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THE EMPOWERED NURSE

residual effects of the intervention. Reduction in perceived stress was utilized for evaluation of function and satisfaction with health.
levels may support employee satisfaction and enhance perform- The PROMIS 7 survey examined anxiety. The knowledge questions
ance and productivity. were created by the nurses. These surveys were completed prior to
starting chemotherapy, two weeks later, at the end of treatment
Conclusions/Implications (And now): In today’s demand- and three months post-treatment via an electronic survey.
ing care environment, aromatherapy may support employee
well-being by reducing stress perception. As a component of an Discussion: This IRB approved study compares repeated
employee wellness initiative, this intervention rendered no ad- measures of anxiety, physical and psychological function and
verse effects, is cost-effective and continues to be a sustainable, knowledge over time. Interim analysis of 23 subjects showed that
replicable, wellness innovation. the PROMIS 7 anxiety scores decreased significantly by the end of
treatment (p=0.016). FACT-B assessment indicated that physical
and functional well-being declined significantly by the end of treat-
ment (p=0.021 and p=0.001, respectively) while FACT-B social
well-being scores remained unchanged and emotional well-being
scores increased significantly (p=0.008). The increase in emotional
well-being was accompanied by a statistically significant increase in
Janet M. Myers, DNP, APRN, FNP/GNP-BC, NE-BC, CDE, BC-ADM
patient knowledge of chemotherapy and symptom management
Asst. Administrative Director of Clinical Operations
throughout treatment (p=0.001). The chemotherapy class and ac-
Medicine Patient Care Center

Vanderbilt Health Walk-in Clinics companying instructional video successfully decreased anxiety and
janet.m.myers@vumc.org increased knowledge of symptom management. While physical

and functional well-being declined as expected, emotional well-
being and knowledge increased as a result pre-chemotherapy edu-
cation. While not everyone may be able to attend a weekly
Decreasing Breast Cancer Patient Anxiety chemotherapy class, I propose adding this video with breast cancer
and location specific information to the facility’s website to make
Using Modern Educational Video this education accessible to all breast cancer patients.

Significance and background: Evidence shows that newly di-

Sheri Spears, BSN, RN, OCN
agnosed breast cancer patients experience increased anxiety and

OHO Medical Infusion
depression with questions about medications, side effects, and Chemotherapy Class Facilitator
managing those side effects at home. It has been proposed that sheri.l.spears@vumc.org

chemotherapy education is most effective at reducing anxiety.
Short, accessible videos can increase knowledge and compliance in
patients. Access to these customized videos appeals to different
learning styles and health literacy needs while improving symptom Operating Room (OR) Noise Reduction:
management of chemotherapy. Literature Review & Organizations’ Recom-

mendations
Purpose: To evaluate the effectiveness of videos and a nurse-
led “chemotherapy class” increasing knowledge and home symp-
tom management in newly diagnosed breast cancer patients requir- Purpose: The World Health Organization (WHO) man-
ing chemotherapy. dated hospital noise levels to be below 30 (dB) for safety. In-
creased noise during critical times of surgery causes distractions,
Intervention: Patients viewed the instructional video during increases surgical site infection rates and medical errors. We as-
chemotherapy class preparing them for the first day of chemother- sessed our noise during these critical times of surgery: count and
apy. They were also sent the link to the video to watch as needed. emergence.
Topics covered included addressing symptom control and contact
information for clinic staff. Relevance/Significance: In QuickSafety August 2017, The
Evaluation: The valid and reliable instruments of FACT-B Joint Commission (TJC) called hospitals to minimize Operating