A Standardized Nursing Intervention Protocol for Ovarian Cancer as a Chronic Illness
- To compare the effects of a standardized nursing intervention protocol (SNIP) model
with an advanced practice nurse vs usual care on overall quality of life and
psychological distress from initial treatment to 6 months after diagnosis in patients
with ovarian cancer.
- To compare symptom control in these patients.
- To compare geriatric assessment outcomes in these patients.
- To compare the effects of the SNIP intervention vs usual care on resource use by these
- To test the effects of SNIP on patients' and clinicians' satisfaction with care.
- To describe the effects of SNIP on management of transitions from one phase of chronic
illness to another.
- To identify subgroups of patients with ovarian cancer who benefit most from the SNIP in
relation to sociodemographic characteristics, disease/treatment factors, and geriatric
- To obtain feedback from clinicians regarding interpretation of findings and application
to the routine care of ovarian cancer patients.
OUTLINE: Patients are stratified according to age (18 to 60 years vs 61 years and over).
Patients are sequentially enrolled into 1 of 2 groups. Patients are initially enrolled in
group I. Once enrollment in group I is completed, additional patients are enrolled in group
- Group I (usual care): Patients complete questionnaires, including the FACT-Ovarian,
Memorial Symptom Assessment Scale, Psychological Distress Thermometer, and
Comprehensive Geriatric Assessment, at baseline and at 3 and 6 months. Clinicians also
complete questionnaires, including the Clinician Satisfaction with Intervention
Questionnaire. Patients' medical charts are reviewed to collect information about
treatment, episodes of care, and readmissions.
- Group II (advanced practice nurse [APN] intervention): Patients undergo face-to-face
individualized teaching sessions with an APN twice a month for 2 months. The sessions
focus on the patient's physical, psychological, social, and spiritual well-being and
the content is tailored to the patient's preferences and needs. Patients are then
contacted by the APN via telephone once a month for 4 months to clarify questions and
content from the teaching sessions, review any patient concerns, including concerns
associated with a transition, and coordinate interdisciplinary resources, including
community resources, as needed. Patients and clinicians complete questionnaires as in
group I. Patients' medical charts are also reviewed.
Quality of life, psychological distress, symptom control, geriatric assessment outcome, and resource use at 3 months
Marcia Grant, RN, DNSc, FAAN
Beckman Research Institute
United States: Institutional Review Board
|City of Hope Comprehensive Cancer Center||Duarte, California 91010|