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108 The annual performance appraisal interview – a tool for employee development
Poster Sessions / European Journal of Oncology Nursing 18S1 (2014) S23–S59
lead on this supportive care issue. We will share this issue with nursing-specialists from developed nations at EONS9 congress. We carry back this congress experience back in our country to improve QOL of cancer-sufferers from our isolated communities No conflict of interest. 106 Factor influencing cervical cancer screening among Thai women in Koodsaijor sub-district, Kantarawichai district, Maha Sarakham province, Thailand S. Glangkarn1 , V. Promasatayaprot1 , N. Deewihok1 . 1 Mahasarakham University, Faculty of Public Health, Maha Sarakham Province, Thailand Introduction: Cervical cancer is a major cause of death among women in Thailand and the current rate of cervical cancer cases are ever increasing while screening rates of cervical cancer are still low. Most case present at advanced stages with poor prognoses of survival and cure. Material and Method: A community-based case-control study was conducted in Koodsaijor sub-district, Kantarawichai district, Maha Sarakham province. The study aimed to determine the factors related to receiving a Papanicolau (Pap) smear screening. The study samples were women aged 30–60 years that included 130 cases who had received the Pap smear test and 65 controls who had never received the Pap smear test. Stratified random sampling was employed to select the study subjects. Data were collected using a questionnaire and analyzed using percentage, mean, standard deviation, Odds ratio and Chi-square test (c2 ). Results and Discussion: The results showed that age, married status, education, occupation, and finance associated with Pap smear experiences statistically significant (p-value <0.05). Entire health believes, perception of risk, and perception of barriers also significantly correlated with Pap smear experience (p-value <0.05). It is clear that women who perceived good attitudes to cervical cancer screening tended to undertake the Pap smears more than those had poor attitudes. Conclusion: Health care providers should prepare a well-designed health education and health promotion programme on cervical cancer prevention. That could encourage the women to change their perceptions about the cervical cancer screening which would increase screen ingrates eventually. No conflict of interest. 107 The implementation of clinical decision support system for caring of patients with cancer and nurses’ opinions A. Akman Yilmaz1 , L. Ozdemir2 . 1 Abant Izzet Baysal University Bolu Health School, Nursing, Bolu, Turkey; 2 Hacettepe University Faculty of Nursing, Nursing, Ankara, Turkey Introduction: Cancer patients encounter to several effects of disease and treatments. Nurses caring with the patients need to decision support for management of their care. When nurses utilize a clinical decision support system for cancer patients related to their caring; they can prepare more sensitive to individual requirements care plans. Aim of the study was implementation of clinical decision support system (CDSS) for cancer patients related to their caring and exploration opinions of nurses using this system. Methods: This action research carried out mix type research design using qualitative and quantitative research methods. Total of 14 nurses worked at a gynaecological oncology clinic at a university hospital in Ankara, Turkey participated. The study was conducted in four phases. In first phase, a form was used for nurses’ demographical features and Attitudes toward Computers in Healthcare Scale and also, one by one in-depth interviews with nurses were conducted about currently used computerized care plan system (CCPS) in the hospital. In second phase, an educational activity toward nurses regarding nursing process, diagnoses and interventions was completed. Then, the CDSS
S33
was created cooperating with a software company, directorship of nursing services and computer center of the hospital. In last phase, nurses used the CCDS for 3 months and in-depth interviews about the system were conducted and the same scale was performed again. For interviews, semi-structured forms and recorder were used. After obtained data was transcribed verbatim qualitative data analysis was performed with the Nvivo 10 program. For quantitative data analysis, SPSS 17.0 program was used. Results: From the analysis of first interviews, four main categories including definition, advantages and disadvantages of CCPS and recommendations for improving the system emerged. For improving the system in the hospital, nurses recommended that system should permit to preparation of care plan for the individual or the clinical level. From the analysis of interviews after used the CCDS, five main categories including content of CCDS, the problems experienced, effects on nursing practice, effects on the patients, advising the use of the system at the other clinics or hospitals emerged. Nurses indicated that they did not experience any problems when practicing CCDS rather its usage facilitated the assessment of patients’ needs and management of the care. Conclusion: The results indicated that CCDS supports nurses’ decision making process about patients’ needs and preparing individual care plans. No conflict of interest.
