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https://hdl.handle.net/2440/54113
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Type: | Journal article |
Title: | Oncology Outpatient and Provider Responses to a Computerized Symptom Assessment System |
Author: | Carpenter, J. Rawl, S. Porter, J. Schmidt, K. Tornatta, J. Ojewole, F. Helft, P. Potter, D. Sweeney, C. Giesler, R. |
Citation: | Oncology Nursing Forum, 2008; 35(4):661-669 |
Publisher: | Oncology Nursing Society |
Issue Date: | 2008 |
ISSN: | 0190-535X 1538-0688 |
Statement of Responsibility: | Janet S. Carpenter, Susan Rawl, Jennifer Porter, Karen Schmidt, Jennifer Tornatta, Foluso Ojewole, Paul Helft, David A. Potter, Christopher Sweeney and R. Brian Giesler |
Abstract: | Purpose/Objectives: To assess patient and provider responses to a computerized symptom assessment system. Design: Descriptive, longitudinal study with retrospective, longitudinal medical records review. Setting: University-based National Cancer Institute–designated outpatient cancer center. Sample: 80 oncology outpatients receiving chemotherapy, 8 providers, and 30 medical records. Methods: 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. Main Research Variables: Patient usability (ease of use, completion time), satisfaction, and impact; provider usability and impact. Findings: 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. Conclusions: This system demonstrated good usability and satisfaction but had only a modest impact on symptom-related discussions and no impact on documentation. Implications for Nursing: 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: | Humans Neoplasms Drug Monitoring Drug Therapy, Computer-Assisted Focus Groups Medical Records Systems, Computerized Retrospective Studies Longitudinal Studies Attitude of Health Personnel Attitude to Computers Nursing Methodology Research Documentation Adult Aged Aged, 80 and over Middle Aged Outpatients Patient Satisfaction Nursing Assessment Midwestern United States Female Male |
DOI: | 10.1188/08/ONF.661-669 |
Published version: | http://dx.doi.org/10.1188/08/onf.661-669 |
Appears in Collections: | Aurora harvest Medicine publications |
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