Putting Evidence Into Practice: Evidence-Based Interventions for Fatigue During and Following Cancer and Its Treatment

Mitchell, Sandra A.; Beck, Susan L.; Hood, L; Moore, Katen; Tanner, Ellen R.

doi:10.1188/07.cjon.99-113

Cited by 147 publications

(118 citation statements)

References 110 publications

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“…These results add to evidence-based guidelines supporting activity interventions for cancer-related fatigue [27,28]. Although feeling refreshed upon arising has not often been reported, the frequent associations found between this feeling and disrupted circadian activity rhythms may help explain why cancer patients report nonrestorative sleep.…”

Section: Discussionmentioning

confidence: 78%

Patterns of circadian activity rhythms and their relationships with fatigue and anxiety/depression in women treated with breast cancer adjuvant chemotherapy

Berger

Wielgus

Hertzog

et al. 2009

Support Care Cancer

121

100

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Section: Discussionmentioning

confidence: 78%

Patterns of circadian activity rhythms and their relationships with fatigue and anxiety/depression in women treated with breast cancer adjuvant chemotherapy

Berger

Wielgus

Hertzog

et al. 2009

Support Care Cancer

121

100

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“…EBP is inherent in excellent nursing practice as the literature consistently purports that clinical outcomes are improved when nursing implements an EBP approach to care [7][8][9][10][11]. For example, a seminal study within nursing revealed researchbased nursing practice was found to offer patients better outcomes than routine, procedural nursing care [9].…”

Section: Introductionmentioning

confidence: 99%

“…For example, a seminal study within nursing revealed researchbased nursing practice was found to offer patients better outcomes than routine, procedural nursing care [9]. Within the field of oncology, nurses used an EBP approach to care that improved cancer-related dyspnea [7], reduced fatigue and promoted functional well-being in patients experiencing cancer-related fatigue [10], and helped prevent, manage, and treat chemotherapy-induced nausea and vomiting [11]. Within the specialty of cardiac surgery, nurses were key drivers of patient-centered change and integral to enhancing postoperative recovery and reducing the risk of premature mortality in patients following open heart surgery [8].…”

Section: Introductionmentioning

confidence: 99%

Web-based evidence based practice educational intervention to improve EBP competence among BSN-prepared pediatric bedside nurses: a mixed methods pilot study

Laibhen-Parkes¹,

Codone²

2014

J Nurs

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The purpose of this pilot study was to assess and refine a Web-based EBP educational intervention focused on improving EBP competence in BSN-prepared pediatric bedside nurses, and to examine its feasibility, acceptability, and usability. Using a two-group experimental embedded mixed methods design, a convenience sample of 29 BSN-prepared nurses was recruited from a pediatric hospital in the Southeastern United States. Participants were randomized into an intervention (n=14) or attention control group (n=15) and both received approximately 2 hours of educational content. The intervention group (IG) reviewed the Web-based EBP module and the attention control group (ACG) reviewed a Webbased module on Munchausen's Syndrome by Proxy. Quantitative data were collected online from both groups using the Evidence-Based Practice Beliefs (EBPB) scale and the adapted Fresno test for Pediatric Nurses. Qualitative data were collected via telephone interview. Data were collected online utilizing SurveyMonkey © technology. Quantitative analyses were conducted using parametric and non-parametric statistics, and effect size calculations. Qualitative data were analyzed using methods described by Creswell and Plano Clark (2011). Demographic characteristics of the two groups were similar. A comparison of the IG and ACG post-intervention indicated there was not a statistically significant difference in the groups on EBP competence. However, the mean of the IG was higher and the effect size estimate of Hedges' g was small to borderline medium in magnitude. EBPB scale scores post-intervention were statistically significantly different with the IG demonstrating statistically significantly more positive beliefs about EBP. The estimated effect size for this difference was borderline medium in magnitude. Participants' interview data supported the intervention as being moderately feasible, acceptable, and usable for improving EBP competence in BSN-prepared pediatric nurses. This study provides preliminary data on Web-based methodologies that can be helpful in improving EBP beliefs and EBP competence among pediatric bedside nurses.

