Describing a Nurse Case Manager Intervention to Empower Low-Income Men With Prostate Cancer

Sally L. Maliski

Barbara Clerkin

Mark S. Litwin

ONF 2004, 31(1), 57-64. DOI: 10.1188/04.ONF.57-64

Purpose/Objectives: Describe and categorize nurse case manager (NCM) interventions for low-income, uninsured men with prostate cancer.

Research Approach: Descriptive, retrospective record review.

Setting: Statewide free prostate cancer treatment program in which each patient is assigned an NCM.

Participants: 7 NCMs who developed interventions based on empowerment through increasing self-efficacy.

Methodologic Approach: NCM entries were extracted and coded from 10 electronic patient records, line by line, to reveal initial themes. Themes were grouped under categories. Investigators then reviewed and expanded these categories and their descriptions and postulated linkages. Linkages and relationships among categories were empirically verified with the original data. NCM entries from another 20 records were prepared in the same manner as the original records. Modifications were made until the categories contained all of the data and no new categories emerged. Categories were verified for content validity with the NCMs and reviewed for completeness and representation.

Main Research Variables: NCM interventions.

Findings: Categories of NCM interventions emerged as assessment, coordination, advocacy, facilitation, teaching, support, collaborative problem solving, and keeping track. Categories overlapped and supported each other. NCMs tailored interventions by combining categories for each patient.

Conclusions: The skillful tailoring and execution of intervention strategies depended on the knowledge, experience, and skill that each NCM brought to the clinical situation. NCM categories were consistent with the tenets of the self-efficacy theory.

Interpretation: The model, based on NCM interventions, provides a guide for the care of underserved men with prostate cancer. Components of the model need to be tested.

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    References

    Abbott, R.R., Taylor, D.K., & Barber, K. (1998). A comparison of prostate knowledge of African American and Caucasian men: Changes from prescreening baseline to postintervention. Cancer Journal From Scientific American, 4, 175-178.

    Aubert, R.E., Herman, W.H., Waters, J., Moore, W., Sutton, D., Peterson, B.L., et al. (1998). Nurse case management to improve glycemic control in diabetic patients in a health maintenance organization. A randomized, controlled trial. Annals of Internal Medicine, 129, 605-612.

    Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychology Review, 84, 191-215.

    Bandura, A. (1986). The explanatory and predictive scope of self-efficacy theory. Journal of Social and Clinical Psychology, 4(3), 369-373.

    Barry, J., McQuade, C., & Livingstone, T. (1998). Using nurse case management to promote self-efficacy in individuals with rheumatoid arthritis. Rehabilitation Nursing, 23, 300-304.

    Bear, M., Sauer, M., & Norton, A. (1999). Client satisfaction with service coordinators' provision of home based long-term care services. Home Health Care Services Quarterly, 18(1), 47-60.

    Bennett, C.L., Ferreira, M.R., Savis, T.C., Kaplan, J., Weinberger, M., Kuzel, T., et al. (1998). Relation between literacy, race, and stage of presentation among low-income patients with prostate cancer. Journal of Clinical Oncology, 16, 3101-3104.

    Bilodeau, B.A., & Degner, L.R. (1996). Information needs, sources of information, and decisional roles in women with breast cancer. Oncology Nursing Forum, 23, 691-696.

    Black, B., Schweitzer, R., & Dezelsky, T. (1993). Report on the American Cancer Society workshop on community cancer detection, education, and prevention demonstration projects for underserved populations. Cancer, 43, 226-233.

    Burkhart, L.E. (1991). The nurse's role as a clinical coordinator for the center for cranial base surgery. Journal of Neuroscience Nursing, 23(1), 61-63.

    Cassileth, B.R., Soloway, M.S., & Vogelzang, N.J. (1989). Patients' choice of treatment in stage D prostate cancer. Urology, 33(Suppl. 5), 57-62.

    Cimprich, B. (1998). Age and extent of surgery affect attention in women treated for breast cancer. Research in Nursing and Health, 21, 229-238.

    Clark, J.A., Wray, N., Brody, B., Ashton, C., Giesler, B., & Watkins, H. (1997). Dimensions of quality of life expressed by men treated for metastatic prostate cancer. Social Science and Medicine, 45, 1299-1309.

    Conger, J.A., & Kanungo, R.N. (1988). The empowering process: Integrating theory and practice. Academy of Management Review, 13, 471-482.

    Daniell, H.W. (2001). Osteoporosis due to androgen deprivation therapy in men with prostate cancer. Urology, 28(Suppl. 2A), 101-107.

    Davison, B.J., & Degner, L. (1997). Empowerment of men newly diagnosed with prostate cancer. Cancer Nursing, 20, 187-196.

    Davison, B.J., Degner, L.F., & Morgan, T.R. (1995). Information and decision-making preferences of men with prostate cancer. Oncology Nursing Forum, 22, 1401-1408.

