Conceptual Framework
The selected study sought to identify the effect of nutritional counselling and oncological nursing care on the health outcomes of colorectal cancer patients (Reiter et al., 2020). The assessed health outcomes were discharge rates, nutritional behaviour, and side effects management. The study divided participants into a control group and two subgroups of the intervention group. The control group received usual care characterized by unsystematic nutrition counselling and no nurse counselling. The first intervention group received systematic in and out patient nutritional counselling and in patient only oncology nurse counselling. The second intervention group received systematic nutritional counselling coupled with in and outpatient oncology nurse counselling. The findings showed that patients receiving in and outpatient nurse counselling as well as systematic nutritional counselling dealt better with treatment side effects, were better at following dieticians advice and were better placed to gauge food intolerance. This text discusses the conceptual framework employed in the study to assess its appropriateness.
Conceptual Framework/Theory
The intervention was based on the chronic care health promotion model from Collins and Rochforts empowerment concept and Antonovskys salutogenesis (as cited in Reiter et al., 2020). The chronic care model suggests that optimum care in a primary acre setting could be created through promoting patient self-management and empowerment. Collins and Rochfort (2014) conceptualize self-management as a set of processes and tasks that a patient uses to manage the impact of a chronic disease. Healthcare organizations could offer self-management support to patient through increasing in clinicians skill levels, making better use of IT-based...
…organizational and community level to ensure that patients needs are met. The intervention for this particular study is focused on empowering patients towards effective self-management. The patients received booklets with information on how to manage the symptoms and side effect of illness, instructions on effective post-surgery behaviour, and individual nutritional counselling sessions to make them more involved and empowered in managing their illnesses (Reiter et al., 2020). In addition, the organizations mobilized resources internally to offer training to participating nurses as a means to integrate specialist care into primary care (Reiter et al., 2020). Both of these are crucial components of the model, and informed the design of the intervention.In conclusion, the conceptual framework is the backbone of any study as it lays the foundation for how…
References
Boehmer, K. R., Dabrh, A., Gionfriddo, M. R., Erwin, P., & Montori, V. (2018). Does the chronic care model meet the needs of people living with multimorbidity: A systematic review and thematic analysis. PLoS One, 13(2). Doi. 10.1371/journal.pone.0190852Collins, C. & Rochfort, A. (2016). Promoting self-management and patient empowerment in primary care. Irish College of General Practitioners Dublin, 27-35.
Reiter, M., Gerken, M., Lindberg-Scharf, P., Fuerst, A., Liebig-Horl, ., Ortmann, O., Eberl, E., & Bartholomeyczik, S. (2020). Health services research in colorectal cancer: A quasi-experimental intervention pilot study on in and out patient oncology. Clinical Oncology, 147(1), 1789-1802.
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