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    Nurse Communication of Exercise Education for Hematopoietic Stem Cell Transplantation Patients

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    Author
    Roesler, John Arthur
    Issue Date
    2018
    Keywords
    Exercise
    PDSA Cycles
    Stem Cell Transplant
    Advisor
    Carrington, Jane
    
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    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    An estimated 20,000 people, aged 0-74 years, undergo a hematopoietic stem cell transplantation (HSCT) per year in the United States (US Department of Health and Human Services, 2016). Debilitating health outcomes and long recovery times are associated with this population due to disease-related and transplant-related side effects. Consistent daily exercise has been associated with reducing these debilitating transplant-related effects (Persoon et al., 2013). Generally, rehabilitation programs for HSCT patients do not include formal exercise despite the US Health and Human Services (HHS) recommends that healthy adults receive 150 minutes of aerobic activity per week, in addition to, two days of strength training (health.gov, 2017). Hospitalized HSCT patients receiving care at a community cancer center experience inconsistent engagement of physical activity. When patients receiving, aggressive chemotherapy are not coached to exercise daily, physical deconditioning, loss of muscle mass, decreased strength and endurance occur (Hacker, 2011). Working 12 hour shifts, inpatient nurses can engage patients in physical activity however are not seen as rehabilitation or exercise science experts. A quality improvement project is essential to assess nurses’ understanding, perceptions, and barriers to incorporating routine exercise into the care of HSCT patients. Utilizing the Plan-Do-Study-Act (PDSA) Model for Improvement (MFI), this quality improvement project will recommend ways to change current practice and provide exercise education resources during HSCT admission.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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