Storytelling intervention for patients with cancer: Part 1 - Development and implementation

Purpose/Objectives: To develop a nurse-led storytelling intervention for patients with cancer and implement the intervention using trained oncology nurses. Design: Descriptive pilot project using qualitative methods to assess implementation of an intervention tool kit, with investigators blinded to control and intervention group membership. Setting: Local regional medical center in the Pacific Northwest region of the United States. Sample: A convenience sample of 11 patients with various cancer diagnoses was used for tool kit generation. Intervention and control groups were then formed and used to study tool kit implementation. Methods: Participant exit interviews and facilitator debriefing questionnaires assessed the ability of a nurse facilitator to use a group storytelling intervention tool kit. Data from control and intervention groups were analyzed and compared with qualitative procedures. Main Research Variables: A nurse-led storytelling intervention. Findings: Analysis of interviews and questionnaires revealed implementation of storytelling tool kit principles and differences between storytelling and control groups in three patterns: finding a soft place to fall, understanding the cancer experience, and figuring out how (if) to get through it. Conclusions: Techniques contained in the tool kit were implemented and deemed clinically useful by oncology nurses. Implications for Nursing: Given the small testing groups, pilot project results must be interpreted with caution, but with additional research and instructional development, the tool kit could be useful to nurses in a variety of settings and locales.