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Using Theory in Oncology Nursing
Transcript of Using Theory in Oncology Nursing
Cancer is diagnosis that can be met with adverse feelings, such as anxiety or despair. This can led to a decrease in quality of life.
The Oncology Clinical Nurse Specialist (OCNS) is an advanced practice nurse who provides educational and emotional support to patients recently diagnosed with cancer.
Using nursing theory in practice, the OCNS can help patients recently diagnosed with cancer to become empowered through education and emotional support. This lead to an improved quality of life in these patients.
Proposed OCNS Practice Model
Capstone Idea: Quality improvement project to develop and implement cost-effective patient education into routine cancer care for inpatient and outpatient oncology patients.
Future Practice: The OCNS can be consulted to use this proposed model to treat newly diagnosed oncology patients. The OCNS will use this model to assess initial patient understanding and emotions, develop and implement an appropriate educational approach, and evaluate understanding and emotions throughout the patient's treatment plan.
Uncertainty of Illness Theory
Feelings of ambiguity and confusion arise when reliable information is not available or is inconsistent. Uncertainty is the feeling that develops from this lack of information, and is a cognitive state in which the affected individual cannot adequately predict outcomes of the disease course adequately (Mishel & Clayton, 2003). This can lead to feelings of stress and threat
Each patient has unique experiences that will determine how the patient will cope with their illness. The patients’ perceptions and opinions will guide their behavior during the disease process (Johnson, 1999)
A process in which an individual transitions from powerlessness to a state of more control over one’s environment or emotions (Sadan, 1997). The empowerment theory is largely ideological and places great emphasis on individual responsibility and decision-making (Finfeld, 2004)
Each theory seems to be favor patient education. Through education, the patient can gain an informed understanding about their cancer diagnosis, reducing anxiety and discrepancies in perceived severity, while simultaneously increasing empowerment and self-efficacy.
Perceived Severity & Anxiety
Relates to feelings of uncertainty, fear, and stress/threat. This affects how the patient develops a schema of their cancer diagnosis and creates discrepancies in expectation and reality.
Resilience & Self-Efficacy
Professional patient education allows the patient to gain a better understanding of their diagnosis. This leads to the development of patient confidence and gives the patient the ability to make decisions regarding their cancer care.
By developing self-efficacy, the patient will be able to effectively cope with their diagnosis, leading to quality outcomes and an increase in quality of life