COMPARING PATIENTS, FAMILIES, AND NURSES ASSESSMENT OF NEED FOR INTERVENTION

2.50
Hdl Handle:
http://hdl.handle.net/10755/165371
Category:
Abstract
Type:
Presentation
Title:
COMPARING PATIENTS, FAMILIES, AND NURSES ASSESSMENT OF NEED FOR INTERVENTION
Author(s):
Bickes, Joan; Falahee, Margaret; Schafenacker, Ann; Bennett, Esther; Harden, Janet; Mood, Darlene; Northouse, Laurel
Author Details:
Joan Bickes, MSN, APRN, BC, Assistant Professor, Wayne State University, Detroit, Michigan, USA, email: jbickes@wayne.edu; Margaret Falahee, Ann Schafenacker, Esther Bennett, Janet Harden, Darlene Mood, and Laurel Northouse
Abstract:
Topic: Families facing cancer differ in their need for interventions (NFI) offered within nursing randomized clinical trials. Most studies use "one-size-fits-all" interventions not targeted to perceived needs of patients and families. For clinical utility, studies should consider the variance in NFI so that the most appropriate, efficient, cost effective care is delivered, and identify brief assessment tools that accurately measure NFI. Purpose: The purpose of this study was to: 1) describe patients', spouses', and nurses' perceived need for family-based psycho-educational intervention, 2) correlate patients', spouses', and nurses' perceived NFI, and 3) correlate NFI with risk for distress scores. This study addresses the ONS priority regarding self management strategies for patients/families. Framework: A stress-coping framework, adapted from Lazarus, guided development of the family-based FOCUS program and study design. Methods: A secondary analysis of data obtained during a randomized clinical trial of the FOCUS program was used to address study aims. The sample consisted of patients with prostate cancer and their spouses who participated in the intervention group (N = 70 dyads). Patients and spouses rated themselves on a five-point NFI Scale after the intervention was completed. Advanced Practice Intervention Nurses rated dyads' NFI on a five-point scale during three home visits. Patients and family members also completed Mood's reliable and valid Omega Screening Questionnaire to determine their risk for distress (RFD). Descriptive and correlational analyses were used to examine the data. Findings: Patients and family members have varying NFI. Nurses' evaluation of NFI correlated significantly with family members' perceived NFI (p=.033). Family members' perceptions of NFI correlated with patients' ratings of NFI (p=.003). Both patients' and spouses' own RFD scores significantly related to their own NFI (patients=.048; family=.05) The spouses' RFD scores also related to the patients' NFI (p =.02). The nurses' assessment of dyads' NFI was significantly related to both patients' and spouses' individual ratings of their RFD, p =.003 and p =.011, respectively. Further clinical application studies are needed to explore whether a simple NFI assessment can accurately predict patients' or families' NFI, and thus be used easily and effectively in clinical settings.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
31st Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Boston, Massachusetts, 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.titleCOMPARING PATIENTS, FAMILIES, AND NURSES ASSESSMENT OF NEED FOR INTERVENTIONen_GB
dc.contributor.authorBickes, Joanen_US
dc.contributor.authorFalahee, Margareten_US
dc.contributor.authorSchafenacker, Annen_US
dc.contributor.authorBennett, Estheren_US
dc.contributor.authorHarden, Janeten_US
dc.contributor.authorMood, Darleneen_US
dc.contributor.authorNorthouse, Laurelen_US
dc.author.detailsJoan Bickes, MSN, APRN, BC, Assistant Professor, Wayne State University, Detroit, Michigan, USA, email: jbickes@wayne.edu; Margaret Falahee, Ann Schafenacker, Esther Bennett, Janet Harden, Darlene Mood, and Laurel Northouseen_US
dc.identifier.urihttp://hdl.handle.net/10755/165371-
dc.description.abstractTopic: Families facing cancer differ in their need for interventions (NFI) offered within nursing randomized clinical trials. Most studies use "one-size-fits-all" interventions not targeted to perceived needs of patients and families. For clinical utility, studies should consider the variance in NFI so that the most appropriate, efficient, cost effective care is delivered, and identify brief assessment tools that accurately measure NFI. Purpose: The purpose of this study was to: 1) describe patients', spouses', and nurses' perceived need for family-based psycho-educational intervention, 2) correlate patients', spouses', and nurses' perceived NFI, and 3) correlate NFI with risk for distress scores. This study addresses the ONS priority regarding self management strategies for patients/families. Framework: A stress-coping framework, adapted from Lazarus, guided development of the family-based FOCUS program and study design. Methods: A secondary analysis of data obtained during a randomized clinical trial of the FOCUS program was used to address study aims. The sample consisted of patients with prostate cancer and their spouses who participated in the intervention group (N = 70 dyads). Patients and spouses rated themselves on a five-point NFI Scale after the intervention was completed. Advanced Practice Intervention Nurses rated dyads' NFI on a five-point scale during three home visits. Patients and family members also completed Mood's reliable and valid Omega Screening Questionnaire to determine their risk for distress (RFD). Descriptive and correlational analyses were used to examine the data. Findings: Patients and family members have varying NFI. Nurses' evaluation of NFI correlated significantly with family members' perceived NFI (p=.033). Family members' perceptions of NFI correlated with patients' ratings of NFI (p=.003). Both patients' and spouses' own RFD scores significantly related to their own NFI (patients=.048; family=.05) The spouses' RFD scores also related to the patients' NFI (p =.02). The nurses' assessment of dyads' NFI was significantly related to both patients' and spouses' individual ratings of their RFD, p =.003 and p =.011, respectively. Further clinical application studies are needed to explore whether a simple NFI assessment can accurately predict patients' or families' NFI, and thus be used easily and effectively in clinical settings.en_GB
dc.date.available2011-10-27T12:17:21Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:17:21Z-
dc.conference.date2006en_US
dc.conference.name31st Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationBoston, Massachusetts, 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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