Ambulatory Oncology Nurses Perspectives of Patient-Reported Outcomes

  • Author / Creator
    Moch, Danielle
  • BackgroundPatients in Alberta report significantly lower levels of satisfaction than the national average in terms of physical comfort, coordination and integration of care, information, communication and education. As a result, patient-reported outcome measures (PROM) were developed into a tool called, “Putting Patients First” (PPF) and has been introduced to select CancerControl Alberta (CCA) sites as a potential improvement strategy. Patient-reported outcomes offer the health care provider a window into the unique experience of each patient and can be used as a communication tool to understand the patient’s care needs. Nurses are commonly the first-line health care provider in the outpatient oncology setting, and their clinical judgement and decision making are essential for high-quality, safe patient-centred care. Much research exists surrounding patient and physician perspectives of PRO’s but little is known regarding nursing perspectives on the topic. ObjectivesThe aims of this comprehensive review were to synthesize the current literature from 2008 to 2018, on the use of PROs/PROMs by ambulatory oncology nurses and describe their perspectives on, attitudes about, and experiences using PROs/PROMs, and to determine valuable characteristics and projected outcomes. MethodsA comprehensive mixed methods literature review was conducted from September 2018 to April 2019 to understand nursing perspectives and experiences with PRO’s in the ambulatory oncology setting. Multiple databases were searched including, Academic Search Complete, CINAHL, Ovid and Ebsco Medline, and PubMed, revealing only 7 articles that fully met the inclusion criteria. ResultsThree general themes emerged discussing accuracy of PROMs, multidisciplinary acceptability of PROMs in the ambulatory oncology setting, and nursing perspectives of PROMs. Analysis of perceived limitations of PROMs revealed that they do not effectively distinguish symptoms or are not disease-specific. It also revealed difficulties experienced while using PROMs such as disruption to workflow and additional workload. These perceived limitations could provide nurse educators and administrators with initial actionable approaches for nurse education and resource planning. Conclusion This comprehensive review identified themes and potential opportunities to assist ambulatory oncology nurses in their practice of PROM utilization. Further research is required to identify center-specific needs, inform future nursing practice standards and to promote the adoption of true patient-centred care.

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  • Graduation date
    Spring 2020
  • Type of Item
  • Degree
    Master of Nursing
  • DOI
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