Implementing distress management guidelines in ambulatory oncology: a quality improvement project.
Distress assessment and referral to psychosocial services is an essential component of evidence-based oncologic nursing care. Oncology nurses have an opportunity to address patient distress needs through leadership of implementation programs and support for the positive outcomes that engaging in psychosocial services provides. This quality improvement project was conducted to evaluate the feasibility and utility of the National Comprehensive Cancer Network's distress management clinical practice guidelines in ambulatory oncology. A theoretical framework guided the process design that included staff education, screening, and management in a cohort implementation project with historical control.
Patient and Family Support Services, University of Michigan Comprehensive Cancer Center in Ann Arbor.
Karen J
KJ
Hammelef
Division of Nursing Business and Health Systems in the School of Nursing, University of Michigan Comprehensive Cancer Center in Ann Arbor.
Christopher R
CR
Friese
Breast Care Program at Northwestern Lake Forest Hospital, Northwestern University, Lake Forest, IL.
Tara M
TM
Breslin
Comprehensive Cancer Center, University of Michigan Health System, in Ann Arbor.
Michelle
M
Riba
Lead Faculty, Oncology Nursing Specialty, School of Nursing, Duke University in Durham, NC.
Susan M
SM
Schneider
D000553:Ambulatory Care; D055318:Evidence-Based Nursing; D006801:Humans; D009369:Neoplasms / Q000451:nursing / Q000523:psychology* / Q000628:therapy; D017410:Practice Guidelines as Topic; D058996:Quality Improvement; D013315:Stress, Psychological / Q000628:therapy*
cancer program development; distress; management; or evaluation; psychosocial aspects; quality improvement