    Deber, R.B. (1994). Physicians in health care management: 8. The patient-physician partnership: Decision making, problem solving, and the desire to participate. Canadian Medical Association Journal, 151, 423-427.

    Degner, L.F., Kristjanson, L.J., Bowman, D., Sloan, J.A., Carriere, K.C., O'Neil, J., et al. (1997). Information needs and decisional preferences in women with breast cancer. JAMA, 277, 1485-1492.

    Degner, L.F., & Sloan, J.A. (1992). Decision making during serious illness: What role do patients really want to play? Journal of Clinical Epidemiology, 45, 941-950.

    Delfino, R.J., Ferrini, R.L., Taylor, T.H., Howe, S., & Anton-Culver, H. (1998). Demographic differences in prostate cancer incidence and stage: An examination of population diversity in California. American Journal of Preventive Medicine, 14, 96-102.

    Eakin, E.G., & Strycker, L.A. (2001). Awareness and barriers to use of cancer support and information resources by HMO patients with breast, prostate, or colon cancer: Patient and provider perspectives. Psycho-Oncology, 10, 103-113.

    Forbes, M.A. (1999). The practice of professional nurse case management. Nursing Case Management, 4(1), 28-33.

    Gagnon, A.J., Schein, C., & McVey, L. (1999). Randomized controlled trial of nurse case management of frail older people. Journal of the American Geriatric Society, 47, 1118-1124.

    Glajchen, M., & Moul, J.W. (1996). Teleconferencing as a method of educating men about managing advanced prostate cancer and pain. Journal of Psychosocial Oncology, 14(2), 73-87.

    Heim, H.M., & Oei, T.P. (1993). Comparison of prostate cancer patients with and without pain. Pain, 53, 159-162.

    Hornung, C.A., Eleazer, G.P., Strothers, H.S., Wieland, G.D., Eng, C., McCann, R., et al. (1998). Ethnicity and decision-makers in a group of frail older people. Journal of the American Geriatric Society, 46, 280-286.

    Hughes, K. (1993). Decision making by patients with breast cancer: The role of information in treatment selection. Oncology Nursing Forum, 20, 623-628.

    Johnson, J.E., Nail, L.M., & Lauver, D. (1988). Reducing the negative impact of radiation therapy on functional status. Cancer, 61, 46-51.

    Kim, S.P., Knight, S.J., Tomori, C., Colella, K.M., Schoor, R.A., Shih, L., et al. (2001). Health literacy and shared decision making for prostate cancer patients with low socioeconomic status. Cancer Investigation, 19, 684-691.

    Lev, E., & Owen, S. (1996). A measure of self-care self-efficacy. Research in Nursing and Health, 19, 421-429.

    Maddux, J.E., & Stanley, M.A. (1986). Self-efficacy theory in contemporary psychology: An overview. Journal of Social and Clinical Psychology, 4, 249-255.

    Mahon, S.M. (2000). The role of the nurse in developing cancer screening programs. Oncology Nursing Forum, 27(9 Suppl.), 19-27.

    Maliski, S.L., Heilemann, M.V., & McCorkle, R. (2001). Mastery of post-prostatectomy incontinence and impotence: His work, her work, our work. Oncology Nursing Forum, 28, 985-992.

    Maliski, S.L., Heilemann, M.V., & McCorkle, R. (2002). From "death sentence" to "good cancer": Couples' transformation of a prostate cancer diagnosis. Nursing Research, 51, 391-397.

    Maly, R.C., Frank, J.C., Marshal, G.N., DiMatteo, R.M., & Reuben, D.B. (1998). Perceived efficacy in patient-physician interactions (PEPPI): Validation of an instrument in older persons. Journal of the American Geriatric Society, 46, 889-894.

    McNamara, S.T., & Sullivan, M.K. (1995). Patient care coordinators: Successfully merging utilization management and discharge planning. Journal of Nursing Administration, 25(11), 33-38.

    Mishel, M.H., Belyea, M., Germino, B.B., Stewart, J.L., Bailey, D.E., Robertson, C., et al. (2002). Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects: Nurse-delivered psychoeducational intervention over the telephone. Cancer, 94, 1854-1866.

    Moul, J.W., Esther, T.A., & Bauer, J.J. (2000). Implementation of a web-based prostate cancer decision site. Seminars in Urologic Oncology, 18, 241-244.

    Nickel, J.T., Salsberry, P.J., Caswell, R.J., Keller, M.D., Long, T., & O'Connell, M. (1996). Quality of life in nurse case management of persons with AIDS receiving home care. Research in Nursing and Health, 19, 91-99.

    Noel, H.C., & Vogel, D.C. (2000). Resource costs and quality-of-life outcomes for homebound elderly using telemedicine integrated with nurse case management. Care Management, 6(5), 22-24, 26-28, 30-31.

