A pilot study of routine screening for distress by a nurse and psychologist in an outpatient haematological oncology clinic
To explore the: 1) prevalence of distress, type of problems experienced by haematological patients, and referrals for supportive care; 2) effect of demographic and clinical variables on distress, and 3) effect on the time of health professionals conducting the screening in the ambulatory chemotherap...
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| Veröffentlicht in: | Applied nursing research 2017-02, Vol.33, p.15-18 |
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| creator | Musiello, Toni Dixon, Glenys O'Connor, Moira Cook, Deb Miller, Lisa Petterson, Anna Saunders, Christobel Joske, David Johnson, Claire |
| description | To explore the: 1) prevalence of distress, type of problems experienced by haematological patients, and referrals for supportive care; 2) effect of demographic and clinical variables on distress, and 3) effect on the time of health professionals conducting the screening in the ambulatory chemotherapy setting.
Participants completed the National Comprehensive Cancer Network Distress Thermometer and Problem List and had a follow-up screening discussion with a health professional.
Of 68 participants, 40% reported significant distress (≥4) on the Distress Thermometer (mean 3.2, SD 2.4). All patients reported physical problems and 72% reported emotional problems—the major contributors to distress and to time spent with the health professional. Distress was unrelated to age, gender or cancer type. Patients were less likely to have significant distress at the end of treatment than at the beginning (OR=0.15, 95% CI: 0.03; 0.72,). Forty patients (59%) were referred to supportive services. The psychologist spent less time with patients compared to the nurse (18 vs 48min, p |
| doi_str_mv | 10.1016/j.apnr.2016.09.005 |
| format | Article |
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Participants completed the National Comprehensive Cancer Network Distress Thermometer and Problem List and had a follow-up screening discussion with a health professional.
Of 68 participants, 40% reported significant distress (≥4) on the Distress Thermometer (mean 3.2, SD 2.4). All patients reported physical problems and 72% reported emotional problems—the major contributors to distress and to time spent with the health professional. Distress was unrelated to age, gender or cancer type. Patients were less likely to have significant distress at the end of treatment than at the beginning (OR=0.15, 95% CI: 0.03; 0.72,). Forty patients (59%) were referred to supportive services. The psychologist spent less time with patients compared to the nurse (18 vs 48min, p<0.001). The more emotional problems reported, the greater the time spent with the patient (rs=0.34, p=0.009).
Nurses can appropriately screen for distress and address significant distress reported by haematology patients undergoing chemotherapy without over burdening the nurse or patient.
•40% of all patients reported significant distress on the Distress Thermometer•Distress was unrelated to age, gender or cancer type.•The psychologist spent less time with patients compared to the nurse•The more problems reported, the greater the time spent with the patient.•Nurses can appropriately screen for distress and address significant distress</description><identifier>ISSN: 0897-1897</identifier><identifier>EISSN: 1532-8201</identifier><identifier>DOI: 10.1016/j.apnr.2016.09.005</identifier><identifier>PMID: 28096010</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities - organization & administration ; Cancer Care Facilities - organization & administration ; Cross-Sectional Studies ; Distress ; Distress thermometer ; Female ; Haematological cancer ; Hematologic Neoplasms - psychology ; Hematologic Neoplasms - therapy ; Humans ; Male ; Middle Aged ; Nurse-Patient Relations ; Nursing ; Pilot Projects ; Prospective Studies ; Psychotherapy ; Stress, Psychological - diagnosis ; Supportive care ; Young Adult</subject><ispartof>Applied nursing research, 2017-02, Vol.33, p.15-18</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-7bbd8f96c73352ee1ab38da30992c435585f0f4807be2a416137022f2fb2d0c93</citedby><cites>FETCH-LOGICAL-c426t-7bbd8f96c73352ee1ab38da30992c435585f0f4807be2a416137022f2fb2d0c93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0897189716302154$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28096010$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Musiello, Toni</creatorcontrib><creatorcontrib>Dixon, Glenys</creatorcontrib><creatorcontrib>O'Connor, Moira</creatorcontrib><creatorcontrib>Cook, Deb</creatorcontrib><creatorcontrib>Miller, Lisa</creatorcontrib><creatorcontrib>Petterson, Anna</creatorcontrib><creatorcontrib>Saunders, Christobel</creatorcontrib><creatorcontrib>Joske, David</creatorcontrib><creatorcontrib>Johnson, Claire</creatorcontrib><title>A pilot study of routine screening for distress by a nurse and psychologist in an outpatient haematological oncology clinic</title><title>Applied nursing research</title><addtitle>Appl Nurs Res</addtitle><description>To explore the: 1) prevalence of distress, type of problems experienced by haematological patients, and referrals for supportive care; 2) effect of demographic and clinical variables on distress, and 3) effect on the time of health professionals conducting the screening in the ambulatory chemotherapy setting.
