The Role of the Oncology Nurse Navigator in Distress Management of Oncology Patients; a retrospective study

2.50
Hdl Handle:
http://hdl.handle.net/10755/164618
Category:
Abstract
Type:
Presentation
Title:
The Role of the Oncology Nurse Navigator in Distress Management of Oncology Patients; a retrospective study
Author(s):
Swanson, Jay; Koch, Lisa
Author Details:
Jay Swanson, RN, BS, BSN, OCN, Oncology Nurse Navigator, Saint Elizabeth Cancer Institute, Lincoln, Nebraska, USA, email: jaswanson@stez.org; Lisa Koch, RN, BSN, MSHS
Abstract:
Research Study: Cancer patients experience prolonged high distress levels that contribute to ongoing adjustment difficulties and can potentially interfere with treatment compliance. Only about 5 percent of cancer patients receive any assistance for their distress. A number of professional organizations recommend that cancer patients be screened for heightened psychological distress. The National Comprehensive Cancer Network (NCCN) recommends all oncology patients be screened at their initial visit and at appropriate intervals thereafter. While cancer related distress has been well described in the literature, little exists in the way of intervention to help lower cancer patient distress effectively. The purpose of this retrospective study was to determine if the Oncology Nurse Navigator (ONN) role has any effect on the distress levels of adult oncology inpatients using the NCCN Distress thermometer. A retrospective chart review framework was used to collect information about patient distress score at the time of admission and at the time of discharge. Comparing these numbers to determine if the ONN provides assistance in lowering the patients distress levels per the patients own perception of their level of distress. Currently oncology patients are asked to rate their distress by their nursing staff daily. For the purposes of the retrospective review, the first charted distress score was recorded as the initial score; and the distress score prior to discharge was used as the discharge score. Correlation studies and two tailed t-test were used to assess the relationship between the change in distress and the interventions of the ONN. Descriptive statistics were obtained for all variables, including age, sex, diagnosis, rural/urban setting and length of time between scores. Overall, the trend showed that patients seen by the ONN had lower distress scores on dismissal, however not statistically significantly enough to relate back to the general population. It was determined that the ONN visits had a statistically significant effect on the distress scores of inpatients that were 65 years of age or less and by those patients from rural settings when compared to a comparable cohort not seen by the ONN. This research confirms the use of the ONN to lower cancer related distress scores.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
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.titleThe Role of the Oncology Nurse Navigator in Distress Management of Oncology Patients; a retrospective studyen_GB
dc.contributor.authorSwanson, Jayen_US
dc.contributor.authorKoch, Lisaen_US
dc.author.detailsJay Swanson, RN, BS, BSN, OCN, Oncology Nurse Navigator, Saint Elizabeth Cancer Institute, Lincoln, Nebraska, USA, email: jaswanson@stez.org; Lisa Koch, RN, BSN, MSHSen_US
dc.identifier.urihttp://hdl.handle.net/10755/164618-
dc.description.abstractResearch Study: Cancer patients experience prolonged high distress levels that contribute to ongoing adjustment difficulties and can potentially interfere with treatment compliance. Only about 5 percent of cancer patients receive any assistance for their distress. A number of professional organizations recommend that cancer patients be screened for heightened psychological distress. The National Comprehensive Cancer Network (NCCN) recommends all oncology patients be screened at their initial visit and at appropriate intervals thereafter. While cancer related distress has been well described in the literature, little exists in the way of intervention to help lower cancer patient distress effectively. The purpose of this retrospective study was to determine if the Oncology Nurse Navigator (ONN) role has any effect on the distress levels of adult oncology inpatients using the NCCN Distress thermometer. A retrospective chart review framework was used to collect information about patient distress score at the time of admission and at the time of discharge. Comparing these numbers to determine if the ONN provides assistance in lowering the patients distress levels per the patients own perception of their level of distress. Currently oncology patients are asked to rate their distress by their nursing staff daily. For the purposes of the retrospective review, the first charted distress score was recorded as the initial score; and the distress score prior to discharge was used as the discharge score. Correlation studies and two tailed t-test were used to assess the relationship between the change in distress and the interventions of the ONN. Descriptive statistics were obtained for all variables, including age, sex, diagnosis, rural/urban setting and length of time between scores. Overall, the trend showed that patients seen by the ONN had lower distress scores on dismissal, however not statistically significantly enough to relate back to the general population. It was determined that the ONN visits had a statistically significant effect on the distress scores of inpatients that were 65 years of age or less and by those patients from rural settings when compared to a comparable cohort not seen by the ONN. This research confirms the use of the ONN to lower cancer related distress scores.en_GB
dc.date.available2011-10-27T12:03:58Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:03:58Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_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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