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Clinical practice guideline use by oncology advanced practice nurses
1UMDNJ-Robert Wood Johnson Medical School, The Cancer Institute of New Jersey, New Brunswick, NJ 08901, USA. rcunning@umdnj.edu
Applied Nursing Research : ANR
|August 1, 2006
Summary
Oncology advanced practice nurses (APNs) showed high consistency with clinical practice guidelines (CPGs) for prostate cancer patients. However, this consistency did not impact patient outcomes for pain, depression, or incontinence.
Area of Science:
- Oncology Nursing
- Evidence-Based Practice
- Healthcare Quality Improvement
Background:
- Clinical practice guidelines (CPGs) aim to standardize and improve patient care.
- Understanding the utilization and impact of CPGs in oncology nursing is crucial for optimizing patient outcomes.
- Prostate cancer management involves addressing pain, depressive symptoms, and urinary incontinence.
Purpose of the Study:
- To assess the consistency of oncology advanced practice nurse (APN) interventions with established CPGs for prostate cancer patients.
- To determine if the level of consistency between APN interventions and CPGs influences patient outcomes related to pain, depressive symptoms, and urinary incontinence.
Main Methods:
- Retrospective review of oncology APN interventions for men with prostate cancer.
- Comparison of interventions against CPGs from the Agency for Healthcare Policy and Research for pain, depression, and urinary incontinence.
- Statistical analysis to evaluate the relationship between guideline consistency and patient outcomes.
Main Results:
- Mean consistency levels between APN interventions and CPGs were 91% for pain, 80% for incontinence, and 69% for depression.
- The level of consistency between APN interventions and CPGs did not significantly predict patient outcomes in pain, depressive symptoms, or urinary incontinence.
- High consistency suggests oncology APNs are knowledgeable about recommended practices.
Conclusions:
- Oncology APNs demonstrate a high degree of adherence to CPGs in managing prostate cancer symptoms.
- While adherence is high, consistency with CPGs did not correlate with improved patient outcomes in this study.
- Further research may be needed to explore other factors influencing patient outcomes beyond guideline adherence.
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