Bladder Instillation Therapy: Improving Patient Outcomes Through Evidence Based Practice
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Date
2015-05
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The Ohio State University
Abstract
Bladder instillation therapy instills intravesical medication into the bladder to treat superficial bladder cancer. Nursing staff, using a consistent standardized approach to bladder intravesical administration, can improve patient outcomes and decrease adverse events. The purpose of this Doctor of Nursing Practice (DNP) project is to improve the care of superficial bladder cancer patients receiving intravesical bladder cancer treatments by evaluating and revising an existing intravesical bladder protocol to reflect current evidence-based practice. Nursing staff were provided with an educational program regarding bladder cancer and intravesical bladder treatments. The Iowa Model of Evidence-Based Practice to Promote Quality Care framework was used to develop the project. The current bladder instillation protocol was evaluated and revised to reflect current evidence based practice. A nursing educational lecture focusing on superficial bladder cancer, risk factors, diagnosis, and treatment options was then developed and presented to twelve nursing staff members. Continuing education credits were awarded to those who attended the educational program. Patient education materials regarding bladder intravesical therapy also were evaluated and revised. A patient educational handout for Valrubicin was developed. Implementation of the revised evidence-based protocol will occur as the next step to extend the current DNP project.
In conclusion, outcomes for patients receiving bladder instillation therapy can be improved by a consistent standardized approach to their care. Nurses who are knowledgeable about the disease process and treatments of their patients can help to improve patient outcomes. Nurses who practice utilizing evidence-based protocols will promote the highest level of quality and safety for their patients. Implementation of this project will ultimately lead to more optimal care and improved patient outcomes.
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Bladder instillation therapy: Improving patient outcomes through evidenced based practice