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Titre : | Perceived factors influencing nurses' use of evidence-informed protocols for remote cancer treatment-related symptom management : A mixed methods study (2015) |
Auteurs : | Dawn Stacey ; Meg Carley ; Barbara Ballantyne ; et al. |
Type de document : | Article |
Dans : | European Journal of Oncology Nursing (Vol. 19, n° 3, Juny 2015) |
Article en page(s) : | p. 268-277 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Evidence-based nursing ; Infirmières et infirmiers ; Oncologie médicale ; Perception ; Protocole ; Recherche ; Signes et symptômes ; Thérapeutique |
Résumé : |
Purpose
To assess factors perceived to influence nurses' use of symptom protocols when providing remote management for oncology patients. Method A mixed methods descriptive study was guided by the Knowledge-to-Action Framework. In 2013, 8 focus groups and 7 interviews were conducted with 49 nurses or patients/family members in three ambulatory oncology programs within different provincial healthcare systems. Role-play with a protocol was used during nurse focus groups/interviews. Nurses who provided remote symptom support received a survey. Data was triangulated using thematic analysis guided by the Ottawa Model of Research Use. Results Over 90% of nurses provide telephone support during regular hours only. These symptom protocols were being used by 14% of nurses at one program. Nurses rated the protocols positively for content and format (>85%) but 20% indicated too complex. Protocol facilitators were systematic approach, comprehensive, and evidence-based. Protocol barriers were too long, not for symptom clusters, and inadequate space for documenting. To facilitate use, nurses need to enhance their knowledge (73%) and skills (58%), get access to resources, and obtain performance feedback. Nurse barriers included the learning curve, being unaware of protocols, and feeling tied to a script. Organizational barriers were communication challenges with patients, lack of electronic charting, and no clear direction to use them (54%). Conclusions Several barriers and facilitators were perceived to influence the use of symptom protocols. Nurses and patients/family members identified similar factors. Interventions are needed to overcome barriers to nurses using the protocols such as education, clear organizational mandate, and integration with documentation. |
Disponible en ligne : | Non |
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Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |