ArticleWorldviews on evidence-based nursing2016
Implementation of Symptom Protocols for Nurses Providing Telephone-Based Cancer Symptom Management: A Comparative Case Study.
Article in Worldviews on evidence-based nursing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- A qualitative approach to understanding quality symptom management in routine oncology outpatient care: phase 1 of the symptom pathways project.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Leveraging co-production in the systematic review of evidence to update the pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) practice guides.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2026Article
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- Oncology nursing partnerships shape the future of after-hours toxicity management support.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2023Article
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- Evaluation of an educational program for nurses providing cancer symptom management: The pan-Canadian Oncology Symptom Triage and Remote Support Online Tutorial.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2023Article
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- Quality of telephone-based cancer symptom management by nurses: a quality improvement project.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
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- Exploring the role of nurses in after-hours telephone services in regional areas; A scoping review.PloS one · 2020Article
- Quality of telephone nursing services for adults with cancer and related non-emergent visits to the emergency department.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2020Article
- Socio-demographic and disease related characteristics associated with unplanned emergency department visits by cancer patients: a retrospective cohort study.BMC health services research · 2019Observational
- Research priorities for the pan-Canadian Oncology Symptom Triage and Remote Support practice guides: a modified nominal group consensus.Current oncology (Toronto, Ont.) · 2019Article
- Factors influencing the use by radiation therapists of cancer symptom guides: a mixed-methods study.Current oncology (Toronto, Ont.) · 2019Article
- E-learning for self-management support: introducing blended learning for graduate students - a cohort study.BMC medical education · 2018Article
- Supporting self-management in palliative care throughout the cancer care trajectory.Current opinion in supportive and palliative care · 2018Review
- Symptom practice guide for telephone assessment of patients with cancer treatment-related cardiotoxic dyspnea: Adaptation and evaluation of acceptability.Cardio-oncology (London, England) · 2017Article
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Authors and funding
16 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) team developed 13 evidence-informed protocols for symptom management.
aimTo build an effective and sustainable approach for implementing the COSTaRS protocols for nurses providing telephone-based symptom support to cancer patients.
methodsA comparative case study was guided by the Knowledge to Action Framework. Three cases were created for three Canadian oncology programs that have nurses providing telephone support. Teams of researchers and knowledge users: (a) assessed barriers and facilitators influencing protocol use, (b) adapted protocols for local use, (c) intervened to address barriers, (d) monitored use, and (e) assessed barriers and facilitators influencing sustained use. Analysis was within and across cases.
resultsAt baseline, >85% nurses rated protocols positively but barriers were identified (64-80% needed training). Patients and families identified similar barriers and thought protocols would enhance consistency among nurses teaching self-management. Twenty-two COSTaRS workshops reached 85% to 97% of targeted nurses (N = 119). Nurses felt more confident with symptom management and using the COSTaRS protocols (p < .01). Protocol adaptations addressed barriers (e.g., health records approval, creating pocket versions, distributing with telephone messages). Chart audits revealed that protocols used were documented for 11% to 47% of patient calls. Sustained use requires organizational alignment and ongoing leadership support. LINKING EVIDENCE TO ACTION: Protocol uptake was similar to trials that have evaluated tailored interventions to improve professional practice by overcoming identified barriers. Collaborating with knowledge users facilitated interpretation of findings, aided protocol adaptation, and supported implementation. Protocol implementation in nursing requires a tailored approach. A multifaceted intervention approach increased nurses' use of evidence-informed protocols during telephone calls with patients about symptoms. Training and other interventions improved nurses' confidence with using COSTaRS protocols and their uptake was evident in some documented telephone calls. Protocols could be adapted for use by patients and nurses globally.
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