The improvement of cancer patient’s insight into their disease following the intervention of the Hospital Palliative Care Team

B. Jack, V. Hillier, A. Williams, J. Oldham

Research output: Contribution to conferencePaper

Abstract

Background: It is reported that cancer patients want as much information as possible about their diagnosis and prognosis (Jenkins et al 2001; Fallowfield et al 2002).This input regarding patient’s insight into their disease is undoubtedly a major part of providing optimal palliative care. Despite this there is little information regarding the impact of hospital based palliative care teams. The aim of this study was to assess the effect of the hospital palliative care team on cancer patient’s insight to their disease. Methodology: An evaluation study comprising a non-equivalent control group design, using a quota sample, investigated 100 cancer patients admitted to hospital for symptom control. 50 patients received hospital palliative care team intervention compared with 50 patients receiving traditional care. Outcome was assessed using the PACA assessment tool on � occasions (within 2� hours of admission/ diagnosis or referral to the team, day � and day 7) measuring the patients self reported understanding of their illness (Ellershaw et al 1995). Additionally a qualitative approach including �1 semi structured interviews with doctors and nurses to explore their perception of the palliative care team impact on cancer patient’s insight into their disease was undertaken. Results and Discussion: The results indicated that cancer patients admitted to hospital for symptom control demonstrated an improvement in their insight to their diagnosis (p<0.01). Those patients who had the additional input of the palliative care team had a greater improvement in their insight scores (between initial and final assessments) from �.98 to 2.02 (mean score), compared to the standard care group that displayed an improvement from �.86 to �.26. This input was reported by the doctors and nurses as being invaluable for the patients. Potential explanations are made for these results including the enhanced communication skills of the palliative care team are explored.
Original languageEnglish
Publication statusPublished - 2005
EventRoyal College of Nursing (RCN) International Nursing Research Conference - Belfast, United Kingdom
Duration: 8 Mar 200511 Mar 2005

Conference

ConferenceRoyal College of Nursing (RCN) International Nursing Research Conference
CountryUnited Kingdom
CityBelfast
Period8/03/0511/03/05

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Palliative Care
Neoplasms
Nurses
Referral and Consultation
Communication
Interviews
Control Groups

Cite this

Jack, B., Hillier, V., Williams, A., & Oldham, J. (2005). The improvement of cancer patient’s insight into their disease following the intervention of the Hospital Palliative Care Team. Paper presented at Royal College of Nursing (RCN) International Nursing Research Conference, Belfast, United Kingdom.
Jack, B. ; Hillier, V. ; Williams, A. ; Oldham, J. / The improvement of cancer patient’s insight into their disease following the intervention of the Hospital Palliative Care Team. Paper presented at Royal College of Nursing (RCN) International Nursing Research Conference, Belfast, United Kingdom.
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Jack, B, Hillier, V, Williams, A & Oldham, J 2005, 'The improvement of cancer patient’s insight into their disease following the intervention of the Hospital Palliative Care Team' Paper presented at Royal College of Nursing (RCN) International Nursing Research Conference, Belfast, United Kingdom, 8/03/05 - 11/03/05, .

The improvement of cancer patient’s insight into their disease following the intervention of the Hospital Palliative Care Team. / Jack, B.; Hillier, V.; Williams, A.; Oldham, J.

2005. Paper presented at Royal College of Nursing (RCN) International Nursing Research Conference, Belfast, United Kingdom.

Research output: Contribution to conferencePaper

TY - CONF

T1 - The improvement of cancer patient’s insight into their disease following the intervention of the Hospital Palliative Care Team

AU - Jack, B.

AU - Hillier, V.

AU - Williams, A.

AU - Oldham, J.

PY - 2005

Y1 - 2005

N2 - Background: It is reported that cancer patients want as much information as possible about their diagnosis and prognosis (Jenkins et al 2001; Fallowfield et al 2002).This input regarding patient’s insight into their disease is undoubtedly a major part of providing optimal palliative care. Despite this there is little information regarding the impact of hospital based palliative care teams. The aim of this study was to assess the effect of the hospital palliative care team on cancer patient’s insight to their disease. Methodology: An evaluation study comprising a non-equivalent control group design, using a quota sample, investigated 100 cancer patients admitted to hospital for symptom control. 50 patients received hospital palliative care team intervention compared with 50 patients receiving traditional care. Outcome was assessed using the PACA assessment tool on � occasions (within 2� hours of admission/ diagnosis or referral to the team, day � and day 7) measuring the patients self reported understanding of their illness (Ellershaw et al 1995). Additionally a qualitative approach including �1 semi structured interviews with doctors and nurses to explore their perception of the palliative care team impact on cancer patient’s insight into their disease was undertaken. Results and Discussion: The results indicated that cancer patients admitted to hospital for symptom control demonstrated an improvement in their insight to their diagnosis (p<0.01). Those patients who had the additional input of the palliative care team had a greater improvement in their insight scores (between initial and final assessments) from �.98 to 2.02 (mean score), compared to the standard care group that displayed an improvement from �.86 to �.26. This input was reported by the doctors and nurses as being invaluable for the patients. Potential explanations are made for these results including the enhanced communication skills of the palliative care team are explored.

AB - Background: It is reported that cancer patients want as much information as possible about their diagnosis and prognosis (Jenkins et al 2001; Fallowfield et al 2002).This input regarding patient’s insight into their disease is undoubtedly a major part of providing optimal palliative care. Despite this there is little information regarding the impact of hospital based palliative care teams. The aim of this study was to assess the effect of the hospital palliative care team on cancer patient’s insight to their disease. Methodology: An evaluation study comprising a non-equivalent control group design, using a quota sample, investigated 100 cancer patients admitted to hospital for symptom control. 50 patients received hospital palliative care team intervention compared with 50 patients receiving traditional care. Outcome was assessed using the PACA assessment tool on � occasions (within 2� hours of admission/ diagnosis or referral to the team, day � and day 7) measuring the patients self reported understanding of their illness (Ellershaw et al 1995). Additionally a qualitative approach including �1 semi structured interviews with doctors and nurses to explore their perception of the palliative care team impact on cancer patient’s insight into their disease was undertaken. Results and Discussion: The results indicated that cancer patients admitted to hospital for symptom control demonstrated an improvement in their insight to their diagnosis (p<0.01). Those patients who had the additional input of the palliative care team had a greater improvement in their insight scores (between initial and final assessments) from �.98 to 2.02 (mean score), compared to the standard care group that displayed an improvement from �.86 to �.26. This input was reported by the doctors and nurses as being invaluable for the patients. Potential explanations are made for these results including the enhanced communication skills of the palliative care team are explored.

M3 - Paper

ER -

Jack B, Hillier V, Williams A, Oldham J. The improvement of cancer patient’s insight into their disease following the intervention of the Hospital Palliative Care Team. 2005. Paper presented at Royal College of Nursing (RCN) International Nursing Research Conference, Belfast, United Kingdom.