Date of Graduation

Fall 12-13-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Jessica Evanchak, MSN, RN, CNL

Abstract

Objective Aspiration pneumonia is a preventable, yet common complication in oncology patients undergoing chemotherapy, steered by suboptimal compliance with oral hygiene protocols and elevated susceptibility due to mucosal barrier injuries. Despite its major impact on healthcare costs and morbidity, compliance with evidence-based practices remains inadequate. Aim This project aimed to decrease nosocomial aspiration pneumonia rates from 1.5% to 1.3% by enhancing oral hygiene compliance from 41% to 70% over a 12-week period. Methods Proposed interventions included implementing paired oral hygiene order sets into electronic medical records, once-per-shift cues, staggered patient education sessions, and staff education on standardized protocols. Pre-intervention data pinpointed gaps in adherence and education, while future metrics for assessment included compliance rates, mucosal barrier injuries, and pneumonia incidence. Results Baseline findings disclosed that 20% of patients had a lack of knowledge surrounding oral hygiene protocols. Barriers included inconsistent workflows, inadequate reminders, and a shortage of resources. Proposed interventions addressed these barriers to optimize compliance and decrease complications. Conclusions Although not implemented, the proposed interventions offer a foundation for enhancing oral hygiene compliance and decreasing the incidence of aspiration pneumonia. Future implementation and evaluation are required to measure their effectiveness and maintain long-term improvements in oncology care. Keywords aspiration pneumonia, nosocomial infection prevention, oncology care, oral hygiene, compliance

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