Date

Fall 2022

Document Type

Scholarly Project

Department

College of Nursing

First Advisor

Sheryl Mitchell

Abstract

Problem Statement: Ovarian cancer is associated with a delayed onset of symptoms and late diagnosis and therefore has increased morbidity and mortality (Momenimovahed et al., 2019). These patients face multiple health complications, frequent hospital admissions, and may suffer from an overall poor quality of life (Marks, 2020). Purpose: This project aimed to determine if implementing FACT-O, a patient-reported quality-of-life screening tool, led to increased pastoral care consults and patient-reported quality-of-life for ovarian cancer patients. Methods: Iowa Model of Evidence-Based Practice was used for this project. Upon admission to 3Tower at CMC Main during a 3-month period, all patients with ovarian cancer were asked to fill out the emotional well-being subscale of the FACT-O tool. Those who scored 18 or below were seen by pastoral care. Patients completed the same questionnaire at their follow-up appointment, and scores were compared. Analysis: Descriptive statistics were used to summarize the population demographics, as well as compare the mean of pastoral care visits during the same three months of project implementation during 2019, 2020, and 2021. A paired t-test was used to analyze data mean FACT-O scores both pre (inpatient) and post (outpatient, post-discharge) pastoral care consults. Results: This project demonstrated a statistically significant result that means FACT-O scores were significantly lower prior to the intervention than post-intervention with p-value= 0.0014. Pastoral care consults also increased during project implementation compared to averages from the three previous years.

Rights

© 2022, Kelly Marie Liguori

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