The fact that strategy-making involves the entire organizational structure as a system that serves to transform leadership, collaboration, communication, change and the requisite consideration of policy implications into improved organizational outcomes suggests that there is a need for a multipronged systemic strategy. The following assessment explores the patient’s issue, the goals set for the planned practicum, the synthesis of a literature review from different peer-reviewed sources, the effects of nursing practice on CINV, and leadership proposals to enhance the results of the CINV.

Defining the Patient Problem

 The subject is Paul, a 55-year-old married male who currently has lung cancer at an advanced stage and is receiving chemotherapy. CINV is common in cancer patients receiving chemotherapy; it erodes the quality of life of the patient (Luo et al., 2023). Regarding the choice of the protagonist, the focus is made on the reflection of real-life scenarios that people with cancer are to face and the need to find out how the patient’s experience can be improved while undergoing the treatment. The given study is supported by the literature on CINV and its impact on patients like Paul.

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In light of the present research, it has been observed that CINV still poses a significant challenge, even with the new generations of antiemetic drugs. It affects daily functioning, eating habits, and mood, and it indicates that the solution to this issue is essential. Moreover, in Paul’s chart, it has been established that he suffered from moderate to severe CINV in the previous chemotherapeutic cycles, a consideration in the formulation of patient-specific interventions.  NURS FPX 4900 Assessment 1 context of the syllabus and the role of the baccalaureate-prepared nurse, the management of CINV exemplifies the foundations of person-centred care and research-based practice (Engle et al., 2021).

Analysis of Evidence from Peer-Reviewed Literature

            Workings synthesised from the peer-reviewed articles for chemotherapy-induced nausea and vomiting (CINV) offer helpful information on the actions that nurses should undertake to deal with this issue. provided insight into which antiemetic medications, specifically the 5-HT3 receptor antagonists, should be provided for the effective prevention and management of CINV. The above findings correspond with the current practice adopted at my workplace; for instance, patients receiving chemotherapy are usually administered with antiemetics. For example, providing a randomised sample of patients with heart problems and having a large sample of the study population would strengthen the result.

 Moreover, such findings obtained in different studies bring reliability and consistency into focus. In the literature, there are enumerated barriers to using EBP in the management of CINV: failure to follow guidelines, insufficiency of staff education, and patient conditions, including the intermittent ability to communicate enlisted issues (Houghton et al., 2020). The present text discusses the barriers, as mentioned above, that have to be recognised and eliminated for the EBI’s implementation to be effective.

NURS FPX 4900 Assessment 1 Policies for Patients

 The literature search yielded data on the impact of nursing standards and policies for CINV on patients’ outcomes. However, there is a lack of research evidence on this topic. However, some general aspects of the care of cancer patients have been addressed by other authors, including Matthias Mäurer et al. (2023), who noted that especially interdisciplinary collaborative care and the development of individual treatment plans influence CINV. The literature concerning nurses’ policy-making engagement identified the necessity of speaking up for patient-oriented policies and the processes of decision-making (Hajizadeh et al., 2021).

This is in agreement with the idea that nurses have a critical role to play in the development of policies that seek to contain CINV and other related issues in enhancing overall cancer care outcomes. NURS FPX 4900 Assessment 1 theories/Conceptual Frameworks like the Health Belief Model or the Transtheoretical Model are sought in the literature for reference during the practicum to determine the nursing actions that will be taken. The provision of this patient education, patient empowerment and increased client-centeredness fully support addressing CINV.

Impact of Nursing Practice Standards and Policies

Chemotherapy-induced nausea and vomiting (CINV) in nursing practice requires an


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