Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Supportive Care in Cancer
Published in: Supportive Care in Cancer 10/2018

01-10-2018 | Original Article

Patients’ characteristics informing practice: improving individualized nursing care in the radiation oncology setting

Author: Pauline M. Rose

Published in: Supportive Care in Cancer | Issue 10/2018

Login to get access

Abstract

Purpose

A large number of patients attend for radiotherapy daily. Primary nurses in the study settings aim to individualize care for their patients. The individual characteristics of patients may determine their perceptions of nursing care, and provide guidance in tailoring their care. This study aimed to assess patients’ personal characteristics on their perceptions of individualized care (IC) provided by nurses during a course of radiotherapy, and to determine predictor variables that may inform nursing practice.

Methods

This cross-sectional, exploratory study was conducted in three radiotherapy departments in Australia. Patients (n = 250) completed the Individualized Care Scale_Patient (ICS_P). Data were analyzed using descriptive and inferential statistics, univariate analysis, and multiple regression analysis.

Results

Males reported significantly higher perceptions of IC than females in 7/9 subscales. Patients with head and neck and prostate cancer, as well as those requiring hospitalization during radiotherapy, scored significantly higher in 5/9 subscales. Courses > 30 days, those not receiving chemotherapy, and partnered patients reported greater IC across all subscales. Gender and hospitalization were the main predictor variables for IC.

