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Symptom-Level Description of Nursing Perceptions About Unwarranted Clinical Variation, Inequality in Access to Cancer Services, Specific-Symptom Knowledge: An Italian Web-Based Survey
Seminars in Oncology Nursing ( IF 2.3 ) Pub Date : 2021-04-02 , DOI: 10.1016/j.soncn.2021.151138
Silvia Belloni 1 , Cristina Arrigoni 2 , Federica Dellafiore 3 , Valentina Biagioli 4 , Alessio Piredda 5 , Rosario Caruso 3
Affiliation  

Objectives

This study aimed to describe the cancer nurses’ views regarding the relevance of cancer symptom-specific knowledge, unwarranted clinical variation, and inequities in access to cancer services. Describing how nurses perceive these aspects could help identify research priorities and a practical framework to prioritize clinical practice guidelines.

Data Sources

A web-based survey was performed using a convenience sample of 810 nurses employed in cancer settings and cross-sectional data collection. The survey adopted a previously validated questionnaire investigating 14 symptoms.

Conclusion

This study revealed which cancer symptoms require priority attention to define evidence-grounded guidance for decreasing unwarranted clinical variation and inequities in access to cancer services. Future multiprofessional and multinational studies are recommended to provide an in-depth description of the investigated phenomena.

Implications for Nursing Practice

Participants reported higher mean scores in pain-specific knowledge than other symptoms. Social functioning alterations and psychological disorders seem to be highly susceptible to unwarranted clinical variation and inequities in access to cancer services. This information could drive tailored interventions to improve nursing practice.



中文翻译:

对无根据的临床变异、获得癌症服务的不平等、特定症状知识的护理认知的症状级描述:一项基于意大利网络的调查

目标

本研究旨在描述癌症护士对癌症症状特异性知识、无根据的临床变异和获得癌症服务的不公平的相关性的看法。描述护士如何看待这些方面有助于确定研究重点和确定临床实践指南优先级的实用框架。

数据源

使用在癌症环境和横断面数据收集中使用的 810 名护士的便利样本进行了基于网络的调查。该调查采用了一份先前经过验证的调查问卷,调查了 14 种症状。

结论

这项研究揭示了哪些癌症症状需要优先关注,以定义以证据为基础的指导,以减少无根据的临床变异和获得癌症服务的不公平现象。建议未来进行多专业和多国研究,以深入描述所调查的现象。

对护理实践的启示

参与者报告的疼痛特定知识的平均得分高于其他症状。社会功能改变和心理障碍似乎很容易受到无根据的临床变异和获得癌症服务的不公平的影响。这些信息可以推动量身定制的干预措施,以改善护理实践。

更新日期:2021-05-09
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