Date of Conferral

2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mattie Burton

Abstract

Inadequate preparation of prostate cancer patients undergoing radiation therapy (RT) can damage healthy tissue and cause long-term complications. Proper setup can reduce side effects. Currently, there are no standardized guidelines to help prepare patients for prostate radiation. Guidelines will help nurses coordinate care and manage symptoms for these patients. The purpose of this doctoral project was to address the gap in practice of the lack of a standardized process for implementing presimulation interventions for patients with prostate cancer undergoing RT by developing an evidence-based clinical practice guideline (CPG). The practice question for this project focused on the best practices contributing to a CPG for set up patients with prostate cancer undergoing RT treatment. The model guiding the development of a CPG was the Johns Hopkins nursing evidence-based practice model. Sources of evidence that informed the CPG came from these databases: CINAHL Plus with Full Text, MEDLINE with Full Text, PubMed, Ovid Nursing, Embase, ProQuest Nursing and Allied Health Source, and Google Scholar. The project team used the Appraisal of Guidelines for Research and Evaluation (AGREE) II method to assess for the validity of the CPG. A prostate radiation oncologist, RT director, and prostate nurse analyzed the CPG using the AGREE II instrument and indicated validity in the CPG for guiding nurses to appropriate interventions. The recommendation is to implement a CPG with interventions that address bladder and bowel management, image quality, and patient education. The development of CPGs has a potential impact on social change by addressing others needs, using trustworthy sources for research, and developing guidelines that address cultural consideration of the target population.

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