Can We Improve Adherence to Oral Anticancer Drugs? Pilot of a Practice-Based Nursing Intervention

2.50
Hdl Handle:
http://hdl.handle.net/10755/164764
Category:
Abstract
Type:
Presentation
Title:
Can We Improve Adherence to Oral Anticancer Drugs? Pilot of a Practice-Based Nursing Intervention
Author(s):
Lucca, Joan; Gross, Anne
Author Details:
Joan Lucca RN, MSN, NP-C, AOCN, Thoracic Research Nurse, Dana-Farber Cancer Institute, Boston, Massachusetts, USA, email: jlucca@partners.org; Anne Gross, RN, NEA-BC
Abstract:
Research Study: Development of oral anticancer therapies is increasing at a rapid rate. Patients clearly prefer this form of therapy. There is evidence that for many patients, adherence to oral regimens is a challenge, with multi-factorial barriers. Research to promote treatment adherence is a key priority in the 2005-2006 Oncology Nursing Society's Research Agenda. The aim of this project is to determine the feasibility of testing a practice-based nursing intervention designed to remove barriers challenging patient adherence to one oral therapy regimen. The framework for nursing practice at our institution is the AACN Synergy Model for Patient Care, which has as one of its core nursing competencies, the ability of the nurse to facilitate patient learning. Facilitation of learning is one of several competencies derived from patient needs or characteristics. The Nursing Practice Council at our NCI-Designated Comprehensive Cancer Center piloted a 24-item, evidence-based, patient questionnaire to identify problems/issues associated with adherence. One finding was that direct care nurses (DCNs) were rarely involved in the education of patients/families about oral anticancer agents. This is in contrast to patients who receive education about intravenous anticancer drugs from infusion room nurses. Based on these results and after literature review, the nurse practitioners, clinical trial nurses and DCNs in the thoracic oncology group met to develop a nursing intervention designed to improve adherence, patient/family understanding, and self-management. DCNs will provide initial education (written and verbal), drug accountability logs, telephone follow up and symptom management for ten thoracic patients starting erlotinib. During the first two months of treatment, the DCN will see the patient concurrently with the participant's provider. At the end of two months, patients will complete the questionnaire exploring adherence to therapy. Results of the adherence questionnaire, after the DCN intervention, will be compared to results from the previous group of patients who received no specific nursing intervention. This practice-based nursing intervention is currently in progress. The findings from the project will be presented. Depending on the results, the intervention will be expanded to other disease programs at this institute.
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.titleCan We Improve Adherence to Oral Anticancer Drugs? Pilot of a Practice-Based Nursing Interventionen_GB
dc.contributor.authorLucca, Joanen_US
dc.contributor.authorGross, Anneen_US
dc.author.detailsJoan Lucca RN, MSN, NP-C, AOCN, Thoracic Research Nurse, Dana-Farber Cancer Institute, Boston, Massachusetts, USA, email: jlucca@partners.org; Anne Gross, RN, NEA-BCen_US
dc.identifier.urihttp://hdl.handle.net/10755/164764-
dc.description.abstractResearch Study: Development of oral anticancer therapies is increasing at a rapid rate. Patients clearly prefer this form of therapy. There is evidence that for many patients, adherence to oral regimens is a challenge, with multi-factorial barriers. Research to promote treatment adherence is a key priority in the 2005-2006 Oncology Nursing Society's Research Agenda. The aim of this project is to determine the feasibility of testing a practice-based nursing intervention designed to remove barriers challenging patient adherence to one oral therapy regimen. The framework for nursing practice at our institution is the AACN Synergy Model for Patient Care, which has as one of its core nursing competencies, the ability of the nurse to facilitate patient learning. Facilitation of learning is one of several competencies derived from patient needs or characteristics. The Nursing Practice Council at our NCI-Designated Comprehensive Cancer Center piloted a 24-item, evidence-based, patient questionnaire to identify problems/issues associated with adherence. One finding was that direct care nurses (DCNs) were rarely involved in the education of patients/families about oral anticancer agents. This is in contrast to patients who receive education about intravenous anticancer drugs from infusion room nurses. Based on these results and after literature review, the nurse practitioners, clinical trial nurses and DCNs in the thoracic oncology group met to develop a nursing intervention designed to improve adherence, patient/family understanding, and self-management. DCNs will provide initial education (written and verbal), drug accountability logs, telephone follow up and symptom management for ten thoracic patients starting erlotinib. During the first two months of treatment, the DCN will see the patient concurrently with the participant's provider. At the end of two months, patients will complete the questionnaire exploring adherence to therapy. Results of the adherence questionnaire, after the DCN intervention, will be compared to results from the previous group of patients who received no specific nursing intervention. This practice-based nursing intervention is currently in progress. The findings from the project will be presented. Depending on the results, the intervention will be expanded to other disease programs at this institute.en_GB
dc.date.available2011-10-27T12:06:34Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:06:34Z-
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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