A Nurse Practitioner Directed Intervention Improves the Quality of Life of Patients with Metastatic Cancer: Results of a Randomized Pilot Study

Dyar, Stephen; Lesperance, Mary; Shannon, Robert; Sloan, Jeff A.; Colón‐Otero, Gerardo

doi:10.1089/jpm.2012.0014

Cited by 96 publications

(129 citation statements)

References 14 publications

Supporting

Mentioning

116

Contrasting

Unclassified

Order By: Relevance

“…Research has shown that advance care planning for end of life decisions can have a marked effect on lowering distress in palliative populations (42). Professional psychosocial support may facilitate family communication with healthcare teams and promote psychological adaptation (43).…”

Section: Discussionmentioning

confidence: 99%

Initial Validation of the Death and Dying Distress Scale for the Assessment of Death Anxiety in Patients With Advanced Cancer

Krause

Rydall

Hales

et al. 2015

Journal of Pain and Symptom Management

View full text Add to dashboard Cite

How to cite TSpace itemsAlways cite the published version, so the author(s) will receive recognition through services that track citation counts, e.g. Scopus. If you need to cite the page number of the author manuscript from TSpace because you cannot access the published version, then cite the TSpace version in addition to the published version using the permanent URI (handle) found on the record page.This article was made openly accessible by U of T Faculty. Please tell us how this access benefits you. Your story matters. 1 Full citation and link to published version:Krause S, Rydall A, Hales S, Rodin G, Lo C. Abstract ContextThe experience of death anxiety in patients with advanced cancer has been understudied partly due to the lack of a tailored measure for this population. The Death and Dying Distress Scale (DADDS) was constructed to address this gap. Although an initial version of this instrument has shown promising psychometric properties, validation of the finalized version is needed. ObjectivesThis study aims to validate the recent 15-item DADDS by examining its factor structure and construct validity. MethodsSixty participants with advanced or metastatic cancer were recruited from the Princess Margaret Cancer Centre, Toronto, Canada, into a pilot trial of a psychological intervention. This paper analyzes the baseline measures on death anxiety, depressive symptoms (PHQ-9, SCID), generalized anxiety (GAD-7), and preparation for end of life (QUAL-EC). Exploratory factor analysis was conducted. Construct validity was assessed by correlations between measures. ResultsFactor analysis revealed a dominant single factor explaining over 75% of the shared variation between items. Factor loadings were high, ranging from 0.57 to 0.86. Item communalities were evenly ranged from 0.33 to 0.75 and with the 15:1 variable to factor ratio, suggest the viability of parameter estimates despite the small sample size. Cronbach's alpha was 0.95. Death anxiety was associated with less preparation for end of life, r = -0.68, p < 0.0001, and more generalized anxiety, r = 0.63, p < 0.0001, and depressive symptom severity, r = 0.50, p < 0.0001. Individuals with major depression had greater death anxiety than the non-depressed, mean difference = 17, CI .95 = (1.5, 33), as did individuals with minor depression, mean difference = 25, CI .95 = (10, 41). ConclusionThe DADDS is a valid measure of death anxiety in patients with advanced cancer. It may provide useful information in the assessment and treatment of distress in patients near the end of life.4

show abstract

Section: Discussionmentioning

confidence: 99%

Initial Validation of the Death and Dying Distress Scale for the Assessment of Death Anxiety in Patients With Advanced Cancer

Krause

Rydall

Hales

et al. 2015

Journal of Pain and Symptom Management

View full text Add to dashboard Cite

show abstract

“…(Table 4) 31, 32 and the complete scoping review results are based on 269 NPs (93 from the ASTRO radiation oncology workforce survey), representing only 0.1% of the NPs in the United States. The small number of NPs represented in the research coupled with the significant projected increase in specialty NP care by the Center for Health Workforce Analysis illustrates the gap in knowledge of NP practice in oncology.…”

Section: Discussionmentioning

confidence: 99%

A scoping review of the nurse practitioner workforce in oncology

2016

View full text Add to dashboard Cite

The quality of cancer care may be compromised in the near future because of work force issues. Several factors will impact the oncology health provider work force: an aging population, an increase in the number of cancer survivors, and expansion of health care coverage for the previously uninsured. Between October 2014 and March 2015, an electronic literature search of English language articles was conducted using PubMed®, the Cumulative Index to Nursing and Allied Health Sciences (CINAHL®), Web of Science, Journal Storage (JSTOR®), Google Scholar, and SCOPUS®. Using the scoping review criteria, the research question was identified “How much care in oncology is provided by nurse practitioners (NPs)?” Key search terms were kept broad and included: “NP” AND “oncology” AND “workforce”. The literature was searched between 2005 and 2015, using the inclusion and exclusion criteria, 29 studies were identified, further review resulted in 10 relevant studies that met all criteria. Results demonstrated that NPs are utilized in both inpatient and outpatient settings, across all malignancy types and in a variety of roles. Academic institutions were strongly represented in all relevant studies, a finding that may reflect the Accreditation Council for Graduate Medical Education (ACGME) duty work hour limitations. There was no pattern associated with state scope of practice and NP representation in this scoping review. Many of the studies reviewed relied on subjective information, or represented a very small number of NPs. There is an obvious need for an objective analysis of the amount of care provided by oncology NPs.

show abstract

“…The cancer survivor experiences different magnitudes of symptoms at different stages of the disease, with negative effects on quality of life, functional status and self-care. The end of life is reported as a period of increased incidence, intensity of symptoms and emotional distress [4]. Spichiger et al [5] reported that people admitted at palliative care units experienced 7 to 13 different symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…Nurses' level of expertise showed to be a predictive indicator of increased health gains. Dyar et al [4] emphasize that the implementation of palliative care at an early stage promotes individual satisfaction. Education for self-management and follow-up were found to be positively associated with a higher quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…The figure of the nurse like case manager, who articulates with other health professionals in the multidisciplinary team has, also proved to be an important dimension [7]. Dyar et al [4] report that, nursing consultation reduces the rates of depression, fatigue, sleep pattern disorders, stress and pain level, which contributes to a better quality of life and well-being.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation