A nurse-led self-management support intervention for patients and informal caregivers facing incurable cancer: A feasibility study from the perspective of nurses

Vina N. Slev, Cornelia M. Molenkamp, Corien M. Eeltink, H. Roeline W Pasman, Irma M. Verdonck-de Leeuw, Anneke L. Francke, Cornelia F. van Uden-Kraan

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose: Investigation of the feasibility of recruitment through nurses of patients with incurable cancer, and the feasibility (adoption, usage) and nurses' evaluation of a nurse-led self-management support intervention, integrated in continuity home visits and based on the 5 A's Behavior Change Model. Method: Questionnaire, registrations, evaluation forms, and interviews. Results: Recruitment was complicated; many patients were ineligible for participation, nurses appeared protective of their patients (gatekeeping), and recruitment during the first continuity home visit appeared to be a barrier as a lot of other issues had to be discussed. The adoption rate was 81%, meaning that 18 out of 22 nurses recruited were willing to use the intervention. The usage rate at the nurse level was 56%, meaning that 10 nurses applied the intervention in full (having applied all five A's) in at least one patient. Nurses used the intervention in full in 21 out of the 36 patients included, implying a usage rate at the patient level of 58%. Nurses' mean general satisfaction score for the intervention was 7.57 (range 0–10). Nurse were especially positive about the 5 A's model, and considered the continuity home visits to be an appropriate setting for the intervention. Conclusions: Timing of recruitment and gatekeeping complicated recruitment of patients through nurses. Although nurses were positive about the intervention, nurses often did not fully apply the intervention. To improve its usage, it is suggested that nurses should first be trained in using the 5 A's model.

Original languageEnglish
Article number101716
JournalEuropean Journal of Oncology Nursing
Volume45
DOIs
Publication statusPublished - 1 Apr 2020

Cite this

@article{06f5305f56dc42338bff7775969bc203,
title = "A nurse-led self-management support intervention for patients and informal caregivers facing incurable cancer: A feasibility study from the perspective of nurses",
abstract = "Purpose: Investigation of the feasibility of recruitment through nurses of patients with incurable cancer, and the feasibility (adoption, usage) and nurses' evaluation of a nurse-led self-management support intervention, integrated in continuity home visits and based on the 5 A's Behavior Change Model. Method: Questionnaire, registrations, evaluation forms, and interviews. Results: Recruitment was complicated; many patients were ineligible for participation, nurses appeared protective of their patients (gatekeeping), and recruitment during the first continuity home visit appeared to be a barrier as a lot of other issues had to be discussed. The adoption rate was 81{\%}, meaning that 18 out of 22 nurses recruited were willing to use the intervention. The usage rate at the nurse level was 56{\%}, meaning that 10 nurses applied the intervention in full (having applied all five A's) in at least one patient. Nurses used the intervention in full in 21 out of the 36 patients included, implying a usage rate at the patient level of 58{\%}. Nurses' mean general satisfaction score for the intervention was 7.57 (range 0–10). Nurse were especially positive about the 5 A's model, and considered the continuity home visits to be an appropriate setting for the intervention. Conclusions: Timing of recruitment and gatekeeping complicated recruitment of patients through nurses. Although nurses were positive about the intervention, nurses often did not fully apply the intervention. To improve its usage, it is suggested that nurses should first be trained in using the 5 A's model.",
keywords = "5 A's model, Cancer, eHealth, Feasibility, Mixed-method, Nurses, Palliative care, Self-management support",
author = "Slev, {Vina N.} and Molenkamp, {Cornelia M.} and Eeltink, {Corien M.} and {Roeline W Pasman}, H. and {Verdonck-de Leeuw}, {Irma M.} and Francke, {Anneke L.} and {van Uden-Kraan}, {Cornelia F.}",
year = "2020",
month = "4",
day = "1",
doi = "10.1016/j.ejon.2019.101716",
language = "English",
volume = "45",
journal = "European Journal of Oncology Nursing",
issn = "1462-3889",
publisher = "Churchill Livingstone",

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A nurse-led self-management support intervention for patients and informal caregivers facing incurable cancer : A feasibility study from the perspective of nurses. / Slev, Vina N.; Molenkamp, Cornelia M.; Eeltink, Corien M.; Roeline W Pasman, H.; Verdonck-de Leeuw, Irma M.; Francke, Anneke L.; van Uden-Kraan, Cornelia F.

