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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Mary Kay Nissen


education, checklist, tool, oncology, cancer, distress, stress, anxiety, nurse, patient, chemotherapy, questionnaire, standardized, inpatient, learn, instruct, record


Introduction: To improve clinical outcomes for cancer patients, nurses need to teach substantial amounts of education regarding their diagnosis. This vast amount of education along with the cancer diagnosis often can cause stress for patients. These high levels of stress can hinder patients’ ability to retain knowledge about their diagnosis, potentially affecting clinical outcomes.
Evidence Summary: Standardized education on key components of a cancer diagnosis is associated with decreased patient stress and improved patient outcomes and satisfaction. Moreover, use of education checklists improves patient outcomes and decreases adverse effects. To assess cancer patient stress, use of a validated and reliable instrument, such as The Questionnaire on Stress in Cancer Patients Revision 23 (QSC-R23) is recommended. Gaps: An evidence-based standardized education checklist specific to oncology care and requisite education needed does not exist in the literature. Furthermore, evidence is lacking regarding the implementation of standardized education checklists and their effect on patient stress.
Recommendations for Practice: Standardizing an oncology patient education checklist is recommended to improve patient outcomes and decrease perceived levels of stress.

Library of Congress Subject Headings

Cancer -- Patients.
Patient education.
Stress (Psychology) -- Prevention.
Nurse and patient.



Number of Pages



South Dakota State University


Copyright © 2020 Lindsey Palmer