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Increasing the visibility of patient fatigue
1Department of Nursing Research and Education, City of Hope National Cancer Center, 1500 E. Duarte Road, Duarte, CA 91010, USA.
Objectives:
To describe the process used by our cancer center to assess staff knowledge and attitudes about cancer-related fatigue, and to change clinical practice of fatigue assessment and management.
Data Sources:
Review articles, research studies, guidelines, and questionnaires.
Conclusions:
Change in clinical practice occurs slowly. One major change that occurred was the inclusion of a fatigue question in the Daily Patient Care Record. This inclusion signified a commitment by the institution to address this under-reported and under-treated symptom.
Implications For Nursing Practice:
Professionals challenged to pursue practice change must be passionate, persistent, and patient. A multidisciplinary effort is needed to support change.