The nurse's role in managing chemotherapy-induced nausea and vomiting
Krishnasamy, Meinir, Kwok-Wei So, Winnie, Yates, Patsy, de Calvo, Luz Esperanza Ayala, Annab, Rachid, Wisniewski, Tami, & Aranda, Sanchia (2014) The nurse's role in managing chemotherapy-induced nausea and vomiting. Cancer Nursing, 37(4), E27-E35.
Nurses play a substantial role in the prevention and management of chemotherapy-induced nausea and vomiting (CINV).
This study set out to describe nurses’ roles in the prevention and management of CINV and to identify any gaps that exist across countries.
A self-reported survey was completed by 458 registered nurses who administered chemotherapy to cancer patients in Australia, China, Hong Kong, and 9 Latin American countries.
More than one-third of participants regarded their own knowledge of CINV as fair to poor. Most participants (>65%) agreed that chemotherapy-induced nausea and chemotherapy-induced vomiting should be considered separately (79%), but only 35% were confident in their ability to manage chemotherapy-induced nausea (53%) or chemotherapy-induced vomiting (59%). Only one-fifth reported frequent use of a standardized CINV assessment tool and only a quarter used international clinical guidelines to manage CINV.
Participants perceived their own knowledge of CINV management to be insufficient. They recognized the need to develop and use a standardized CINV assessment tool and the importance of adopting international guidelines to inform the management of CINV.
Implications for Practice:
Findings indicate that international guidelines should be made available to nurses in clinically relevant and easily accessible formats, that a review of chemotherapy assessment tools should be undertaken to identify reliable and valid measures amenable to use in a clinical settings, and that a CINV risk screening tool should be developed as a prompt for nurses to enable timely identification of and intervention for patients at high risk of CINV.
Impact and interest:
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|Item Type:||Journal Article|
|Keywords:||cancer, chemotherapy-induced nausea and vomiting, education, nurses|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
|Copyright Owner:||Copyright 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins|
|Deposited On:||30 Jul 2014 23:35|
|Last Modified:||01 Aug 2015 14:01|
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