Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention.

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  • Additional Information
    • Subject Terms:
    • NAICS/Industry Codes:
      622310 Specialty (except Psychiatric and Substance Abuse) Hospitals
    • Abstract:
      Background: Specialty palliative care is not accessible for many patients with advanced cancer. There is a need to find alternative palliative care strategies in oncology clinics. Objective: The objective of the study was to assess the feasibility, acceptability, and perceived effectiveness of an oncology nurse-led care management approach to improve primary palliative care. Methods: The study design was a single-arm pilot trial of the are anagement by ncology urses (CONNECT) intervention, in which registered oncology nurses receive specialized training and work closely with oncologists to (1) address symptom needs; (2) engage patients and caregivers in advance care planning; (3) provide emotional support; and (4) coordinate care. The subjects were 23 patients with advanced cancer, 19 caregivers, and 5 oncologists from a community oncology clinic in western Pennsylvania. Feasibility was assessed through enrollment rates, outcome assessment rates, and visit checklists. Patients, caregivers, and oncologists completed three-month assessments of acceptability and perceived effectiveness. Results: The consent-to-approach rate was 86% and enrolled-to-consent rate, 77%. CONNECT was implemented according to protocol for all participants. No participants withdrew after enrollment. Four patients died during the study; three-month outcome assessments were completed with all remaining participants (83%). Patients and caregivers reported high satisfaction with CONNECT and perceived the intervention as helpful in addressing symptoms (85%), coping (91%), and planning for the future (82%). Oncologists unanimously agreed that CONNECT improved the quality of care provided for patients with advanced cancer. Conclusion: An oncology nurse-led care management intervention is feasible, acceptable, and was perceived to be effective for improving provision of primary palliative care. A randomized trial of CONNECT is warranted. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Journal of Palliative Medicine is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
      2Biobehavioral Oncology Program, Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania.
      3Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
      4School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania.
      5Division of Hematology-Oncology, Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania.
      6UPMC Cancer Center at UPMC St. Margaret, Pittsburgh, Pennsylvania.
    • ISSN:
      1096-6218
    • Accession Number:
      10.1089/jpm.2014.0325
    • Accession Number:
      101315355
  • Citations
    • ABNT:
      SCHENKER, Y. et al. Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention. Journal of Palliative Medicine, [s. l.], v. 18, n. 3, p. 232–240, 2015. DOI 10.1089/jpm.2014.0325. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=101315355&custid=s8280428. Acesso em: 8 dez. 2019.
    • AMA:
      Schenker Y, White D, Rosenzweig M, et al. Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention. Journal of Palliative Medicine. 2015;18(3):232-240. doi:10.1089/jpm.2014.0325.
    • APA:
      Schenker, Y., White, D., Rosenzweig, M., Chu, E., Moore, C., Ellis, P., … Arnold, R. (2015). Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention. Journal of Palliative Medicine, 18(3), 232–240. https://doi.org/10.1089/jpm.2014.0325
    • Chicago/Turabian: Author-Date:
      Schenker, Yael, Douglas White, Margaret Rosenzweig, Edward Chu, Charity Moore, Peter Ellis, Peggy Nikolajski, et al. 2015. “Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention.” Journal of Palliative Medicine 18 (3): 232–40. doi:10.1089/jpm.2014.0325.
    • Harvard:
      Schenker, Y. et al. (2015) ‘Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention’, Journal of Palliative Medicine, 18(3), pp. 232–240. doi: 10.1089/jpm.2014.0325.
    • Harvard: Australian:
      Schenker, Y, White, D, Rosenzweig, M, Chu, E, Moore, C, Ellis, P, Nikolajski, P, Ford, C, Tiver, G, McCarthy, L & Arnold, R 2015, ‘Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention’, Journal of Palliative Medicine, vol. 18, no. 3, pp. 232–240, viewed 8 December 2019, .
    • MLA:
      Schenker, Yael, et al. “Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention.” Journal of Palliative Medicine, vol. 18, no. 3, Mar. 2015, pp. 232–240. EBSCOhost, doi:10.1089/jpm.2014.0325.
    • Chicago/Turabian: Humanities:
      Schenker, Yael, Douglas White, Margaret Rosenzweig, Edward Chu, Charity Moore, Peter Ellis, Peggy Nikolajski, et al. “Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention.” Journal of Palliative Medicine 18, no. 3 (March 2015): 232–40. doi:10.1089/jpm.2014.0325.
    • Vancouver/ICMJE:
      Schenker Y, White D, Rosenzweig M, Chu E, Moore C, Ellis P, et al. Care Management by Oncology Nurses To Address Palliative Care Needs: A Pilot Trial To Assess Feasibility, Acceptability, and Perceived Effectiveness of the CONNECT Intervention. Journal of Palliative Medicine [Internet]. 2015 Mar [cited 2019 Dec 8];18(3):232–40. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=101315355&custid=s8280428