In nursing, it is crucial to address the issues that patients encounter when going through chemotherapy at the Centre for Cancer Patients’ care. NURS FPX 4900 Assessment 1 is about Paul, a 55-year-old man with advanced lung cancer currently receiving chemotherapy. In this assessment, the population of concern is outlined by focusing on one of the most common and persistent challenges of patients who undergo chemotherapy, namely, chemotherapy-induced nausea and vomiting (CINV). Paul is a baccalaureate-prepared nurse who aims to prevent CINV and improve the quality of the patient’s life using evidence-based intervention strategies.
NURS FPX 4900 Assessment 1 Policy Consideration
The fact that strategy-making involves the entire organizational structure as a system that serves to transform leadership, collaboration, communication, change and the requisite consideration of policy implications into improved organizational outcomes suggests that there is a need for a multipronged systemic strategy. The following assessment explores the patient’s issue, the goals set for the planned practicum, the synthesis of a literature review from different peer-reviewed sources, the effects of nursing practice on CINV, and leadership proposals to enhance the results of the CINV.
Defining the Patient Problem
The subject is Paul, a 55-year-old married male who currently has lung cancer at an advanced stage and is receiving chemotherapy. CINV is common in cancer patients receiving chemotherapy; it erodes the quality of life of the patient (Luo et al., 2023). Regarding the choice of the protagonist, the focus is made on the reflection of real-life scenarios that people with cancer are to face and the need to find out how the patient’s experience can be improved while undergoing the treatment. The given study is supported by the literature on CINV and its impact on patients like Paul.
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In light of the present research, it has been observed that CINV still poses a significant challenge, even with the new generations of antiemetic drugs. It affects daily functioning, eating habits, and mood, and it indicates that the solution to this issue is essential. Moreover, in Paul’s chart, it has been established that he suffered from moderate to severe CINV in the previous chemotherapeutic cycles, a consideration in the formulation of patient-specific interventions. NURS FPX 4900 Assessment 1 context of the syllabus and the role of the baccalaureate-prepared nurse, the management of CINV exemplifies the foundations of person-centred care and research-based practice (Engle et al., 2021).
Analysis of Evidence from Peer-Reviewed Literature
Workings synthesised from the peer-reviewed articles for chemotherapy-induced nausea and vomiting (CINV) offer helpful information on the actions that nurses should undertake to deal with this issue. provided insight into which antiemetic medications, specifically the 5-HT3 receptor antagonists, should be provided for the effective prevention and management of CINV. The above findings correspond with the current practice adopted at my workplace; for instance, patients receiving chemotherapy are usually administered with antiemetics. For example, providing a randomised sample of patients with heart problems and having a large sample of the study population would strengthen the result.
Moreover, such findings obtained in different studies bring reliability and consistency into focus. In the literature, there are enumerated barriers to using EBP in the management of CINV: failure to follow guidelines, insufficiency of staff education, and patient conditions, including the intermittent ability to communicate enlisted issues (Houghton et al., 2020). The present text discusses the barriers, as mentioned above, that have to be recognised and eliminated for the EBI’s implementation to be effective.
NURS FPX 4900 Assessment 1 Policies for Patients
The literature search yielded data on the impact of nursing standards and policies for CINV on patients’ outcomes. However, there is a lack of research evidence on this topic. However, some general aspects of the care of cancer patients have been addressed by other authors, including Matthias Mäurer et al. (2023), who noted that especially interdisciplinary collaborative care and the development of individual treatment plans influence CINV. The literature concerning nurses’ policy-making engagement identified the necessity of speaking up for patient-oriented policies and the processes of decision-making (Hajizadeh et al., 2021).
This is in agreement with the idea that nurses have a critical role to play in the development of policies that seek to contain CINV and other related issues in enhancing overall cancer care outcomes. NURS FPX 4900 Assessment 1 theories/Conceptual Frameworks like the Health Belief Model or the Transtheoretical Model are sought in the literature for reference during the practicum to determine the nursing actions that will be taken. The provision of this patient education, patient empowerment and increased client-centeredness fully support addressing CINV.
