title: Nurse self-evaluation of assessment of chemotherapy-induced peripheral neuropathy in patients with cancer.
abstract: The focus of this study was to assess the feasibility and clinical implementation of a standardized assessment for chemotherapy-induced peripheral neuropathy (CIPN) by registered nurses in patients undergoing neurotoxic chemotherapy. A total of 24 registered nurses from 4 different institutions were enrolled into the study. A pre- and posttest design was used to assess changes in nurses' attitudes, knowledge, and perceived skill in CIPN assessment. Using selected data collection instruments, nurses performed standardized assessments during the course of chemotherapy treatments. Patient-reported symptoms, vibratory sensation, deep-tendon reflexes, and touch were collected at three time points during chemotherapy treatment. Results indicated there was no statistically significant change in knowledge of chemotherapy-induced peripheral neuropathy from baseline to the end of the study. However, this finding may be due to poor internal consistency noted among the items of the Nurse Knowledge and Attitudes CIPN Assessment. Implementation of a standardized subjective and objective nursing assessment of CIPN was feasible with a total mean feasibility score of 3.76 (range 0-5) with each individual item scoring between 3.35 and 3.91. The intervention did improve pretest and posttest confidence in performing assessment for CIPN (p = .003).
authors.affiliation: University of South Florida College of Nursing, Tampa, Florida; CarePartners, Asheville, North Carolina; Cleveland Clinic Foundation, Cleveland, Ohio; University of Arizona Cancer Center, Tucson, Arizona; Holy Name Medical Center, Teaneck, New Jersey; University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Constance
authors.initials: C
authors.lastname: Visovsky
authors.affiliation: University of South Florida College of Nursing, Tampa, Florida; CarePartners, Asheville, North Carolina; Cleveland Clinic Foundation, Cleveland, Ohio; University of Arizona Cancer Center, Tucson, Arizona; Holy Name Medical Center, Teaneck, New Jersey; University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Marilyn
authors.initials: M
authors.lastname: Haas
authors.affiliation: University of South Florida College of Nursing, Tampa, Florida; CarePartners, Asheville, North Carolina; Cleveland Clinic Foundation, Cleveland, Ohio; University of Arizona Cancer Center, Tucson, Arizona; Holy Name Medical Center, Teaneck, New Jersey; University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Beth
authors.initials: B
authors.lastname: Faiman
authors.affiliation: University of South Florida College of Nursing, Tampa, Florida; CarePartners, Asheville, North Carolina; Cleveland Clinic Foundation, Cleveland, Ohio; University of Arizona Cancer Center, Tucson, Arizona; Holy Name Medical Center, Teaneck, New Jersey; University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Sandra
authors.initials: S
authors.lastname: Kurtin
authors.affiliation: University of South Florida College of Nursing, Tampa, Florida; CarePartners, Asheville, North Carolina; Cleveland Clinic Foundation, Cleveland, Ohio; University of Arizona Cancer Center, Tucson, Arizona; Holy Name Medical Center, Teaneck, New Jersey; University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Anne Marie
authors.initials: AM
authors.lastname: Shaftic
authors.affiliation: University of South Florida College of Nursing, Tampa, Florida; CarePartners, Asheville, North Carolina; Cleveland Clinic Foundation, Cleveland, Ohio; University of Arizona Cancer Center, Tucson, Arizona; Holy Name Medical Center, Teaneck, New Jersey; University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Lyden
authors.affiliation: University of South Florida College of Nursing, Tampa, Florida; CarePartners, Asheville, North Carolina; Cleveland Clinic Foundation, Cleveland, Ohio; University of Arizona Cancer Center, Tucson, Arizona; Holy Name Medical Center, Teaneck, New Jersey; University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Janique
authors.initials: J
authors.lastname: Rice