Theses and Dissertations at Montana State University (MSU)
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Item Chemotherapy education: standardizing education and improving knowledge retention through multimedia platform(Montana State University - Bozeman, College of Nursing, 2019) Norby, Sydney Lauren; Chairperson, Graduate Committee: Susan RaphPatients with a new diagnosis of cancer undergoing chemotherapy treatment receive an overwhelming amount of information at the start of their journey. At a northcentral Montana healthcare agency, it was observed that patients were not retaining the chemotherapy education provided to them, which can negatively impact their timeliness of recognizing and reporting symptoms. The purpose of this project was to determine best practice, standardize the chemotherapy delivery process, and implement multimedia into chemotherapy education delivery in hopes of improving knowledge retention. A chemotherapy education checklist was developed to standardize the information delivered to patients during their chemotherapy education. Prior to their education, patients were asked to answer a seven-question pretest. Before their first day of treatment, patients followed a link to watch the Chemotherapy Basics video created by the Cleveland Clinic. On their first day of treatment, patients answered the same seven-question post-test and their scores were analyzed. Patients showed improvement in their post-test scores after the education intervention. The results of this project suggest that the addition of multimedia to the chemotherapy education process coupled with a standardized education checklist improves knowledge retention of patients.Item Inpatient intravenous chemotherapy administration : nursing competence and confidence(Montana State University - Bozeman, College of Nursing, 2016) Anderson, Kristi Lynn; Chairperson, Graduate Committee: Sandra KuntzAn estimated 40% of people in the United States will receive a cancer diagnosis in their lifetime. This illness may be managed with intravenous (IV) chemotherapy, which requires specialized training and expertise for staff nurses. A microsystem assessment was completed on an inpatient medical, surgical, oncology unit at a northwest Montana hospital. Nurses in the microsystem expressed the inability to maintain competency standards and expertise with infrequent IV chemotherapy administration. A review of the literature was conducted to identify best practices in competence and confidence in nursing IV chemotherapy administration. A root cause analysis was conducted to discover factors contributing to low levels of competency and confidence in IV chemotherapy administration. Comparisons were made between the standards, guidelines, and policies, and themes were analyzed. Solutions were identified and prioritized. A protocol utilizing just-in-time training was developed along with an implementation plan and an evaluation plan. Just-in-time training utilizes checklists, demonstration, peer review feedback, and self-assessment as a measure of competence and confidence assessment. Feedback about the protocol, implementation plan, and evaluation plan was solicited from a key administrator and stakeholders. The Clinical Nurse Leader (CNL) is well suited to implement this protocol due to their ability to integrate care with an interdisciplinary team to identify, develop, implement, and evaluate care practices.Item Studies on chemotherapy of leukemia in conventionally-reared and germfree mice(Montana State University - Bozeman, College of Agriculture, 1970) Kouttab, Nicola MitriItem Prediction of the initial antiepileptic drug for pediatric seizure patients : a multivariate analysis of historical, clinical and EEG data(Montana State University - Bozeman, College of Letters & Science, 1983) Hunt, Jeffrey IvanItem Assessing barriers to opioid pharmacotherapy for chronic pain in Montana(Montana State University - Bozeman, College of Nursing, 2011) Sewell, Saundra Knowles; Chairperson, Graduate Committee: Wade G. Hill.Chronic pain affects an estimated 76.2 million people in the United States yet health care providers face significant barriers to provision of safe and effective chronic pain management. Research has identified pharmacotherapy as an important component of a multi-disciplinary care plan for chronic pain management, but complexities associated with pain pharmacotherapy are also a source of barriers to chronic pain management. Little is known about barriers to provision of chronic pain management that may be unique to rural settings such as Montana. The primary goal of this research effort was to develop a questionnaire to assess barriers faced by health care providers to the use of pharmacotherapy for chronic pain in Montana. Following a comprehensive literature review of barriers to chronic pain management, a draft questionnaire containing 24 questions was developed and submitted to an expert panel of providers with prescriptive authority in Montana. A tailored Delphi technique was used to gather input about the proposed questionnaire from the expert panel. The results confirmed the importance of assessing barriers in Montana and the presence of significant barriers to opioid pharmacotherapy for chronic pain. The responses provided key information for revision of the questionnaire, improving the questionnaire clarity and relevance to Montana. This project represents an essential first step in the development of an assessment tool for use in Montana to identifying the existence and relative impact of barriers to chronic pain management. Understanding the relative influence and impact of these barriers will help mitigate barriers that impede adequate chronic pain management and help identify support needs of health care providers in chronic pain management.