Poster Session: New Developments 108 The annual performance appraisal interview – a tool for employee development M. Bernot1 , L. Cernic2 , K. Lokar3 , R. Terbovsek4 , M. Mlakar Petric5 , M. Zajc6 . 1 Institute of Oncology Ljubljana, Department of Inpatient Nursing and Care, Ljubljana, Slovenia; 2 Institute of Oncology Ljubljana, Radiotherapy department, Ljubljana, Slovenia; 3 Institute of Oncology Ljubljana, Assistant Medical Director for Nursing – Head Nurse, Ljubljana, Slovenia; 4 Institute of Oncology Ljubljana, Surgical Department, Ljubljana, Slovenia; 5 Institute of Oncology Ljubljana, Operating Theater, Ljubljana, Slovenia; 6 Institute of Oncology Ljubljana, Medical Oncology, Ljubljana, Slovenia Background: The annual performance appraisal interview (the interview) is a conversation between leader and employee, a management technique and the foundation of good human resource policies that contribute to business excellence. It is a mechanism for directing the employee and organization development, for determining employee satisfaction and coordinating aims of the employee with the aims of the leader or organization. Before the interview it is very important to have a clear vision and strategy on the basis of which the desired knowledge, skills and competencies can be develop to achieve the goals. Material and Method: At the nursing departments of the Institute of Oncology Ljubljana (OI) we decided to improve the quality of human resource management at the level of the leading nurses responsible for middle management. We recognized the importance of the role that they have especially in current times when they need to be susceptible to change in the changing environment and quickly respond to them. At the same time it is necessary to continually acquire new knowledge, competences and responsibilities; it is also expected to collaborate efficiently in the health and nursing teams. Three years ago, in addition to other approaches, which were based on the leadership education and training program, the annual performance appraisal interview was introduced in hospital wards as a management tool. Both the leader and middle nurse managers involved in the interviews first needed to recognize the sense in the performing of the interviews. Today the interviews are performed once a year at the same time period. They are
S34
Poster Sessions / European Journal of Oncology Nursing 18S1 (2014) S23–S59
announced in advance and employees are expected to prepare for them. For quality of the interviews it is important that they are carried out an in-depth, systematically managed, planned and confidential. The interviews are also documented. The time required for one interview is between one hour and a half hour. Results and Discussion: For the annual performance appraisal interview to achieve a good final effect, it is necessary to properly plan it, carry it out and evaluate. In the end, it is necessary to use the acquired information prudently for designing strategies for development of employees. The data that are collected in the interviews usefully contribute to the decision-making process in regard to the functioning of the organization in the future. In the process of preparation of the OI for Joint Commission Accreditation the interviews are becoming an important element for other levels of leadership and other professions in our organization and can be successfully introduced. They will also contribute to excellence in human resource management. Conclusions: The annual performance appraisal interviews are an effective tool for employees’ development. It is a way for the employees to enhance motivation, job satisfaction and loyalty to organization. If employees carry out work responsibilities with satisfaction their work is done faster and more efficiently. The interviews that are performed with quality and have an important and valued place in human resource management have the motivational power to encourage and empower the employees for their professional and personal development. No conflict of interest.
