Acceptability of a virtual prostate cancer survivorship care model in regional Australia: A qualitative exploratory study

Article

Heneka,, Chambers, Suzanne K., Schaefer, Isabelle and Dunn, Jeff. 2023. "Acceptability of a virtual prostate cancer survivorship care model in regional Australia: A qualitative exploratory study ." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 32 (4), pp. 569-580. https://doi.org/10.1002/pon.6101
Article Title

Acceptability of a virtual prostate cancer survivorship care model in regional Australia: A qualitative exploratory study

ERA Journal ID6624
Article CategoryArticle
AuthorsHeneka,, Chambers, Suzanne K., Schaefer, Isabelle and Dunn, Jeff
Journal TitlePsycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer
Journal Citation32 (4), pp. 569-580
Number of Pages12
Year2023
PublisherJohn Wiley & Sons
ISSN1057-9249
1099-1611
Digital Object Identifier (DOI)https://doi.org/10.1002/pon.6101
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1002/pon.6101
Abstract

Objective
To assess the acceptability of a nurse-led prostate cancer survivorship intervention adapted for virtual delivery and tailored to post-surgical care, in a regional Australian hospital and health service.

Methods
A qualitative exploratory study using the Theoretical Framework of Acceptability (TFA).

Results
Twenty-two participants took part in a semistructured interview comprising men who had completed the program (n = 16) and health professionals/service stakeholders involved in program delivery (n = 6). Acceptability of this virtual prostate cancer survivorship care program was very high across all constructs of the TFA, from the perspectives of both program recipients and those delivering the program. The quality of care received was seen as superior to what men had experienced previously (burden, opportunity costs). The time afforded by the regularly scheduled video-consultations allowed men to come to terms with the recovery process in their own time (self-efficacy), and provided an ongoing sense of support and access to care outside the consultation (ethicality). Clinically, the program improved care co-ordination, expedited identification of survivorship care needs, and met service priorities of providing quality care close to home (burden, perceived effectiveness).

Conclusions
Findings from this study suggest virtual post-surgical care delivered via videoconferencing is highly acceptable to prostate cancer survivors in a regional setting. Future research exploring virtual program implementation at scale and long-term patient and service outcomes is warranted.

Keywordscancer; nurse specialists; oncology; patient acceptance of health care; prostatic neoplasms; psycho-oncology; psychosocial intervention; remote consultation; survivorship; telemedicine
ANZSRC Field of Research 2020420321. Rural and remote health services
420503. Community and primary care
321199. Oncology and carcinogenesis not elsewhere classified
Byline AffiliationsUniversity of Technology Sydney
University of Southern Queensland
Australian Catholic University
Prostate Cancer Foundation of Australia
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Dunn, Jeff, Ralph, Nicholas, Green, Anna, Frydenberg, Mark and Chambers, Suzanne. 2020. "Contemporary consumer perspectives on prostate cancer survivorship: Fifty voices." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 29 (3), pp. 557-563. https://doi.org/10.1002/pon.5306
Geographical Disparities in Screening and Cancer-Related Health Behaviour
Goodwin, Belinda C., Rowe, Arlen K., Crawford-Williams, Fiona, Baade, Peter, Chambers, Suzanne K., Ralph, Nicholas and Aitken, Joanne F.. 2020. "Geographical Disparities in Screening and Cancer-Related Health Behaviour." International Journal of Environmental Research and Public Health. 17 (4), pp. 1-12. https://doi.org/10.3390/ijerph17041246
The burden of chronic diseases among Australian cancer patients: evidence from a longitudinal exploration, 2007-2017
Mahumud, Rashidul Alam, Alam, Khorshed, Dunn, Jeff and Gow, Jeff. 2020. "The burden of chronic diseases among Australian cancer patients: evidence from a longitudinal exploration, 2007-2017." PLoS One. 15 (2). https://doi.org/10.1371/journal.pone.0228744
Mitigating opioid errors in inpatient palliative care: A qualitative study
Heneka, Nicole, Bhattarai, Priyanka, Shaw, Tim, Rowett, Debra, Lapkin, Samuel and Phillips, Jane L.. 2020. "Mitigating opioid errors in inpatient palliative care: A qualitative study." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 27 (3), pp. 304-312. https://doi.org/10.1016/j.colegn.2019.09.005
Prostate cancer survivorship priorities for men and their partners: Delphi consensus from a nurse specialist cohort
Ralph, Nicholas, Green, Anna, Sara, Sally, McDonald, Suzanne, Norris, Philip, Terry, Victoria, Dunn, Jeffrey C. and Chambers, Suzanne K.. 2020. "Prostate cancer survivorship priorities for men and their partners: Delphi consensus from a nurse specialist cohort." Journal of Clinical Nursing. 29 (1-2), pp. 265-273. https://doi.org/10.1111/jocn.15096
A psychosocial care model for men with prostate cancer
Chambers, Suzanne K., Galvao, Daniel A., Green, Anna, Lazenby, Mark, Newton, Robert U., Oliffe, John L., Phillips, Jane L., Phillips, Rachel, Ralph, Nicholas, Sara, Sally, Heathcote, Peter and Dunn, Jeff. 2019. A psychosocial care model for men with prostate cancer. Sydney, Australia. Prostate Cancer Foundation of Australia.
