Developing and Validating a Problem-Solving Tool for Caregivers to Manage Antineoplastic Treatment for Family Members

2.50
Hdl Handle:
http://hdl.handle.net/10755/622133
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Developing and Validating a Problem-Solving Tool for Caregivers to Manage Antineoplastic Treatment for Family Members
Other Titles:
Global Management of Chronic Conditions
Author(s):
Bagnasco, Annamaria
Lead Author STTI Affiliation:
Phi Mu
Author Details:
Annamaria Bagnasco, PhD, MSN, RN, Professional Experience: October 1, 2011 to date Researcher in Nursing area MED/45 - Department of Health Sciences - University of Genoa; October 1993 to September 30, 2011 Nursing Teacher and Nursing Coordinator in the IRCCS AOU University Hospital San Martino IST Genoa (Italy) Department of Training and Upgrading. Teaching in Areas MED/45 and PED/01. Since 2013, Referee of the International Journal of Nursing Practice 1. Member of the University Joint Commission (Commissione Paritetica di Ateneo) 2. Member of the Teaching Staff of the PhD School in Nursing Research 3. Contact person for Erasmus Exchange Program with the University of Minho (Braga, Portugal) 4. Referee for the Journal: Nurse Education in Practice Author Summary: October 1, 2011 to date Assistant Professor & Researcher in Nursing Department of Health Sciences - University of Genoa; October 1993 to September 30, 2011 Nursing Educator and Coordinator at the University Hospital San Martino IST Genoa (Italy) Author of more than 130 papers.
Abstract:
Purpose:

To develop and validate an educational tool consisting of a deck of cards for caregivers to educate them to autonomously and safely manage biological antineoplastic oral therapy for their family members at home. This will also increase patients’ adherence to treatment.

Methods:

We started from the definition of ‘self-management’ coined by Corbin & Strauss (1988): ‘Self-management aims at helping patients to maintain a wellness in their foreground perspective’ (Lorig & Holman 2003, p. 1). Therefore, self-management is based on the perception patients have about problems linked to their conditions. This led us to choose a method based on the theory of problem-based learning, such as the Barrows Cards (Barrows & Tamblyn, 1977), and applied it to patients with the purpose of improving self-management through therapeutic education.

The Barrows Cards were originally used to test decision-making skills and critical thinking in medical students. This method—also known as the ‘Portable Patient Problem Pack’ or simply P4 System—uses a situational card that describes a complex problem and learners can choose from a deck of at least 15 cards each of which describes a possible solution to that problem with the support of a picture.

Two focus groups with a group of 12 oncologists and cancer nurses were conducted at our Teaching Hospital in Genoa to define the themes to include in the cards. Also the nursing diaries of the last 6 months of nurses directly caring for cancer patients were included in the study. The 15 cards were then tested on 18 caregivers to verify if the contents (terminology and pictures) on the cards were clear and appropriate.

The instrument development process included the following steps: 1) A review of the literature to retrieve scientific evidence to support the purpose of our study; 2) Obtaining support and advice from 12 cancer experts; 3) Checking the nursing records diaries of the last six months; 4) Obtaining feedback from caregivers on the clarity of the statement provided on each card and on the appropriateness of the picture that illustrates the statement.

Results:

At the end of this study, all of the 18 caregivers were satisfied with the deck of 15 cards, plus a situational card initially developed by our cancer experts. On the cards, caregivers preferred to include photographs rather than drawn illustrations. This qualitative process enabled to validate the cards for caregivers.

Conclusion:

The lack of adherence to therapy not only reduces the effectiveness of therapeutic treatment but incorrect management of the therapy can also lead to adverse events. Therefore, at home caregivers play an important role in ensuring that the people they care for correctly adhere to the treatment prescribed, and yet the importance of their role is neglected. It is important for nurses to provide caregivers with structured education interventions to help them manage treatment and monitor adverse effects in a more confident manner. This will improve adherence to treatment and outcomes both for patients and their caregivers, who will feel more confident and less burdened by the fear of making mistakes. However, more work will be needed to confirm this.

