Rumi Maeda1, Kyoko Obama2, Akiko Tomioka3, Junko Akagawa4, Mitsue Maru5. 1. Nursing Career Pathway Center, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan. 2. Division of Behavioral Sciences Research, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan. 3. Division of Nursing, Faculty of Healthcare, Tokyo Healthcare University, Tokyo, Japan. 4. Tokyo Metropolitan Geriatric Medical Center, Tokyo, Japan. 5. Faculty of Nursing and Rehabilitation, Department of Nursing, Konan Women's University, Kobe, Japan.
Abstract
AIM: We examined accuracy of nurses' clinical judgement of graft-versus-host-disease (GVHD) symptoms and related factors using Common Terminology Criteria for Adverse Events (CTCAE) for patients who developed chronic cutaneous GVHD after haematopoietic stem cell transplants. DESIGN: Cross-sectional design using nationwide survey. METHODS: A questionnaire survey based on Tanner's clinical judgement model to assess patients with chronic cutaneous GVHD using CTCAE was used. Free-text descriptions and statistical analyses of relationship between correct responses and demographic data were performed. RESULTS: The rate of correct responses for main symptoms of skin GVHD was < 50%; there was no statistical significance between correct responses and demographic data, knowledge about GVHD and collaborative practice with physicians. The accuracy of cutaneous GVHD clinical judgements was not directly related to nurses' background. Educational opportunities that reinforce nurses' abilities to reflect on knowledge and experiences to interpret patient symptoms are essential for improving accuracy of clinical judgement.
AIM: We examined accuracy of nurses' clinical judgement of graft-versus-host-disease (GVHD) symptoms and related factors using Common Terminology Criteria for Adverse Events (CTCAE) for patients who developed chronic cutaneous GVHD after haematopoietic stem cell transplants. DESIGN: Cross-sectional design using nationwide survey. METHODS: A questionnaire survey based on Tanner's clinical judgement model to assess patients with chronic cutaneous GVHD using CTCAE was used. Free-text descriptions and statistical analyses of relationship between correct responses and demographic data were performed. RESULTS: The rate of correct responses for main symptoms of skin GVHD was < 50%; there was no statistical significance between correct responses and demographic data, knowledge about GVHD and collaborative practice with physicians. The accuracy of cutaneous GVHD clinical judgements was not directly related to nurses' background. Educational opportunities that reinforce nurses' abilities to reflect on knowledge and experiences to interpret patient symptoms are essential for improving accuracy of clinical judgement.
Authors: L Peuvrel; J Cassecuel; C Bernier; G Quéreux; M Saint-Jean; M Le Moigne; C Frénard; A Khammari; B Dréno Journal: Support Care Cancer Date: 2018-03-12 Impact factor: 3.603
Authors: D Niederwieser; H Baldomero; J Szer; M Gratwohl; M Aljurf; Y Atsuta; L F Bouzas; D Confer; H Greinix; M Horowitz; M Iida; J Lipton; M Mohty; N Novitzky; J Nunez; J Passweg; M C Pasquini; Y Kodera; J Apperley; A Seber; A Gratwohl Journal: Bone Marrow Transplant Date: 2016-02-22 Impact factor: 5.483