Risk of opioid misuse in people with cancer and pain and related clinical considerations: a qualitative study of the perspectives of Australian general practitioners
Luckett, Tim, Newton-John, Toby, Phillips, Jane, Holliday, Simon, Giannitrapani, Karleen, Powell-Davies, Gawaine, Lovell, Melanie, Liauw, Winston, Rowett, Debra, Pearson, Sallie-Anne, Raymond, Bronwyn, Heneka, Nicole and Lorenz, Karl. 2020. "Risk of opioid misuse in people with cancer and pain and related clinical considerations: a qualitative study of the perspectives of Australian general practitioners." BMJ Open. 10 (2), pp. 1-11. https://doi.org/10.1136/bmjopen-2019-034363
Geographic variations in stage at diagnosis and survival for colorectal cancer in Australia: a systematic review
Crawford-Williams, Fiona, March, Sonja, Goodwin, Belinda C., Ireland, Michael J., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2019. "Geographic variations in stage at diagnosis and survival for colorectal cancer in Australia: a systematic review." European Journal of Cancer Care. 28 (3), pp. 1-16. https://doi.org/10.1111/ecc.13072
Ten-year quality of life outcomes in men with prostate cancer
Ralph, Nicholas, Ng, Shu Kay, Zajdlewicz, Leah, Lepore, Stephen J., Heathcote, Peter, Kneebone, Andrew, Dunn, Jeffrey C. and Chambers, Suzanne K.. 2020. "Ten-year quality of life outcomes in men with prostate cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 29 (2), pp. 444-449. https://doi.org/10.1002/pon.5255
The role of masculinities in psychological and emotional help seeking by men with prostate cancer
Goodwin, Belinda C., Ralph, Nicholas, Ireland, Michael J., Hyde, Melissa K., Oliffe, John L., Dunn, Jeff and Chambers, Suzanne. 2020. "The role of masculinities in psychological and emotional help seeking by men with prostate cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 29 (2), pp. 356-363. https://doi.org/10.1002/pon.5264
Strategies for increasing participation in mail-out colorectal cancer screening programs: a systematic review and meta-analysis
Goodwin, Belinda C., Ireland, Michael J., March, Sonja, Myers, Larry, Crawford-Williams, Fiona, Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2019. "Strategies for increasing participation in mail-out colorectal cancer screening programs: a systematic review and meta-analysis." Systematic Reviews. 8 (1), pp. 1-11. https://doi.org/10.1186/s13643-019-1170-x
Ways to use interventions to increase participation in mail-out bowel cancer screening: a systematic review and meta-analysis
Myers, Larry, Goodwin, Belinda, March, Sonja and Dunn, Jeff. 2019. "Ways to use interventions to increase participation in mail-out bowel cancer screening: a systematic review and meta-analysis." Translational Behavioral Medicine. 10 (2), pp. 384-393. https://doi.org/10.1093/tbm/ibz081
Emerging cancer incidence, mortality, hospitalisation and associated burden among Australian cancer patients, 1982 - 2014: an incidence-based approach in terms of trends, determinants and inequality
Mahumud, Rashidul Alam, Alam, Khorshed, Dunn, Jeff and Gow, Jeff. 2019. "Emerging cancer incidence, mortality, hospitalisation and associated burden among Australian cancer patients, 1982 - 2014: an incidence-based approach in terms of trends, determinants and inequality." BMJ Open. 9 (12), pp. 1-19. https://doi.org/10.1136/bmjopen-2019-031874
Correction: Emerging cancer incidence, mortality, hospitalisation and associated burden among Australian cancer patients, 1982 – 2014: an incidence-based approach in terms of trends, determinants and inequality
Mahumud, Rashidul Alam, Alam, Khorshed, Dunn, Jeff and Gow, Jeff. 2020. "Correction: Emerging cancer incidence, mortality, hospitalisation and associated burden among Australian cancer patients, 1982 – 2014: an incidence-based approach in terms of trends, determinants and inequality ." BMJ Open. 10 (1). https://doi.org/10.1136/bmjopen-2019-031874corr1
The cost-effectiveness of controlling cervical cancer using a new 9-valent human papillomavirus vaccine among school-aged girls in Australia
