Supporting cancer-related fatigue self-management: A conversation analytic study of nurse counsellor and cancer survivor consultations

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dc.contributor.authorAgbejule, O.A.
dc.contributor.authorEkberg, S.
dc.contributor.authorHart, N.H.
dc.contributor.authorChan, R.J.
dc.date.issued2024
dc.description.abstractPurpose: Cancer-related fatigue (CRF) is a prevalent and distressing symptom experienced by people affected by cancer. A breakdown of the clinician-patient partnership and suboptimal clinician communication has been identified as a significant barrier to implementing into clinical practice effective self-management strategies for CRF. This study examined the use and impact of communication practices employed by trained cancer nurse counsellors when providing CRF selfmanagement support to cancer survivors. Methods: Interactions from 41 telehealth consultations between three nurse counsellors and 23 cancer survivors in a CRF self-management support clinic in Queensland, Australia were recorded and analysed using conversation analysis methods. Results: Analysis found that in instances where nurses established the agenda of a consultation from the outset of a session (e.g., focusing on fatigue self-management support), cancer survivors displayed clearer understandings of their self-management role, the tasks, and goals of a session; and displayed less difficulty engaging in supportive care discussions. Furthermore, clinicians used formulation practices, such as summarising dialogue, to sustain focus on fatigue during consultations, and to close discussion matters not ostensibly pertinent to fatigue self-management planning supporting the goals of the CRF SMS clinic consultations. Conclusion: For supportive care sessions targeting fatigue management, clinicians should ideally focus discussion on CRF support early, by clearly introducing the agenda at the outset of the consultation while also asking for client agreement. Periodically summarising patient’s talk allows clinicians to maintain a focus on matters relevant for self-management fatigue planning and provide support within the typically constrained timeframes allocated for addressing CRF.
dc.description.statementofresponsibilityOluwaseyifunmi Andi Agbejule, Stuart Ekberg, Nicolas H. Hart, Raymond J. Chan
dc.identifier.citationEuropean Journal of Oncology Nursing, 2024; 73:102726-1-102726-10
dc.identifier.doi10.1016/j.ejon.2024.102726
dc.identifier.issn1462-3889
dc.identifier.issn1532-2122
dc.identifier.orcidEkberg, S. [0000-0001-8837-7440]
dc.identifier.urihttps://hdl.handle.net/2440/144121
dc.language.isoen
dc.publisherElsevier
dc.relation.granthttp://purl.org/au-research/grants/arc/1194051
dc.relation.granthttp://purl.org/au-research/grants/arc/2017080
dc.rights© 2024 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
dc.source.urihttps://doi.org/10.1016/j.ejon.2024.102726
dc.subjectCancer-related fatigue (CRF)
dc.subject.meshHumans
dc.subject.meshNeoplasms
dc.subject.meshFatigue
dc.subject.meshSelf Care
dc.subject.meshCommunication
dc.subject.meshNurse-Patient Relations
dc.subject.meshTelemedicine
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshMiddle Aged
dc.subject.meshQueensland
dc.subject.meshFemale
dc.subject.meshMale
dc.subject.meshCancer Survivors
dc.subject.meshSelf-Management
dc.titleSupporting cancer-related fatigue self-management: A conversation analytic study of nurse counsellor and cancer survivor consultations
dc.typeJournal article
pubs.publication-statusPublished

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