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Do nurses and cancer patients agree on individual patients' coping resources, emotional distress and quality of life?
University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala.ORCID iD: 0000-0003-1185-061X
Department of Public Health and Caring Sciences, Uppsala University, Uppsala.
University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala.
2008 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 17, no 4, p. 350-360Article in journal (Refereed) Published
Abstract [en]

The present study examines differences, associations and agreement in cancer patients' and their nurses' ratings of cancer patients' coping resources, emotional distress and quality of life. The study sample includes 90 individual patient-nurse pairs. The patient and nurse in each pair independently completed the Cancer Behaviour Inventory, the Hospital Anxiety and Depression Scale and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being. The results indicate a distinct pattern in which nurses overestimate patients' emotional distress and underestimate patients' coping resources and quality of life. A nurse who overestimated a patient's emotional distress and underestimated his/her resources for handling the situation was also likely to underestimate the patient's quality of life. Patient-nurse pairs who demonstrated consistent agreement differed from remaining pairs in that they had a larger percentage of nurses with advanced education and previous responsibility for their patients' care and in that they had higher frequencies of patients who had previously received care at the ward >5 days. Nurses caring for patients with cancer should be aware of the risk of making systematic misjudgements of patients' status. Increased attention to patients' internal resources may improve nurses' ability to make correct assessments and plan for individualized care.

Place, publisher, year, edition, pages
2008. Vol. 17, no 4, p. 350-360
Keywords [en]
cancer, patient-nurse, agreement, coping resources (CBI), emotional distress (HADS), quality of life (Facit-Sp)
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-2950DOI: 10.1111/j.1365-2354.2007.00866.xISI: 000257652900004PubMedID: 18652002Scopus ID: 2-s2.0-48249087326OAI: oai:DiVA.org:hig-2950DiVA, id: diva2:119612
Available from: 2008-06-06 Created: 2008-06-06 Last updated: 2018-03-13Bibliographically approved

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Mårtensson, GunillaLampic, Claudia

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