Development and implementation strategies of a nurse-led symptom self-management program in outpatient cancer centres : the symptom Navi© Programme

Bana, Marika (School of Health Sciences, HES-SO Fribourg ; Institute of Higher Education and Research in Health Care IUFRS, Faculty of Biology and Medicine, University of Lausanne and Lausanne University Hospital, SV-A Secteur Vennes, Route de la Corniche 10, CH-1010, Lausanne, Switzerland) ; Ribi, Karin (Institute of Higher Education and Research in Health Care IUFRS, Faculty of Biology and Medicine, University of Lausanne and Lausanne University Hospital, SV-A Secteur Vennes, Route de la Corniche 10, CH-1010, Lausanne, Switzerland ; International Breast Cancer Study Group (IBCSG), Effingerstrasse 40, CH-3008, Bern, Switzerland) ; Kropf-Staub, Susanne (Hospital Group Lindenhof, Lindenhof, Bremgartenstrasse 117, Postfach, CH-3001, Bern, Switzerland) ; Näf, Ernst (Department of Practice Development in Nursing, Solothurner Spitäler, Kantonsspital Olten, Baslerstrasse 150, CH-4601, Olten, Switzerland) ; Sailer Schramm, Monique (School of Health Sciences, HES-SO Fribourg) ; Zürcher-Florin, Sabin (Hospital Group Lindenhof, Lindenhof, Bremgartenstrasse 117, Postfach, CH-3001, Bern, Switzerland) ; Peters, Solange (Department of Oncology, Centre Hospitalier Universitaire Vaudois (CHUV), Rue du Bugnon 21, CH-1011, Lausanne, Switzerland) ; Eicher, Manuela (Institute of Higher Education and Research in Health Care IUFRS, Faculty of Biology and Medicine, University of Lausanne and Lausanne University Hospital, SV-A Secteur Vennes, Route de la Corniche 10, CH-1010, Lausanne, Switzerland ; Department of Oncology, Centre Hospitalier Universitaire Vaudois (CHUV), Rue du Bugnon 21, CH-1011, Lausanne, Switzerland)

Purpose The Symptom Navi© Programme (SN©P) is a structured nurse-led intervention supporting symptom self-management in cancer patients. We describe the development and evaluation of the intervention, implementation strategy, and the evaluation of nurse training for the Symptom Navi© Pilot Study. Methods The intervention was developed using multiple methods (e.g. literature synthesis, focus groups) to produce SN©P information leaflets (SN©Flyers in French and German) and standardised training for nurses to deliver semi-structured consultations. We evaluated the SN©P using online surveys, focus groups, interviews, and the Item-Content Validity Index (I-CVI). Nurse training was evaluated in relation to content, acceptability, and confidence in implementing the SN©P. We examined the association between scored on the Work-related Sense of Coherence (Work-SoC) scale and nurses’ confidence in implementing the SN©P. Thematic analysis was used to analyse qualitative data. Quantitative data was descriptively analysed and the Kendall Tau test was employed for correlations. Results Patients and health care professionals confirmed that SN©Flyers and semi-structured consultations facilitated symptom self-management. Nurses considered training content/format acceptable and appropriate and felt confident in implementing the SN©P. Overall Work-SoC scores were correlated with nurses’ confidence in implementing the SN©P (rπ = .47, p = .04). Conclusions Health care professionals and cancer patients perceived the SN©P as a useful support. Successful implementation of the SN©P depends on centre-specific factors including time, resources and workflow.


Keywords:
Article Type:
scientifique
Faculty:
Santé
School:
HEdS-FR
Institute:
Recherche appliquée et développement Santé HEDS-FR
Date:
2020-02
Pagination:
9 p.
Published in:
European Journal of Oncology Nursing
Numeration (vol. no.):
2020, vol. 44, 101714
DOI:
ISSN:
1462-3889
Appears in Collection:



 Record created 2020-12-16, last modified 2020-12-17

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