Oncology Outpatient and Provider Responses to a Computerized Symptom Assessment System
- 30 June 2008
- journal article
- research article
- Published by Oncology Nursing Society (ONS) in Oncology Nursing Forum
- Vol. 35 (4), 661-669
- https://doi.org/10.1188/08/onf.661-669
Abstract
To assess patient and provider responses to a computerized symptom assessment system. Descriptive, longitudinal study with retrospective, longitudinal medical records review. University-based National Cancer Institute-designated outpatient cancer center. 80 oncology outpatients receiving chemotherapy, 8 providers, and 30 medical records. 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. Patient usability (ease of use, completion time), satisfaction, and impact; provider usability and impact. 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. This system demonstrated good usability and satisfaction but had only a modest impact on symptom-related discussions and no impact on documentation. 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.Keywords
This publication has 28 references indexed in Scilit:
- The Concept of Symptom ClusterSeminars in Oncology Nursing, 2007
- Cancer symptom control: feasibility of a tailored, interactive computerized program for patients.2001
- Symptom recognition in advanced cancer. A comparison of nursing records against patient self-ratingActa Anaesthesiologica Scandinavica, 2001
- A fatigue clinic in a comprehensive cancer centerCancer, 2001
- Advancing the science of symptom managementJournal of Advanced Nursing, 2001
- Does the Medical Record Cover the Symptoms Experienced by Cancer Patients Receiving Palliative Care? A Comparison of the Record and Patient Self-RatingJournal of Pain and Symptom Management, 2001
- Insomnia in the Context of Cancer: A Review of a Neglected ProblemJournal of Clinical Oncology, 2001
- Cancer-related fatigue: Inevitable, unimportant and untreatable? Results of a multi-centre patient surveyAnnals of Oncology, 2000
- The ‘right kind’ of pain: talking about symptoms in outpatient oncology consultationsPalliative Medicine, 2000
- Internet-Based Home Asthma TelemonitoringSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2000