Assessment of a Structured Self-Management Support Intervention by Nurses for Patients With Incurable Cancer

Veer, A.J.E. de; Slev, Vina N.; Pasman, H. Roeline W.; Leeuw, Irma M. Verdonck‐de; Francké, Anneke L.; Uden–Kraan, Cornelia F. van

doi:10.1188/20.onf.305-317

Cited by 9 publications

(7 citation statements)

References 48 publications

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“…However, usage of the intervention was low and Oncokompas had no significant effect on patient activation or HRQOL, which may be explained by the fact that many pilot participants were already very ill (near the end-of-life), and that the self-management support delivered by nurses was superior to the eHealth application. 16 Based on these findings, it was hypothesized that Oncokompas may be more beneficial in patients with longer life expectancy regarding patient activation and HRQOL, and as fully automated behavioral intervention technology.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of the eHealth application Oncokompas, facilitating incurably ill cancer patients to self-manage their palliative care needs: A randomized controlled trial

Schuit

Holtmaat

Lissenberg‐Witte

et al. 2022

The Lancet Regional Health - Europe

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Section: Introductionmentioning

confidence: 99%

Efficacy of the eHealth application Oncokompas, facilitating incurably ill cancer patients to self-manage their palliative care needs: A randomized controlled trial

Schuit

Holtmaat

Lissenberg‐Witte

et al. 2022

The Lancet Regional Health - Europe

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“…Studies included from eight patients (exploratory descriptive [ 63 ]) to 4615 patients (cross-sectional study [ 64 ]). Considering a total population of 16,658 participants from 57 studies (data not available from Coolbrandt et al [ 65 ], and the reviews by Griffiths et al [ 21 ] and Molassiotis et al [ 22 ]), the average age was 60.3 years (calculated from a population of 11,713, from 36 studies containing this data, missing in 24 studies).…”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies were conducted in hospital or clinical units/wards ( n = 29, 48.3%) (e.g., Charalambous, 2013 [ 56 ]), followed by outpatient settings, such as ambulatory or day hospitals ( n = 21, 35.0%) (e.g., Given et al [ 50 ]) and homecare settings ( n = 4, 6.7%) (e.g., De Veer et al [ 64 ]). In four studies (6.7%), data were collected from a combination of these different settings (e.g., Blackburn et al [ 23 ]); however, data were not available from two studies (3.3%).…”

Section: Resultsmentioning

confidence: 99%

What Nursing-Sensitive Outcomes Have Been Investigated to Date among Patients with Solid and Hematological Malignancies? A Scoping Review

Visintini

Palese

2023

Nursing Reports

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Nursing-sensitive outcomes are those outcomes attributable to nursing care. To date three main reviews have summarized the evidence available regarding the nursing outcomes in onco-haematological care. Updating the existing reviews was the main intent of this study; specifically, the aim was to map the state of the art of the science in the field of oncology nursing-sensitive outcomes and to summarise outcomes and metrics documented as being influenced by nursing care. A scoping review was conducted in 2021. The MEDLINE, Cumulative Index to Nursing and Allied Health, Web of Science, and Scopus databases were examined. Qualitative and quantitative primary and secondary studies concerning patients with solid/haematological malignancies, cared for in any setting, published in English, and from any time were all included. Both inductive and deductive approaches were used to analyse the data extracted from the studies. Sixty studies have been included, mostly primary (n = 57, 95.0%) with a quasi- or experimental approach (n = 26, 55.3%), conducted among Europe (n = 27, 45.0%), in hospitals and clinical wards (n = 29, 48.3%), and including from 8 to 4615 patients. In the inductive analysis, there emerged 151 outcomes grouped into 38 categories, with the top category being ‘Satisfaction and perception of nursing care received’ (n = 32, 21.2%). Outcome measurement systems included mainly self-report questionnaires (n = 89, 66.9%). In the deductive analysis, according to the Oncology Nursing Society 2004 classification, the ‘Symptom control and management’ domain was the most investigated (n = 44, 29.1%); however, the majority (n = 50, 33.1%) of nursing-sensitive outcomes that emerged were not includible in the available framework. Continuing to map nursing outcomes may be useful for clinicians, managers, educators, and researchers in establishing the endpoints of their practice. The ample number of instruments and metrics that emerged suggests the need for more development of homogeneous assessment systems allowing comparison across health issues, settings, and countries.

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“…An important determinant of performing these SMS competencies in clinical practice is self-efficacy, that is, the NP's confidence in his or her skills and ability to provide SMS 15,17 . Self-management support competencies are increasingly being adopted and integrated into nursing education, care standards, and SMS interventions in the Netherlands 18-20 . However, research on these competencies has mostly focused on nurses with vocational and undergraduate degrees and not on NPs, 15,20 who may be better suited to provide SMS 12 …”

mentioning

confidence: 99%

“…15,17 Self-management support competencies are increasingly being adopted and integrated into nursing education, care standards, and SMS interventions in the Netherlands. [18][19][20] However, research on these competencies has mostly focused on nurses with vocational and undergraduate degrees and not on NPs, 15,20 who may be better suited to provide SMS. 12 In this study, we aimed to investigate NPs' self-efficacy and behavior in supporting SM by patients with a progressive, life-threatening illness and their relatives.…”

mentioning

confidence: 99%

Nurse Practitioners' Self-Efficacy and Behavior in Supporting Self-Management of Patients With a Progressive, Life-Threatening Illness and Their Relatives

Arslan

Dongen

Witkamp

et al. 2022

J Hosp Palliat Nurs

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This study aimed at investigating nurse practitioners' self-efficacy and behavior in supporting self-management of patients with a progressive, life-threatening illness and their relatives. We adapted an existing validated instrument for this purpose, amongst other things by adding a seventh subscale “attention for relatives,” and administered it in a nationwide, cross-sectional online survey among Dutch nurse practitioners. We analyzed associations between self-reported self-efficacy and behavior using Pearson correlations and paired sample t tests. Associations between self-efficacy and behavior with nurse practitioners' characteristics were examined using linear regression models. Most nurse practitioners (n = 327; 26% complete responses) were women (93%). Subscale and total scores for nurse practitioners' self-efficacy were moderately positively correlated with those for their behavior in self-management support. Subscale and total scores were statistically significantly higher for their self-efficacy than for their behavior. Increased work experience with patients with a progressive, life-threatening illness was associated with higher scores on self-efficacy and behavior in self-management support. We conclude that nurse practitioners are confident in their ability to support self-management; yet, they do not always use these competencies in practice.

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Assessment of a Structured Self-Management Support Intervention by Nurses for Patients With Incurable Cancer

Cited by 9 publications

References 48 publications

Efficacy of the eHealth application Oncokompas, facilitating incurably ill cancer patients to self-manage their palliative care needs: A randomized controlled trial

Efficacy of the eHealth application Oncokompas, facilitating incurably ill cancer patients to self-manage their palliative care needs: A randomized controlled trial

What Nursing-Sensitive Outcomes Have Been Investigated to Date among Patients with Solid and Hematological Malignancies? A Scoping Review

Nurse Practitioners' Self-Efficacy and Behavior in Supporting Self-Management of Patients With a Progressive, Life-Threatening Illness and Their Relatives

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