Date of Award

Spring 5-18-2023

Degree Type

Dissertation

Degree Name

DNP Doctor of Nursing Practice

Department

Nursing

Advisor

Mary Ellen E. Roberts, DNP

Committee Member

Teresa Conklin, DNP

Committee Member

Leticia T. Smith, DNP

Keywords

patient education, cancer, oncology, standardized, multimedia, telemedicine

Abstract

Telemedicine has demonstrated a high level of satisfaction in a variety of health settings as a safe and efficient method of delivering healthcare. The purpose of this project was to implement an Advanced Practice-led Quality Improvement (QI) initiative pilot to evaluate the standardization of chemotherapy education through an integrated telemedicine platform. This Doctor of Nursing Practice (DNP) project used interventions noted in the literature review to assess and evaluate core concepts of knowledge, satisfaction, utilization, and program acceptance. This project aimed to utilize evidence-based processes to increase knowledge about the chemotherapy treatment routine, to raise awareness and develop skills to manage side effects related to treatment and to improve patient satisfaction.

In this pilot, observational data were collected and analyzed in an outpatient setting at a large, multistate comprehensive cancer center. Patient survey data for this QI project showed that among participants (n=10) who completed the Patient Satisfaction Survey, 93% agreed positively about Ease of Access to the telemedicine dashboard. Overall, 100% agreed positively about Satisfaction with the Information and Materials received. Participant scores revealed 98% agreed that the class prepared them for their first chemotherapy. Eight of ten participants agreed that the class prepared them to better manage potential chemotherapy side effects.

The staff participant satisfaction rate was 86% with a positive response regarding telehealth and its perceived efficacy. Staff participants agreed that standardized patient education decreases practice variability and increases efficiency. The findings suggest that telemedicine can be used successfully to deliver quality care education for patients receiving chemotherapy.

Included in

Nursing Commons

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