Poster Session: Oncology Nursing Research 109 Role of oncology nurses in the era of oral cancer treatments in patients with NSCLC – are we ready? M. Nematollahi1 . 1 Stronach Regional Cancer Center, Newmarket, Canada With recent progress and advances in technology, the number of oral cancer treatments is on the rise. Treatment for NSCLC was once chosen only according to the stage of disease and its histologic classification. Though these are important, but discovery of tumor markers and identification of biomarkers and genetic profiling in lung cancer has led to an additional layer of classification. This new evolution have significantly improved lung cancer treatment, however, the concern will show up about how the medication adherence affects the outcomes of cancer treatment and quality of life in this particular population. This poster presents the emerging trends in cancer treatments, medication adherence and barriers to adherence, and finally the role of oncology nurses in optimizing patient’s health outcomes. No conflict of interest. 110 The relationship between the care burdens, perceived stress levels and coping styles of the parents of children having a treatment at haematology–oncology clinics G. Manav1 , G. Tandogru2 , H. Ceylan2 . 1 Marmara University, Paediatric Nursing, Istanbul, Turkey; 2 Marmara University, Health Science, Istanbul, Turkey Background: The aim of the study is to examine the relationship between care burden, perceived stress levels and coping with the stress of the parents of the children having a treatment at haematology–oncology clinics. Methods: The Burden interview, the Perceived Stress Scale (PPS) and Styles of Coping with Stress Scale was conducted to the total of 200 parents, between January-April 2014.
Results: The average of age of the parents who participated in the study is 34.7±7.78. The average point is 72.31±14.55. Cronbach’s alpha value of the scale was calculated as 0.85. The total points of the Perceived Stress Scale vary between 29–57. All parents have been perceiving their children status as a high degree of stress. The total points of the parents that got from Styles of Coping with Stress Scale vary between 30–110. The average point was 82.37±8.97. It has been found that the relationship between the care burdens and the perceived stress levels of the parents is in the negative direction (r = −0.196, p < 0.05), and also the relationship between the perceived stress level and styles of coping with stress of the parents is at low level (r = 0.231, p < 0.05). Although the total points that the parents got from the Burden Interview were not high, the significant difference between their educational levels (c2 = 21.539, p = 0.001), marital status (c2 = 10.756, p = 0.01), monthly incomes (c2 = 8.169, p = 0.01) and the moral support provided by the nurses (Z = −2.550, p = 0.01) was statistically determined. Still, the statistical difference between the total points that the parents got from the Styles of Coping with Stress Scale with their social securities was found significant. Conclusion: In general, when chronic and intensive structure of providing care in the family is combined with the disputes arising from the other claims in the lives of caregivers, it may lead to the caregiver burden. The relevance between the parents’ caregiver burdens and their educations, incomes, and social supports support this view in also our study. In this study, the reason of the negative relationship between the parents’ caregiver burdens and perceived stress levels can be attributed to increasing levels of asking for help as the stress levels of the parents increase, and it may be thought that the caregiver burdens decrease thanks to the assistance that is supplied to the parents. Sharing the care burdens and stresses with the members of family can reduce the burdens and stress on the parents. It can be helpful that the parents are directed to the persons and institutions that they can receive an support and the support resources that the parents have in the treatment of the child are evaluated. It has been concluded that there is a relationship between the parents’ received stress levels and the styles of coping with stress. Consequently, the families should be need fully informed and the psychiatric support should be given to them in order that the children with a malignant disease like cancer and their parents can cope better with the stress, and they can be affected at minimum level in terms of psychological. No conflict of interest. 111 Elapsed time between the first symptoms of breast cancer and medical help-seeking behavior and the affecting factors S. Gozum1 , A. Tuzcu1 . 1 Akdeniz University, Faculty of Nursing, Antalya, Turkey Introduction: Many studies have determined that the time between women’s realization of first symptoms and application to a healthcare professional is more than one month. The situation is defined as delay at medical help-seeking behaviour. Objective: The objective of this study is to determine the time elapsed between the first symptoms of breast cancer and MHSB (medical help-seeking behaviour), as well as factors causing the delay. Material and Method: In this descriptive study, data were collected from 132 patients diagnosed with breast cancer and receiving treatment in the Oncology Clinic of Akdeniz University Hospital. The questionnaire used in the study was structured in three parts: socio-demographic characteristics; breast cancer history/screening behaviours; and psychological factors affecting MHSB. The elapsed time between patients’ first symptoms and MHSB was classified as ‘normal’ when less than one month; ‘delay’ between one and three months; ‘long-term delay’ when more than three months, and ‘very serious delay’ when more than six months.
