Support for Women with Newly-Diagnosed Ovarian Cancer and their APNs: The Role of Psychiatric Consultation Liaison Nurses

2.50
Hdl Handle:
http://hdl.handle.net/10755/163421
Category:
Abstract
Type:
Presentation
Title:
Support for Women with Newly-Diagnosed Ovarian Cancer and their APNs: The Role of Psychiatric Consultation Liaison Nurses
Author(s):
Ercolano, Elizabeth; Schulman-Green, Dena; Kris, Alison; Potter, Pamela; McCorkle, Ruth
Author Details:
Elizabeth Ercolano, RN, MSN, DNSc, Project Coordinator, Yale University Center for Excellence in Chronic Illness Care, New Haven, Connecticut, USA, email: elizabeth.ercolano@yale.edu; Dena Schulman-Green, PhD; Alison Kris, PhD; Pamela Potter, APRN, DNSc; Ruth McCorkle, PhD, FAAN
Abstract:
Purpose: The purpose of this clinical trial is to test an intervention provided by advanced practice nurses (APNs )in conjunction with psychiatric consultation-liaison nurses (PCLNs) to enhance quality of life of women newly diagnosed with ovarian cancer by reducing anxiety, depressive symptoms, and uncertainty. Theoretical Framework: The Corbin and Strauss chronic illness trajectory framework. Methods (Design, Sample, Setting, Measures, Analysis): A total of 160 post-surgical women managed at a comprehensive cancer center are being enrolled. Baseline measures to assess psychological distress include the State Anxiety Scale, the Center for Epidemiological Study Distress Scale, the Mishel Uncertainty in Illness Scale, and the Emotional Distress Thermometer (EDT). Participants in the intervention group are visited by their APN within a week of discharge and seen every 1-2 weeks for 5 months. Those scoring 4 or greater on the EDT, or who are identified by their APN as experiencing psychological distress, are offered PCLN services. PCLNs complete a comprehensive psychological evaluation and meet weekly with APNs and a study psychiatrist to provide ongoing consultation for patients and psychological support to the APNs. Results: Of the 52 intervention patients, 24(50%) have been referred for PCLN services. Five women have been referred for long-term psychiatric services. Participants mainly used the intervention to address overwhelming stress and anxiety, develop coping skills, locate resources, and to be assessed for psychotropic therapy. Descriptive statistics of measures over time will be presented. APNs used PCLN support particularly around patients' emotional distress, termination issues, and death. Conclusions and Implications: Women with ovarian cancer are at high risk for psychological distress following surgery. Half of our participants had unmet psychological needs requiring ongoing care. Care provided jointly by APNs and PCLNs may help reduce anxiety, depressive symptoms, and uncertainty. APNs may also benefit from ongoing support provided by PCLNs when caring for an unstable and emotionally challenging patient population.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleSupport for Women with Newly-Diagnosed Ovarian Cancer and their APNs: The Role of Psychiatric Consultation Liaison Nursesen_GB
dc.contributor.authorErcolano, Elizabethen_US
dc.contributor.authorSchulman-Green, Denaen_US
dc.contributor.authorKris, Alisonen_US
dc.contributor.authorPotter, Pamelaen_US
dc.contributor.authorMcCorkle, Ruthen_US
dc.author.detailsElizabeth Ercolano, RN, MSN, DNSc, Project Coordinator, Yale University Center for Excellence in Chronic Illness Care, New Haven, Connecticut, USA, email: elizabeth.ercolano@yale.edu; Dena Schulman-Green, PhD; Alison Kris, PhD; Pamela Potter, APRN, DNSc; Ruth McCorkle, PhD, FAANen_US
dc.identifier.urihttp://hdl.handle.net/10755/163421-
dc.description.abstractPurpose: The purpose of this clinical trial is to test an intervention provided by advanced practice nurses (APNs )in conjunction with psychiatric consultation-liaison nurses (PCLNs) to enhance quality of life of women newly diagnosed with ovarian cancer by reducing anxiety, depressive symptoms, and uncertainty. Theoretical Framework: The Corbin and Strauss chronic illness trajectory framework. Methods (Design, Sample, Setting, Measures, Analysis): A total of 160 post-surgical women managed at a comprehensive cancer center are being enrolled. Baseline measures to assess psychological distress include the State Anxiety Scale, the Center for Epidemiological Study Distress Scale, the Mishel Uncertainty in Illness Scale, and the Emotional Distress Thermometer (EDT). Participants in the intervention group are visited by their APN within a week of discharge and seen every 1-2 weeks for 5 months. Those scoring 4 or greater on the EDT, or who are identified by their APN as experiencing psychological distress, are offered PCLN services. PCLNs complete a comprehensive psychological evaluation and meet weekly with APNs and a study psychiatrist to provide ongoing consultation for patients and psychological support to the APNs. Results: Of the 52 intervention patients, 24(50%) have been referred for PCLN services. Five women have been referred for long-term psychiatric services. Participants mainly used the intervention to address overwhelming stress and anxiety, develop coping skills, locate resources, and to be assessed for psychotropic therapy. Descriptive statistics of measures over time will be presented. APNs used PCLN support particularly around patients' emotional distress, termination issues, and death. Conclusions and Implications: Women with ovarian cancer are at high risk for psychological distress following surgery. Half of our participants had unmet psychological needs requiring ongoing care. Care provided jointly by APNs and PCLNs may help reduce anxiety, depressive symptoms, and uncertainty. APNs may also benefit from ongoing support provided by PCLNs when caring for an unstable and emotionally challenging patient population.en_GB
dc.date.available2011-10-27T11:07:17Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:07:17Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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