Author of

• 13022

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  MO27 - Patient Centred Care (ID 141)

  • Event: WCLC 2013
  • Type: Mini Oral Abstract Session
  • Track: Nurses
  • Presentations: 1
  • Moderators:C. Broderick, J. McPhelim
  • Coordinates: 10/30/2013, 10:30 - 12:00, Bayside 104, Level 1

  • 13026

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    MO27.04 - Delivering Better Supportive Care to People with Lung Cancer: An Exploration of the Use of a Patient-Reported Outcome Measure in Clinical Nursing Practice (ID 994)

    10:45 - 10:50  |  Author(s): R. Maguire
    • Abstract
    • Presentation
    • Slides

    Background
    Supportive care needs (SCNs) of people with lung cancer (LC) are highly prevalent; yet, are often unrecognised and unmet. Patient Reported Outcome Measures (PROMs) are a way of identifying the SCNs of people with lung cancer in clinical practice. Objectives: To explore the use of PROM's by lung cancer nurse specialists (LCNS) in the delivery of supportive care to people with LC.

    Methods
    A mixed-methods study design was used. Patients (N=20) were recruited from 3 sites in Scotland and took part in the study over 3 time-points: baseline (T1), one month (T2), two months (T3). At each time point, patients completed the Sheffield Profile for Assessment and Referral to Care (SPARC) and used the PROM to direct consultations with their LCNS (N=3). End of study interviews explored patients’/clinicians’ experiences of using the SPARC in the delivery of supportive care.

    Results
    SCNs were highly prevalent at baseline. A significant reduction in overall psychological and spiritual needs from T1-T2, and family/social and treatment concerns from T1- T3 was recorded. The use of the SPARC resulted in patients disclosing needs that they would not have previously raised and promoted them to ask questions about their condition/care. LCNSs perceived that using the SPARC to guide consultations resulted in patients discussing a wider array of SCNs particularly sensitive issues such as death/dying, concerns regarding family/carers, and sexuality.

    Conclusion
    Our findings demonstrate the feasibility and acceptability of the use of PROMs in the delivery of supportive care to people with LC in clinical practice.

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