Improving resource access and implementation for informal cancer caregivers in a clinic at an outpatient cancer center
Review TypeFaculty Approved: Degree-based Submission
Repository Posting Date2020-06-24T21:13:52Z
Author DetailsDr. Marie Milton, DNP, MSN, RN; Dr. Lindsay Wolf, DNP, APRN, CPNP-PC, PHC Assistant Professor of Nursing
Lead Author Sigma AffliationTheta Tau
Lead Author AffliationJacksonville University, Jacksonville, Florida, USA
TypeDNP Capstone Project
Level of EvidenceQuality Improvement
Research ApproachQuantitative Research
KeywordsCancer Caregivers; Caregivers; Distress; Perceived Stress; Caregiver Unmet Needs; Caregiver Intervention; Caregiver Support; Therapeutic Interpersonal Relationship
Problem: Cancer caregivers are at risk for distress from lack in caregiver support. Caregivers were not screened for distress in a cancer clinic and ineffective caregiver support was identified.
Purpose: To improve resource access and implementation in caregiver support and thereby reduce caregiver distress levels.
Methods: Participants (N = 14) attended three patient clinic visits. The primary outcome was improved caregiver support and decreased distress. Secondary outcomes were improved unmet needs and perceived stress. Data was collected at pre- and post-intervention.
Interventions: A caregiver guide was used to help improve caregiver support. The distress thermometer was used to evaluate and treat for distress.
Results: Significant improvement in distress (p = 0.0001), unmet needs (p = <0.0001 ), and caregiver scores (p = <0.0001) was found. No difference in distress prior to each visit occurred with small to no improvement in perceived stress scores.
Conclusion: The intervention was effective in improving distress levels, unmet needs, and caregiver scores. The caregiver guide is a feasible approach in caregiver support. Future research in staff to perform distress screening and treatment in the setting is indicated.
Degree GrantorJacksonville University
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