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Nurse-Led Telephonic Symptom Support for Patients Receiving Chemotherapy
Andra Davis1, Janice F Bell2, Sarah C Reed3
1University of Portland.
Oncology Nursing Forum
|October 16, 2020
Summary
Evidence-based symptom guides in telephone support help nurses identify symptoms early and engage patients. However, their effectiveness may decrease with recurring symptoms over time.
Area of Science:
- Nursing
- Telehealth
- Symptom Management
Background:
- Evidence-informed symptom guides are underutilized in telephonic support.
- Nurse-led telephone outreach offers a platform for implementing these guides.
Purpose of the Study:
- To describe nurse-led telephone support utilizing evidence-based symptom guides.
- To explore nurses' perceptions of using symptom guides in practice.
Main Methods:
- Descriptive study design.
- Quantitative analysis of telephone encounter data (frequency, length, symptom type).
- Qualitative analysis of nurse interviews regarding role and guide utilization.
Main Results:
- Symptom guides were perceived as reliable resources for common treatment-related symptoms.
- A threshold effect was identified, with diminishing benefits for recurring symptoms over time.
- Nurses found guides suitable for addressing common symptoms.
Conclusions:
- Telephone outreach with symptom guides facilitates early symptom identification and patient engagement in decision-making.
- Understanding nurse activities is key to developing cost-effective, high-quality symptom support models.
- Encouraging nurses to utilize guides supports practice at the highest level.
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