An Educational Initiative to Increase Bone Marrow Transplant Staff Knowledge of Steroid Induced Hyperglycemia Secondary to Graft Versus Host Disease Treatment

Autor: Tiffany Hayes, Melinda Rodgers
Rok vydání: 2020
Předmět:
Zdroj: Biology of Blood and Marrow Transplantation. 26:S383-S384
ISSN: 1083-8791
DOI: 10.1016/j.bbmt.2019.12.153
Popis: Topic Significance & Study Purpose/Background/Rationale Patients status post allogeneic hematopoietic stem cell transplant (HSCT) are at increased risk of developing graft versus host disease (GVHD). First-line treatment of GVHD is systemic high-dose steroids. Although effective, a major side effect of this treatment is hyperglycemia. Detection is often delayed, especially when treatment occurs in the outpatient setting. Methods, Intervention, & Analysis This educational study included baseline assessment of staff knowledge of recognition and treatment of steroid induced hyperglycemia, staff education on steroid induced hyperglycemia, and re-assessment of effectiveness of education and knowledge retention following education. Approximately 30 registered nurses (RNs) and nurse practitioners (NPs) were included in the survey. The baseline and post-education assessment contained 14 questions. Prior to education, the average overall score of the baseline assessment was 65.88%. The lowest scoring concepts included dosage of high-dose steroids, resolution of steroid induced hyperglycemia, testing for steroid induced hyperglycemia, effects of hyperglycemia related to steroid use, and incidence of steroid induced hyperglycemia. The overall average score on the post-test was 75.5%, with areas of most improvement including when to test for steroid induced hyperglycemia, steroid dosage considered high-dose, steroid peak times with associated increase in blood glucose, and steroid preparations most likely to cause increase in blood glucose. Findings & Interpretation and Discussion & Implications A 1-month post educational assessment to determine educational effectiveness and staff retention concluded that education was effective. A knowledge deficit in the recognition and treatment among RNs and NPs was identified that will likely improve with continued staff education. Now that the knowledge deficit has been identified, additional education regarding steroid induced hyperglycemia will be implemented to include updates for patient education.
Databáze: OpenAIRE
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