Abstract

328 Background: Nurse practitioners (NPs) play a significant role in symptom management, yet the literature is lacking in their role in implementation of quality measures for supportive care, symptom management, and end-of-life care. Previous research, however, has described the importance of oncology NPs in providing palliative care and symptom management. Evidence of ASCO’s Quality Oncology Practice Initiative (QOPI) measures for symptom management and end-of-life care have not been well documented in patient medical records. The objective of this project is to improve NP documentation of these quality measures by incorporating use of “Smart Text” with a new electronic medical record system. The research question is, “Do NPs caring for adult medical oncology patients in the ambulatory care setting demonstrate increased documentation of symptom management quality measures following an educational intervention (EI) as compared to pre-intervention chart audits?” Improved documentation of these measures can positively impact patient outcomes. Methods: This quantitative study utilizes pre- and post-EI chart audits. The pre-intervention chart audit will evaluate 100 charts of oncology patients seen by oncology NPs in an academic cancer center for documentation of symptom management and end-of-life care QOPI measures. Pre-chart analysis will be used to develop the EI. The EI will include development of specific “Smart Text” which include information specific to symptom management and end-of-life care QOPI measures. Following the EI, a post- chart audit will be completed to evaluate improvement in NP documentation of these measures. SPSS software will assist researchers in developing descriptive statistics, graphs and analyses to be used in interpretation of findings. The project has been approved and given exempt status by the institution’s IRB. Results: This study is in process and preliminary results are expected by the time of this meeting taking place. Conclusions: If this intervention proves to be successful, it has the potential to be incorporated by not only nurse practitioners, but by all clinicians in oncology settings across the country.

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