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“…Como formas de estratégias ou de intervenções não farmacológicas para manejar a fadiga, outros autores reforçam: 1) exercícios físicos aeróbicos, de resistência e caminhadas -que evidenciaram benefícios físicos e emocionais no manejo da FSQ, um deles de abordagem qualitativa (TRAVIER et al, 2015;INGRAM;WESSEL;COURNEYA, 2010); 2) conservação de energia com recomendação para alternar momentos de descanso com momentos de atividade rotineira -podem ser utilizados equipamentos auxiliares nessas atividades (BONASSA; GATO, 2012;MITCHELL et al, 2007); 3) intervenção com terapia cognitivo-comportamental (KAREN et al, 2017); 4) terapia de luz brilhante como possibilidade de impedir a piora da fadiga em mulheres com câncer de mama submetidas à quimioterapia (ANCOLI-ISRAEL et al, 2012).…”

Section: Manejo Da Fadiga Secundária à Quimioterapiaunclassified

“…Recomenda-se evitar períodos longos de cochilos de dia para não comprometer o sono reparador da noite (BONASSA; GATO, 2012;NCCN, 2017b;MITCHELL et al, 2007).…”

Section: Ela Explica O Procedimentounclassified

Experiências de mulheres com câncer de mama no manejo da fadiga secundária à quimioterapia

Cunha¹

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Palavras-chave: Neoplasias da mama, Quimioterapia, Fadiga, Terapias complementares, Pesquisa qualitativa. A B S T R A C T Introduction:Among the adverse reactions due to chemotherapy, the fatigue has had several impacts in quality of life of cancer patients. The absence of reporting the fatigue as an adverse reaction by patients undergoing chemotherapy, the non-appreciation of the complaint by the health professionals and the difficulty of handling this adverse reaction, has made the search for complementary practices/ non-pharmacological strategies for the relief of secondary fatigue due to chemotherapy an alternative for those patients. Objective: The aim of the study was understanding the experiences of women with breast cancer in chemotherapy with the use of complementary practices/ non-pharmacological strategies for fatigue management is the aim of this study. Methods: It is explicative study, with qualitative approach, theoretical reference of medical anthropology and developed with four women. Data collection was conducted with semi-structured interviews, audio records and observation. For the organization and analysis of the data the thematic analysis was used. Results: Secondary fatigue due to chemotherapy generated discomfort and limitations to the breast cancer women on chemotherapy participants. To deal with this adverse reaction different complementary practices/non-pharmacological strategies were identified: rest; energy conservation; food care; practice of religious activities; walking and body movement; plant care; family, informal and professional support, which were implemented through self-care and care received and provided momentary relief or relaxation. We understand that the sense attributed to the experiences of fatigue was the limitation to daily routine, that hold back women in fulfilling their roles. Regarding complementary practices/nonpharmacological strategies used for the management of fatigue, we perceive that the sense attributed was the possibility of feeling capable and reaching relief, even if momentary, allowing us to feel better, confident and able to continue until the treatment. Conclusion: The study demonstrated the importance of understanding the experiences of fatigue and the need to use the complementary practices/nonpharmacological strategies by women with breast cancer, giving voice to their discourses, knowledge, beliefs and cultural values. The health team should associate cultural understanding with scientific knowledge in its care practices, in addition to developing and improving complementary practices/ non-pharmacological strategies aimed at integral care.

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Putting Evidence Into Practice: Evidence-Based Interventions for Fatigue During and Following Cancer and Its Treatment

Cited by 147 publications

References 110 publications

Patterns of circadian activity rhythms and their relationships with fatigue and anxiety/depression in women treated with breast cancer adjuvant chemotherapy

Patterns of circadian activity rhythms and their relationships with fatigue and anxiety/depression in women treated with breast cancer adjuvant chemotherapy

Web-based evidence based practice educational intervention to improve EBP competence among BSN-prepared pediatric bedside nurses: a mixed methods pilot study

Experiências de mulheres com câncer de mama no manejo da fadiga secundária à quimioterapia

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