Participants completed the National Comprehensive Cancer Network Distress Thermometer and Problem List and had a follow-up screening discussion with a health professional.
Of 68 participants, 40% reported significant distress (≥4) on the Distress Thermometer (mean 3.2, SD 2.4). All patients reported physical problems and 72% reported emotional problems—the major contributors to distress and to time spent with the health professional. Distress was unrelated to age, gender or cancer type. Patients were less likely to have significant distress at the end of treatment than at the beginning (OR=0.15, 95% CI: 0.03; 0.72,). Forty patients (59%) were referred to supportive services. The psychologist spent less time with patients compared to the nurse (18 vs 48min, p<0.001). The more emotional problems reported, the greater the time spent with the patient (rs=0.34, p=0.009).
Nurses can appropriately screen for distress and address significant distress reported by haematology patients undergoing chemotherapy without over burdening the nurse or patient.
•40% of all patients reported significant distress on the Distress Thermometer•Distress was unrelated to age, gender or cancer type.•The psychologist spent less time with patients compared to the nurse•The more problems reported, the greater the time spent with the patient.•Nurses can appropriately screen for distress and address significant distress</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ambulatory Care Facilities - organization & administration</subject><subject>Cancer Care Facilities - organization & administration</subject><subject>Cross-Sectional Studies</subject><subject>Distress</subject><subject>Distress thermometer</subject><subject>Female</subject><subject>Haematological cancer</subject><subject>Hematologic Neoplasms - psychology</subject><subject>Hematologic Neoplasms - therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nurse-Patient Relations</subject><subject>Nursing</subject><subject>Pilot Projects</subject><subject>Prospective Studies</subject><subject>Psychotherapy</subject><subject>Stress, Psychological - diagnosis</subject><subject>Supportive care</subject><subject>Young Adult</subject><issn>0897-1897</issn><issn>1532-8201</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFv1DAQhS0EokvbP8AB-cglYewkTiJxqSooSJW4wNly7HHrVdYOtoMU8edx2JYjl5nRzHtPmo-QtwxqBkx8ONZq8bHmZa5hrAG6F-TAuoZXQ9m9JAcYxr5ipVyQNykdARhrBbwmF3yAUQCDA_l9Qxc3h0xTXs1Gg6UxrNl5pElHRO_8A7UhUuNSjpgSnTaqqF9jQqq8oUva9GOYw0O5U-fLjhb_orJDn-mjwpPKf89azTR4vc8b1bPzTl-RV1bNCa-f-iX58fnT99sv1f23u6-3N_eVbrnIVT9NZrCj0H3TdByRqakZjGpgHLlum64bOgu2HaCfkKuWCdb0wLnlduIG9Nhckvfn3CWGnyumLE8uaZxn5TGsSbJBsE4MAnYpP0t1DClFtHKJ7qTiJhnIHbo8yh263KFLGGWBXkzvnvLX6YTmn-WZchF8PAuwfPnLYZRJFz4ajYuoszTB_S__D4RJlRA</recordid><startdate>201702</startdate><enddate>201702</enddate><creator>Musiello, Toni</creator><creator>Dixon, Glenys</creator><creator>O'Connor, Moira</creator><creator>Cook, Deb</creator><creator>Miller, Lisa</creator><creator>Petterson, Anna</creator><creator>Saunders, Christobel</creator><creator>Joske, David</creator><creator>Johnson, Claire</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201702</creationdate><title>A pilot study of routine screening for distress by a nurse and psychologist in an outpatient haematological oncology clinic</title><author>Musiello, Toni ; Dixon, Glenys ; O'Connor, Moira ; Cook, Deb ; Miller, Lisa ; Petterson, Anna ; Saunders, Christobel ; Joske, David ; Johnson, Claire</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-7bbd8f96c73352ee1ab38da30992c435585f0f4807be2a416137022f2fb2d0c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ambulatory Care Facilities - organization & administration</topic><topic>Cancer Care Facilities - organization & administration</topic><topic>Cross-Sectional Studies</topic><topic>Distress</topic><topic>Distress thermometer</topic><topic>Female</topic><topic>Haematological cancer</topic><topic>Hematologic Neoplasms - psychology</topic><topic>Hematologic