lead on this supportive care issue. We will share this issue with nursing-specialists from developed nations at EONS9 congress. We carry back this congress experience back in our country to improve QOL of cancer-sufferers from our isolated communities No conflict of interest. 106 Factor influencing cervical cancer screening among Thai women in Koodsaijor sub-district, Kantarawichai district, Maha Sarakham province, Thailand S. Glangkarn1 , V. Promasatayaprot1 , N. Deewihok1 . 1 Mahasarakham University, Faculty of Public Health, Maha Sarakham Province, Thailand Introduction: Cervical cancer is a major cause of death among women in Thailand and the current rate of cervical cancer cases are ever increasing while screening rates of cervical cancer are still low. Most case present at advanced stages with poor prognoses of survival and cure. Material and Method: A community-based case-control study was conducted in Koodsaijor sub-district, Kantarawichai district, Maha Sarakham province. The study aimed to determine the factors related to receiving a Papanicolau (Pap) smear screening. The study samples were women aged 30–60 years that included 130 cases who had received the Pap smear test and 65 controls who had never received the Pap smear test. Stratified random sampling was employed to select the study subjects. Data were collected using a questionnaire and analyzed using percentage, mean, standard deviation, Odds ratio and Chi-square test (c2 ). Results and Discussion: The results showed that age, married status, education, occupation, and finance associated with Pap smear experiences statistically significant (p-value <0.05). Entire health believes, perception of risk, and perception of barriers also significantly correlated with Pap smear experience (p-value <0.05). It is clear that women who perceived good attitudes to cervical cancer screening tended to undertake the Pap smears more than those had poor attitudes. Conclusion: Health care providers should prepare a well-designed health education and health promotion programme on cervical cancer prevention. That could encourage the women to change their perceptions about the cervical cancer screening which would increase screen ingrates eventually. No conflict of interest. 107 The implementation of clinical decision support system for caring of patients with cancer and nurses’ opinions A. Akman Yilmaz1 , L. Ozdemir2 . 1 Abant Izzet Baysal University Bolu Health School, Nursing, Bolu, Turkey; 2 Hacettepe University Faculty of Nursing, Nursing, Ankara, Turkey Introduction: Cancer patients encounter to several effects of disease and treatments. Nurses caring with the patients need to decision support for management of their care. When nurses utilize a clinical decision support system for cancer patients related to their caring; they can prepare more sensitive to individual requirements care plans. Aim of the study was implementation of clinical decision support system (CDSS) for cancer patients related to their caring and exploration opinions of nurses using this system. Methods: This action research carried out mix type research design using qualitative and quantitative research methods. Total of 14 nurses worked at a gynaecological oncology clinic at a university hospital in Ankara, Turkey participated. The study was conducted in four phases. In first phase, a form was used for nurses’ demographical features and Attitudes toward Computers in Healthcare Scale and also, one by one in-depth interviews with nurses were conducted about currently used computerized care plan system (CCPS) in the hospital. In second phase, an educational activity toward nurses regarding nursing process, diagnoses and interventions was completed. Then, the CDSS
S33
was created cooperating with a software company, directorship of nursing services and computer center of the hospital. In last phase, nurses used the CCDS for 3 months and in-depth interviews about the system were conducted and the same scale was performed again. For interviews, semi-structured forms and recorder were used. After obtained data was transcribed verbatim qualitative data analysis was performed with the Nvivo 10 program. For quantitative data analysis, SPSS 17.0 program was used. Results: From the analysis of first interviews, four main categories including definition, advantages and disadvantages of CCPS and recommendations for improving the system emerged. For improving the system in the hospital, nurses recommended that system should permit to preparation of care plan for the individual or the clinical level. From the analysis of interviews after used the CCDS, five main categories including content of CCDS, the problems experienced, effects on nursing practice, effects on the patients, advising the use of the system at the other clinics or hospitals emerged. Nurses indicated that they did not experience any problems when practicing CCDS rather its usage facilitated the assessment of patients’ needs and management of the care. Conclusion: The results indicated that CCDS supports nurses’ decision making process about patients’ needs and preparing individual care plans. No conflict of interest.
