A Nursing Intervention for Reducing Symptom Burden During Chemotherapy

Coolbrandt, Annemarie; Wildiers, Hans; Laenen, Annouschka; Aertgeerts, Bert; Casterlé, Bernadette Dierckx de; Achterberg, Theo van; Milisen, Koen

doi:10.1188/18.onf.115-128

Cited by 33 publications

(38 citation statements)

References 48 publications

(46 reference statements)

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“…After every patient encounter, intervention nurses self-rated the contact on the extent they believed they had addressed the core elements of the intervention. Protocol of this mixed-methods evaluation and its results are reported elsewhere [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home

et al. 2018

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BackgroundGiven the great symptom burden associated with chemotherapy on the one hand and generally poor self-management of symptoms by cancer patients on the other hand, our aim was to develop a nursing intervention to reduce symptom burden in adult cancer patients treated with chemotherapy and to support them in dealing with their various symptoms at home.MethodsDevelopment of the intervention was guided by the Intervention Mapping Approach and included following steps: needs assessment, formulation of proximal programme objectives, selection of methods and strategies, production of programme components, and planning for implementation and evaluation of the intervention. A panel of multidisciplinary healthcare professionals (n = 12) and a panel of patients and family caregivers (n = 7) were actively involved developing the intervention at each stage.ResultsFor the intervention, four patient performance objectives relating to self-management were advanced. Self-efficacy and outcome expectations were selected as key determinants of dealing with chemotherapy-related symptoms. As methods for supporting patients, motivational interviewing and tailoring were found to fit best with the change objectives and determinants. Existing patient information materials were re-designed after panel input to reinforce the new intervention approach.ConclusionThe intervention mapping approach, including active involvement of the intervention providers and receivers, informed the design of this nursing intervention with two or more contacts. Further evaluation is needed to gain insight into the potential effects, feasibility and mechanisms of this complex intervention.Electronic supplementary materialThe online version of this article (10.1186/s12912-018-0297-8) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home

et al. 2018

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“…Furthermore, improving patient education on selfcare to prevent and relieve symptoms has shown to be a promising strategy to reduce distressful symptoms in patients receiving chemotherapy. 36 …”

Section: Discussionmentioning

confidence: 99%

Symptom Experience and Self-rated Physical Functioning in Patients With Ovarian Cancer Receiving Chemotherapy

Vistad

Cvancarova

Astrup

et al. 2018

International Journal of Gynecological Cancer

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A high symptom burden was reported in this cohort of patients with ovarian cancer mainly treated with palliative intent. Low self-rated physical functioning was strongly associated with high symptom burden for the 6-month period. When chemotherapy is discussed with patients with ovarian cancer with low physical functioning, possible palliation benefits must be weighed against the added risk of long-term distressful symptoms that chemotherapy implies.

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“…booklet covering self-care and cancer (Coolbrandt et al, 2018). Selfmanagement interventions can be efficient if they provide patients with the most relevant information for their individual situation and do not overburden patients with too much or irrelevant information (Schofield and Chambers, 2015).…”

confidence: 99%

“…Evidence suggests that health care providers offer supportive care to meet physical, emotional, psychosocial, informational, and practical needs of patients diagnosed with cancer (Fitch, 2008). Oncology nurses are well situated to assist patients in communicating needs, values and preferences during chemotherapy (Armes et al, 2014;Ferrell et al, 2013) and to support ambulatory cancer patients with symptom selfmanagement (Charalambous et al, 2018;Coolbrandt et al, 2018;Wagland et al, 2015). A growing number of patients undergo outpatient cancer treatment and are at risk for multiple potential adverse events that require self-management (Giesinger et al, 2014;Lewis https://doi.org/10.1016Lewis https://doi.org/10.…”

Section: Introductionmentioning

confidence: 99%

Development and implementation strategies of a nurse-led symptom self-management program in outpatient cancer centres: The Symptom Navi© Programme

Bana

Ribi

Kropf-Staub³

et al. 2020

European Journal of Oncology Nursing

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The Symptom Navi© Programme (SN©P) is a structured nurse-led intervention supporting symptom self-management in cancer patients. We describe the development and evaluation of the intervention, implementation strategy, and the evaluation of nurse training for the Symptom Navi© Pilot Study. Methods: The intervention was developed using multiple methods (e.g. literature synthesis, focus groups) to produce SN©P information leaflets (SN©Flyers in French and German) and standardised training for nurses to deliver semi-structured consultations. We evaluated the SN©P using online surveys, focus groups, interviews, and the Item-Content Validity Index (I-CVI). Nurse training was evaluated in relation to content, acceptability, and confidence in implementing the SN©P. We examined the association between scored on the Work-related Sense of Coherence (Work-SoC) scale and nurses' confidence in implementing the SN©P. Thematic analysis was used to analyse qualitative data. Quantitative data was descriptively analysed and the Kendall Tau test was employed for correlations. Results: Patients and health care professionals confirmed that SN©Flyers and semi-structured consultations facilitated symptom self-management. Nurses considered training content/format acceptable and appropriate and felt confident in implementing the SN©P. Overall Work-SoC scores were correlated with nurses' confidence in implementing the SN©P (r π = .47, p = .04). Conclusions: Health care professionals and cancer patients perceived the SN©P as a useful support. Successful implementation of the SN©P depends on centre-specific factors including time, resources and workflow. Clinical trial registry: NCT03649984 and SNCTP000002381.

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A Nursing Intervention for Reducing Symptom Burden During Chemotherapy

Abstract: Providing goal-directed self-management support using motivational interviewing as well as tailoring are promising areas for reducing chemotherapy-related symptom distress.

Cited by 33 publications

References 48 publications

Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home

Systematic development of CHEMO-SUPPORT, a nursing intervention to support adult patients with cancer in dealing with chemotherapy-related symptoms at home

Symptom Experience and Self-rated Physical Functioning in Patients With Ovarian Cancer Receiving Chemotherapy

Development and implementation strategies of a nurse-led symptom self-management program in outpatient cancer centres: The Symptom Navi© Programme

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