AI Article Synopsis

  • Oral mucositis (OM) is a significant issue for children undergoing hematopoietic stem cell transplantation (HSCT), highlighting a discrepancy between clinical practices and available evidence in nursing care.* -
  • The study aims to integrate evidence-based practices to improve nurse compliance and prevent chemotherapy-induced OM, using a comprehensive model from the Joanna Briggs Institute.* -
  • After implementing these evidence-based interventions, there was a notable improvement in compliance and a reduction in the incidence and severity of OM, leading to standardized oral care procedures for better patient outcomes.*

Article Abstract

Background: Oral mucositis (OM) poses a significant challenge in children undergoing hematopoietic stem cell transplantation (HSCT). There is a gap between clinical practice and the evidence, and nursing practices is not standardized.

Objective: This study aims to evaluate the effectiveness of applying the evidence for preventing HSCT chemotherapy-induced OM in children and to elevate the nurses' compliance to the evidence.

Methods: Following the clinical evidence practice application model of the Joanna Briggs Institute (JBI) evidence-Based Care Center. The process included reviewing literature, extracting evidence, identifying gaps, developing audit criteria, conducting a baseline audit, creating an action plan, implementing evidence-based interventions, and assessing outcomes.

Results: After the evidence implementation, 6 out of 12 audit criteria with poor compliance are significantly improved, with statistically significant differences (<0.05). The incidence of OM decreases, with a statistically significant difference (66.6% vs 36.7%, =0.02). The incidence of grade I, II, III, and IV OM also decreases (30% vs 23.3%, 23.3% vs 13.4%, 10% vs 0%, and 3.3% vs 0%). Ultimately, the standardized oral care practice routine and workflows to prevent OM were established.

Conclusion: Bridging the gap between evidence and clinical practice can standardize nurse behavior, decrease the incidence of OM, and lower the OM severity in children undergoing HSCT.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316476PMC
http://dx.doi.org/10.2147/RMHP.S471877DOI Listing

Publication Analysis

Top Keywords

oral mucositis
8
hematopoietic stem
8
stem cell
8
cell transplantation
8
audit criteria
8
evidence
5
enhancing standardized
4
standardized practices
4
practices oral
4
mucositis prevention
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!