Conclusion

Patients reported moderately high levels of IC during their radiotherapy; however, standard demographic information may provide limited insight into improving care for the individual. Patient characteristics routinely chosen, such as age, gender, and education may not predict how patients perceive their care or support the tailoring of interventions to improve IC. Researching a range of related patient characteristics may prove a more useful concept for future nursing studies aiming to predict outcomes to tailor nursing practice.
Literature
1.
Rose P (2016) Individualized care in the radiation oncology setting from the patients’ and nurses’ perspectives. Canc Nurs 39(5):411–422CrossRef
2.
Rose P, Yates P (2013) Person-centred nursing care in radiation oncology. Eur J Oncol Nurs 17(5):554–562CrossRefPubMed
3.
Gürdoğan EP, Fındık UY, Arslan BK (2015) Patients’ perception of individualized care and satisfaction with nursing care levels in Turkey. Int J Care Sci 8:369–375
4.
Evers AWM, Gieler U, Hasenbring MI, van Middendorp H (2014) Incorporating biopsychosocial characteristics into personalized healthcare: a clinical approach. Psychother Psychosom 83:148–157CrossRefPubMed
5.
Kunneman M, Marijnen CAM, Baas-Thijssen MCM, van der Linden YM, Rozema T, Muller K, Geijsen ED, Stiggelbout AM, Pieterse AH (2015) Considering patient values and treatment preferences enhances patient involvement in rectal cancer treatment in decision making. Radiat Oncol 117:338–342CrossRef
6.
7.
Delaney G, Jacob S, Featherstone C, Barton M (2005) The role of radiotherapy in cancer treatment. Cancer 104:1129–1137CrossRefPubMed
8.
Delaney GP, Barton MB (2015) Evidence-based estimates of the demand for radiotherapy. Clin Oncol (R Col Radiol) 27(2):70–76CrossRef
9.
Bridge P, Dempsey S, Giles E, Maresse S, McCorkell G, Opie C, Wright C, Carmichael MA (2015) Practice patterns of radiation therapy technology in Australia: results of a national audit. J Med Radiat Sci 62:253–260CrossRefPubMedPubMedCentral
10.
Bridge P, Carmichael M, Brady C et al (2013) A snapshot of radiation therapy techniques and technology in Australia: an aid to mapping undergraduate curriculum. J Med Radiat Sci 60:25–34CrossRefPubMedPubMedCentral
11.
Rose P (2011) The experience of receiving radiation therapy. Aust J Canc Nurs 2(1):10–15
12.
MOSAIQ. Radiation Oncology Information System, Radiation Oncology Mater Centre, Brisbane Australia: viewed March 2017
13.
Gzell C, Wheeler L, Guo M et al (2014) Elderly patients aged 65–75 years with glioblastoma multiforme may benefit from long course radiation therapy with temozolomide. J Neur Onc 119(1):187–196CrossRef
14.
Zhu G, Lin JC, Kim SB, Bernier J, Agarwal JP, Vermorken JB, Thinh DHQ, Cheng HC, Yun HJ, Chitapanarux I, Lertsanguansinchai P, Reddy VA, He X (2016) Asian expert recommendation on management of skin and mucosal effects of radiation, with or without the addition of cetuximab or chemotherapy, in treatment of head and neck squamous cell carcinoma. BMC Canc 16:42CrossRef
15.
Rose P, Yates P (2015) Patients’ outcomes related to person-centred nursing care in radiation oncology: a case study. Eur J Oncol Nurs 19(6):731–739CrossRefPubMed
16.
van der Cingel M, Brandsma L, van Dam M et al (2016) Concepts of person-centred care: a framework analysis of five studies in daily care practices. Int Prac Dev 6(2):6
17.
Koberich S, Feuchtinger J, Farin E (2016) Factors influencing hospitalized patients’ perception of individualized nursing care: a cross-sectional study. BMC Nurs 15:14CrossRefPubMedPubMedCentral
18.
Elliott MN, Lehrman WG, Goldstein EH, Giordano LA, Beckett MK, Cohea CW, Cleary PD (2010) Hospital survey shows improvements in patient experience. Health Aff 29(11):2061–2067CrossRef
19.
Suhonen R, Valimaki M, Katajisto J, Leino-Kilpi H (2006) Patients’ characteristics in relation to perceptions of how individualized care is delivered: research into the sensitivity of the individualized care scale. J Prof Nurs 22(4):253–261CrossRefPubMed
20.
Kaidar-Person O, Kuten A, Belkacemi Y (2014) Primary systemic therapy and whole breast irradiation for locally advanced breast cancer: a systematic review. Crit Rev Onc Hem 92:143–152CrossRef
21.
Hegney DH (2005) Close, but still too far. The experience of Australian people with cancer commuting from a regional to a capital city for radiotherapy treatment. Eur J Can Care 14(1):75–82CrossRef
22.
Gabriel G, Barton M, Delaney GP (2015) The effect of travel distance on radiotherapy utilization in NSW and ACT. Radiother Oncol 117:386–389CrossRefPubMed
23.
24.
25.
Sundaresan P, King MT, Stockler MR, Costa DSJ, Milross CG (2015) Barriers to radiotherapy utilisation in New South Wales Australia: health professionals’ perceptions of impacting factors. J Med Imag Rad Oncol 59:535–541CrossRef
26.
