Patient and Provider Use of Electronic Care Plans Generated From Patient-Reported Outcomes

Oncol Nurs Forum. 2019 Nov 1;46(6):715-726. doi: 10.1188/19.ONF.715-726.

Abstract

Objectives: To determine if patients and providers perceived improved care processes through the delivery of personalized, electronic care plans (CPs) generated from the Carevive Care Planning Systemâ„¢.

Sample & setting: 121 women (51 with gynecologic cancer from Billings Clinic and 70 with breast cancer from Moffit Cancer Center) completed electronic patient-reported outcome assessments and were given electronically generated, personalized supportive CPs tailored to individual symptoms and local healthcare resources.

Methods & variables: Quantitative instruments evaluated feasibility, usability, acceptability, and satisfaction of the CPs from patient and provider perspectives. Qualitative interviews described patient perceptions of the CPs.

Results: Patients with cancer reported the CPs to be useful. Most perceived that CPs improved team communication, helped find needed resources, and helped manage symptoms. Provider satisfaction was highest with the platform's ability to customize patient recommendations. Interviews indicated that patients with cancer used their CP as a resource, preferred delivery at treatment initiation, and valued information to manage symptoms.

Implications for nursing: Nurses play an integral role in patient education and in discussing individual care. Tailored CPs can be used as a teaching tool that patients with cancer can refer to for self-care.

Keywords: breast cancer; care plan; gynecologic cancer; supportive care; symptoms; technology.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Breast Neoplasms / nursing*
  • Electronic Health Records / statistics & numerical data*
  • Female
  • Genital Neoplasms, Female / nursing*
  • Guideline Adherence / statistics & numerical data*
  • Humans
  • Middle Aged
  • Patient Care Planning / statistics & numerical data*
  • Patient Education as Topic / standards*
  • Patient Reported Outcome Measures
  • Patient-Centered Care / standards*
  • Practice Guidelines as Topic
  • United States
  • Young Adult