Abstract:
PURPOSE/OBJECTIVES:To measure the effect of clinical decision support (CDS) on oncology nurse evidence-based practice (EBP). . DESIGN:Longitudinal cluster-randomized design. . SETTING:Four distinctly separate oncology clinics associated with an academic medical center. . SAMPLE:The study sample was comprised of randomly selected data elements from the nursing documentation software. The data elements were patient-reported symptoms and the associated nurse interventions. The total sample observations were 600, derived from a baseline, posteducation, and postintervention sample of 200 each (100 in the intervention group and 100 in the control group for each sample). . METHODS:The cluster design was used to support randomization of the study intervention at the clinic level rather than the individual participant level to reduce possible diffusion of the study intervention. An elongated data collection cycle (11 weeks) controlled for temporary increases in nurse EBP related to the education or CDS intervention. . MAIN RESEARCH VARIABLES:The dependent variable was the nurse evidence-based documentation rate, calculated from the nurse-documented interventions. The independent variable was the CDS added to the nursing documentation software. . FINDINGS:The average EBP rate at baseline for the control and intervention groups was 27%. After education, the average EBP rate increased to 37%, and then decreased to 26% in the postintervention sample. Mixed-model linear statistical analysis revealed no significant interaction of group by sample. The CDS intervention did not result in an increase in nurse EBP. . CONCLUSIONS:EBP education increased nurse EBP documentation rates significantly but only temporarily. Nurses may have used evidence in practice but may not have documented their interventions. . IMPLICATIONS FOR NURSING:More research is needed to understand the complex relationship between CDS, nursing practice, and nursing EBP intervention documentation. CDS may have a different effect on nurse EBP, physician EBP, and other medical professional EBP.
journal_name
Oncol Nurs Forumjournal_title
Oncology nursing forumauthors
Cortez S,Dietrich MS,Wells Ndoi
10.1188/16.ONF.E170-E177subject
Has Abstractpub_date
2016-07-01 00:00:00pages
E170-7issue
4eissn
0190-535Xissn
1538-0688journal_volume
43pub_type
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journal_title:Oncology nursing forum
pub_type: 杂志文章
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abstract:PURPOSE/OBJECTIVES:To assess and describe health beliefs, level of knowledge about skin cancer, current skin cancer prevention practices, and cues to preventive action of Wisconsin dairy farmers. DESIGN:Descriptive survey. SETTING:Rural Wisconsin. SAMPLE:A stratified random sample of 535 male dairy farmers from the ...
journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
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abstract:PURPOSE/OBJECTIVES:To assess the psychological, physical, and social situations and needs of patients with colorectal cancer (CRC) diagnosed at an advanced stage of the disease. DESIGN:Quantitative, descriptive. SETTING:An urban comprehensive cancer center in northeastern Poland. SAMPLE:50 patients undergoing first-...
journal_title:Oncology nursing forum
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doi:
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journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
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journal_title:Oncology nursing forum
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doi:
更新日期:1998-05-01 00:00:00
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journal_title:Oncology nursing forum
pub_type: 杂志文章,多中心研究
doi:
更新日期:2001-01-01 00:00:00
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journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
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doi:
更新日期:1991-09-01 00:00:00
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更新日期:2017-03-01 00:00:00
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journal_title:Oncology nursing forum
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doi:
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journal_title:Oncology nursing forum
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doi:
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journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
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journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
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更新日期:2018-03-01 00:00:00