Journal
CANCER NURSING
Volume 36, Issue 1, Pages E16-E26Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/NCC.0b013e31824a730a
Keywords
Bandura; Cancer; Chronic disease; Chronic illness; Middle-range theory; Oncology; Self-efficacy; Self-management; Symptom; Symptom management; Symptom self-management; Theory of Symptom Self-management; Theory of Unpleasant Symptoms
Funding
- National Institutes of Health, National Institute of Nursing Research, Individual Ruth L. Kirschstein National Research Service Award [1F31 NR009621-01A1]
- Functional Status in Persons With Lung Cancer
- Mary Margaret Walther Cancer Research Fellowship, Behavioral Cooperative Oncology Group, Walther Cancer Institute, Indianapolis, Indiana
- Blue Cross Blue Shield of Michigan Foundation [1044.SAP]
- Sigma Theta Tau International Honor Society of Nursing, Kappa Epsilon Chapter-at-Large, Michigan
- Sigma Theta Tau International Honor Society of Nursing, Alpha Psi
- NATIONAL INSTITUTE OF NURSING RESEARCH [F31NR009621] Funding Source: NIH RePORTER
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Background: In today's world, greater patient empowerment is imperative because 90 million Americans live with 1 or more chronic conditions such as cancer. Evidence reveals that healthy behaviors such as effective symptom self-management can prevent or reduce much of the suffering from cancer. Oncology nurses play a pivotal role in developing a symptom self-management plan that is critical to optimizing a patient's symptom self-management behaviors. Objective: This article uses exemplars to describe how oncology nurses can apply a tested middle-range theory, the Theory of Symptom Self-management, to clinical practice by incorporating interventions to increase a patient's perceived self-efficacy to optimize patient outcomes. Methods: The Theory of Symptom Self-management provides a means to understand the dynamic aspects of symptom self-management and provides a tested framework for the development of efficacy-enhancing interventions for use by oncology nurses in clinical practice. Results: Exemplars based on the Theory of Symptom Self-management depict how oncology nursing can use perceived self-efficacy-enhancing symptom self-management interventions to improve the functional status and quality of life of their patients. Conclusion: Guided by a theoretical approach, oncology nurses can have a significant positive impact on the lives of their patients by reducing the symptom burden associated with cancer and its treatment. Implications for Practice: Oncology nurses can partner with their patients to design tailored approaches to symptom self-management. These tailored approaches provide the ability to implement patient-specific behaviors that recognize, prevent, relieve, or decrease the timing, intensity, distress, concurrence, and unpleasant quality of symptoms.
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