0
No votes yet
Mentor/Fellow Article

Getting Patients Active: Using National Data to Drive Practice

Leah A. Scaramuzzo
Janet Gordils-Perez
Patsy McGuire Cullen
CJON 2014, 18(5), 41-43 DOI: 10.1188/14.CJON.S2.41-43

Data from a National Cancer Institute-designated comprehensive cancer center taking part in the ONS Foundation-supported Breast Cancer Care Quality Measures Set pilot study revealed a lack of interventions recommended for patient-reported symptoms of fatigue. A team was formed to address the issue using the steps of the evidence-based practice process and to implement practice changes. This article describes the barriers and challenges faced, in addition to the integration of exercise resources into patients' plans of care. The authors describe the curriculum for staff education regarding the practice change, implementation of an evidence-based fatigue assessment and interventions, and methods to integrate these resources into patient care.

References 

Eaton, J., & Tipton, J. (2009<i>). Putting Evidence Into Practice: Improving oncology patient outcomes.</i> Pittsburgh, PA: Oncology Nursing Society.

Fessele, K., Yendro, S., & Mallory, G. (2014). Setting the bar: Developing quality measures and education programs to define evidence-based, patient-centered, high-quality care. <i>Clinical Journal of Oncology Nursing, 18</i>(Suppl.), 7-11. doi:10.1188/14.CJON.S2.7-11

Haydon, A., Macinnis, R., English, D., & Giles, G. (2006). Effect of physical activity and body size on survival after diagnosis with colorectal cancer. <i>Gut, 55</i>, 62-67.

Holick, C.N., Newcomb, P.A., Trentham-Dietz, A., Titus-Ernstoff, L., Bersch, A.J., Stampfer, M.J., … Willett, W.C. (2008). Physical activity and survival after fiagnosis of invasive breast cancer. <i>Cancer Epidemiology, Biomarkers and Prevention, 17</i>, 379-386.

Jankowski, C., & Matthews, E. (2011). Exercise guidelines for adults with cancer. <i>Clinical Journal of Oncology Nursing, 15</i>, 683-686. doi:10.1188/11.CJON.683-686

Kenfield, S., Stampfer, M., Giovannucci, E., & Chan, J. (2011). Physical activity and survival after prostate cancer diagnosis in the health professionals follow-up study. <i>Journal of Clinical Oncology, 29</i>, 726-732.

Lillington, L., Scaramuzzo, L., Friese, C., Sein, E., Harrison, K., LeFebvre, K.B., & Fessele, K. (2013). Improving practice one patient, one nurse, one day at a time. <i>Clinical Journal of Oncology Nursing, 17</i>, 584-587. doi:10.1188/13.CJON.584-587

Melnyk, B., Fineout-Overholt, E., Stillwell, S.B., & Williamson K.M. (2010). Evidence-based practice: The seven steps of evidence-based practice. <i>American Journal of Nursing, 110</i>, 51-53.

Stillwell, S.B., Fineout-Overholt, E., Melnyk, B., & Williamson K.M. (2010). Asking the clinical question: A key in evidence-based practice. <i>American Journal of Nursing, 110</i>, 58-61.