Date of Graduation

Fall 12-13-2019

Document Type

Restricted Project - USF access only

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

Program

Population Health Leadership

First Advisor

Dr. Wanda Borges

Second Advisor

Dr. Juli Maxworthy

Abstract

Several studies have acknowledged medication errors of up to 40% in oral chemotherapy administration in pediatric patients. Medication calendars are used to ensure prescription drug compliance for patients who may need to take numerous, complex medications a day. A needs assessment performed in an outpatient pediatric hematology/oncology clinic demonstrated confusion and significant delays in treatment completion for patients due to the lack of timely medication calendar delivery. A review of the literature of interventions to improve medication compliance in pediatric oncology patients indicated that clinical pathways improve both patient medication knowledge and communication between all members of the healthcare team. An intervention to assist caregivers with medication administration must include consistency and accuracy in the framework. This DNP project intervention focused on the creation and implementation of a clinical pathway to improve the provision of medication calendars for patients to ensure timely administration of chemotherapy treatment. Implementation of the intervention increased timelier calendar delivery, patient satisfaction scores, and more consistent medication reconciliation.

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