Research Week Abstract Book - Northern Health

Haematology
IMProVING Pre ChemoTHERAPY EDUCATION ProCess FOR PATIENTS IN THE
Day ONCOLOGY UNIT
Gwynne M, Probst K, Edwards M, Cooney M.
Background:
Pre chemotherapy education is an integral part of patients’ treatment journey. Education in the Day Oncology Unit was
performed on the day of the patients’ first treatment, with an allocated time frame of 30 minutes. Concerns were raised from
nursing staff that patients’ anxiety levels were high and too much information was given on their first treatment, resulting in
patients’ feeling overwhelmed.
Staff also felt that 30 minutes was not enough time to interact and allow the patient quality time to raise their concerns,
Aims:
To provide a structured chemotherapy education process, allowing sufficient time for nurse and patient, provide a physical
space away from treatment area for education and to decrease patient anxiety prior to treatment.
Method:
A project group was formed, and literature reviews were conducted. A study conducted by Peter MacCallum Cancer Institute
in 2008 on ‘Reducing Stress in Patients Undergoing Chemotherapy’ was reviewed, as well as relevant oncology evidence
based websites.
Results:
Based on the literature review, in January 2012 a new process for education was implemented.
Patients are scheduled for pre chemotherapy education 2 days prior to treatment for an allocated time frame of 1 hour with
a nurse. An education room has been established in the unit for privacy. Patients are given a “Looking after Yourself during
Chemotherapy” DVD prior to their education session along with a questionnaire to be completed raising any concerns or
fears they may have.
A patient satisfaction survey was conducted in November 2012, highlighting that patients were 100% satisfied with the
education process and they felt the content of information given was very helpful.
Conclusion:
Nursing staff reported a significant change in patient anxiety levels on the day of treatment when education had been
conducted 2 days prior. Staff expressed that the extended time frame allowed them to deliver a more comprehensive
education to the patient and they did not feel under pressure, or rushed.
Improving the education process has provided patients with confidence, better understanding and reduced anxiety levels for
their first treatment.
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Research Week Abstract Book Northern Health 2013