Chemotherapy-induced nausea and vomiting (CINV) in nursing practice requires an understanding of state board nursing practice standards and organisational or governmental policies. For instance, the ASCO and ONS offer recommendations with regard to the use, dosage, and timing of administering antiemetics for CINV, and such standards shape how nurses admit conduct (Hesketh et al., 2020). These guidelines provide [e] consistency as well as empirically supported principles for the prevention and treatment of CINV. Aapro et al. (2022) investigated the utility of analysing adherence to antiemetic guidelines for determining patient adult outcomes. The study recommended strict compliance, which was noted to minimise the effects and intensity of CINV, thus increasing the patient’s quality of life. This shows that standards of nursing practice help in delivering the best outcomes for patients who experience CINV.
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In current literature, the aspect that is of most importance in the formulation of policies to help avert adverse outcomes and hospital re-admission is the involvement of the nurses. Being part of quality improvement activities and promoting change in policy, with the exercising of evidence-based practice, the authors continue to shape and implement governmental policies that relate to the direct care of patients (Hajizadeh et al., 2021). NURS FPX 4900 Assessment 1 evidenced by the information provided, local, state, and federal policies, as they relate to the practising of nursing within the context of CINV, can be influential. For example, state laws may restrict the kinds of drugs a nurse might give or specify further qualifications for specific procedures. NURS FPX 4900 Assessment 1 Healthier policies like Affordable Healthcare can modify the way antiemetic drugs are made available and, subsequently, how they can be accessed by a patient, hence limiting the kind of care the nurse is able to offer (Isola & Reddivari, 2022).
To achieve that aim, effective leadership strategies are required in relation to patient outcomes, patient-centred care, and patient experience concerning CINV. In a cross-sectional study conducted by Silva et al. (2022), it was shown that the shared decision-making model where both the healthcare providers and the patients get involved in decision-making has shown improved patient satisfaction with regard to the symptoms they are experiencing. Thus, more utilisation of a model centred on shared decision-making where leaders in healthcare and patients are involved in making decisions concerning CINV management should be encouraged. NURS FPX 4900 Assessment 1 entails efficiency in leadership is the definition of a leadership structure and how the healthcare team will handle CINV. The leader should hire a group of professionals who will include oncologists, nurses, pharmacists, and nutritionists, and this will be in a bid to develop teamwork. According to the study by Bornman and Louw (2023), the research findings proved that institutional cooperation leads to the appropriate use of guidelines on antiemetics and good outcomes for the patients.
NURS FPX 4900 Assessment 1 Collaboration Framework
Therefore, the communication and collaboration framework policies play a critical role in tackling CINV. Interdisciplinary team conferences and other means of communication help to achieve the synchronisation of knowledge about evidence-based practice among all the team members. Booking systems checklists or electronic applications could thus improve the RECE’S essential communication on CINV management interventions in that omissions were previously reported (Wochna Loerzel et al., 2020). That is why it is possible to underline that change management strategies are vital to introducing new interventions for CINV. Leadership should make efforts to provide training programs that enhance the awareness of the healthcare providers of the current interventions and guidelines in antiemetic—further, adopting the culture of constant enhancement and feedback to support the implementation of research-backed techniques, as mentioned in Kotter’s eight-stage model of change, where one needs to Lead change (Teggart et al., 2022).
The management of CINV is a complex problem combining various aspects that require a holistic and integrative approach in patients with cancer receiving chemotherapy. NURS FPX 4900 Assessment 1 practicum with Paul is intended to help him decrease his symptoms and contribute to the s
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