Lehman M, Jacob S, Delaney G, Papadatos G, Jalaludin B, Cail S, McCourt J, Wright S, O'Brien C, Barton M (2004) Waiting times for radiotherapy—a survey of patients’ attitudes. Radiother Oncol 70(3):283–289CrossRefPubMed
27.
Alsadius D, Olsson C, Wilderäng U, Steineck G (2014) Partnership status affects the association between gastrointestinal symptoms and quality of life after radiation therapy for prostate cancer. Acta Oncol 53(3):378–388CrossRefPubMed
28.
Suhonen R, Leino-Kilpi H, Valimaki M (2005) Development and psychometric properties of the Individualized Care Scale. J Eval Clin Prac 11:7–20CrossRef
29.
Suhonen R, Schmidt LA, Radwin L (2007) Measuring individualized nursing care: assessment reliability and validity of three scales. JAN 59(1):77–85CrossRef
30.
Rodrıguez-Martın B, Stolt M, Katajisto J, Suhonen R (2015) Nurses’ characteristics and organizational factors associated with their assessments of individualized care in care institutions for older people. Scand J Caring Sci 30(2):250–259CrossRefPubMed
31.
Wessels H, De Graeff A, Wynia K et al (2010) Gender-related needs and preferences in cancer care indicate the need for an individualized approach to cancer patients. Oncologist 15:648–655CrossRefPubMedPubMedCentral
32.
Suhonen R, Valimaki M, Katajisto J, Leino-Kilpi H (2007) Provision of individualized care improves hospital patients’ outcomes: an explanatory model using LISREL. Int J Nurs Stud 44:197–207CrossRefPubMed
33.
Cetlan B, Eser I (2016) Assessment of individualized nursing care in hospitalized patients in a university hospital in Turkey. J Nurs Manag 24(7)
34.
Suhonen R, Valimaki M, leino-Kilpi H, Katajisto J (2004) Testing the individualized care model. Scand J Caring Sci 18(1):27–36CrossRefPubMed
35.
Suhonen R, Land L, Valimaki M et al (2010) Impact of patient characteristics on orthopaedic and trauma patients’ perceptions of individualised nursing care. Int J EvidBased Healthc 8(4):259–267CrossRef
36.
Suhonen R, Valimaki M, Leini-Kilpi H (2002) Individualized care from patients’, nurses’ and relatives’ perspective—a review of the literature. Int J Nurs Stud 39(6):645–654CrossRefPubMed
37.
Berg A, Idvall E, Katajisto J, Suhonen R (2012) A comparison between orthopaedic nurses and patients’ perceptions of individualized care. Int J Ortho Traum Nurs 16:136–146CrossRef
38.
SPSS (2017) Statistics for Windows: Version 23. INM Corp. Armonk
39.
Australian Institute of Health and Welfare (AIHW). Radiotherapy in Australia 2015-2016. 2017; Canberra, Cat. No. HSE 191
40.
Elting LS, Cooksley CD, Chambers MS, Garden AS (2007) Risk, outcomes and costs of radiation-induced oral mucositis among patients with head and neck malignancies. Int J Rad Oncol Biol Phys 68(4):1110–1120CrossRef
41.
Baschnagel AM, Yadav S, Marina O, Parzuchowski A, Lanni TB Jr, Warner JN, Parzuchowski JS, Ignatius RT, Akervall J, Chen PY, Krauss DJ (2014) Toxicities and costs of placing prophylactic and reactive percutaneous gastrostomy tubes in patients with locally advanced head and neck cancers treated with chemoradiotherapy. Head Neck 36(8):1155–1161CrossRefPubMed
42.
Suhonen R, Papastavrou E, Efstathiou G, Tsangari H, Jarosova D, Leino-Kilpi H, Patiraki E, Karlou C, Balogh Z, Merkouris A (2012) Patient satisfaction as an outcome of individualized nursing care. Scand J Caring Sci 26:372–380CrossRefPubMed
43.
Fitch ML, Maamoun J (2016) Unmet supportive care needs and desire for assistance in patients receiving radiation treatment: implications for oncology nursing. Can J Canc Nurs 26(1):53–59
44.
Hardcastle SJ, Hagger MS (2016) Psychographic profiling for effective health behavior change interventions. Front Psychol 1988
Metadata
Title
Patients’ characteristics informing practice: improving individualized nursing care in the radiation oncology setting
Author
Pauline M. Rose
Publication date
01-10-2018
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 10/2018
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4210-5

Other articles of this Issue 10/2018

Supportive Care in Cancer 10/2018 Go to the issue

Original Article

Validation of the EPIPHANY index for predicting risk of serious complications in cancer patients with incidental pulmonary embolism

Review Article

A systematic review of the safety and efficacy of aerobic exercise during cytotoxic chemotherapy treatment

Review Article

The pathophysiology of cancer-related fatigue: current controversies

Original Article

Perceptions of masculinity and body image in men with prostate cancer: the role of exercise

Original Article

Online information and support needs of women with advanced breast cancer: a qualitative analysis

Original Article

Quality versus quantity in end-of-life choices of cancer patients and support persons: a discrete choice experiment
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Watch now

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine
Image Credits