Development and implementation strategies of a nurse-led symptom self-management program in outpatient cancer centres: The Symptom Navi© Programme.

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Serval ID
serval:BIB_2CE8D9A81F0D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Development and implementation strategies of a nurse-led symptom self-management program in outpatient cancer centres: The Symptom Navi© Programme.
Journal
European journal of oncology nursing
Author(s)
Bana M., Ribi K., Kropf-Staub S., Näf E., Schramm M.S., Zürcher-Florin S., Peters S., Eicher M.
ISSN
1532-2122 (Electronic)
ISSN-L
1462-3889
Publication state
Published
Issued date
02/2020
Peer-reviewed
Oui
Volume
44
Pages
101714
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The Symptom Navi© Programme (SN©P) is a structured nurse-led intervention supporting symptom self-management in cancer patients. We describe the development and evaluation of the intervention, implementation strategy, and the evaluation of nurse training for the Symptom Navi© Pilot Study.
The intervention was developed using multiple methods (e.g. literature synthesis, focus groups) to produce SN©P information leaflets (SN©Flyers in French and German) and standardised training for nurses to deliver semi-structured consultations. We evaluated the SN©P using online surveys, focus groups, interviews, and the Item-Content Validity Index (I-CVI). Nurse training was evaluated in relation to content, acceptability, and confidence in implementing the SN©P. We examined the association between scored on the Work-related Sense of Coherence (Work-SoC) scale and nurses' confidence in implementing the SN©P. Thematic analysis was used to analyse qualitative data. Quantitative data was descriptively analysed and the Kendall Tau test was employed for correlations.
Patients and health care professionals confirmed that SN©Flyers and semi-structured consultations facilitated symptom self-management. Nurses considered training content/format acceptable and appropriate and felt confident in implementing the SN©P. Overall Work-SoC scores were correlated with nurses' confidence in implementing the SN©P (r <sub>π</sub> = .47, p = .04).
Health care professionals and cancer patients perceived the SN©P as a useful support. Successful implementation of the SN©P depends on centre-specific factors including time, resources and workflow.
NCT03649984 and SNCTP000002381.
Keywords
Behaviour change, Complex intervention, Implementation research, Neoplasm, Self-management, Symptom management
Pubmed
Create date
23/01/2020 15:36
Last modification date
23/06/2020 5:21
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