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Related Experiment Videos

Distress assessment: practice change through guideline implementation.

Caryl D Fulcher1, Tracy K Gosselin-Acomb

  • 1Duke University Hospital, Durham, NC, USA. caryl.fulcher@duke.edu

Clinical Journal of Oncology Nursing
|December 8, 2007
PubMed
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Implementing the National Comprehensive Cancer Network

Area of Science:

  • Oncology Nursing
  • Psychosocial Oncology
  • Evidence-Based Practice

Background:

  • Nurses recognize the importance of evidence-based practice for quality care.
  • Barriers like time and resources hinder the implementation of practice changes.
  • Published guidelines offer a framework for directing clinical practice.

Purpose of the Study:

  • To describe the planning and implementation of the National Comprehensive Cancer Network's Clinical Practice Guidelines for Oncology: Distress Management in a radiation oncology clinic.
  • To assess the feasibility and impact of integrating a distress assessment tool into nursing practice.

Main Methods:

  • A feasibility pilot was conducted in a busy radiation oncology clinic.
  • The National Comprehensive Cancer Network's Distress Management guidelines were implemented.

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  • A distress thermometer and problem checklist were used for patient assessment.

    • Main Results:

    • The addition of distress assessment did not create a substantial burden for nurses.
    • Referral sources (mental health, pastoral care, social work) were not overwhelmed.
    • Patient distress scores and identified problems facilitated targeted interventions and referrals.

    Conclusions:

    • Integrating distress assessment into routine nursing care is feasible in radiation oncology settings.
    • This approach effectively guides interventions and referrals, improving patient care.
    • The implementation led to improved patient satisfaction, highlighting the benefits of systematic distress management.