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Improving malignant fungating wound management among oncology nurses: a best practice implementation project
Shing-Li Chang1, Chi Feng Chung2, Yueh Guo Liou1
1Institute of Clinical Nursing, National Yang Ming Chiao Tung University, Hsinchu City, Taiwan.
JBI Evidence Implementation
|May 13, 2024
Summary
Oncology nurses improved malignant fungating wound (MFW) care through education and skill development, significantly enhancing patient outcomes and quality of life. This initiative addressed key barriers in MFW management.
Area of Science:
- Nursing
- Oncology
- Evidence-Based Practice
Background:
- Malignant fungating wound (MFW) care presents significant challenges for oncology nurses.
- These challenges can lead to increased nurse stress, reduced care quality, and adverse patient outcomes.
Purpose of the Study:
- To identify barriers to best practices in MFW care.
- To develop and implement evidence-based guidelines for managing MFWs.
Main Methods:
- Utilized the JBI Evidence Implementation Framework and Bandura's social learning theory.
- Conducted pre- and post-intervention audits of nurses' skills and patient charts.
- Developed an online education program and objective structured clinical examination for nurses.
Main Results:
- Comprehensive MFW assessments increased from 27% to 98%.
- Use of wound photos in records rose from 50% to 100%.
- Validated wound assessment tool usage reached 100%, and appropriate interventions increased from 50% to 90%.
Conclusions:
- An integrated education program, multidisciplinary collaboration, and leadership support empowered nurses in MFW management.
- The intervention fostered sustainable changes in nursing practice and organizational culture.
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