Lung cancer and rehabilitation—what are the barriers? Results of a questionnaire survey and the development of regional lung cancer rehabilitation standards and guidelines

Nwosu, Amara Callistus; Bayly, Joanne; Gaunt, Kathryn; Mayland, Catriona

doi:10.1007/s00520-012-1472-1

Cited by 30 publications

(21 citation statements)

References 26 publications

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“…As in previous PR studies, [ 25 , 26 ] a 9-item questionnaire was used to assess nurses’ agreement concerning the importance of PR. The questionnaire was measured using a 5-point Likert scale: 1 (strongly disagree), 2 (disagree), 3 (neutral), 4 (agree), and 5 (strongly agree).…”

Section: Methodsmentioning

confidence: 99%

Generalist versus specialist nurses’ knowledge, attitudes, and behavioral intentions toward promoting pulmonary rehabilitation for patients with chronic obstructive pulmonary disease

Guo

Shen²,

Okoli

et al. 2018

Medicine

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Pulmonary rehabilitation (PR) is an effective strategy to manage chronic obstructive pulmonary disease (COPD), though its utilization rate is low. One reason for this low utilization rate is that nurses do not provide COPD patients with enough health education to increase the patient's motivation for PR participation. This study examined knowledge, attitudes, and behavioral intention toward PR promotion. The study also investigated the correlates of behavioral intentions to promote PR among pulmonary nurses.A cross-sectional correlational design was used. Overall, 284 nurses (all women) from chest medicine and general internal medicine wards in 3 hospitals within Midwest Taiwan were recruited. Data were collected by anonymous, self-administered questionnaires. We aimed to understand if there would be differences in the Chest Medicine and Generalist nurses on these outcomes, given the specialty versus generalist nature of their practice. Results were analyzed using multiple linear regressions.Although the 2 groups of nurses (ie, Chest Medicine, General Medicine) showed no differences in PR knowledge, attitudes, or behavioral intentions, they lacked sufficient PR knowledge and skills. The accuracy rate of PR knowledge was approximately 12% and self-evaluated PR skills were less than 50%. Self-efficacy in promoting PR was above average (ie, 57%–60%), and the strength of attitudes and behavioral intentions was over 70%. A multiple linear regression revealed that behavioral intentions of nurses working in the chest medicine ward were influenced by behavioral attitudes, and also PR skills and self-efficacy (explanatory power 33.3%).Attitudes, skills, and self-efficacy heavily affected pulmonary nurses’ ability to promote PR; however, PR knowledge and skills remain low. Therefore, future implementation of practical PR training courses is needed to strengthen nurses’ behavioral intentions toward PR promotion.Improved pulmonary rehabilitation-related skill, attitudes, clinical experience of PR programs, and/or practical PR training are needed among both generalist and specialist nurses. Education courses and clinical practice training should be increased in the future to promote pulmonary rehabilitation of COPD patients.

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Section: Methodsmentioning

confidence: 99%

Generalist versus specialist nurses’ knowledge, attitudes, and behavioral intentions toward promoting pulmonary rehabilitation for patients with chronic obstructive pulmonary disease

Guo

Shen²,

Okoli

et al. 2018

Medicine

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“…The category attitude toward behavior is defined as the person’s general feeling of favorableness or unfavorableness for the behavior. 22 As in previous PR studies, 21 , 23 a questionnaire was used to assess RTs’ perceptions of the importance of PR ( Appendix 2 ). It uses a five-point Likert scale, with the options 1 (disagree strongly), 2 (disagree), 3 (no response), 4 (agree), and 5 (agree strongly).…”

Section: Methodsmentioning

confidence: 99%

Factors facilitating and hindering the intention to promote pulmonary rehabilitation for patients with COPD among respiratory therapists

Chen¹,

Fan²,

Guo³

et al. 2017

COPD

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PurposePulmonary rehabilitation (PR) is recognized as the chief non-pharmacologic management approach for patients with COPD, but is clinically under-utilized. In Taiwan, respiratory therapists (RTs) are one of the first-line health care providers who spend vast amounts of time with COPD patients in PR programs. To better enhance patients’ knowledge of and participation in PR, it is necessary to understand how PR is viewed by RTs, as well as how these views influence their behavioral intentions toward promoting PR. This study applied the Theory of Planned Behavior (TPB) to investigate both the behavioral intentions and the influential factors surrounding PR in RTs.Patients and methodsThis cross-sectional study used structured self-administered questionnaires at a national symposium for RTs to collect data on their knowledge, attitudes, subjective norms, perceived behavioral controls, and behavioral intentions with regard to promoting PR. Multiple linear regression analysis was used to identify significant factors affecting the intended promotion of PR by RTs.ResultsThe response rate after excluding respondents with incomplete data was 88.1% (n=379). A majority of the participants were college graduates, aged over 30 years, and women. The respective percentage scores derived from questionnaires gauging the knowledge, attitudes, subjective norms, self-efficacy, and behavioral intentions components of total PR scores were 63.12%, 71.33%, 68.96%, 66.46%, and 80.29%. The factors significantly affecting RTs’ intentions to suggest PR participation to COPD patients or encourage it were attitudes, subjective norms, and self-efficacy. The total model explained 22.5% of the variance in behavioral intentions.ConclusionThe results of the study suggest that RTs strongly intend to promote PR, but are hindered by insufficient knowledge, attitudes, and self-efficacy with regard to it. Applying TPB provided insight into which factors can be addressed, and by whom. For example, enhancing RTs’ self-efficacy can be achieved through PR training via school curricula, further regular continuing education and/or courses, and practical experience.

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“…Possible barriers to lack of referral in patients with lung cancer include: lack of knowledge of available PR services, patient unwillingness to participate, lack of physician education regarding whom to refer and lack of access to PR services [37]. In addition, patients are often poorly informed about PR and its potential benefits.…”

Section: Education and Palliative Interventionsmentioning

confidence: 99%

Integrating pulmonary rehabilitation into the multidisciplinary management of lung cancer: A review

Rivas-Perez

Nana‐Sinkam²

2015

Respiratory Medicine

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Lung cancer and rehabilitation—what are the barriers? Results of a questionnaire survey and the development of regional lung cancer rehabilitation standards and guidelines

Cited by 30 publications

References 26 publications

Generalist versus specialist nurses’ knowledge, attitudes, and behavioral intentions toward promoting pulmonary rehabilitation for patients with chronic obstructive pulmonary disease

Generalist versus specialist nurses’ knowledge, attitudes, and behavioral intentions toward promoting pulmonary rehabilitation for patients with chronic obstructive pulmonary disease

Factors facilitating and hindering the intention to promote pulmonary rehabilitation for patients with COPD among respiratory therapists

Integrating pulmonary rehabilitation into the multidisciplinary management of lung cancer: A review

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