Poster Session: New Developments 108 The annual performance appraisal interview – a tool for employee development M. Bernot1 , L. Cernic2 , K. Lokar3 , R. Terbovsek4 , M. Mlakar Petric5 , M. Zajc6 . 1 Institute of Oncology Ljubljana, Department of Inpatient Nursing and Care, Ljubljana, Slovenia; 2 Institute of Oncology Ljubljana, Radiotherapy department, Ljubljana, Slovenia; 3 Institute of Oncology Ljubljana, Assistant Medical Director for Nursing – Head Nurse, Ljubljana, Slovenia; 4 Institute of Oncology Ljubljana, Surgical Department, Ljubljana, Slovenia; 5 Institute of Oncology Ljubljana, Operating Theater, Ljubljana, Slovenia; 6 Institute of Oncology Ljubljana, Medical Oncology, Ljubljana, Slovenia Background: The annual performance appraisal interview (the interview) is a conversation between leader and employee, a management technique and the foundation of good human resource policies that contribute to business excellence. It is a mechanism for directing the employee and organization development, for determining employee satisfaction and coordinating aims of the employee with the aims of the leader or organization. Before the interview it is very important to have a clear vision and strategy on the basis of which the desired knowledge, skills and competencies can be develop to achieve the goals. Material and Method: At the nursing departments of the Institute of Oncology Ljubljana (OI) we decided to improve the quality of human resource management at the level of the leading nurses responsible for middle management. We recognized the importance of the role that they have especially in current times when they need to be susceptible to change in the changing environment and quickly respond to them. At the same time it is necessary to continually acquire new knowledge, competences and responsibilities; it is also expected to collaborate efficiently in the health and nursing teams. Three years ago, in addition to other approaches, which were based on the leadership education and training program, the annual performance appraisal interview was introduced in hospital wards as a management tool. Both the leader and middle nurse managers involved in the interviews first needed to recognize the sense in the performing of the interviews. Today the interviews are performed once a year at the same time period. They are
S34
Poster Sessions / European Journal of Oncology Nursing 18S1 (2014) S23–S59
announced in advance and employees are expected to prepare for them. For quality of the interviews it is important that they are carried out an in-depth, systematically managed, planned and confidential. The interviews are also documented. The time required for one interview is between one hour and a half hour. Results and Discussion: For the annual performance appraisal interview to achieve a good final effect, it is necessary to properly plan it, carry it out and evaluate. In the end, it is necessary to use the acquired information prudently for designing strategies for development of employees. The data that are collected in the interviews usefully contribute to the decision-making process in regard to the functioning of the organization in the future. In the process of preparation of the OI for Joint Commission Accreditation the interviews are becoming an important element for other levels of leadership and other professions in our organization and can be successfully introduced. They will also contribute to excellence in human resource management. Conclusions: The annual performance appraisal interviews are an effective tool for employees’ development. It is a way for the employees to enhance motivation, job satisfaction and loyalty to organization. If employees carry out work responsibilities with satisfaction their work is done faster and more efficiently. The interviews that are performed with quality and have an important and valued place in human resource management have the motivational power to encourage and empower the employees for their professional and personal development. No conflict of interest.
