University of Central Florida, Orlando, Florida
Orlando, Florida.
J Dr Nurs Pract. 2021 Nov 1;14(3):225-232. doi: 10.1891/JDNP-D-20-00047.
Research shows providing cancer patients with adequate information has many benefits, but how do nurse practitioners know whether the initial consultation meets the information needs of their patients? Furthermore, how can the initial consultation be improved?
A low-cost continuous quality improvement process centered on decreasing distress and increasing information satisfaction was piloted to determine its effectiveness and feasibility.
Immediately before and after an initial consultation with a breast cancer surgeon, 59 women completed a questionnaire to measure distress and specific problems they were having. They then completed a questionnaire to measure information satisfaction. Pre-post changes in the distress score and number of problems were analyzed, as was information satisfaction. Feasibility was qualitatively examined.
For the study sample, pre-post median distress scores decreased significantly (from 5 to 3, Chi-square = 5.73, < .017). Information dissatisfaction scales were identified. The process was deemed feasible.
This effective and feasible process may help the nurse practitioner continuously improve the initial consultation process.
(a) the initial breast cancer consultation is important, (b) a novel process for improving the initial breast cancer consultation is proposed, and (c) this feasible, low-cost process should be embedded into normal practice operations.
研究表明，为癌症患者提供充足的信息有很多好处，但护士从业者如何知道初始咨询是否满足患者的信息需求？此外，如何改进初始咨询？
以降低痛苦和提高信息满意度为中心的低成本持续质量改进流程被试用于确定其有效性和可行性。
在与乳腺癌外科医生进行初始咨询之前和之后，59 名女性立即完成了一份问卷，以衡量她们的痛苦程度和遇到的具体问题。然后，他们完成了一份衡量信息满意度的问卷。分析了痛苦评分和问题数量的前后变化，以及信息满意度。定性检查了可行性。
对于研究样本，前后中位数的痛苦评分显著降低（从 5 到 3，卡方=5.73，<.017）。确定了信息不满的量表。该过程被认为是可行的。
这种有效且可行的流程可以帮助护士从业者不断改进初始咨询流程。
（a）初始乳腺癌咨询很重要，（b）提出了一种改进初始乳腺癌咨询的新流程，（c）该可行且低成本的流程应嵌入到常规实践操作中。
