First assessments by specialist cancer nurses in the community: an ethnography

Gamlen, E and Arber, A (2013) First assessments by specialist cancer nurses in the community: an ethnography European Journal of Oncology Nursing (EJON), 17, (6). pp. 695-902.

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Abstract

Purpose: The aim of the study is to explore how specialist cancer nurses carry out first assessments of patients in the community, their use of the Symptoms and Concerns Checklist (SCC) and their views on first assessments. Methods & Sample: An ethnographic approach was taken. The data were collected by use of non-participant observation of specialist nurses carrying out a first assessment of patients with cancer, followed by semi-structured interviews with six specialist nurses. Data were analysed using iterative thematic analysis. Key results: All the specialist nurses recognised the value of facilitating the patients’ narrative. Use of the SCC was seen to jar with the overall theme of building relationships during the first assessment visit. It was recognised by the specialist nurses that the SCC was beneficial in prompting the patients to discuss psycho-social concerns. Conclusions: This study gives insight into the conflict and ambiguity for specialist nurses when using the SCC during the first assessment visit. It confirms the SCC as beneficial in cueing some patients to identify specific concerns and for these concerns to be recognised by the specialist nurses.

Item Type:	Article
Divisions :	Faculty of Health and Medical Sciences
Authors :	Name Email ORCID Gamlen, E Arber, A
Date :	1 May 2013
DOI :	10.1016/j.ejon.2013.03.006
Uncontrolled Keywords :	First assessments, cancer, community, specialist cancer nurses, ethnography, symptoms and concerns checklist
Additional Information :	NOTICE: this is the author’s version of a work that was accepted for publication in European Journal of Oncology Nursing (EJON). Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. DOI 10.1016/j.ejon.2013.03.006.
Depositing User :	Symplectic Elements
Date Deposited :	17 May 2013 17:40
Last Modified :	31 Oct 2017 15:05
URI:	http://epubs.surrey.ac.uk/id/eprint/771713

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