Neoplasms - therapy</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nurse-Patient Relations</topic><topic>Nursing</topic><topic>Pilot Projects</topic><topic>Prospective Studies</topic><topic>Psychotherapy</topic><topic>Stress, Psychological - diagnosis</topic><topic>Supportive care</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Musiello, Toni</creatorcontrib><creatorcontrib>Dixon, Glenys</creatorcontrib><creatorcontrib>O'Connor, Moira</creatorcontrib><creatorcontrib>Cook, Deb</creatorcontrib><creatorcontrib>Miller, Lisa</creatorcontrib><creatorcontrib>Petterson, Anna</creatorcontrib><creatorcontrib>Saunders, Christobel</creatorcontrib><creatorcontrib>Joske, David</creatorcontrib><creatorcontrib>Johnson, Claire</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Applied nursing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Musiello, Toni</au><au>Dixon, Glenys</au><au>O'Connor, Moira</au><au>Cook, Deb</au><au>Miller, Lisa</au><au>Petterson, Anna</au><au>Saunders, Christobel</au><au>Joske, David</au><au>Johnson, Claire</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A pilot study of routine screening for distress by a nurse and psychologist in an outpatient haematological oncology clinic</atitle><jtitle>Applied nursing research</jtitle><addtitle>Appl Nurs Res</addtitle><date>2017-02</date><risdate>2017</risdate><volume>33</volume><spage>15</spage><epage>18</epage><pages>15-18</pages><issn>0897-1897</issn><eissn>1532-8201</eissn><abstract>To explore the: 1) prevalence of distress, type of problems experienced by haematological patients, and referrals for supportive care; 2) effect of demographic and clinical variables on distress, and 3) effect on the time of health professionals conducting the screening in the ambulatory chemotherapy setting.
Participants completed the National Comprehensive Cancer Network Distress Thermometer and Problem List and had a follow-up screening discussion with a health professional.
Of 68 participants, 40% reported significant distress (≥4) on the Distress Thermometer (mean 3.2, SD 2.4). All patients reported physical problems and 72% reported emotional problems—the major contributors to distress and to time spent with the health professional. Distress was unrelated to age, gender or cancer type. Patients were less likely to have significant distress at the end of treatment than at the beginning (OR=0.15, 95% CI: 0.03; 0.72,). Forty patients (59%) were referred to supportive services. The psychologist spent less time with patients compared to the nurse (18 vs 48min, p<0.001). The more emotional problems reported, the greater the time spent with the patient (rs=0.34, p=0.009).
Nurses can appropriately screen for distress and address significant distress reported by haematology patients undergoing chemotherapy without over burdening the nurse or patient.
•40% of all patients reported significant distress on the Distress Thermometer•Distress was unrelated to age, gender or cancer type.•The psychologist spent less time with patients compared to the nurse•The more problems reported, the greater the time spent with the patient.•Nurses can appropriately screen for distress and address significant distress</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28096010</pmid><doi>10.1016/j.apnr.2016.09.005</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Ambulatory Care Facilities - organization & administration Cancer Care Facilities - organization & administration Cross-Sectional Studies Distress Distress thermometer Female Haematological cancer Hematologic Neoplasms - psychology Hematologic Neoplasms - therapy Humans Male Middle Aged Nurse-Patient Relations Nursing Pilot Projects Prospective Studies Psychotherapy Stress, Psychological - diagnosis Supportive care Young Adult |
| title | A pilot study of routine screening for distress by a nurse and psychologist in an outpatient haematological oncology clinic |
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