A pilot study of routine screening for distress by a nurse and psychologist in an outpatient haematological oncology clinic

Toni Musiello, Glenys Dixon, Moira O'Connor, Deb Cook, Lisa Miller, Anna Petterson, Christobel Saunders, David Joske, Claire Johnson

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aim 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. Methods Participants completed the National Comprehensive Cancer Network Distress Thermometer and Problem List and had a follow-up screening discussion with a health professional. Results 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 48 min, p < 0.001). The more emotional problems reported, the greater the time spent with the patient (rs = 0.34, p = 0.009). Conclusions Nurses can appropriately screen for distress and address significant distress reported by haematology patients undergoing chemotherapy without over burdening the nurse or patient. 

Original languageEnglish
Pages (from-to)15-18
Number of pages4
JournalApplied Nursing Research
Volume33
DOIs
Publication statusPublished - 1 Feb 2017

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Outpatients
Nurses
Psychology
Thermometers
Health
Drug Therapy
Hematology
Neoplasms
Referral and Consultation
Demography

Cite this

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abstract = "Aim 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. Methods Participants completed the National Comprehensive Cancer Network Distress Thermometer and Problem List and had a follow-up screening discussion with a health professional. Results 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 48 min, p < 0.001). The more emotional problems reported, the greater the time spent with the patient (rs = 0.34, p = 0.009). Conclusions Nurses can appropriately screen for distress and address significant distress reported by haematology patients undergoing chemotherapy without over burdening the nurse or patient. ",
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A pilot study of routine screening for distress by a nurse and psychologist in an outpatient haematological oncology clinic. / Musiello, Toni; Dixon, Glenys; O'Connor, Moira; Cook, Deb; Miller, Lisa; Petterson, Anna; Saunders, Christobel; Joske, David; Johnson, Claire.

In: Applied Nursing Research, Vol. 33, 01.02.2017, p. 15-18.

Research output: Contribution to journalArticle

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T1 - A pilot study of routine screening for distress by a nurse and psychologist in an outpatient haematological oncology clinic

AU - Musiello, Toni

AU - Dixon, Glenys

AU - O'Connor, Moira

AU - Cook, Deb

AU - Miller, Lisa

AU - Petterson, Anna

AU - Saunders, Christobel

AU - Joske, David

AU - Johnson, Claire

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N2 - Aim 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. Methods Participants completed the National Comprehensive Cancer Network Distress Thermometer and Problem List and had a follow-up screening discussion with a health professional. Results 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 48 min, p < 0.001). The more emotional problems reported, the greater the time spent with the patient (rs = 0.34, p = 0.009). Conclusions Nurses can appropriately screen for distress and address significant distress reported by haematology patients undergoing chemotherapy without over burdening the nurse or patient. 

AB - Aim 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. Methods Participants completed the National Comprehensive Cancer Network Distress Thermometer and Problem List and had a follow-up screening discussion with a health professional. Results 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 48 min, p < 0.001). The more emotional problems reported, the greater the time spent with the patient (rs = 0.34, p = 0.009). Conclusions Nurses can appropriately screen for distress and address significant distress reported by haematology patients undergoing chemotherapy without over burdening the nurse or patient. 

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