Management of Malignant Bowel Obstruction: An Innovative Proactive Outpatient Nurse-Led Model of Care for Patients With Advanced Gynecologic Cancer. Issue 1 (10th January 2023)

• Record Type: Journal Article
• Authors: Jivraj, Nazlin; Lee, Yeh Chen; Tinker, Lisa; Bowering, Valerie; Ferguson, Sarah E.; Croke, Jennifer; Karakasis, Katherine; Chawla, Tanya; Lau, Jenny; Ng, Pamela; Dhar, Preeti; Shlomovitz, Eran; Buchanan, Sarah; Dhani, Neesha; Oza, Amit M.; Stuart-McEwan, Terri; Lheureux, Stephanie
• Is Part Of: Journal of nursing care quality. Volume 38:Issue 1(2023)
• Page Start: 69
• Page End: 75
• Publication Date: 2023-01-10
• Subjects: algorithm -- ambulatory care -- bowel obstruction -- gynecology -- nursing care; Nursing -- Standards -- Periodicals; Nursing audit -- Periodicals; Health facilities -- Safety measures -- Periodicals; Nurse administrators -- Periodicals; 610.73
• DOI: 10.1097/NCQ.0000000000000661
• Languages: English
• ISSNs: 1057-3631

Abstract

Abstract : Background: Malignant bowel obstruction (MBO) in patients with advanced gynecologic cancer (GyCa) can negatively impact clinical outcomes and quality of life. Oncology nurses can support these patients with adequate tools/processes. Problem: Patients with GyCa with/at risk of MBO endure frequent emergency or hospital admissions, impacting patient care. Approach: Optimizing oncology nurses' role to improve care for patients with GyCa with/at risk of MBO, the gynecology oncology interprofessional team collaborated to develop a proactive outpatient nurse-led MBO model of care (MOC). Outcomes: The MBO MOC involves a risk-based algorithm engaging interdisciplinary care, utilizing standardized tools, risk-based assessment, management, and education for patients and nurses. The MOC has improved patient-reported confidence level of bowel self-management and decreased hospitalization. Following education, nurses demonstrated increased knowledge in MBO management. Conclusions: An outpatient nurse-led MBO MOC can improve patient care and may be extended to other cancer centers, fostering collaboration and best practice.