Mahumud, Rashidul Alam, Alam, Khorshed, Dunn, Jeff and Gow, Jeff. 2019. "The cost-effectiveness of controlling cervical cancer using a new 9-valent human papillomavirus vaccine among school-aged girls in Australia." PLoS One. 14 (10), pp. 1-18. https://doi.org/10.1371/journal.pone.0223658
Geographic variation in compliance With FOBT colorectal cancer screening programs: the role of attitudes toward health and help seeking
Goodwin, Belinda C., March, Sonja, Ireland, Michael, Crawford-Williams, Fiona, Manski, Donna, Ford, Martelle and Dunn, Jeff. 2019. "Geographic variation in compliance With FOBT colorectal cancer screening programs: the role of attitudes toward health and help seeking." Rural and Remote Health. 19 (3), pp. 1-10. https://doi.org/10.22605/RRH4957
Five‐year outcomes from a randomised controlled trial of a couples‐based intervention for men with localised prostate cancer
Chambers, Suzanne K., Occhipinti, Stefano, Stiller, Anna, Zajdlewicz, Leah, Nielsen, Lisa, Wittman, Daniela, Oliffe, John L., Ralph, Nicholas and Dunn, Jeff. 2019. "Five‐year outcomes from a randomised controlled trial of a couples‐based intervention for men with localised prostate cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 28 (4), pp. 775-783. https://doi.org/10.1002/pon.5019
'I’m not doing that.' An in-depth examination of nonparticipation in mail-out bowel cancer screening programs
Goodwin, Belinda C., March, Sonja, Crawford-Williams, Fiona, Chambers, Suzanne K. and Dunn, Jeff. 2020. "'I’m not doing that.' An in-depth examination of nonparticipation in mail-out bowel cancer screening programs." Translational Behavioral Medicine. 10 (6), pp. 1515-1524. https://doi.org/10.1093/tbm/ibz096
Effectiveness of the spaced education pedagogy for clinicians’ continuing professional development: a systematic review
Phillips, Jane L, Heneka, Nicole, Bhattarai, Priyanka, Fraser, Claire and Shaw, Tim. 2019. "Effectiveness of the spaced education pedagogy for clinicians’ continuing professional development: a systematic review." Medical Education. 53 (9), pp. 886-902. https://doi.org/10.1111/medu.13895
Geographical variations in prostate cancer outcomes: a systematic review of international evidence
Dasgupta, Paramita, Baade, Peter, Aitken, Joanne, Ralph, Nicholas, Chambers, Suzanne Kathleen and Dunn, Jeff. 2019. "Geographical variations in prostate cancer outcomes: a systematic review of international evidence." Frontiers in Oncology. 9 (238), pp. 1-35. https://doi.org/10.3389/fonc.2019.00238
A novel framework for distress detection through an automated speech processing system
Rana, Rajib, Gururajan, Raj, Mackenzie, Geraldine, Dunn, Jeff, Gray, Anthony, Zhou, Xujuan, Barua, Prabal Datta, Epps, Julien and Humphris, Gerald Michael. 2018. "A novel framework for distress detection through an automated speech processing system." 2018 IEEE/WIC/ACM International Conference on Web Intelligence (WI 2018). Santiago, Chile 03 - 06 Dec 2018 Los Alamitos, CA, United States. https://doi.org/10.1109/WI.2018.00-29
Automated screening for distress: A perspective for the future
Rana, Rajib, Latif, Siddique, Gururajan, Raj, Gray, Anthony, Mackenzie, Geraldine, Humphris, Gerald and Dunn, Jeff. 2019. "Automated screening for distress: A perspective for the future." European Journal of Cancer Care. 28 (4). https://doi.org/10.1111/ecc.13033
Nurse-led supportive care intervention for men with advanced prostate cancer
Ralph, Nicholas, Chambers, Suzanne, Pomery, Amanda, Oliffe, John and Dunn, Jeff. 2019. "Nurse-led supportive care intervention for men with advanced prostate cancer." Oncology Nursing Forum. 46 (1), pp. 92-103. https://doi.org/10.1188/19.ONF.92-103
Clinicians’ perceptions of opioid error–contributing factors in inpatient palliative care services: A qualitative study
Heneka, Nicole, Bhattarai, Priyanka, Shaw, Tim, Rowett, Debra, Lapkin, Samuel and Phillips, Jane L.. 2019. "Clinicians’ perceptions of opioid error–contributing factors in inpatient palliative care services: A qualitative study." Palliative Medicine. 33 (4), pp. 430-444. https://doi.org/10.1177/0269216319832799
