Knowledge Tools for Cancer Treatment–Related Symptom Management by Home Care Nurses: A Mixed Methods Study

Kathryn Nichol*, Dawn Stacey, Craig Kuziemsky, Wendy Gifford, Shelley Mackenzie

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

A mixed methods descriptive study explored 38 nurses’ perceptions of usability and factors influencing the use of 13 symptom management protocols when caring for patients with cancer in the home. Descriptive analysis of the usability survey revealed protocols had high readability, right amount of information, appropriate terms, and were self-evident to complete. Thematic analysis of transcripts identified barriers to using the protocols including lack of time, paper-based documentation systems, and length of the protocols. Facilitating factors included high usability of the protocols, integration of a remote symptom support nursing role, and the usefulness for education and training. In summary, the protocols were described as a useful resource and beneficial for nursing orientation but required support to overcome some barriers and improve fit with clinical workflow.

Original languageEnglish
Pages (from-to)18-27
Number of pages10
JournalHome Health Care Management and Practice
Volume28
Issue number1
DOIs
Publication statusPublished - 1 Feb 2016
Externally publishedYes

Keywords

  • cancer
  • clinical practice guideline
  • evidence-based
  • home care
  • nursing
  • protocol
  • symptom management
  • telephone

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