Rationale: The Children's Hospital at Westmead (CHW) is a tertiary paediatric hospital in Sydney, Australia with a well- established blood and marrow transplant ...
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Abstracts / Biol Blood Marrow Transplant 22 (2016) S19eS481
the first six-months of hire, these nurses have attended all classroom activities. General BMT orientation and chemotherapy competence have been achieved. Additional experiences with critical care patients are needed. Discussion & Implications: Revising an orientation program to include critical care education within the first year of hire is feasible. Ongoing work is being explored to provide the newly licensed nurse with additional support and education to supplement the intensive training required in this BMT/ Hematology unit.
730 A Needs Assessment: How Patients and Families like to Receive Educational Information Patricia Lyons. University of Alabama Hospital Birmingham, Birmingham, AL Topic Significance & Study Purpose/Background/ Rationale: The objectives of this project were to identify the method that patients and their families preferred to receive educational material and if age or health literacy effected that preference. Our Bone Marrow Transplant (BMT) Clinic provides patients and families with an 80 page educational booklet on the BMT process from pre to posttransplantation. Staff were unsure if the booklet 1) was appropriate for varied health literacy levels and 2) met patient and family preferences for how they prefer to receive information about their care. In order to promote patient satisfaction and safe care transitions, healthcare providers must be aware of patient and family’s health literacy as well as their preferred educational method. Methods, Intervention, & Analysis: A 22 item survey was developed that asked questions related to the following topics: satisfaction with educational content of booklet, preferred method for receiving educational material, and health literacy. The survey was provided to patients and families during their visit in the BMT clinic. The following three questions were asked to determine health literacy: if respondent needed help with completing medical forms, organizing medications, or understanding medical terms. Findings & Interpretation: There were 33 participants who completed the survey. Sixty-three percent of the respondents preferred to receive education in written and electronic format. Fifty-six percent of patients with higher health literacy desired information delivered via website and/or phone application compared to fourteen percent of patients with lower health literacy (p¼0.06). Thirty-eight percent of patients younger than 65 desired web-based and/ or phone application compared to fifty percent of patients over the age of 65. Discussion & Implications: Health literacy may determine the preferences in which patients and families like to receive information more than age. The number of participants would need to be larger and a more formal determination of Health Literacy performed.
731 Past, Present and Future - the Implementation of an Enhanced Education and Training Program for Blood and Marrow Transplant Nursing Staff to Ensure FACT Compliance at the Children’s Hospital at Westmead Kay Vanessa Montgomery 1, Janelle Lee Hewlett 1, Katherine Stephen2. 1 Oncology/BMT, The Children’s Hospital at Westmead, Westmead, Australia; 2 Oncology / BMT, The Children’s Hospital at Westmead, Westmead, Australia
Topic Significance & Study Purpose/Background/ Rationale: The Children’s Hospital at Westmead (CHW) is a tertiary paediatric hospital in Sydney, Australia with a wellestablished blood and marrow transplant (BMT) program. FACT Standards promote improvement and progress in cellular therapy and regenerative medicine. FACT accreditation for the BMT program at CHW was achieved in 2011 and reaccreditation was granted in 2014. Nurses play an integral role in the clinical management of BMT patients. They are part of the clinical program overseen by FACT standards which require nursing staff caring for these patients to be formally trained in the management of pediatric patients receiving hematopoietic cellular therapy. BMT patients at CHW are nursed in 4 clinical areas: inpatient Oncology Unit (CW), an isolation Ward (VW) with a mix of medical diagnoses, oncology day clinic (OTC) and Paediatric Intensive Care (PICU). Methods, Intervention, & Analysis: Prior to 2010, BMT nursing accreditation consisted of completion of an Oncology Orientation package, a BMT workbook and a paediatric BMT study day program. Since 2010, CW has 63 RNs with a mix of full and part time staff and a range of experience from new graduate to expert nurse. VW has 35 RNs with mixed nursing experience. In 2010 30/63 ¼47% of CW nurses were considered to be BMT accredited and 10/35 ¼ 28% of nurses on VW. OTC had 4 RNs and 2/4 ¼50% were BMT accredited. FACT guidelines for nursing education required a new program to be implemented to address all training and competencies described in FACT editions 4 and 5. By 2014 an enhanced education and competency program was developed comprising of an Oncology /BMT Learning and Development Timeline. Findings & Interpretation: The development of the BMT nursing education program has been well received with benefits seen throughout the unit. At FACT reaccreditation in 2014 BMT accredited nursing numbers had increased significantly with 50/63 CW ¼80%, 22/35 VW ¼63% and OTC 4/4¼100% nurses now BMT accredited. Discussion & Implications: A future initiative is to continue to increase the number of BMT accredited nursing staff in all areas and to target PICU as a focus area for further education.
732 Implementing a Multidisciplinary Caregiver Class in Preparation of Autologous Stem Cell Transplant (SCT) Mary E. Peterson 1, Alison Procter 2, Rose Duran 3, Peggy Smith 3, Kimberly LeBrun 4, Polly Hundley 4, Jennifer Lancaster 5, Kimberly Jutovsky 6, Amanda Baker 7, Jonathan E. McBrayer 8. 1 Stem Cell Transplant, Saint David’s South Austin Medical Center, Austin, TX; 2 Outpatient Cancer Care Clinic, St. David’s South Austin Medical Center, Austin, TX; 3 Stem Cell Transplant, St. David’s South Austin Medical Center, Austin, TX; 4 Pharmacy/Stem Cell Transplant, St. David’s South Austin Medical Center, Austin, TX; 5 Dietary, St. David’s South Austin Medical Center, Austin, TX; 6 Physical Therapy, St. David’s South Austin Medical Center, Austin, TX; 7 Case Management, St. David’s South Austin Medical Center, Austin, TX; 8 Chaplain Services, St. David’s South Austin Medical Center, Austin, TX Topic Significance & Study Purpose/Background/ Rationale: Continual assessment and development of practice is essential to a developing program. One aspect of the SCT program at St. David’s South Austin Medical Center that required re-assessment and development was the caregiver education. Caregiver support is an important element in the
