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Diez de Los Rios de la Serna C, Kotronoulas G, Drury A, Oldenmenger W, Kelly D. A rapid review of patient-reported outcomes investigated in the context of advanced renal cell cancer or advanced hepatocellular cancer. Eur J Oncol Nurs 2022; 63:102241. [PMID: 36821884 DOI: 10.1016/j.ejon.2022.102241] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 10/05/2022] [Accepted: 11/10/2022] [Indexed: 11/17/2022]
Abstract
BACKGROUND Patient-reported outcomes (PROs) are key indicators of health status and functioning, coming directly from the patient. Comprehensive monitoring of PROs enables implementation of person-centred care. Currently, the PROs that patients with advanced renal cell carcinoma (RCC) or hepatocellular carcinoma (HCC) consider of greatest importance remains unknown. METHODS A rapid literature review was carried out to identify PROs commonly reported in clinical studies of patients with advanced RCC/HCC. We searched MEDLINE, CINAHL & PsycInfo for relevant peer-reviewed publications in the period from 2000 to 2021. Pre-specified selection criteria were applied to all retrieved records. Findings were integrated into a narrative synthesis. RESULTS Eighty-one studies met our selection criteria and were retained. Most research was on advanced RCC (n = 64, 79%); 46 studies (57%) were drug trials. Only twenty-six studies (32%) employed PROs as their primary endpoint. Most PROs concerned physical symptoms (45% RCC, 54% HCC) and emotional wellbeing (19% RCC, 16% HCC). The most common outcome measured was quality of life (65% of the total), followed by fatigue (62%) and pain (54%). Whether selection of these PROs was patient-driven was not reported. CONCLUSIONS A wide range of PROs were assessed. Deficits in PROs often cause patients to seek out help; however, which PROs matter the most to people with advanced RCC/HCC must be further clarified. Targeting, monitoring, and responding to the 'right' PROs can enhance provision of person-centred care in advanced RCC/HCC and augment the clinical efficacy of established and emerging targeted therapies.
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Affiliation(s)
| | - Grigorios Kotronoulas
- School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, United Kingdom
| | - Amanda Drury
- School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| | - Wendy Oldenmenger
- Department of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Netherlands
| | - Daniel Kelly
- Cardiff University - School of Healthcare Sciences, Cardiff, United Kingdom
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İlhan N, Gencer S, Özdemir Ö, Maviyildiz S. The Relationship Between Health Literacy and Illness Self-Care Management in Turkish Patients With Cancer. Oncol Nurs Forum 2020; 47:E73-E85. [PMID: 32301929 DOI: 10.1188/20.onf.e73-e85] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVES To determine the relationship between health literacy and illness self-care management in individuals with cancer. SAMPLE & SETTING 207 individuals with cancer undergoing treatment in the chemotherapy unit of a university hospital in Istanbul, Turkey. METHODS & VARIABLES Data were collected using a sociodemographic and illness characteristics questionnaire, the European Health Literacy Survey Questionnaire-Turkish Version (HLS-EU-Q-TR), and the Self-Care Management Process in Chronic Illness. Data were analyzed using descriptive statistics, one-way analysis of variance, student t test, Pearson correlation test, and multiple regression analysis. RESULTS 86% of individuals displayed an inadequate or problematic to limited level of health literacy. Extended family status and HLS-EU-Q-TR score were significant predictors of self-care management. IMPLICATIONS FOR NURSING Nurses can organize health programs designed to improve the level of health literacy in the population, but they should take into consideration the health literacy levels of their patients.
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Ataman G, Erbaydar T. Unmet home healthcare needs and quality of life in cancer patients: a hospital-based Turkish sample. HEALTH & SOCIAL CARE IN THE COMMUNITY 2017; 25:1347-1354. [PMID: 28215048 DOI: 10.1111/hsc.12435] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/30/2016] [Indexed: 06/06/2023]
Abstract
Home healthcare services in Turkey are provided primarily to patients that are bedridden or seriously disabled. There are no such services integrated with hospital services that are specifically designed for cancer patients. The present study aimed to explore the home healthcare needs of cancer patients and their experiences related to unmet home healthcare needs. The study included 394 adult cancer patients who were followed up at the surgical oncology department of a university hospital. A 37-item, study-specific questionnaire and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for cancer patients (EORTC-QLQ-C30) were administered, and patient clinical records were evaluated. Home healthcare was provided primarily by the patients' immediate family members; the professional home healthcare usage rate was only 2.8%. Patient quality of life (QoL) was negatively affected by cancer, especially those with stage three and four disease. The frequency of the need for home healthcare services due to disease-related health problems during the 30 days prior to administration of the questionnaires was as follows: pain (62.9%), surgical wound care (44.9%), injection of therapeutics (52.3%), gastrointestinal complaints (51.8%), anxiety (87.1%), psychosocial assistance (77.2%) and information about cancer (94.4%). In the absence of home healthcare services, the patients primarily used institutional healthcare services to meet their needs; otherwise, their needs were not met. The physical and psychosocial problems that cancer patients experience could be solved in most cases by professional home healthcare services. Hospital-integrated home healthcare services might not only improve cancer patient QoL but might also increase the effectiveness of hospital-based healthcare services.
