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Translating Evidence to Practice: A Multisite Collaboration to Implement Guidelines and Improve Constipation

Pamela K Ginex1, Christina Arnal, Dawn Ellis

  • 1Oncology Nursing Society.

Clinical Journal of Oncology Nursing
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PubMed
Summary

Opioid-induced constipation (OIC) management in cancer patients is under-researched. Implementing oncology nursing guidelines improved OIC care, enhancing patient quality of life and reducing complications.

Keywords:
evidence-based practiceopioid-induced constipationsymptom management

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Area of Science:

  • Oncology Nursing
  • Gastroenterology
  • Patient Quality of Life

Background:

  • Constipation is common in cancer patients.
  • Opioid-induced constipation (OIC) lacks sufficient research on management.
  • Need for evidence-based strategies to manage OIC in cancer care.

Purpose of the Study:

  • To implement the Oncology Nursing Society Guidelines for OIC management.
  • To examine the effectiveness of a Plan-Do-Study-Act model in improving OIC care.
  • To address practice gaps in OIC education and follow-up assessment.

Main Methods:

  • Utilized the Plan-Do-Study-Act (PDSA) model for implementation.
  • Engaged nurse champions across four healthcare sites.
  • Identified and addressed practice gaps in OIC management.

Main Results:

  • Successful implementation of OIC management guidelines across multiple sites.
  • Identified key practice gaps: patient education for new opioid users and follow-up assessments.
  • Demonstrated feasibility of multisite, collaborative quality improvement projects.

Conclusions:

  • Multisite collaborative projects are feasible for improving cancer patient care.
  • Implementation of guidelines can enhance patient quality of life.
  • Improved OIC management can decrease anticipated complications in cancer patients.