Relationships between patient-centered cancer nursing interventions and desired health outcomes in the context of the health care system

Authors

  • Laurel E. Radwin,

    Corresponding author
    1. Institute for Patient Care, Massachusetts General Hospital, 275 Cambridge Street, POB 430, Boston, MA 02114
    • Institute for Patient Care, Massachusetts General Hospital, 275 Cambridge Street, POB 430, Boston, MA 02114.
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    • Yvonne L. Munn Nurse Researcher.

  • Howard J. Cabral,

    1. Department of Biostatistics, Boston University School of Public Health, Boston, MA
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    • Associate Professor and Co-Director of the Doctoral Program in Biostatistics.

  • Gail Wilkes

    1. Boston Medical Center, Boston, MA
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    • AOCN Oncology Clinical Instructor/ANP.


  • This study was funded by an Agency for Health Care Research and Quality Mentored Clinical Scientist award to Dr. Radwin (HS K08 11625). The authors would like to extend appreciation to the patients and nurses who participated in the study, the research assistants who helped with the study's conduct, and to the panel of advisors on Dr. Radwin's AHRQ award.

Abstract

A non-experimental longitudinal prospective study was conducted to examine the relationships between patient-centered nursing interventions (PCNIs), system characteristics, patient characteristics, and desired health outcomes (DHOs) for 173 hematology-oncology patients. Forty-nine nurse participants provided system characteristics data. Confirmatory factor analyses yielded parsimonious scales to operationalize the variables. In the path model, one PCNI—individualization—was positively related to three subsequent DHOs: authentic self-representation, optimism, and sense of well-being. Two additional PCNIs—responsiveness and proficiency—were positively related to subsequent trust in nurses. PCNIs did not vary with patient race, ethnicity, age, gender, or educational level. Patient-centeredness of care for cancer patients may be enhanced by quality improvement activities that measure and monitor these PCNIs and resultant outcomes. © 2008 Wiley Periodicals, Inc. Res Nurs Health 32:4–17, 2009

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