Keywords:
caregivers; problem-solving; tool validation
Repository Posting Date:
25-Jul-2017 ; 25-Jul-2017
Date of Publication:
25-Jul-2017
Other Identifiers:
INRC17L07
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleDeveloping and Validating a Problem-Solving Tool for Caregivers to Manage Antineoplastic Treatment for Family Membersen_US
dc.title.alternativeGlobal Management of Chronic Conditionsen
dc.contributor.authorBagnasco, Annamariaen
dc.contributor.departmentPhi Muen
dc.author.detailsAnnamaria Bagnasco, PhD, MSN, RN, Professional Experience: October 1, 2011 to date Researcher in Nursing area MED/45 - Department of Health Sciences - University of Genoa; October 1993 to September 30, 2011 Nursing Teacher and Nursing Coordinator in the IRCCS AOU University Hospital San Martino IST Genoa (Italy) Department of Training and Upgrading. Teaching in Areas MED/45 and PED/01. Since 2013, Referee of the International Journal of Nursing Practice 1. Member of the University Joint Commission (Commissione Paritetica di Ateneo) 2. Member of the Teaching Staff of the PhD School in Nursing Research 3. Contact person for Erasmus Exchange Program with the University of Minho (Braga, Portugal) 4. Referee for the Journal: Nurse Education in Practice Author Summary: October 1, 2011 to date Assistant Professor & Researcher in Nursing Department of Health Sciences - University of Genoa; October 1993 to September 30, 2011 Nursing Educator and Coordinator at the University Hospital San Martino IST Genoa (Italy) Author of more than 130 papers.en
dc.identifier.urihttp://hdl.handle.net/10755/622133-
dc.description.abstract<div class="sectionbox"> <div class="section paperreviewdisplay paperdefaultdisplay reviewdisplay defaultdisplay"> <div class="columnwrapper"> <div class="displayinfo leftcolumn"> <div class="section"> <div class="item"><strong>Purpose:</strong> <p>To develop and validate an educational tool consisting of a deck of cards for caregivers to educate them to autonomously and safely manage biological antineoplastic oral therapy for their family members at home. This will also increase patients’ adherence to treatment.</p> <p><strong>Methods:</strong></p> <p>We started from the definition of ‘self-management’ coined by Corbin & Strauss (1988): ‘Self-management aims at helping patients to maintain a wellness in their foreground perspective’ (Lorig & Holman 2003, p. 1). Therefore, self-management is based on the perception patients have about problems linked to their conditions. This led us to choose a method based on the theory of problem-based learning, such as the Barrows Cards (Barrows & Tamblyn, 1977), and applied it to patients with the purpose of improving self-management through therapeutic education.</p> <p>The Barrows Cards were originally used to test decision-making skills and critical thinking in medical students. This method—also known as the ‘Portable Patient Problem Pack’ or simply P4 System—uses a situational card that describes a complex problem and learners can choose from a deck of at least 15 cards each of which describes a possible solution to that problem with the support of a picture.</p> <p>Two focus groups with a group of 12 oncologists and cancer nurses were conducted at our Teaching Hospital in Genoa to define the themes to include in the cards. Also the nursing diaries of the last 6 months of nurses directly caring for cancer patients were included in the study. The 15 cards were then tested on 18 caregivers to verify if the contents (terminology and pictures) on the cards were clear and appropriate.</p> <p>The instrument development process included the following steps: 1) A review of the literature to retrieve scientific evidence to support the purpose of our study; 2) Obtaining support and advice from 12 cancer experts; 3) Checking the nursing records diaries of the last six months; 4) Obtaining feedback from caregivers on the clarity of the statement provided on each card and on the appropriateness of the picture that illustrates the statement.</p> <p><strong>Results:</strong></p> <p>At the end of this study, all of the 18 caregivers were satisfied with the deck of 15 cards, plus a situational card initially developed by our cancer experts. On the cards, caregivers preferred to include photographs rather than drawn illustrations. This qualitative process enabled to validate the cards for caregivers.</p> <p><strong>Conclusion:</strong></p> <p>The lack of adherence to therapy not only reduces the effectiveness of therapeutic treatment but incorrect management of the therapy can also lead to adverse events. Therefore, at home caregivers play an important role in ensuring that the people they care for correctly adhere to the treatment prescribed, and yet the importance of their role is neglected. It is important for nurses to provide caregivers with structured education interventions to help them manage treatment and monitor adverse effects in a more confident manner. This will improve adherence to treatment and outcomes both for patients and their caregivers, who will feel more confident and less burdened by the fear of making mistakes. However, more work will be needed to confirm this.</p> </div> </div> </div> </div> </div> </div>en
dc.subjectcaregiversen
dc.subjectproblem-solvingen
dc.subjecttool validationen
dc.date.available2017-07-25T18:06:54Z-
dc.date.available2017-07-25T18:06:55Z-
dc.date.issued2017-07-25-
dc.date.accessioned2017-07-25T18:06:54Z-
dc.date.accessioned2017-07-25T18:06:55Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.