Rationalizing the Influence of Co-Design on Distress, Clinical Decision-Making and Disease Self-Management of Cancer Patients-as-Partners: A Quasi-Experimental Study.

INTRODUCTION: Cancer is regarded as a major worldwide burden. Patient distress has been linked to disease progression. Studies show that engagement strategies affect clinical decision-making and patient outcomes. The optimal engagement method is a partnership that integrates the patient's expertise into the comprehensive co-design of the healthcare system. OBJECTIVES: This is the first study to investigate cancer patient-as-partner experience and its impact on distress levels, decision-making and self-management. METHODS: It is a quantitative and quasi-experimental study that adopted a partnership committee at a Lebanese hospital. A stratified random sampling approach was used, and data were collected by self-administered questionnaires. We utilized the standardized distress thermometer and PPEET. RESULTS: We recruited 100 patient partners. Cancer patients-as-partners had optimal engagement experience in QI projects (mean = 4; SD = 0.4). The main partnership benefit was improved hospitalization experience (49%). Almost half of PP reported no challenges faced (49%). Recommendations for improvement were training (19%), team dynamics management (12%) and proper time allocation (7%). The distress level post-partnership was significantly reduced (t = 12.57, p < 0.0001). This study highlights the importance of partnership and its ability to influence shared decision-making preference [χ2(2) = 13.81, p = 0.025] and self-management practices [F(3, 11.87) = 7.294, p = 0.005]. CONCLUSION: Research findings suggest that partners from disadvantaged groups can have optimal partnership experience. A partnership model of care can shape the healthcare system into a people-oriented culture. Further research is needed to explore diverse PP engagement methodologies and their effect on organizational development. PATIENT OR PUBLIC CONTRIBUTION: Patients and family members were engaged in the co-design of the study methodology, especially the modification of a research instrument. Patient partners with lived experience were involved in the patient partnership committee as core members to improve healthcare system design and evaluation.

Student to nurse transition and the nurse residency program: A qualitative study of new graduate perceptions.

BACKGROUND: In past years, the attrition of new graduate nurses has been predicted to grow and this is what has been occurring recently due to challenging role transitions. Nurse residency programs are meant to help new graduate nurses transition into their new roles. These programs have been evaluated in a variety of ways. PURPOSE: The purpose of this study was to explore more about new graduate nurses' transition perspectives and the function of nurse residency programs in mediating this shift. METHODS: At a major university hospital in Saudi Arabia, 29 Saudi nurses participated in a qualitative phenomenological study through focus group discussions. RESULTS: Two major themes emerged from thematic analysis in this study. The first theme was namely "Challenges of transition", where nurses expressed the lack of experience, high caseloads, and difficulty communicating with physicians. The second theme was namely, "Residency transition support", where the nurses expressed that it provided them with enhanced learning, peer communication and support, and helped them in building relationships. CONCLUSION: The themes that emerged indicate that the journey from student to registered nurse is complicated and multidimensional. These findings imply that structures and practices meant to promote the shift, such as the residency program, can help new nurses have a better transition experience.