Geographic disparities in previously diagnosed health conditions in colorectal cancer patients are largely explained by age and area level disadvantage
Goodwin, Belinda C., March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Ng, Shu-Kay, Baade, Peter D., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographic disparities in previously diagnosed health conditions in colorectal cancer patients are largely explained by age and area level disadvantage." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00372
A phase III wait-listed randomised controlled trial of novel targeted interprofessional clinical education intervention to improve cancer patients’ reported pain outcomes (The Cancer Pain Assessment (CPAS) Trial): study protocol
Phillips, Jane L., Heneka, Nicole, Lovell, Melanie, Lam, Lawrence, Davidson, Patricia, Boyle, Frances, McCaffrey, Nikki, Fielding, Sally and Shaw, Tim. 2019. "A phase III wait-listed randomised controlled trial of novel targeted interprofessional clinical education intervention to improve cancer patients’ reported pain outcomes (The Cancer Pain Assessment (CPAS) Trial): study protocol." Trials. 20. https://doi.org/10.1186/s13063-018-3152-z
Health literacy and the health status of men with prostate cancer
Goodwin, Belinda C., March, Sonja, Zajdlewicz, Leah, Osborne, Richard H., Dunn, Jeff and Chambers, Suzanne K.. 2018. "Health literacy and the health status of men with prostate cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 27 (10), pp. 2374-2381. https://doi.org/10.1002/pon.4834
Interventions for prostate cancer survivorship: a systematic review of reviews
Crawford-Williams, Fiona, March, Sonja, Goodwin, Belinda C., Ralph, Nicholas, Galvao, Daniel A., Newton, Robert U., Chambers, Suzanne K. and Dunn, Jeff. 2018. "Interventions for prostate cancer survivorship: a systematic review of reviews." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 27 (10), pp. 2339-2348. https://doi.org/10.1002/pon.4888
Self-Perceived Pain Assessment Knowledge and Confidence (Self-PAC) Scale for Cancer and Palliative Care Nurses: A Preliminary Validation Study
Phillips, Jane L., Heneka, Nicole, Hickman, Louise and Lam, Lawrence. 2018. "Self-Perceived Pain Assessment Knowledge and Confidence (Self-PAC) Scale for Cancer and Palliative Care Nurses: A Preliminary Validation Study." Pain Management Nursing. 19 (6), pp. 619-626. https://doi.org/10.1016/j.pmn.2018.07.008
Clinicians’ perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report
Heneka, N., Shaw, T., Azzi, C. and Phillips, J. L.. 2018. "Clinicians’ perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report." Supportive Care in Cancer. 26 (10), pp. 3315-3318. https://doi.org/10.1007/s00520-018-4231-0
Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review
Crawford-Williams, Fiona, March, Sonja, Ireland, Michael J., Rowe, Arlen, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Geographical Variations in the Clinical Management of Colorectal Cancer in Australia: A Systematic Review." Frontiers in Oncology. 8, pp. 1-10. https://doi.org/10.3389/fonc.2018.00116
Exploring Factors Contributing to Medication Errors with Opioids in Australian Specialist Palliative Care Inpatient Services: A Multi-Incident Analysis
Heneka, Nicole, Shaw, Tim, Rowett, Debra, Lapkin, Samuel and Phillips, Jane L.. 2018. "Exploring Factors Contributing to Medication Errors with Opioids in Australian Specialist Palliative Care Inpatient Services: A Multi-Incident Analysis." Journal of Palliative Medicine. 21 (6), pp. 825-835. https://doi.org/10.1089/jpm.2017.0578
Opioid errors in inpatient palliative care services: a retrospective review
Heneka, Nicole, Shaw, Tim, Rowett, Debra, Lapkin, Samuel and Phillips, Jane L.. 2018. "Opioid errors in inpatient palliative care services: a retrospective review." BMJ Supportive and Palliative Care. 8 (2), pp. 175-179. https://doi.org/10.1136/bmjspcare-2017-001417
