150-E155

    authors: Richardson P

    更新日期:2012-08-01 00:00:00

  • Cardio-Oncology: A Continually Evolving Subspecialty in Oncology Nursing.

    abstract::Cardio-oncology is a unique subspecialty within oncology nursing that focuses on the assessment, identification, and management of cardiotoxicity induced or exacerbated by cancer treatment. Nurses are pivotal to the delivery of evidence-based assessment of and care for individuals who have preexisting cardiac conditio...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/21.CJON.93-96

    authors:

    更新日期:2021-02-01 00:00:00

  • Administration of the cytoprotectant amifostine.

    abstract::This article provides guidelines for the use of amifostine (Ethyol, Alza Pharmaceuticals, Palo Alto, CA, and U.S. Bioscience, Inc., West Conshohocken, PA), a pancytoprotective agent approved for reducing renal toxicity associated with cisplatin administration in patients with advanced ovarian or non-small cell lung ca...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:

    authors: Lindemann K

    更新日期:1998-07-01 00:00:00

  • Nursing perspectives on trastuzumab emtansine for the treatment of metastatic breast cancer.

    abstract::Increased understanding of the molecular composition of breast cancer tumors has led to the development of targeted anticancer agents. Novel therapies directed against human epidermal growth factor receptor 2 (HER2) in breast cancer have been developed. One such agent, trastuzumab emtansine (T-DM1), is an antibody dru...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/13.CJON.E58-E62

    authors: Bourdeanu L,Luu T

    更新日期:2013-10-01 00:00:00

  • Patient Falls Prevention: Assessing the Use of an Innovative Color-Coded Flag System in an Outpatient Oncology Infusion Center.

    abstract::The National Database of Nursing Quality Indicators (NDNQI, 2020) defines a patient fall as an unplanned descent to the floor with or without injury. A fall occurs in 30%-50% of hospitalized patients with cancer in the United States (Jatoi, 2017). According to the Joint Commission (2015), the average cost of each fall...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/20.CJON.448-450

    authors: Shah M

    更新日期:2020-08-01 00:00:00

  • Central line sepsis.

    abstract::Since 1980, the placement of central venous access devices has become routine, and these catheters have been of great benefit in the treatment of patients with cancer. Unfortunately, central venous catheters have not been without complications. Central line sepsis has been reported to be one of the most frequently occ...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/03.CJON.218-221

    authors: Peterson KK

    更新日期:2003-03-01 00:00:00

  • Preventing and managing infections in neutropenic stem cell transplantation recipients: evidence-based review.

    abstract::The number of hematopoietic stem cell transplantations (HSCTs) performed annually is increasing. Although general survival rates have risen since 1990, mortality and morbidity from preventable complications can be improved. As a result, this article will review developments in preventing and managing infections in neu...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章,评审

    doi:10.1188/11.CJON.133-139

    authors: Saria M

    更新日期:2011-04-01 00:00:00

  • Multidimensional rehabilitation programs for adult cancer survivors.

    abstract::To assess the effectiveness of multidimensional rehabilitation programs (MDRPs) in terms of maintaining or improving the physical and psychosocial well-being of adult cancer survivors. ...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/14.CJON.722-723

    authors: Peters MD

    更新日期:2014-12-01 00:00:00

  • Optimizing the efficiency and quality of sipuleucel-T delivery in an academic institution.

    abstract:BACKGROUND:Sipuleucel-T, an autologous cellular immunotherapy, is approved for the treatment of certain patients with metastatic castration-resistant prostate cancer (mCRPC). Sipuleucel-T is the first personalized treatment for prostate cancer to be manufactured using the immune system of each individual patient. Patie...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/15.CJON.297-303

    authors: Davis K,Wood S,Dill E,Fesko Y,Bitting RL,Harrison MR,Armstrong AJ,Moul JW,George DJ

    更新日期:2015-06-01 00:00:00

  • Highly reliable health care in the context of oncology nursing: part I.

    abstract::Oncology care is delivered under challenging circumstances. The principles of reliability science are used extensively in numerous high-risk and high-tech industries to improve quality and safety. This two-part series will discuss the concept of reliability science in the context of oncology nursing practice as a way ...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/14.CJON.151-153

    authors: Sheridan-Leos N

    更新日期:2014-04-01 00:00:00

  • A once-daily dasatinib dosing strategy for chronic myeloid leukemia.

    abstract::The BCR-ABL inhibitor imatinib is standard first-line therapy for patients with chronic myeloid leukemia (CML) and has revolutionized treatment of the disease. However, resistance and intolerance to the agent have emerged as major clinical complications. Dasatinib is the first and only dual BCR-ABL/SRC family kinase i...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/09.CJON.316-323

    authors: Bryant G

    更新日期:2009-06-01 00:00:00

  • Mediterranean Diet: Outcomes from an Education Session Among Patients With Cancer and Nursing Staff.

    abstract:BACKGROUND:Strong evidence supports the benefits of the Mediterranean diet, but little is reported among patients and nurses regarding knowledge about the diet and its health benefits. OBJECTIVES:A pre-/post-test practice initiative was implemented to identify level of knowledge about the Mediterranean diet in patient...

    journal_title:Clinical journal of oncology nursing

    pub_type: 杂志文章

    doi:10.1188/20.CJON.177-185

    authors: Otten KR,Staffileno BA,Mozer M,Maidlow C

    更新日期:2020-04-01 00:00:00