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NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

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    NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

    Student Name

    Capella University

    NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

    Prof. Name

    Date

    Evidence-Based Practice to Encourage Physical Activity Among Cancer Survivors

    Greetings everyone, I’m Gloria. Cancer remains one of the most deadly diseases in our society, characterized by low survival rates and high mortality. Typically, cancer is diagnosed at advanced stages, necessitating the use of radiation and chemotherapy for the patient’s survival. The American Cancer Society recently released updated cancer incidence and death rates in the United States, revealing a significant 29% decline in overall cancer mortality from 1991 to 2017 (Siegel et al., 2019). Globally, there were approximately 19.3 million new cancer cases in 2020, resulting in around 10.0 million deaths (Hanahan, 2022).

    The term “cancer” encompasses a diverse range of diseases, each with its own set of symptoms, treatment approaches, and survival prospects. Cancer profoundly impacts the physical, emotional, and social well-being of affected individuals, starting from the moment of diagnosis through the course of treatment and survival. Recent advancements in research, prevention, diagnostics, and treatment have significantly improved the prognoses of many cancer patients.

    Despite these advances, ongoing research, early detection methods, effective medications, and robust support systems are still needed to further enhance cancer prevention and management. This poster presentation aims to bridge the gap between evidence-based practice and clinical application, providing clinicians with scientifically grounded information.

    NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

    PICOT Question 

    Cancer necessitates lifestyle changes for maintaining a cancer-free life. The PICOT question explores the impact of exercise programs on the quality of life of cancer survivors within six months, comparing them to standard care or non-exercise programs. In essence, the population in question is cancer survivors, the intervention is an exercise program compared to standard care or no exercise, and the outcome is improved quality of life within six months.

    Action Plan 

    Exercise plays a crucial role in fostering positive life changes. Implementing exercise programs for cancer patients involves a six-month regimen of walking and low-paced exercises for recently cancer-free individuals. Research indicates that exercise significantly benefits cancer survivors and is often recommended in their regimens. Studies on breast cancer survivors and systematic reviews highlight the positive impact of exercise on various forms of cancer and associated impairments.

    Need Assessment 

    The initial step is conducting a need assessment to identify the specific exercise needs and preferences of cancer survivors, utilizing methods such as focus groups, surveys, and professional consultations.

    Review of Evidence 

    A comprehensive literature review follows, identifying best practices and gaining insights into how literature supports exercise in the plan.

    Recommendation for Practice Change 

    Based on the needs assessment, specific practice changes are recommended, encompassing guidelines, protocols, frequency, intensity, duration, and types of exercises tailored to individual patients.

    Creating a Timeline 

    An intervention plan is developed with an estimated timeline, specifying milestones and deadlines for each step.

    Identify Practice Changes 

    Implementation of practice changes is carried out according to the timeline, utilizing identified tools and resources.

    Identify Tools and Resources 

    This involves providing educational materials, exercise equipment, and funding for program development and implementation.

    Evaluation of Impact 

    The impact of practice changes on cancer survivors’ health outcomes and quality of life is evaluated, including data on exercise participation, physical function, and other relevant outcomes.

    Stakeholders and Potential Barriers

    Key stakeholders include survivors, healthcare providers, hospitals, certified professionals, and researchers. Potential barriers include lack of information, limited access to facilities, financial constraints, and physical limitations.

    Outcome Assessment 

    Outcome criteria include participation rates, changes in physical functioning, quality of life, and cancer-related outcomes such as recurrence and mortality rates.

    Value and Relevance 

    Evidence supporting the need for practice change is compelling, offering numerous benefits for cancer survivors, including improved physical function, quality of life, and cancer-related outcomes.

    Conclusion 

    Exercise is beneficial for cancer survivors, improving health, quality of life, and cancer outcomes. An evidence-based practice project involves assessing needs, reviewing evidence, recommending practice changes, creating a timeline, implementing changes, and evaluating impact. Various stakeholders, including survivors, healthcare providers, organizations, professionals, and researchers, play crucial roles in this initiative. Addressing potential barriers ensures a more effective implementation, and outcome assessment helps gauge the success of the program.

    References

    Cormie, P., Zopf, E. M., Zhang, X., & Schmitz, K. H. (2017). The Impact of Exercise on

    Cancer Mortality, Recurrence, and Treatment-Related Adverse Effects. Epidemiologic reviews, 39(1), 71–92. https://doi.org/10.1093/epirev/mxx007

    Campbell, K. L., Winters-Stone, K., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., … & Schmitz, K. H. (2019). Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Medicine and science in sports and exercise, 51(11), 2375.

    Czosnek, L., Richards, J., Zopf, E., Cormie, P., Rosenbaum, S., & Rankin, N. M. (2021). Exercise interventions for people diagnosed with cancer: a systematic review of implementation outcomes. BMC cancer, 21(1), 1-25.

    NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

    Ferioli, M., Zauli, G., Martelli, A. M., Vitale, M., McCubrey, J. A., Ultimo, S., Capitani, S., & Neri, L. M. (2018). Impact of physical exercise in cancer survivors during and after antineoplastic treatments. Oncotarget, 9(17), 14005–14034. https://doi.org/10.18632/oncotarget.24456

    Siegel, R. L., Miller, K. D., Fuchs, H. E., & Jemal, A. (2022). Cancer statistics, 2022. CA: a cancer journal for clinicians, 72(1), 7-33.

    Hanahan, D. (2022). Hallmarks of cancer: new dimensions. Cancer discovery, 12(1), 31-46.

    Stout, N. L., Baima, J., Swisher, A. K., Winters-Stone, K. M., & Welsh, J. (2017). A Systematic Review of Exercise Systematic Reviews in the Cancer Literature (2005-2017). PM & R : the journal of injury, function, and rehabilitation, 9(9S2), S347–S384. https://doi.org/10.1016/j.pmrj.2017.07.074