Cancer care in regional Australia from the health professional's perspective
Crawford-Williams, Fiona, Goodwin, Belinda, March, Sonja, Ireland, Michael J., Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Cancer care in regional Australia from the health professional's perspective." Supportive Care in Cancer. 26 (10), pp. 3507-3515. https://doi.org/10.1007/s00520-018-4218-x
Needy or resilient? how women with breast cancer think about peer support
Legg, Melissa, Occhipinti, Stefano, Youl, Philippa, Dunn, Jeff and Chambers, Suzanne K.. 2017. "Needy or resilient? how women with breast cancer think about peer support." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 26 (12), pp. 2307-2310. https://doi.org/10.1002/pon.4401
Identifying systems barriers that may prevent bereavement service access to bereaved carers: A report from an Australian specialist palliative care service
Phillips, Jane L., Lobb, Elizabeth, Mohacsi, Paula, Heneka, Nicole and Currow, David. 2018. "Identifying systems barriers that may prevent bereavement service access to bereaved carers: A report from an Australian specialist palliative care service." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 25 (1), pp. 39-43. https://doi.org/10.1016/j.colegn.2017.03.004
Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis
Sun, Jiandong, March, Sonja, Ireland, Michael J., Crawford-Williams, Fiona, Goodwin, Belinda, Hyde, Melissa K., Chambers, Suzanne K., Aitken, Joanne F. and Dunn, Jeff. 2018. "Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis." Australian and New Zealand Journal of Public Health. 42 (1), pp. 92-97. https://doi.org/10.1111/1753-6405.12722
A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia
Ireland, Michael J., March, Sonja, Crawford-Williams, Fiona, Cassimatis, Mandy, Aitken, Joanne F., Hyde, Melissa K., Chambers, Suzanne K., Sun, Jiandong and Dunn, Jeff. 2017. "A systematic review of geographical differences in management and outcomes for colorectal cancer in Australia." BMC Cancer. 17 (1). https://doi.org/10.1186/s12885-017-3067-1
Web-delivered cognitive behavioral therapy for distressed cancer patients: Randomized controlled trial
Chambers, Suzanne K, Ritterband, Lee M, Thorndike, Frances, Nielsen, Lisa, Aitken, Joanne F, Clutton, Samantha, Scuffham, Paul A, Youl, Philippa, Moreton, Bronwyn, Baade, Peter D and Dunn Jeff. 2018. "Web-delivered cognitive behavioral therapy for distressed cancer patients: Randomized controlled trial." Journal of Medical Internet Research. 20 (1). https://doi.org/10.2196/jmir.8850
Community knowledge of law at the end of life: Availability and accessibility of web-based resources
White, Ben, Willmott, Lindy, Tilse, Cheryl, Wilson, Jill, Lawson, Deborah, Pearce, Angela, Dunn Jeffrey, Aitken, Joanne F., Feeney, Rachel and Jowett, Stephanie. 2018. "Community knowledge of law at the end of life: Availability and accessibility of web-based resources." Australian Health Review. 42 (3), pp. 266-271. https://doi.org/10.1071/AH16234
2012 President’s Plenary International Psycho-oncology Society: future directions in psycho-oncology
Breitbart, W., Bultz, B. D., Dunn, J., Grassi, L. and Watson, M.. 2013. "2012 President’s Plenary International Psycho-oncology Society: future directions in psycho-oncology ." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 22 (7), pp. 1439-1443. https://doi.org/10.1002/pon.3332
When peer support may be most beneficial: the relationship between upward comparison and perceived threat
Legg, Melissa, Occhipinti, S., Ferguson, M., Dunn, J. and Chambers, S. K.. 2011. "When peer support may be most beneficial: the relationship between upward comparison and perceived threat." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 20 (12), pp. 1358-1362. https://doi.org/10.1002/pon.1862
Survivor identity after colorectal cancer: Antecedents, prevalence and outcomes
