Email this article 
Efficacité et efficience de l’enseignement sur le cancer dispensé par des infirmières
Abstract
Étant donné l’augmentation des coûts relatifs aux soins de santé, il nous incombe d’évaluer les programmes d’enseignement sur le cancer dispensés par des infirmières en ce qui concerne leur efficacité et leur efficience économiques. Cette recherche avait pour but de comparer deux programmes d’enseignement dispensés par des infirmières dans un centre de cancérologie du Canada en examinant les connaissances des patients en matière de chimiothérapie et de ses effets secondaires, le nombre de comportements d’autosoin pour les effets secondaires, le degré d’utilisation de ressources sanitaires additionnelles, la satisfaction des patients et des infirmières sur le plan des programmes d’enseignement ainsi que le temps que ces dernières consacrent à cet enseignement. Les résultats indiquent que, dans notre centre, l’intervention expérimentale est plus efficace et plus efficiente que le programme d’enseignement structuré habituellement dispensé aux patients. Les résultats de cette étude commencent à remédier au manque de données sur la rentabilité d’un volet crucial des soins infirmiers en oncologie pour les patients traités en clinique externe.
Full Text:
PDFReferences
Références Ashley, B.W., Cross-Skinner, S. (1992). Oncology nursing care
delivery issues in the ambulatory setting. In S.M. Hubbard, P.E.
Greene, Knopf, M.T. (Eds.), Current issues in cancer nursing
practice updates, 1(1), 1-10.
Atwood, J.R., Hinshaw, A.S., Chance, H.C. (1986). In F.A. Shaffer
(Ed.), Patients and purse strings: Patient classification and cost
management. NLN Publication 20-2155 (pp.99-119). New York.
Borenstein, M., Cohen, J. (1988). Statistical power analysis: A
computer program. Hillsdale, N.J., Lawrence Erlbaum Associates,
Inc.
Boulding, K. (1968). General system theory - The skeleton of science.
Management Science 2, 197-208.
Cleland, V.S. (1990). The economics of nursing. Norwalk, CT:
Appleton Lange.
Derdiarian, A.K. (1989). Effects of information on recently diagnosed
cancer patients’ and spouses’ satisfaction with care. Cancer Nursing,
(5), 285-292.
Dodd, M.J., Larson, P., Dibble, S.L., Miaskowski, C., Greenspan, D.,
MacPhail, L., Hauck, W., Paul, S., Ignoffo, R., Shiba, G. (1996).
Randomized clinical trial of chlorhexidine versus placebo for
prevention of oral mucositis in patients receiving chemotherapy.
Received the Schering/ONS Excellence in Research Award. Oncology
Nursing Forum, 23(6), 921-927.
Dodd, M.J., Mood, D.W. (1981). Chemotherapy: helping patients to
know the drugs they are receiving and their possible side effects.
Cancer Nursing, 4(4), 311-318.
Dodd, M.J. (1982a). Cancer patients’ knowledge of chemotherapy:
Assessment and informational interventions. Oncology Nursing
Forum, 9(3), 39-44.
Dodd, M.J. (1982b). Assessing patient self-care for side effects of
cancer chemotherapy - Part I. Cancer Nursing, 5(6), 447-451.
Dodd, M.J. (1983). Self-care for side effects in cancer chemotherapy:
An assessment of nursing interventions - part II. Cancer Nursing,
(1), 63-67.
Dodd, M.J. (1984a). Measuring informational intervention for
chemotherapy knowledge and self-care behavior. Research in
Nursing and Health, 7, 43-50.
Dodd, M.J. (1984b). Patterns of self-care in cancer patients receiving
radiotherapy. Oncology Nursing Forum, 10(3), 23-27.
Dodd, M.J. (1984c). Self-care for preventing side effects by breast
cancer patients in chemotherapy. Public Health Nursing, 12(4), 202-
Dodd, M.J. (1987). Efficacy of proactive information on self-care in
radiation therapy patients. Heart & Lung, 16(5), 538-544.
Dodd, M.J. (1988a). Patterns of self-care in patients with breast
cancer. Western Journal of Nursing, 10(1), 7-24.
Dodd, M.J. (1988b). Efficacy of proactive information on self-care in
chemotherapy patients. Patient Education and Counseling, 11, 215-
Dodd, M.J. (1996). Managing the side effects of chemotherapy and
radiation therapy, (2nd edition). San Francisco: UCSF School of
Nursing Press.
Dodd, M.J. (1997). Self-Care: Ready or Not! Oncology Nursing
Forum, 24(6), 983-990.
Donovan, M.I., Lewis, G. (1987). Increasing productivity and
decreasing costs. Journal of Nursing Administration, 17(9), 16-18.
