Learning Objective 1: The learner will be able to discuss the safe, well-tolerated, low-cost, effective nature of acupressure for chemotherapy-induced nausea & vomiting.
Learning Objective 2: The learner will be able to state the importance of reeducation of staff to ensure appropriate, evidence-based interventions for patients.
Methods: The nursing staff of an ambulatory chemotherapy infusion unit was educated in the purpose and technique of acupressure for CINV using the neiguan (P6) acupoint. Informational fact cards were developed to support patient education. One year later, a nursing survey from the same unit assessed the frequency of acupressure use and the nurses’ beliefs and attitudes toward acupressure for CINV. The survey elicited barriers from the nurses and their perceptions of patient barriers.
Results: One year after initial staff education, only 38% of acupressure-trained nurses surveyed offer acupressure to patients. Busy oncology nurses noted significant barriers. Eighty-eight percent of nurses not previously educated are interested in learning. Reeducation of all infusion nurses is needed to overcome barriers, ensuring oncology nurses’ daily arsenals of tools includes acupressure for CINV.
Conclusion: Stressing the effectiveness, simplicity, and importance of acupressure for CINV with oncology nurses can help make it part of each chemotherapy patient visit. Having better understanding and increased comfort discussing and performing acupressure for CINV, oncology nurses can continue to empower patients and caregivers to take matters into their own hands to combat CINV.
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