Comparing self-injection teaching strategies for patients with breast cancer and their caregivers: A pilot study Journal Article


Authors: Fischer-Cartlidge, E.; Romanoff, S.; Thom, B.; Walters, C. B.
Article Title: Comparing self-injection teaching strategies for patients with breast cancer and their caregivers: A pilot study
Abstract: Background: A prospective, quasiexperimental pilot study with a sequential design was performed to compare two methods of teaching self-injection: verbal and written instruction versus verbal and written instruction plus simulation. Objectives: The study examined 50 patients with breast cancer undergoing adjuvant or neoadjuvant treatment and their caregivers to determine if simulation during the teaching experience affects patient/ caregiver satisfaction, worry, and self-confidence, as well as nurse satisfaction. Methods: Structured questionnaires were administered before the teaching, immediately after the teaching, and after the injection was performed at home. Nurses who performed the teaching also completed a questionnaire after the teaching. Findings: Use of simulation did not affect patient/caregiver satisfaction, worry, or self-confidence. The largest impact on learner worry was the actual teaching experience, regardless of the methodology used. Nurses reported greater levels of satisfaction when simulation was part of the teaching. Patient/caregiver satisfaction with the teaching experience decreased after performing the injection at home. Additional research is needed to identify the best methodology for teaching patients and caregivers self-injection. Data from this study revealed that the addition of simulation during teaching does not always translate to better education. In addition, based on patient/caregiver reports, no substitution exists for actual injection administration. © 2016 Oncology Nursing Society. All rights reserved.
Keywords: patient education; simulation; self-injection; home injection; injection teaching; subcutaneous injection
Journal Title: Clinical Journal of Oncology Nursing
Volume: 20
Issue: 5
ISSN: 1092-1095
Publisher: Oncology Nursing Society (ONS)  
Date Published: 2016-10-01
Start Page: 515
End Page: 521
Language: English
DOI: 10.1188/16.cjon.515-521
PROVIDER: scopus
PUBMED: 27668371
DOI/URL:
Notes: Article -- Export Date: 2 November 2016 -- Source: Scopus
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  1. Bridgette Thom
    95 Thom
  2. Chasity Burrows Walters
    48 Walters