Dorion, M.E., Porter, H.B. (1998). The research experience:
Reflections of a novice researcher. Canadian Oncology Nursing
Journal. In press.
Drummond, M.F., Stoddart, G.L., Torrance, G.W. (1987). Methods
for the Evaluation of Health Care Programmes. Toronto, ON:
Oxford Medical Publications.
Ehrat, K.S. (1987). The cost-quality balance: An analysis of quality,
effectiveness, efficiency and cost. Journal of Nursing
Administration, 17(5), 6-13.
Evans, R.G. (1984). Strained mercy: The economics of Canadian
health care. Toronto, ON: Butterworth.
Fry, S.T. (1983). Rationing health care: The ethics of cost
containment. Nursing Economics, 1(6), 165-169.
Graydon, J., Galloway, S., Palmer-Wickham, S., Harrison, D., Richvan
der Bij, L., West, P., Burlein-Hall, S., Evans-Boyden, B. (1997).
Information needs of women during early treatment for breast cancer.
Journal of Advanced Nursing, 26, 59-64.
Harris, M.G., Bean, C.A. (1991). Changing the role of the nurse in the
hematology-oncology outpatient setting. Oncology Nursing Forum,
(1), 43-46.
Henry, B., Moody, L.E., Pendergast, J.F., O’Donnell, J., Hutchinson,
S.A., Scully, G. (1987). Delineation of nursing administration research
priorities. Nursing Research, 36(5). 309-314.
Hermansdorfer, P., Henry, B., Moody, L., Smyth, K. (1990). Analysis
of nursing administration research, 1976-1986. Western Journal of
Nursing Research, 12(4), 546-557.
Ingersoll, G.L., Hoffart, N., Schultz, A.W. (1990). Health services
research in nursing: Current status and future directions. Nursing
Economics, 8(4), 229-238.
Luker, K.A., Beaver, K., Leinster, S.J., Owens, R.G., Degner, L.F.,
Sloan, J.A. (1995). The information needs of women newly diagnosed
with breast cancer. Journal of Advanced Nursing, 22, 134-141.
Nettles-Carlson, B., Field, M.L., Friedman, B.J., Smith, L.S. (1988).
Effectiveness of teaching breast self examination during office visits.
Research in Nursing and Health, 11, 41-50.
Newhouse, R.P., Potter, M. (1990). Cost analysis. AORN Journal,
(5), 1020-1025.
Oberst, M.T. (1984). Patients’ perceptions of care. Cancer, 53 Suppl,
-2373.
Orem, D.E. (1991). Nursing: concepts of practice (4th ed.). St.
Louis, MO: Mosby Year Book.
Patterson, C. (1992). The economic value of nursing. Nursing
Economics, 10(3), 193-204.
Poroch, D. (1995). The effect of preparatory patient education on the
anxiety and satisfaction of cancer patients receiving radiation therapy.
Cancer Nursing, 18(3), 206-214.
Porter, H.B. (1993). A Comparison of Ambulatory Oncology
Nursing Practice Models and their Associated Differences on
Health Resource Utilization. Unpublished doctoral dissertation,
University of California, San Francisco.
Porter, H.B. (1995a). The effect of ambulatory oncology nursing
practice models on health resource utilization: Part 1 - Collaboration
or compliance? Journal of Nursing Administration, 25(1), 21-29.
Porter, H.B. (1995b). The effect of ambulatory oncology nursing
practice models on health resource utilization: Part 2 - Different
practice models - different use of health resources. Journal of
Nursing Administration, 25(2), 15-22.
Risser, N.L. (1975). Development of an instrument to measure patient
satisfaction with nurses and nursing care in primary settings. Nursing
Research, 24(1), 45-52.
Skeel, R.T. (1982). Systematic assessment of the patient with cancer.
In R.T. Skeel (Ed.), Cancer Chemotherapy (pp. 13-21). Boston:
Little, Brown and Company.
Sovie, M.D., Smyth, T.C. (1986). Pricing the nursing product:
Charging for nursing care. Nursing Economics, 4, 216-226.
Strasen, L. (1987). Standard costing/productivity model for nursing.
Nursing Economics, 5, 158-161, 198.
Thomas, M.L., Dodd, M.J. (1992). The development and testing of a
nursing model of morbidity in cancer patients. Oncology Nursing
Forum, 19(9), 1385-1396.
Weintraub, F.N., Hagopian, G.A. (1990). The effect of nursing
consultation on anxiety, side effects and self-care of patients receiving
radiation therapy. Oncology Nursing Forum, 17(3), 31-38.
Refbacks
- There are currently no refbacks.