In: European Journal of Oncology Nursing, Vol. 45, 101716, 01.04.2020.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - A nurse-led self-management support intervention for patients and informal caregivers facing incurable cancer

T2 - A feasibility study from the perspective of nurses

AU - Slev, Vina N.

AU - Molenkamp, Cornelia M.

AU - Eeltink, Corien M.

AU - Roeline W Pasman, H.

AU - Verdonck-de Leeuw, Irma M.

AU - Francke, Anneke L.

AU - van Uden-Kraan, Cornelia F.

PY - 2020/4/1

Y1 - 2020/4/1

N2 - Purpose: Investigation of the feasibility of recruitment through nurses of patients with incurable cancer, and the feasibility (adoption, usage) and nurses' evaluation of a nurse-led self-management support intervention, integrated in continuity home visits and based on the 5 A's Behavior Change Model. Method: Questionnaire, registrations, evaluation forms, and interviews. Results: Recruitment was complicated; many patients were ineligible for participation, nurses appeared protective of their patients (gatekeeping), and recruitment during the first continuity home visit appeared to be a barrier as a lot of other issues had to be discussed. The adoption rate was 81%, meaning that 18 out of 22 nurses recruited were willing to use the intervention. The usage rate at the nurse level was 56%, meaning that 10 nurses applied the intervention in full (having applied all five A's) in at least one patient. Nurses used the intervention in full in 21 out of the 36 patients included, implying a usage rate at the patient level of 58%. Nurses' mean general satisfaction score for the intervention was 7.57 (range 0–10). Nurse were especially positive about the 5 A's model, and considered the continuity home visits to be an appropriate setting for the intervention. Conclusions: Timing of recruitment and gatekeeping complicated recruitment of patients through nurses. Although nurses were positive about the intervention, nurses often did not fully apply the intervention. To improve its usage, it is suggested that nurses should first be trained in using the 5 A's model.

AB - Purpose: Investigation of the feasibility of recruitment through nurses of patients with incurable cancer, and the feasibility (adoption, usage) and nurses' evaluation of a nurse-led self-management support intervention, integrated in continuity home visits and based on the 5 A's Behavior Change Model. Method: Questionnaire, registrations, evaluation forms, and interviews. Results: Recruitment was complicated; many patients were ineligible for participation, nurses appeared protective of their patients (gatekeeping), and recruitment during the first continuity home visit appeared to be a barrier as a lot of other issues had to be discussed. The adoption rate was 81%, meaning that 18 out of 22 nurses recruited were willing to use the intervention. The usage rate at the nurse level was 56%, meaning that 10 nurses applied the intervention in full (having applied all five A's) in at least one patient. Nurses used the intervention in full in 21 out of the 36 patients included, implying a usage rate at the patient level of 58%. Nurses' mean general satisfaction score for the intervention was 7.57 (range 0–10). Nurse were especially positive about the 5 A's model, and considered the continuity home visits to be an appropriate setting for the intervention. Conclusions: Timing of recruitment and gatekeeping complicated recruitment of patients through nurses. Although nurses were positive about the intervention, nurses often did not fully apply the intervention. To improve its usage, it is suggested that nurses should first be trained in using the 5 A's model.

KW - 5 A's model

KW - Cancer

KW - eHealth

KW - Feasibility

KW - Mixed-method

KW - Nurses

KW - Palliative care

KW - Self-management support

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DO - 10.1016/j.ejon.2019.101716

M3 - Article

VL - 45

JO - European Journal of Oncology Nursing

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SN - 1462-3889

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