Cancer patients' perceptions of the barriers and facilitators to patient participation in symptom management during an episode of admission

Cohen, Emma and Botti, Mari 2015, Cancer patients' perceptions of the barriers and facilitators to patient participation in symptom management during an episode of admission, Cancer nursing, vol. 38, no. 6, November-December, pp. 458-465.

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Title Cancer patients' perceptions of the barriers and facilitators to patient participation in symptom management during an episode of admission
Author(s) Cohen, Emma
Botti, MariORCID iD for Botti, Mari orcid.org/0000-0002-2782-0987
Journal name Cancer nursing
Volume number 38
Issue number 6
Season November-December
Start page 458
End page 465
Total pages 8
Publisher Lippincott Williams & Wilkins
Place of publication Baltimore, Md.
Publication date 2015-11
ISSN 1538-9804
Summary BACKGROUND:: Symptoms by definition are subjective, and patients' role in their assessment and management will impact on patient outcomes; thus, symptom management is an area of acute care practice where facilitation of patient participation is vital if quality outcomes are to be achieved. OBJECTIVE:: This study originated from a large multimethod research program exploring patient participation in symptom management in an acute oncology setting. The purpose of this article is to explore patients' perceptions of the barriers and facilitators to participating in their symptom management during an episode of admission to an acute oncology ward and the relationships between these perceptions and patients' preference for participation. METHODS:: One hundred seventy-one cancer inpatients consented and completed an interview-administered questionnaire. Patients' preference for participation was measured using the Control Preference Scale. Responses to open-ended survey questions were evaluated using content analysis. RESULTS:: Ten categories were identified in the analyses of patient perceptions of the barriers and facilitators to participating in care decisions relating to their symptoms. Patients, irrespective of their Control Preference, reported multiple barriers and facilitators to participating in their symptom management. CONCLUSIONS:: Patients overall perceived information as the most critical component of participation. Irrespective of patients' preference for participation, there were similarities in the barriers and facilitators to the operationalization of participation in the acute care setting reported. IMPLICATIONS FOR PRACTICE:: Understanding patient perceptions of barriers and facilitators of participating in symptom management has provided important insights into person and system factors in the acute care sector impacting quality patient symptom outcomes.
Language eng
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Lippincott Williams & Wilkins
Persistent URL http://hdl.handle.net/10536/DRO/DU:30073208

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