THE EFFECT OF THE EVIDENCE-BASED PRACTICE PROGRAM FOR NURSES WHO CARE FOR PEDIATRIC STEM CELL TRANSPLANT PATIENTS ON ORAL MUCOSITIS DIAGNOSIS STATUS
Diğer yayınlar > Diğer · 2018
Yazarlar: Seyda Avci, Hatice Yildirim Sari
Diğer, Uluslararası, 2018,
Özet
This quasi-experimental, single-group study with a pre- and post-repeated measures design was carried out at the Bone Marrow Transplant Unit of a University Hospital. The study was aimed at investigating the effect of an evidence-based practice program held for nurses providing care for pediatric stem cell transplant patients on their skills to diagnose oral mucositis. Before the training, data were collected from all the nurses using the socio-demographic characteristics questionnaire. Six patients who were admitted to the clinic and started chemotherapy were followed-up for a maximum of one month during their hospitalization to find out whether oral mucositis was diagnosed or not. During the intervention stage, the researcher provided nurses with training on the importance of the use of evidence-based research results in clinics, and evidence regarding oral mucositis. The Children's International Mucositis Evaluation Scale whose Turkish versionu2019s validity and reliability study was conducted by Yavuz (2012) and the Treatment-Specific Daily Mouth Care Protocol for Children Receiving Chemotherapy used by Yavuz for the management of oral mucositis in her study were made ready to use in the clinic. (Algorithm was printed in large font size and hung in patient rooms and nurse stations, and Oral Mucositis Diagnosis and Intervention Monitoring Forms were duplicated and put on the nursesu2019 desk). After the training, the records of 6 patients who were admitted to the clinic and started chemotherapy were tracked for up to one month during their hospitalization to find out whether the diagnosis of oral mucositis was made. At the end of the study, the rate of oral mucositis diagnosis performed by nurses which was 2.8% before the program increased to 8.7% after the program. The difference between the percentages of performing oral mucositis diagnosis by the nurses before and after the program was 5.9%, which was considered significant (uf0632: 11.004, p<.01). The rate of the post-program oral mucositis diagnosis was 3.12 times (212% increase) higher than the pre-program rate (p <01). One of the most important recommendations of the present study is to provide regular and continuous training sessions for nurses to improve and update their oral care knowledge. It is also thought that the determination of oral diagnosis as a follow-up parameter such as vital signs in the clinic will enable nurses to improve their skills to perform diagnosis daily and to keep the records of patientsu2019 outcomes.