Quality of telephone nursing services for adults with cancer and related non-emergent visits to the emergency department
<p class="p1">A quality improvement project was conducted to determine the quality of telephone nursing for patients with cancer symptoms. Eligible patients were ones who telephoned the nurse about cancer symptom(s) within four weeks prior to an emergency department (ED) visit not re...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pappin Communications
2020-07-01
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| Series: | Canadian Oncology Nursing Journal |
| Online Access: | https://canadianoncologynursingjournal.com/index.php/conj/article/view/1072 |
| _version_ | 1797319803726200832 |
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| author | Dawn Stacey Lynne Jolicoeur Katelyn Balchin Kate Duke Claire Ludwig Meg Carley Lindsay Jibb Craig Kuziemsky Suzanne Madore Lisa Rambout Jackie Romanick Michael M. Vickers Lorraine Martelli |
| author_facet | Dawn Stacey Lynne Jolicoeur Katelyn Balchin Kate Duke Claire Ludwig Meg Carley Lindsay Jibb Craig Kuziemsky Suzanne Madore Lisa Rambout Jackie Romanick Michael M. Vickers Lorraine Martelli |
| author_sort | Dawn Stacey |
| collection | DOAJ |
| description | <p class="p1">A quality improvement project was conducted to determine the quality of telephone nursing for patients with cancer symptoms. Eligible patients were ones who telephoned the nurse about cancer symptom(s) within four weeks prior to an emergency department (ED) visit not requiring hospital admission. Experienced oncology nurses extracting data indicated appropriateness of ED visits and opportunities for improvement. The Symptom Management Analysis Tool was used to analyze nurse documentation. For 77 patients, 87% ED visits occurred within four days of calls about symptoms (e.g., pain, breathlessness, constipation, diarrhea, nausea/vomiting) and 91% could have been managed by more complete telephone assessment and/or an urgent clinic visit. Quality of nurse documentation revealed few patients were assessed adequately (38%), received any symptom-specific medication review (49%), or were guided in self-care strategies (17%). There was low-quality telephone symptom management by nurses and a need for alternative options for patients requiring urgent face-to-face assessments. Our findings highlight a gap in use of guidelines for informing telephone symptom management.</p> |
| first_indexed | 2024-03-08T04:13:19Z |
| format | Article |
| id | doaj.art-253593d744944c59bb74be6865ac79a0 |
| institution | Directory Open Access Journal |
| issn | 1181-912X 2368-8076 |
| language | English |
| last_indexed | 2024-03-08T04:13:19Z |
| publishDate | 2020-07-01 |
| publisher | Pappin Communications |
| record_format | Article |
| series | Canadian Oncology Nursing Journal |
| spelling | doaj.art-253593d744944c59bb74be6865ac79a02024-02-08T16:29:01ZengPappin CommunicationsCanadian Oncology Nursing Journal1181-912X2368-80762020-07-01303193199933Quality of telephone nursing services for adults with cancer and related non-emergent visits to the emergency departmentDawn StaceyLynne JolicoeurKatelyn BalchinKate DukeClaire LudwigMeg CarleyLindsay JibbCraig KuziemskySuzanne MadoreLisa RamboutJackie RomanickMichael M. VickersLorraine Martelli<p class="p1">A quality improvement project was conducted to determine the quality of telephone nursing for patients with cancer symptoms. Eligible patients were ones who telephoned the nurse about cancer symptom(s) within four weeks prior to an emergency department (ED) visit not requiring hospital admission. Experienced oncology nurses extracting data indicated appropriateness of ED visits and opportunities for improvement. The Symptom Management Analysis Tool was used to analyze nurse documentation. For 77 patients, 87% ED visits occurred within four days of calls about symptoms (e.g., pain, breathlessness, constipation, diarrhea, nausea/vomiting) and 91% could have been managed by more complete telephone assessment and/or an urgent clinic visit. Quality of nurse documentation revealed few patients were assessed adequately (38%), received any symptom-specific medication review (49%), or were guided in self-care strategies (17%). There was low-quality telephone symptom management by nurses and a need for alternative options for patients requiring urgent face-to-face assessments. Our findings highlight a gap in use of guidelines for informing telephone symptom management.</p>https://canadianoncologynursingjournal.com/index.php/conj/article/view/1072 |
| spellingShingle | Dawn Stacey Lynne Jolicoeur Katelyn Balchin Kate Duke Claire Ludwig Meg Carley Lindsay Jibb Craig Kuziemsky Suzanne Madore Lisa Rambout Jackie Romanick Michael M. Vickers Lorraine Martelli Quality of telephone nursing services for adults with cancer and related non-emergent visits to the emergency department Canadian Oncology Nursing Journal |
| title | Quality of telephone nursing services for adults with cancer and related non-emergent visits to the emergency department |
| title_full | Quality of telephone nursing services for adults with cancer and related non-emergent visits to the emergency department |
| title_fullStr | Quality of telephone nursing services for adults with cancer and related non-emergent visits to the emergency department |
| title_full_unstemmed | Quality of telephone nursing services for adults with cancer and related non-emergent visits to the emergency department |
| title_short | Quality of telephone nursing services for adults with cancer and related non-emergent visits to the emergency department |
| title_sort | quality of telephone nursing services for adults with cancer and related non emergent visits to the emergency department |
| url | https://canadianoncologynursingjournal.com/index.php/conj/article/view/1072 |
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