Designing and the Validation of the Evidence-Based Nursing Care Instruction in the Nausea and Vomiting of Patients Undergoing Chemotherapy

摘要

Introduction: Nausea and vomiting due to chemotherapy is the most common and severe complications in patients suffering from cancer. This study has been done with the aim of designing an evidence-based nursing care instruction for the nausea and vomiting of the patients suffering from chemotherapy. Methods: This study is a development study method in the chemotherapy ward of the Baqiatallah (A.J) Hospital in 2014. Nausea and vomiting nursing care instruction was designed based on the Stetler Model with an evidence-based approach. The ideas of ten faculty members of the selected universities were considered for assessing the validity of the instruction content through the Delphi model. The applicability of the instruction was assessed through interviews with 8 relevant clinical experts. In addition to assessing nursing reference books, some articles were studied from some websites including: Google scholar, Elsevier, Cochran, Proquest, Pubmed and SID. The key words for searching these articles included: care instruction, evidence-based nursing, nausea, vomiting and protocol. Findings: The evidence-based instruction of nausea and vomiting due to chemotherapy in this study included: nursing diagnosis, reasons, evaluation criteria and nursing interventions .These can be used as a clinical guide for taking care of the patients undergoing chemotherapy based on the most valid scientific texts with an evidence-based approach. Conclusion: Designing an evidence-based nursing care instruction for patients undergoing chemotherapy leads to more benefits and increases the achievement of the nursing staff to up-to-date information and finally increases the nursing cares quality. In addition, a part of clinical nurses’ need in facing nausea and vomiting in these patients will be met.