The clinical application of research utilization: amphotericin B.

A. M. Reedy, J. C. Shivnan, J. L. Hanson, M. E. Haisfield, R. E. Gregory

Research output: Contribution to journalArticle

Abstract

PURPOSE/OBJECTIVES: To describe the first application of the research utilization process by clinical nurses using the Stetler-Marram Model of Research Utilization to the practice of amphotericin B administration; to share the findings; and to discuss issues encountered in the process and their solutions. DATA SOURCES: Published articles identified through computerized literature searches, published abstracts and books, personal communication with one author, and an informal survey of other cancer centers' amphotericin B infusion practices; research articles were selected for review if studies included settings and patient populations similar to those of the authors and if they used experimental designs. DATA SYNTHESIS: Studies were reviewed for scientific merit and clinical applicability according to the Stetler-Marram model; findings were used to develop a specific nursing protocol for infusion times of amphotericin B based on clinical criteria. CONCLUSIONS: The Stetler-Marram model helped staff nurses decide how to apply research findings to practice, although using it was difficult and required mentorship. A research base exists for amphotericin B administration time but not for test doses or premedications to prevent or minimize side effects. IMPLICATIONS FOR NURSING PRACTICE: Staff nurses can use the Stetler-Marram model but need resources and support from individuals, committees, and administration. A specific protocol representing a practice change was implemented and may be applicable to other settings.

Original languageEnglish (US)
Pages (from-to)715-719
Number of pages5
JournalOncology nursing forum
Volume21
Issue number4
StatePublished - May 1 1994

ASJC Scopus subject areas

  • Oncology(nursing)

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    Reedy, A. M., Shivnan, J. C., Hanson, J. L., Haisfield, M. E., & Gregory, R. E. (1994). The clinical application of research utilization: amphotericin B. Oncology nursing forum, 21(4), 715-719.