Nurse-Led Motivational Interviewing for Setting Functional Cancer Pain Goals

Ehrlich, Olga; Brandoff, Douglas; Gorman, Daniel; Berry, Donna L.

doi:10.1016/j.pmn.2021.03.003

Cited by 4 publications

(7 citation statements)

References 21 publications

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“…1 ). 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 )…”

Section: Resultsunclassified

Life Goal Domains, Traits, and Setting Process in the Collaboration between Healthcare Professionals and Cancer Survivors: A Scoping Review

Ikeuchi,

Nishida,

Karikawa

2024

PRM

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Objectives : This study aimed to describe the classification of goal domains, goal traits, and the goal-setting process as revealed by previous life goal-setting practices of healthcare professionals collaborating with cancer survivors. Methods : The design was a scoping review. The MEDLINE, Academic Search Premier, and CINAHL databases were searched and mapped for papers with descriptions of goal domains, goal traits, and the goal-setting process. Goal domains were classified as life goals that were health-related, psychological, social, achievement-related, and leisure goals. Goal traits were classified based on specific, measurable, achievable, relevant, and timed (SMART) criteria. The goal-setting process was classified based on the frameworks of goal-setting phases (preparation, formulation, follow-up) and their components. Results : In total, 229 papers were identified, and 24 papers were included in the final analysis. All papers included health-related goals, followed by psychological and social goals. All goal domains were included in 41.7% of the papers. Relevant goals were the most common and timed goals were the least common. All papers included either of the components that comprise the preparation or formulation phases. We found that 12.5% of papers did not include any of the three components of the follow-up phase. Conclusions : The life goals collaboratively set between cancer survivors and healthcare professionals were characterized by the following: psychological and social goal domains, numerous goal domains, more relevant goals and fewer timed goals, low proportion of patient education in the preparation phase, and high proportion of evaluation of progress or achievement in the follow-up phase.

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“…1 ). 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 )…”

Section: Resultsunclassified

Life Goal Domains, Traits, and Setting Process in the Collaboration between Healthcare Professionals and Cancer Survivors: A Scoping Review

Ikeuchi,

Nishida,

Karikawa

2024

PRM

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“…In a qualitative study of clinician descriptions of pain goals, Gibbins et al 24 reported that clinicians assumed they understood patient's goals for function. In a pilot study using nurse-led motivational interviewing to set functional pain goals, Ehrlich et al 16 established that patients receiving palliative care were able and willing to make functional pain goals, which were specific goals for what mattered when cancer pain was controlled. The role of goals as motivators for managing pain remains to be studied in clinical settings.…”

Section: Discussionmentioning

confidence: 99%

“…In a follow-up study using nurse-led motivational interviewing with persons receiving palliative care for cancer pain, participants were asked to provide functional pain goals. On the basis of participant responses, the definition of functional pain goals was revised to include patient self-reported important activities or states of being when pain is controlled 16 . Rosa's 17 approach to transcultural pain management included shared patient and clinician goals, achieved through partnering relationships.…”

Section: Linking Theory and Evidence To Practicementioning

confidence: 99%

“…On the basis of participant responses, the definition of functional pain goals was revised to include patient self-reported important activities or states of being when pain is controlled. 16 Rosa's 17 approach to transcultural pain management included shared patient and clinician goals, achieved through partnering relationships. Few studies have measured use of pain goals in hospice and those that have used numeric pain intensity goals.…”

Section: Linking Theory and Evidence To Practicementioning

confidence: 99%

See 1 more Smart Citation

Patient Goals in Hospice Cancer Pain Management

Ehrlich

Vallerand

2022

J Hosp Palliat Nurs

Self Cite

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Evidence-based clinical practice guidelines and hospice agency policies and procedures direct nursing assessment and interventions for the care of persons with cancer-related pain. Guidelines assert that pain should be assessed from a holistic perspective that considers physical, psychological, social, and spiritual aspects. In addition, guidelines maintain that hospice nurses should ascertain patient goals for pain management. Assessment and documentation of goals other than pain intensity goals is an area of nursing practice that has not been developed. Without inclusion of personally meaningful goals in pain assessment instruments, such goals cannot be routinely or consistently included in the hospice care plan. To address the assessment of pain and patient goals for pain management, this scenario-based article merges theoretical knowledge about pain from concept analyses with clinical guideline recommendations. Although research is needed to develop pain goal assessment tools, nurses can use this empirically based approach for asking about goals and integrating them into the plan of care.

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“…Individual psychosocial behavioral interventions utilizing MI showed improved medication adherence and high levels of participant satisfaction in several chronic conditions [16,24]. Recent studies show that nurse-led MI is safe and effective in pursuing behavioral changes in patients with chronic conditions because nurses are healthcare professionals who work closely with the patient's needs, beliefs, and behaviors, and are able to detect misconceptions regarding clinical aspects [24,25].…”

Section: Introductionmentioning

confidence: 99%

A Single-Center, Randomized Controlled Trial to Test the Efficacy of Nurse-Led Motivational Interviewing for Enhancing Self-Care in Adults with Heart Failure

et al. 2023

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Background: The role of nurse-led motivational interviewing (MI) in improving self-care among patients with heart failure (HF) is promising, even if it still requires further empirical evidence to determine its efficacy. For this reason, this study tested its efficacy in enhancing self-care maintenance (primary endpoint), self-care management, and self-care confidence after three months from enrollment in adults with HF compared to usual care, and assessed changes in self-care over follow-up times (3, 6, 9, and 12 months). Methods: A single-center, randomized, controlled, parallel-group, superiority study with two experimental arms and a control group was performed. Allocation was in a 1:1:1 ratio between intervention groups and control. Results: MI was effective in improving self-care maintenance after three months when it was performed only for patients (arm 1) and for the patients–caregivers dyad (arm 2) (respectively, Cohen’s d = 0.92, p-value < 0.001; Cohen’s d = 068, p-value < 0.001). These effects were stable over the one-year follow-up. No effects were observed concerning self-care management, while MI moderately influenced self-care confidence. Conclusions: This study supported the adoption of nurse-led MI in the clinical management of adults with HF.

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Nurse-Led Motivational Interviewing for Setting Functional Cancer Pain Goals

Cited by 4 publications

References 21 publications

Life Goal Domains, Traits, and Setting Process in the Collaboration between Healthcare Professionals and Cancer Survivors: A Scoping Review

Life Goal Domains, Traits, and Setting Process in the Collaboration between Healthcare Professionals and Cancer Survivors: A Scoping Review

Patient Goals in Hospice Cancer Pain Management

A Single-Center, Randomized Controlled Trial to Test the Efficacy of Nurse-Led Motivational Interviewing for Enhancing Self-Care in Adults with Heart Failure

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