NURS FPX 4900 Assessment 2 Assessing the Problem: Quality, Safety and Cost Considerations - Tutors Academy
Chemotherapy-induced nausea and vomiting (CINV) is a significant concern in oncology nursing, impacting the quality of care, patient safety, and costs for both individuals and healthcare systems. In this assessment, we explore the multifaceted effects of CINV on patient outcomes and healthcare delivery.
We examine the influence of nursing practice standards, policies, and strategies on addressing CINV to improve care quality, enhance patient safety, and reduce costs (Cristina et al., 2023). By understanding these dynamics, nurses can develop effective interventions to mitigate the impact of CINV and optimize patient care.
Impact of Patient Problems on Quality of Care, Patient Safety, and Costs
Chemotherapy-induced nausea and vomiting (CINV) profoundly impacts the quality of care, patient safety, and costs for both individuals and healthcare systems. For instance, consider an individual patient undergoing chemotherapy for lung cancer. Despite advancements in antiemetic medications, the persistent experience of CINV can lead to decreased treatment adherence and compromised symptom management (Gupta et al., 2021). This, in turn, affects the overall quality of care by impeding the patient’s ability to tolerate chemotherapy regimens optimally, potentially compromising treatment efficacy and disease outcomes.
CINV poses significant safety risks to patients. For example, severe vomiting episodes may lead to dehydration, electrolyte imbalances, and nutritional deficiencies, exacerbating existing health issues and potentially necessitating hospitalization for supportive care. Additionally, CINV-induced nausea can impact a patient’s ability to perform daily activities safely, increasing the risk of falls and other accidents, further compromising patient safety and well-being.
NURS FPX 4900 Assessment 2 Assessing the Problem: Quality, Safety and Cost Considerations
The financial burden associated with managing CINV can be substantial for individuals and healthcare systems. Individually, patients may incur additional expenses related to antiemetic medications, supportive care interventions, and hospitalizations for symptom management. On a broader scale, healthcare systems face increased costs associated with emergency department visits, hospital admissions, and prolonged hospital stays due to severe CINV complications (Juan Felipe Rico et al., 2023). Additionally, the decreased treatment adherence resulting from poorly managed CINV may lead to suboptimal treatment outcomes, potentially necessitating more intensive and costly interventions in the long run.
CINV significantly impacts the quality of care, patient safety, and costs by compromising treatment adherence, exacerbating safety risks, and imposing financial burdens on individuals and healthcare systems. Addressing CINV effectively requires comprehensive strategies prioritizing evidence-based symptom management, interdisciplinary collaboration, and patient-centered care to mitigate these detrimental effects.
Effect of Nursing Practice Standards and Policies
State board nursing practice standards and organizational or governmental policies play a pivotal role in shaping the landscape of healthcare delivery and influencing patient outcomes. These standards and policies establish the framework within which nurses operate, impacting various aspects of care, including quality, safety, and costs (Oldland et al., 2020).
Firstly, adherence to state board nursing practice standards ensures nurses deliver care consistent with recognized best practices and guidelines. These standards often outline protocols for patient assessment, treatment, and documentation, promoting standardized care delivery approaches. By adhering to these standards, nurses can enhance the quality of care by ensuring patients receive evidence-based interventions tailored to their needs.
Organizational or governmental policies set the tone for healthcare practices within specific settings or jurisdictions. For instance, policies related to staffing ratios or nurse-to-patient ratios can significantly impact patient safety by influencing the workload and availability of nursing staff (Phillips et al., 2021).
As mandated by policies, adequate staffing levels contribute to improved patient outcomes by reducing the risk of adverse events and errors. Additionally, policies related to reimbursement and payment models can affect healthcare costs at the systemic and individual levels (Reindersma et al., 2022). For example, policies promoting value-based care or incentiv