Oncology outpatient and provider responses to a computerized symptom assessment system.

Abstract:

PURPOSE/OBJECTIVES:To assess patient and provider responses to a computerized symptom assessment system. DESIGN:Descriptive, longitudinal study with retrospective, longitudinal medical records review. SETTING:University-based National Cancer Institute-designated outpatient cancer center. SAMPLE:80 oncology outpatients receiving chemotherapy, 8 providers, and 30 medical records. METHODS:Patients completed the computerized assessment during three chemotherapy follow-up clinic appointments (times 1, 2, and 3). Patient usability was recorded via an observer checklist (ease of use) and the computer (completion time). Patient satisfaction and impact were assessed during telephone interviews two to three days after times 1 and 3 only. Provider usability and impact were assessed at the end of the study using a questionnaire and focus groups, whereas effect on provider documentation was assessed through chart audits. MAIN RESEARCH VARIABLES:Patient usability (ease of use, completion time), satisfaction, and impact; provider usability and impact. FINDINGS:Patients reported good usability, high satisfaction, and modest impact on discussions with their providers. Providers reported modest usability, modest impact on discussions with patients, and had varied reactions as to how the system affected practice. Documentation of symptoms was largely absent before and after implementation. CONCLUSIONS:This system demonstrated good usability and satisfaction but had only a modest impact on symptom-related discussions and no impact on documentation. IMPLICATIONS FOR NURSING:A computerized system can help address barriers to symptom assessment but may not improve documentation unless it can be integrated into existing medical records systems.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

Carpenter JS,Rawl S,Porter J,Schmidt K,Tornatta J,Ojewole F,Helft P,Potter DA,Sweeney C,Giesler RB

doi

10.1188/08/ONF.661-669

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

661-9

issue

4

eissn

0190-535X

issn

1538-0688

pii

98261J37732651U2

journal_volume

35

pub_type

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