Nurse-Led Telephonic Symptom Support for Patients Receiving Chemotherapy

Andra Davis, Janice F. Bell, Sarah C. Reed, Katherine K. Kim, Dawn Stacey, Jill G. Joseph

Research output: Contribution to journalArticlepeer-review


PROBLEM STATEMENT: The use of evidence-informed symptom guides has not been widely adopted in telephonic support. DESIGN: This is a descriptive study of nurse-led support using evidence-based symptom guides during telephone outreach. DATA SOURCES: Documentation quantified telephone encounters by frequency, length, and type of patient-reported symptoms. Nurse interviews examined perceptions of their role and the use of symptom guides. ANALYSIS: Quantitative data were summarized using univariate descriptive statistics, and interviews were analyzed using directed descriptive content analysis. FINDINGS: Symptom guides were viewed as trusted evidence-based resources, suitable to address common treatment-related symptoms. A threshold effect was a reported barrier of the guides, such that the benefit diminished over time for managing recurring symptoms. IMPLICATIONS FOR PRACTICE: Telephone outreach using evidence-based symptom guides can contribute to early symptom identification while engaging patients in decision making. Understanding nurse activities aids in developing an economical and high-quality model for symptom support, as well as in encouraging nurses to practice at the highest level of preparation.

Original languageEnglish (US)
Pages (from-to)E199-E210
JournalOncology Nursing Forum
Issue number6
StatePublished - Nov 1 2020


  • evidence-based practice
  • patient-centered care
  • practice guidelines
  • symptom management

ASJC Scopus subject areas

  • Oncology(nursing)


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