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

Jeannine M. Brant, PhD, APRN, AOCN®, FAAN; Karen B. Hirschman, PhD, MSW; Sarahlena L. Keckler, BS; William N. Dudley, PhD; Carrie Stricker, PhD, RN, AOCN®


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 System™.

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.

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