Date of Completion

Spring 5-16-2022

Document Type

Open Access Capstone

Degree Name

Doctor of Nursing Practice (DNP)

Faculty Advisor

Eileen M. Stuart-Shor, PhD, ANP-BC, FAHA, FAAN

Site Advisor

Michele Galioto, DNP, RN, CNS

Second Reader

Sarah J. Miano, PhD, RN


BACKGROUND: Oral anticancer medications offer state-of-the-art cancer treatment with the convenience and autonomy of self-care in the home. Professional organizations often provide expert guidance and resources to support the provision of high quality, safe, evidence-based care. LOCAL PROBLEM: Many institutions lack a formal oral anticancer medication program, including a process to assess and monitor adherence. Nurses and their colleagues look to the literature, training, collaboration with colleagues, and through practice tools and programs available through their specialty associations for support in their adherence work. The Oral Adherence Toolkit released in 2016 needed updating to reflect current best practices. METHODS: The Chronic Care Model underlies this quality improvement project to design and deploy tools on a national professional oncology nursing site. The change in practice was informed by Lewin’s Change Management Model. INTERVENTIONS: Utilizing baseline results from a pre-implementation survey, expert feedback, and evidence-based literature, of the 14 tools in the Oral Adherence Toolkit, one tool was removed and 13 revised. Two new tools were added, resulting in 15 distinct tools in the newly named Oral Anticancer Medication Toolkit. The revised toolkit was deployed on the website of the specialty nursing organization. RESULTS: A post-implementation survey indicated that the revised toolkit improved in relation to applicability to practice. The new toolkit has been deployed on the organizational website where downloads are monitored. CONCLUSIONS: Nurses and their colleagues require resources available to support care of individuals taking oral anticancer medications. The revised toolkit provides evidence-based, relevant, tailored resources to support practice.

Included in

Other Nursing Commons