Alexander Lindsey, Allen Deborah
Duke University, Durham, NC, USA.
Clin J Oncol Nurs. 2011 Feb;15(1):23-5. doi: 10.1188/11.CJON.23-25.
Fluid balance measurement (FBM) is a routine intervention in oncology, but accuracy and compliance issues have been documented. This article describes how a medical oncology nursing clinical practice committee used the Iowa Model for Evidence-Based Practice to establish a policy for FBM. Nursing and medical education was performed with emphasis on oncology-specific defaults in a computerized provider order entry system reflecting the new FBM policy. At two months of implementation, the policy effectively demonstrated improved staff compliance and satisfaction, as well as appropriate orders for patients requiring stricter FBM.
液体平衡测量（FBM）是肿瘤学中的一项常规干预措施，但已记录到准确性和依从性问题。本文描述了肿瘤内科护理临床实践委员会如何使用爱荷华循证实践模型来制定FBM政策。在反映新FBM政策的计算机化医嘱录入系统中，进行了护理和医学教育，重点是肿瘤学特定的默认设置。在实施两个月时，该政策有效地提高了工作人员的依从性和满意度，并为需要更严格FBM的患者开出了适当的医嘱。
