UC Davis Health supports a culture of clinical inquiry. Nurses are encouraged to identify questions arising from their clinical practice. The Center for Nursing Science in collaboration with the Blaisdell Medical Library provide support to nurses in identifying existing evidence in the literature. If evidence is found, nurses might apply that in their unit via a mentored Evidence-Based Practice (EBP) project. If a search yields insufficient evidence to support such a project, the UC Davis nurse may develop and implement a research study to answer that question. Doctorally prepared clinical nurse scientists mentor clinical nurses in the conduct of research at the bedside. This mentorship includes helping the clinical nurses develop scholarly presentations and publications.

Effectiveness of a transition bell as measured by the ProQOL on an oncology unit

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The study aimed to develop a meaningful way for staff and patients to transition from inpatient care to home or to celebrate the completion of chemotherapy. This was accomplished with the implementation of a ritual ringing of a Transitional Bell as a way to honor the special relationship with patients battling cancer. It was established to honor patients who have fought a valiant battle but were discharged to hospice or died in the hospital.

Oncology nurses are known for their compassionate care, however over time this can lead to burnout and secondary trauma. In turn, patients may not receive the same quality of care. This study was done to promote therapeutic care of self in order to improve patient satisfaction with excellent nursing care. The unit culture lacked a formal way of honoring the meaningful relationship that was built during transitions and stages of care for our patients battling cancer.

The nurses sought to find out how they could honor the discharge or passing of a patient in a more meaningful way and asked the question, “Can utilizing a symbolic tradition to signify this event improve nurse compassion and decrease burnout and secondary trauma amongst inpatient Oncology Nurses?”


Co-Investigators: Hilary McConaghy, RN, BSN, OCN, and Misara Bambao, RN, BSN, OCN