Canadian oncology nursing journal = Revue canadienne de nursing oncologique
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Preliminary evidence suggests that a self-guided cognitive and behaviourally-based pain management intervention (PROSPECT) is effective for chronic painful chemotherapy-induced peripheral neuropathy (CIPN), but its mechanism of action is unknown. The purpose of this secondary analysis was to explore if changes in anxiety, depression, sleep-related impairment, or fatigue mediated improvements in worst pain following PROSPECT in individuals with chronic painful CIPN. ⋯ Further research is needed to identify potential mediators of pain intensity that can be targeted by specific cognitive behavioural strategies to improve painful CIPN severity.
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A pilot project was undertaken to evaluate the impact of the Synergy Model (Curley, 1998) on patient care delivery and professional practice in a hematology unit. Patient characteristics were matched to nurse competency when making the nursing assignments and acuity scores were used to make staffing adjustments. ⋯ Reduction in safety occurrences and overtime were also observed. The Synergy Model offers a promising framework for improving care delivery and the practice environment in other similar patient populations.