    Noonan, R. (1997). Case management in domestic violence: Enhancing self-care capabilities in female domestic violence: Enhancing self-care capabilities in female survivors. Journal of Care Management, 3(1), 81-86.

    O'Leary, A. (1985). Self-efficacy and health. Behavior, Research, and Therapy, 4, 437-451.

    Optenberg, S.A., Thompson, I.M., Friedrichs, P., Wojcik, B., Stein, C.R., & Kramer, B. (1995). Race, treatment, and long-term survival from prostate cancer in an equal-access medical care delivery system. JAMA, 274, 1599-1605.

    Papenhousen, J.L. (1995). The effects of nursing case management intervention on perceived severity of illness, enabling skill, self-help, and life quality in chronically ill older adults. Unpublished doctoral dissertation, University of Texas at Austin.

    Pierce, P.F., & Hicks, F.D. (2001). Patient decision-making behavior: An emerging paradigm for nursing science. Nursing Research, 50, 267-274.

    Powell, I.J., Gelfand, D.E., Parzuchowski, J., Heilburn, L., & Franklin, A. (1995). A successful recruitment process of African American men for early detection of prostate cancer. Cancer, 75(Suppl. 7), 1880-1884.

    Rainey, L.C. (1985). Effects of preparatory patient education for radiation oncology patients. Cancer, 56, 1056-1061.

    Revilla, M., Arribas, I., Sanchez-Chapado, M., Villa, F.F., Bethencourt, R., & Rico, H. (1998). Total and regional bone mass and biochemical markers of bone remodeling in metastatic prostate cancer. Prostate, 35, 243-247.

    Rico, H., Chapado, M.S., Revilla, M., Bethencourt, R., Villa, L.R., & Guil, M. (1996). Total and regional bone mass in metastatic cancer of the prostate. European Urology, 30, 73-76.

    Robinson, L., Hughes, L.C., Adler, D.C., Strumpf, N., Grobe, S.J., & Guil, M. (1999). Describing the work of nursing: The case of postsurgical nursing interventions for men with prostate cancer. Research in Nursing and Health, 22, 321-328.

    Robinson, S.B., Ashley, M., & Haynes, M.A. (1996). Attitudes of African Americans regarding screening for prostate cancer. JAMA, 88, 241-246.

    Sciuto, R., Festa, R., Reas, S., Pasqualoni, R., Bergomi, S., Petrilli, G., et al. (2002). Effects of low-dose cisplatin on 89Sr therapy for painful bone metastases from prostate cancer: A randomized clinical trial. Journal of Nuclear Medicine, 43, 79-86.

    Scroggins, T.G., Jr., & Bartley, T.K. (1999). Enhancing cancer control: Assessing cancer knowledge, attitudes, and beliefs in disadvantaged communities. Journal of the Louisiana State Medical Society, 151, 202-208.

    Sikka, R., Waters, J., Moore, W., Sutton, D.R., Herman, W.H., & Aubert, R.E. (1999). Renal assessment practices and the effect of nurse case management of health maintenance organization patients with diabetes. Diabetes Care, 22(1), 1-6.

    Smith, M.R., McGovern, F.J., Zietman, A.L., Fallon, M.A., Hayden, D.L., Schoenfeld, D.A., et al. (2001). Pamidronate to prevent bone loss during androgen deprivation therapy for prostate cancer. New England Journal of Medicine, 345, 948-955.

    Starcher, S. (1997). Oncology nurses fill roles as nurse coordinator/case manager. Oncology Nursing Forum, 24, 801.

    Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage.

    Strecher, V., DeVellis, B., Becker, M.H., & Rosenstock, I.M. (1986). The role of self-efficacy in achieving health behavior change. Health Education Quarterly, 13(1), 73-91.

    Sullivan, M.K. (1995). Facilitating continuity of care: The role of the patient care coordinator. Nursing Clinics of North America, 30, 221-230.

    Swindle, D.N., Weyand, J.L., & Mar, P.S. (1994). Nurse case management: Collaboration beyond the hospital walls. Journal of Case Management, 3(2), 51-55.

    Townsend, M.F., Sanders, W.H., Northway, R.O., & Graham, S.D. (1997). Bone fractures associated with luteinizing hormone-releasing hormone agonists used in the treatment of prostate carcinoma. Cancer, 79, 545-550.

    Weinrich, S.P., Boyd, M.D., Weinrich, M., Green, F., Reynolds, W.A., Jr., & Metlin, C. (1998). Increasing prostate cancer screening in African American men with peer-educator and client-navigator interventions. Journal of Cancer Education, 13, 213-219.

    Weinrich, S.P., Reynolds, W.A., Tingen, M.S., & Starr, C.R. (2000). Barriers to prostate cancer screening. Cancer Nursing, 23, 117-121.