| Sumario: | Significance & Background: Evaluating symptoms in patients with advanced cancer is a critical component in mitigating symptom burden and improving quality of life. Cancer patients experience an array of physical, emotional, and psychological symptoms, which can significantly impact compliance with treatment, daily functioning, and well-being. Early and thorough assessment enables healthcare providers to identify and address these issues, ensuring symptom management strategies are tailored to the patient's needs. Purpose: This project aims to implement the Edmonton System Assessment System (ESAS) in an inpatient oncology service and evaluate the acceptability (AIM), appropriateness (IAM), and feasibility (FIM) of the assessment by nurses and palliative care providers. Interventions: Following the implementation science framework of Knowledge to Action, a quality improvement project was conducted utilizing a pretest-posttest survey to measure providers' perceptions of implementing the ESAS. Results: Eighty- four providers completed the pre and post survey. The results from the AIM pre-test M=12.55 SD = 3.3, the post-test M= 15.13 SD=3.3 t(84) = -2.583, p <.001). Results from the IAM pre-test M=12.45 SD = 3.420, the post-test M= 15.4.0 SD^.3.170 t(84) = -2.952, p <.001). The results from the FIM pre-test M=14.21 SD = 2.841, the post-test M= 15.19 SD^.324 t(84) = -.976. Discussion: Implementing the ESAS is posited to have a transformative impact on symptom management and patient care. By standardizing its use, nurses and palliative care teams will systematically track symptom progression, prioritize interventions, and evaluate the effectiveness of treatments. The use of the Edmonton Symptom Assessment Scale leads to reduced symptom burden, higher patient satisfaction, and a more holistic approach to care that aligns with palliative care principles, ultimately supporting better quality of life for patients.
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