Poster Session: Oncology Nursing Research 109 Role of oncology nurses in the era of oral cancer treatments in patients with NSCLC – are we ready? M. Nematollahi1 . 1 Stronach Regional Cancer Center, Newmarket, Canada With recent progress and advances in technology, the number of oral cancer treatments is on the rise. Treatment for NSCLC was once chosen only according to the stage of disease and its histologic classification. Though these are important, but discovery of tumor markers and identification of biomarkers and genetic profiling in lung cancer has led to an additional layer of classification. This new evolution have significantly improved lung cancer treatment, however, the concern will show up about how the medication adherence affects the outcomes of cancer treatment and quality of life in this particular population. This poster presents the emerging trends in cancer treatments, medication adherence and barriers to adherence, and finally the role of oncology nurses in optimizing patient’s health outcomes. No conflict of interest. 110 The relationship between the care burdens, perceived stress levels and coping styles of the parents of children having a treatment at haematology–oncology clinics G. Manav1 , G. Tandogru2 , H. Ceylan2 . 1 Marmara University, Paediatric Nursing, Istanbul, Turkey; 2 Marmara University, Health Science, Istanbul, Turkey Background: The aim of the study is to examine the relationship between care burden, perceived stress levels and coping with the stress of the parents of the children having a treatment at haematology–oncology clinics. Methods: The Burden interview, the Perceived Stress Scale (PPS) and Styles of Coping with Stress Scale was conducted to the total of 200 parents, between January-April 2014.
Results: The average of age of the parents who participated in the study is 34.7±7.78. The average point is 72.31±14.55. Cronbach’s alpha value of the scale was calculated as 0.85. The total points of the Perceived Stress Scale vary between 29–57. All parents have been perceiving their children status as a high degree of stress. The total points of the parents that got from Styles of Coping with Stress Scale vary between 30–110. The average point was 82.37±8.97. It has been found that the relationship between the care burdens and the perceived stress levels of the parents is in the negative direction (r = −0.196, p < 0.05), and also the relationship between the perceived stress level and styles of coping with stress of the parents is at low level (r = 0.231, p < 0.05). Although the total points that the parents got from the Burden Interview were not high, the significant difference between their educational levels (c2 = 21.539, p = 0.001), marital status (c2 = 10.756, p = 0.01), monthly incomes (c2 = 8.169, p = 0.01) and the moral support provided by the nurses (Z = −2.550, p = 0.01) was statistically determined. Still, the statistical difference between the total points that the parents got from the Styles of Coping with Stress Scale with their social securities was found significant. Conclusion: In general, when chronic and intensive structure of providing care in the family is combined with the disputes arising from the other claims in the lives of caregivers, it may lead to the caregiver burden. The relevance between the parents’ caregiver burdens and their educations, incomes, and social supports support this view in also our study. In this study, the reason of the negative relationship between the parents’ caregiver burdens and perceived stress levels can be attributed to increasing levels of asking for help as the stress levels of the parents increase, and it may be thought that the caregiver burdens decrease thanks to the assistance that is supplied to the parents. Sharing the care burdens and stresses with the members of family can reduce the burdens and stress on the parents. It can be helpful that the parents are directed to the persons and institutions that they can receive an support and the support resources that the parents have in the treatment of the child are evaluated. It has been concluded that there is a relationship between the parents’ received stress levels and the styles of coping with stress. Consequently, the families should be need fully informed and the psychiatric support should be given to them in order that the children with a malignant disease like cancer and their parents can cope better with the stress, and they can be affected at minimum level in terms of psychological. No conflict of interest. 111 Elapsed time between the first symptoms of breast cancer and medical help-seeking behavior and the affecting factors S. Gozum1 , A. Tuzcu1 . 1 Akdeniz University, Faculty of Nursing, Antalya, Turkey Introduction: Many studies have determined that the time between women’s realization of first symptoms and application to a healthcare professional is more than one month. The situation is defined as delay at medical help-seeking behaviour. Objective: The objective of this study is to determine the time elapsed between the first symptoms of breast cancer and MHSB (medical help-seeking behaviour), as well as factors causing the delay. Material and Method: In this descriptive study, data were collected from 132 patients diagnosed with breast cancer and receiving treatment in the Oncology Clinic of Akdeniz University Hospital. The questionnaire used in the study was structured in three parts: socio-demographic characteristics; breast cancer history/screening behaviours; and psychological factors affecting MHSB. The elapsed time between patients’ first symptoms and MHSB was classified as ‘normal’ when less than one month; ‘delay’ between one and three months; ‘long-term delay’ when more than three months, and ‘very serious delay’ when more than six months.