Chemotherapy-Induced Peripheral Neuropathy: Use of an Electronic Care Planning System to Improve Adherence to Recommended Assessment and Management Practices
Robert Knoerl, PhD, RN; Celia Bridges, BA, BSN, RN; Gloria L. Smith, DNP, RN, ACNP; James J. Yang, PhD; Grace Kanzawa-Lee, BSN, RN; Ellen M.L. Smith, PhD, APRN, AOCN®, FAAN
CJON
10.1188/18.CJON.E134-E140
Description
Background: Chemotherapy-induced peripheral neuropathy (CIPN) is often inadequately assessed and managed by advanced practice providers.
Objectives: The aim is to explore the impact of CIPN assessment training and electronic care planning system (CPS) use on CIPN assessment documentation and guidelines adherence.
Methods: The authors used a pre-/post-test, prospective design with two retrospective chart reviews. Six providers received CIPN assessment training and used the CPS to manage CIPN for 75 women receiving neurotoxic chemotherapy.
Findings: CPS use significantly improved documentation of numbness and nonpainful CIPN management strategies but had no effect on documentation of additional assessment variables or painful CIPN management.