Highlights
- •Standardised symptom self-management support is insufficiently implemented.
- •The Symptom Navi© Programme showed excellent face validity, clarity and utility.
- •Nurse training facilitated the implementation of the program into daily routines.
- •Nurses' workload might be a barrier for applying the program in daily routines.
Abstract
Purpose
The Symptom Navi© Programme (SN©P) is a structured nurse-led intervention supporting
symptom self-management in cancer patients. We describe the development and evaluation
of the intervention, implementation strategy, and the evaluation of nurse training
for the Symptom Navi© Pilot Study.
Methods
The intervention was developed using multiple methods (e.g. literature synthesis,
focus groups) to produce SN©P information leaflets (SN©Flyers in French and German)
and standardised training for nurses to deliver semi-structured consultations. We
evaluated the SN©P using online surveys, focus groups, interviews, and the Item-Content
Validity Index (I-CVI). Nurse training was evaluated in relation to content, acceptability,
and confidence in implementing the SN©P. We examined the association between scored
on the Work-related Sense of Coherence (Work-SoC) scale and nurses’ confidence in
implementing the SN©P. Thematic analysis was used to analyse qualitative data. Quantitative
data was descriptively analysed and the Kendall Tau test was employed for correlations.
Results
Patients and health care professionals confirmed that SN©Flyers and semi-structured
consultations facilitated symptom self-management. Nurses considered training content/format
acceptable and appropriate and felt confident in implementing the SN©P. Overall Work-SoC
scores were correlated with nurses’ confidence in implementing the SN©P (rπ = .47, p = .04).
Conclusions
Health care professionals and cancer patients perceived the SN©P as a useful support.
Successful implementation of the SN©P depends on centre-specific factors including
time, resources and workflow.
Clinical trial registry
NCT03649984 and SNCTP000002381.
Keywords
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Article info
Publication history
Published online: January 15, 2020
Accepted:
December 19,
2019
Received in revised form:
December 11,
2019
Received:
May 29,
2019
Identification
Copyright
© 2019 Elsevier Ltd. All rights reserved.
