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Components that influence assessment and management of cancer-related symptoms: an interdisciplinary perspective.

Artikel i vetenskaplig tidskrift
Författare Sofie Jakobsson
Tor Ekman
Karin Ahlberg
Publicerad i Oncology nursing forum
Volym 35
Nummer/häfte 4
Sidor 691-8
ISSN 1538-0688
Publiceringsår 2008
Publicerad vid Institutionen för vårdvetenskap och hälsa
Institutionen för kliniska vetenskaper
Sidor 691-8
Språk en
Länkar dx.doi.org/10.1188/08.ONF.691-698
Ämnesord Attitude of Health Personnel, Cooperative Behavior, Cross-Sectional Studies, Dietetics, organization & administration, Focus Groups, Hospitals, University, Humans, Interprofessional Relations, Medical Oncology, organization & administration, Needs Assessment, organization & administration, Neoplasms, complications, prevention & control, Nursing Assessment, organization & administration, Nursing Methodology Research, Occupational Therapy, organization & administration, Oncologic Nursing, organization & administration, Patient Care Planning, organization & administration, Patient Care Team, organization & administration, Patient-Centered Care, Physical Therapy (Specialty), organization & administration, Practice Guidelines as Topic, Qualitative Research, Questionnaires, Social Work, organization & administration, Sweden
Ämneskategorier Omvårdnad

Sammanfattning

PURPOSE/OBJECTIVES: To describe, from an interdisciplinary perspective, how cancer-related symptoms are assessed and managed in a cancer care setting and to describe the components that influence symptom management. DESIGN: Descriptive, qualitative, and cross-sectional. SETTING: An oncology and hematology department in a university hospital in western Sweden. SAMPLE: 31 nurses, physicians, physical therapists, dietitians, occupational therapists, and a medical social worker who all cared for patients with cancer-related symptoms. METHODS: Data were collected in focus groups and analyzed using content analysis. MAIN RESEARCH VARIABLES: Cancer-related symptoms and symptom management. FINDINGS: Symptom management, from a clinician's perspective, is a process involving different components. Four themes emerged from the data analysis: creating a relationship with the patient, understanding the patient, assessing the symptoms, and cooperating as a team. CONCLUSIONS: This study highlights several components that should be discussed in an effort to enhance symptom management. Discussion will help ensure that barriers to effective symptom management are acknowledged and addressed when implementing clinical routines designed to enhance management of different symptoms. In addition, these components should be acknowledged in the interest of facilitating adherence to symptom management strategies. Whether these components are important factors from patients' perspectives remains unknown. IMPLICATIONS FOR NURSING: Enhancing symptom management is not only a matter of implementing clinical guidelines; it must be preceded by teamwork, assessment, and evaluation method discussions and the ability to create a relationship with the patient. Nurses should be aware that their understanding of a patient affects their assessment of that patient's symptom experience.

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