Impact of Nursing Practice Standards and Policies
Chemotherapy-induced nausea and vomiting (CINV) in nursing practice requires an understanding of state board nursing practice standards and organisational or governmental policies. For instance, the ASCO and ONS offer recommendations with regard to the use, dosage, and timing of administering antiemetics for CINV, and such standards shape how nurses admit conduct (Hesketh et al., 2020). These guidelines provide [e] consistency as well as empirically supported principles for the prevention and treatment of CINV. Aapro et al. (2022) investigated the utility of analysing adherence to antiemetic guidelines for determining patient adult outcomes. The study recommended strict compliance, which was noted to minimise the effects and intensity of CINV, thus increasing the patient’s quality of life. This shows that standards of nursing practice help in delivering the best outcomes for patients who experience CINV.
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In current literature, the aspect that is of most importance in the formulation of policies to help avert adverse outcomes and hospital re-admission is the involvement of the nurses. Being part of quality improvement activities and promoting change in policy, with the exercising of evidence-based practice, the authors continue to shape and implement governmental policies that relate to the direct care of patients (Hajizadeh et al., 2021). NURS FPX 4900 Assessment 1 evidenced by the information provided, local, state, and federal policies, as they relate to the practising of nursing within the context of CINV, can be influential. For example, state laws may restrict the kinds of drugs a nurse might give or specify further qualifications for specific procedures. NURS FPX 4900 Assessment 1 Healthier policies like Affordable Healthcare can modify the way antiemetic drugs are made available and, subsequently, how they can be accessed by a patient, hence limiting the kind of care the nurse is able to offer (Isola & Reddivari, 2022).
Leadership Strategies to Improve
To achieve that aim, effective leadership strategies are required in relation to patient outcomes, patient-centred care, and patient experience concerning CINV. In a cross-sectional study conducted by Silva et al. (2022), it was shown that the shared decision-making model where both the healthcare providers and the patients get involved in decision-making has shown improved patient satisfaction with regard to the symptoms they are experiencing. Thus, more utilisation of a model centred on shared decision-making where leaders in healthcare and patients are involved in making decisions concerning CINV management should be encouraged. NURS FPX 4900 Assessment 1 entails efficiency in leadership is the definition of a leadership structure and how the healthcare team will handle CINV. The leader should hire a group of professionals who will include oncologists, nurses, pharmacists, and nutritionists, and this will be in a bid to develop teamwork. According to the study by Bornman and Louw (2023), the research findings proved that institutional cooperation leads to the appropriate use of guidelines on antiemetics and good outcomes for the patients.
NURS FPX 4900 Assessment 1 Collaboration Framework
Therefore, the communication and collaboration framework policies play a critical role in tackling CINV. Interdisciplinary team conferences and other means of communication help to achieve the synchronisation of knowledge about evidence-based practice among all the team members. Booking systems checklists or electronic applications could thus improve the RECE’S essential communication on CINV management interventions in that omissions were previously reported (Wochna Loerzel et al., 2020). That is why it is possible to underline that change management strategies are vital to introducing new interventions for CINV. Leadership should make efforts to provide training programs that enhance the awareness of the healthcare providers of the current interventions and guidelines in antiemetic—further, adopting the culture of constant enhancement and feedback to support the implementation of research-backed techniques, as mentioned in Kotter’s eight-stage model of change, where one needs to Lead change (Teggart et al., 2022).
Conclusion
The management of CINV is a complex problem combining various aspects that require a holistic and integrative approach in patients with cancer receiving chemotherapy. NURS FPX 4900 Assessment 1 practicum with Paul is intended to help him decrease his symptoms and contribute to the significant objectives of practice, which involve improving nursing care for clients with cancer. The evaluation of the peer-reviewed articles highlights the aspects of knowledge translation and evidence-based interventions; it is crucial to address the issues of recognizing antiemetic medications, nursing and organizational standards, policies, and interdisciplinary collaboration in context.
Analysis of the proposed research reveals the practice standards, formulated organizational policies, and compliance with guidelines as essential factors influencing positive outcomes for patients. Leadership practices with regard to decision-making, teamwork, information exchange, and change implementation are highlighted as evidence-based interventions that can enhance patients’ experience and treatment outcomes of CINV. Regarding these aspects, nurses can contribute to the creation of policies and, thus, promote innovation processes and improvement of the quality of the services being provided to people with cancer treatment challenges.