Abstract
OBJECTIVES: To explore how nurses perceive their self-efficacy and performance in supporting self-management among patients with incurable cancer, and whether these perceptions differ between community and hospital nurses. SAMPLE & SETTING: 222 hospital nurses (n = 94) and community nurses (n = 128) working with adult patients with incurable cancer. METHODS & VARIABLES: An online survey included the Self-Efficacy and Performance Into Self- Management Support instrument. Possible differences in age, gender, work setting, and additional training in oncology between groups were explored. RESULTS: Nurses felt confident about their self-efficacy, particularly in assessing patients' knowledge and beliefs and in advising about their disease and health status. Nurses felt less confident in their performance, particularly in the use of technology (arranging follow-up care), but also in agreeing on collaborative goals and assisting patients in achieving these goals. Compared to hospital nurses, community nurses reported significantly higher scores on self-efficacy and performance. IMPLICATIONS FOR NURSING: More effort is needed to increase nurses' confidence in providing self-management support, with a focus on arranging follow-up care with the use of technology and on collaborating with patients in setting and achieving goals.
| Original language | English |
|---|---|
| Pages (from-to) | 104-112 |
| Number of pages | 9 |
| Journal | Oncology Nursing Forum |
| Volume | 46 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 1 Jan 2019 |
| Externally published | Yes |
Funding
Irene P. Jongerden, PhD, RN, is a senior researcher and Vina N. Slev, MSc, is a PhD candidate in the Center of Expertise in Palliative Care, both in the Department of Occupational and Public Health at the VU University Medical Center in Amsterdam, Netherlands; Susanne M. van Hooft, PhD, RN, is a researcher in the Research Centre Innovations in Care at the Rotterdam University of Applied Sciences in the Netherlands; H. Roeline Pasman, PhD, is an associate professor in the Department of Occupational and Public Health and Irma M. Verdonck-de Leeuw, PhD, is a professor of psychosocial oncology in the Department of Clinical, Neuro and Developmental Psychology, both at the VU University Medical Center; Anke J.E. de Veer, PhD, is a senior researcher at the Netherlands Institute for Health Services Research in Utrecht; Cornelia F. van Uden-Kraan, PhD, is a senior researcher in the Department of Clinical, Neuro and Developmental Psychology at the VU University Medical Center; and Anneke L. Francke, PhD, is a professor at the Netherlands Institute for Health Services Research. Jongerden can be reached at [email protected], with copy to [email protected]. (Submitted May 2018. Accepted August 1, 2018.) This research was funded by a grant (520002001) from the Netherlands Organisation for Health Research and Development. Verdonck-de Leeuw has previously received support from Achmea, Bristol-Myers Squibb, Danone Nutricia, Redkite, and Zilveren Kruis.
| Funders | Funder number |
|---|---|
| ZonMw |
Keywords
- Incurable cancer
- Nurses
- Oncology
- Self-efficacy
- Self-management
- Survey