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Affiliation(s)
- Gülsen Ataman
- Faculty of Medicine, Ankara University, Ankara, Turkey
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4
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Ludwig C, Bennis C, Carley M, Gifford W, Kuziemsky C, Lafreniere-Davis N, McCrady K, Nichol K, Owens G, Roscoe D, Sandrelli T, Simmons H, Truant T, Verhaegen M, Stacey D. Managing Symptoms During Cancer Treatments: Barriers and Facilitators to Home Care Nurses Using Symptom Practice Guides. HOME HEALTH CARE MANAGEMENT AND PRACTICE 2017. [DOI: 10.1177/1084822317713011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Nurses are instrumental in helping clients safely manage at home and triage potentially life-threatening symptoms from cancer. The purpose of this study was to assess factors influencing home care nurses’ use of 15 evidence-informed symptom practice guides for providing telephone or in-home nursing services to clients with cancer. A mixed-methods descriptive study was guided by the Knowledge-to-Action Framework. All six nursing agencies within a regional home care authority participated. Data collection included retrospective audit of symptom management in 50 patient records, 14 interviews, and barriers survey from 150 of 243 (61.7%) registered nurses and registered practical nurses providing cancer symptom support in home care. Chart audit revealed more than 80% of clients were on chemotherapy and common symptoms were nausea/vomiting (44%), constipation (32%), fatigue (32%), loss of appetite (32%), and pain (20%). Nurses had positive intentions ( M = 5.4 out of 7; SD = 1.3) and felt capable of using the symptom practice guides ( M = 5.4; SD = 1.0), held strong beliefs about the consequences ( M = 5.8; SD = 1.1) and moral norms of using them ( M = 5.7; SD = 1.1), and identified neutral to low social influence ( M = 3.0; SD = 1.6). Common barriers were inadequate time in practice, learning curve, need to integrate into documentation, and competing system changes. Common facilitators were being comprehensive, an evidence-based resource for use in practice, and having consistent symptom management guides across settings. Overall, the symptom guides were well received by the nurses. Interventions nurses identified to overcome barriers were education, clear organizational mandate for implementation, and integration with documentation.
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Affiliation(s)
- Claire Ludwig
- Champlain Community Care Access Centre, Ottawa, Ontario, Canada
| | | | - Meg Carley
- Ottawa Hospital Research Institute, Ontario, Canada
| | | | | | - Nicole Lafreniere-Davis
- client/caregiver representative, pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) Homecare study
| | - Kate McCrady
- We Care Home Health Services, Ottawa, Ontario, Canada
| | | | - Glenda Owens
- Champlain Community Care Access Centre, Ottawa, Ontario, Canada
| | - Diane Roscoe
- Carefor Health & Community Services, Ottawa, Ontario, Canada
| | - Tami Sandrelli
- Access Healthcare Services Inc., Pembroke, Ontario, Canada
| | | | - Tracy Truant
- The University of British Columbia, Vancouver, Canada
| | - Melina Verhaegen
- client/caregiver representative, pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) Homecare study
| | - Dawn Stacey
- Ottawa Hospital Research Institute, Ontario, Canada
- University of Ottawa, Ontario, Canada
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Lambert LK, Housden LM. Les infirmières praticiennes et la recherche. Can Oncol Nurs J 2017; 27:111-114. [PMID: 31148720 PMCID: PMC6516373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023] Open
Affiliation(s)
- Leah K Lambert
- School of Nursing, Université de la Colombie-Britannique, T201-2211 Wesbrook Mall, Vancouver (C.-B.) V6T 2B5
| | - Laura M Housden
- School of Nursing, Université de la Colombie-Britannique, T201-2211 Wesbrook Mall, Vancouver (C.-B.) V6T 2B5
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Lambert LK, Housden LM. Nurse practitioner engagement in research. Can Oncol Nurs J 2017; 27:107-110. [PMID: 31148783 PMCID: PMC6516367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023] Open
Affiliation(s)
- Leah K Lambert
- School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC V6T 2B5
| | - Laura M Housden
- School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC V6T 2B5
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