Date of Graduation
Winter 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
Abstract
Objective: Cytotoxic chemotherapy places oncology patients at risk of complications such as mucosal barrier injuries (MBI) and aspiration pneumonia. Current literature supports the use of high-quality oral hygiene protocols to reduce the frequency and severity of these complications.
Aim: By end of fiscal year 2025, we will achieve a 0.2% reduction in incidences of aspiration pneumonia, from 1.5% to 1.3% of total patient discharges, among adult cancer patients in the oncology units. Methods: A survey was used to gather baseline oral hygiene compliance data on six acute care oncology units. Based on the results of the survey and discussions with nursing staff, the interventions to achieve this goal will include collaboration with hospital leadership to create paired oral hygiene order sets with each chemotherapy order, and staff education emphasizing the importance of oral hygiene in this population. Results: The expected results following implementation of a paired order set is an increase in staff and patient compliance with the oral hygiene protocols. It is anticipated that this will lead to reduced rates of MBI and subsequent aspiration pneumonia in the oncology population. Conclusion: Improved compliance with oral hygiene protocols will lead to a decrease in nosocomial aspiration pneumonia in the oncology population. Measures to sustain this quality improvement include assigning each unit an oral care nurse champion and monthly compliance reviews.
Recommended Citation
Theodosopoulos, Alexandra Violeta, "Reducing the Incidence of Nosocomial Aspiration Pneumonia in Adult Oncology Patients" (2024). Master's Projects and Capstones. 1821.
https://repository.usfca.edu/capstone/1821
