Development and Evaluation of Evidence-Informed Clinical Nursing Protocols for Remote Assessment, Triage and Support of Cancer Treatment-Induced Symptoms
The study objective was to develop and evaluate a template for evidence-informed symptom protocols for use by nurses over the telephone for the assessment, triage, and management of patients experiencing cancer treatment-related symptoms. Guided by the CAN-IMPLEMENT© methodology, symptom protocols w...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Nursing Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/171872 |
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| author | Dawn Stacey Gail Macartney Meg Carley Margaret B. Harrison The Pan-Canadian Oncology Symptom Triage and Remote Support Group (COSTaRS) |
| author_facet | Dawn Stacey Gail Macartney Meg Carley Margaret B. Harrison The Pan-Canadian Oncology Symptom Triage and Remote Support Group (COSTaRS) |
| author_sort | Dawn Stacey |
| collection | DOAJ |
| description | The study objective was to develop and evaluate a template for evidence-informed symptom protocols for use by nurses over the telephone for the assessment, triage, and management of patients experiencing cancer treatment-related symptoms. Guided by the CAN-IMPLEMENT© methodology, symptom protocols were developed by, conducting a systematic review of the literature to identify clinical practice guidelines and systematic reviews, appraising their quality, reaching consensus on the protocol template, and evaluating the two symptom protocols for acceptability and usability. After excluding one guideline due to poor overall quality, the symptom protocols were developed using 12 clinical practice guidelines (8 for diarrhea and 4 for fever). AGREE Instrument (Appraisal of Guidelines for Research and Evaluation) rigour domain subscale ratings ranged from 8% to 86% (median 60.1 diarrhea; 40.5 fever). Included guidelines were used to inform the protocols along with the Edmonton Symptom Assessment System questionnaire to assess symptom severity. Acceptability and usability testing of the symptom populated template with 12 practicing oncology nurses revealed high readability (n=12), just the right amount of information (n=10), appropriate terms (n=10), fit with clinical work flow (n=8), and being self-evident for how to complete (n=5). Five nurses made suggestions and 11 rated patient self-management strategies the highest for usefulness. This new template for symptom protocols can be populated with symptom-specific evidence that nurses can use when assessing, triaging, documenting, and guiding patients to manage their-cancer treatment-related symptoms. |
| format | Article |
| id | doaj-art-def0d9ef028448e5ba50b055f2ae1144 |
| institution | Kabale University |
| issn | 2090-1429 2090-1437 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Research and Practice |
| spelling | doaj-art-def0d9ef028448e5ba50b055f2ae11442025-02-03T07:25:21ZengWileyNursing Research and Practice2090-14292090-14372013-01-01201310.1155/2013/171872171872Development and Evaluation of Evidence-Informed Clinical Nursing Protocols for Remote Assessment, Triage and Support of Cancer Treatment-Induced SymptomsDawn Stacey0Gail Macartney1Meg Carley2Margaret B. Harrison3The Pan-Canadian Oncology Symptom Triage and Remote Support Group (COSTaRS)University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8M5, CanadaChildren’s Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, K1H 8L1, CanadaQueen’s University, 78 Barrie Street, Kingston, ON, K7L 3N6, CanadaQueen’s University, 78 Barrie Street, Kingston, ON, K7L 3N6, CanadaThe study objective was to develop and evaluate a template for evidence-informed symptom protocols for use by nurses over the telephone for the assessment, triage, and management of patients experiencing cancer treatment-related symptoms. Guided by the CAN-IMPLEMENT© methodology, symptom protocols were developed by, conducting a systematic review of the literature to identify clinical practice guidelines and systematic reviews, appraising their quality, reaching consensus on the protocol template, and evaluating the two symptom protocols for acceptability and usability. After excluding one guideline due to poor overall quality, the symptom protocols were developed using 12 clinical practice guidelines (8 for diarrhea and 4 for fever). AGREE Instrument (Appraisal of Guidelines for Research and Evaluation) rigour domain subscale ratings ranged from 8% to 86% (median 60.1 diarrhea; 40.5 fever). Included guidelines were used to inform the protocols along with the Edmonton Symptom Assessment System questionnaire to assess symptom severity. Acceptability and usability testing of the symptom populated template with 12 practicing oncology nurses revealed high readability (n=12), just the right amount of information (n=10), appropriate terms (n=10), fit with clinical work flow (n=8), and being self-evident for how to complete (n=5). Five nurses made suggestions and 11 rated patient self-management strategies the highest for usefulness. This new template for symptom protocols can be populated with symptom-specific evidence that nurses can use when assessing, triaging, documenting, and guiding patients to manage their-cancer treatment-related symptoms.http://dx.doi.org/10.1155/2013/171872 |
| spellingShingle | Dawn Stacey Gail Macartney Meg Carley Margaret B. Harrison The Pan-Canadian Oncology Symptom Triage and Remote Support Group (COSTaRS) Development and Evaluation of Evidence-Informed Clinical Nursing Protocols for Remote Assessment, Triage and Support of Cancer Treatment-Induced Symptoms Nursing Research and Practice |
| title | Development and Evaluation of Evidence-Informed Clinical Nursing Protocols for Remote Assessment, Triage and Support of Cancer Treatment-Induced Symptoms |
| title_full | Development and Evaluation of Evidence-Informed Clinical Nursing Protocols for Remote Assessment, Triage and Support of Cancer Treatment-Induced Symptoms |
| title_fullStr | Development and Evaluation of Evidence-Informed Clinical Nursing Protocols for Remote Assessment, Triage and Support of Cancer Treatment-Induced Symptoms |
| title_full_unstemmed | Development and Evaluation of Evidence-Informed Clinical Nursing Protocols for Remote Assessment, Triage and Support of Cancer Treatment-Induced Symptoms |
| title_short | Development and Evaluation of Evidence-Informed Clinical Nursing Protocols for Remote Assessment, Triage and Support of Cancer Treatment-Induced Symptoms |
| title_sort | development and evaluation of evidence informed clinical nursing protocols for remote assessment triage and support of cancer treatment induced symptoms |
| url | http://dx.doi.org/10.1155/2013/171872 |
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