Recorded presentation

Sally L. Maliski, PhD, RN¹, Barbara Clerkin, MPH, RN², and Mark S. Litwin, MD, MPH². (1) University of California, Los Angeles, 650 Charles E. Young Drive South, Rm. CHS A2-125, Los Angeles, CA 90095, 310-794-4084, smaliski@mednet.ucla.edu, (2) Urology, University of California, Los Angeles, 924 Westwood Blvd., #720, Los Angeles, CA 90095

The purpose of this study was to describe and categorize nurse case manager (NCM) interventions for low-income, uninsured men with prostate cancer using descriptive, retrospective record review. The NCMs were managing care of uninsured, low-income men receiving prostate cancer treatment through a unique, state-funded program. NCM entries were extracted. Line-by-line coding revealed initial themes. Themes were grouped under categories. Categories and their descriptions were reviewed with NCMs and additions made. Linkages were postulated. Links and relationships between categories were verified in original data. NCM entries from another 20 records were prepared as above. Codes were grouped under the established categories. Modifications were made until the categories contained all of the data and no new categories emerged. Categories were verified with NCMs and reviewed for completeness and representativeness. Notes from the weekly NCM teleconference meetings were used to ensure completeness of categories. Categories of NCM interventions emerged as assessment, coordination, advocacy, facilitation, teaching, support, collaborative problem-solving, and keeping track. Categories overlapped and supported each other. NCMs tailored interventions by combining categories uniquely for each patient. The skillful tailoring and execution of the intervention strategies was dependent on the knowledge, experience, and skill that each NCM brought to the situation from a biopsychosocial perspective. The NCM categories were consistent with the tenets of self-efficacy theory. Categories were supported by previous work describing nursing interventions. The model, based on NCM interventions, provides a guide for care to underserved men with prostate cancer. Components of the model need to be tested.

Learning Objectives:

• List 5 community health nursing interventions that can be used to promote empowerment among low-income men with prostate cancer.
• Describe the process of building a community health nursing practice empowerment model inductively from records of nursing practice interventions.

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Recorded presentation