Chambers, Suzanne K., Baade, Peter, Meng, Xingqiong, Youl, Pip, Aitken, Joanne and Dunn, Jeff. 2012. "Survivor identity after colorectal cancer: Antecedents, prevalence and outcomes." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 21 (9), pp. 962-969. https://doi.org/10.1002/pon.1991
ProsCan for couples: a feasibility study for evaluating peer support within a controlled research design
Chambers, Suzanne K., Schover, Leslie, Halford, Kim, Ferguson, Megan, Gardiner, R. A., Occhipinti, Stefano and Dunn, Jeff. 2011. "ProsCan for couples: a feasibility study for evaluating peer support within a controlled research design." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 22 (2), pp. 475-479. https://doi.org/10.1002/pon.2110
Trajectories of psychological distress after colorectal cancer
Dunn, Jeff, Ng, Shu Kay, Holland, Jimmie, Aitken, Joanne, Youl, Pip, Baade, Peter D. and Chambers, Suzanne K.. 2013. "Trajectories of psychological distress after colorectal cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 22 (8), pp. 1759-1765. https://doi.org/10.1002/pon.3210
A randomized trial comparing two low-intensity psychological interventions for distressed patients with cancer and their caregivers
Chambers, Suzanne Kathleen, Girgis, Araf, Occhipinti, Stefano, Hutchison, Sandy, Turner, Jane, McDowell, Michelle, Mihalopoulos, Cathrine, Carter, Robert and Dunn, Jeffrey Charles. 2014. "A randomized trial comparing two low-intensity psychological interventions for distressed patients with cancer and their caregivers." Oncology Nursing Forum. 41 (4), pp. E256-E266. https://doi.org/10.1188/14.ONF.E256-E266
The validity of the distress thermometer in prostate cancer populations
Chambers, Suzanne K., Zajdlewicz, Leah, Youlden, Danny R., Holland, Jimmie C. and Dunn, Jeff. 2014. "The validity of the distress thermometer in prostate cancer populations." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 23 (2), pp. 195-203. https://doi.org/10.1002/pon.3391
A randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer and their female partners
Chambers, Suzanne K., Occhipinti, Stefano, Schover, Leslie, Nielsen, Lisa, Zajdlewicz, Leah, Clutton, Samantha, Halford, Kim, Gardiner, Robert A. and Dunn, Jeff. 2015. "A randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer and their female partners." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 24 (7), pp. 748-756. https://doi.org/10.1002/pon.3726
Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints
Chambers, Suzanne K., Baade, Peter, Youl, Philippa, Aitken, Joanne, Occhipinti, Stefano, Vinod, Shalini, Valery, Patricia C., Garvey, Gail, Fong, Kwun M., Ball, David, Zorbas, Helen, Dunn, Jeff and O'Connell, Dianne L.. 2015. "Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 24 (11), pp. 1569-1577. https://doi.org/10.1002/pon.3829
Economic evaluation of a psychological intervention for high distress cancer patients and carers: costs and quality-adjusted life years
Chatterton, Mary Lou, Chambers, Suzanne, Occhipinti, Stefano, Girgis, Afaf, Dunn, Jeffrey, Carter, Rob, Shih, Sophy and Mihalopoulos, Cathrine. 2016. "Economic evaluation of a psychological intervention for high distress cancer patients and carers: costs and quality-adjusted life years." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 25 (7), pp. 857-864. https://doi.org/10.1002/pon.4020
Systematic review of psychosocial outcomes for patients with advanced melanoma
Dunn, Jeff, Watson, Maggie, Aitken, Joanne F. and Hyde, Melissa K.. 2017. "Systematic review of psychosocial outcomes for patients with advanced melanoma." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 26 (11), pp. 1722-1731. https://doi.org/10.1002/pon.4290
Psycho-oncology and primary prevention in cancer control plans: an absent voice?
Dunn, Jeff, Holland, Jimmie, Hyde, Melissa K. and Watson, Maggie. 2015. "Psycho-oncology and primary prevention in cancer control plans: an absent voice?" Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 24 (10), pp. 1338-1345. https://doi.org/10.1002/pon.3917
The IPOS new international standard of quality cancer care: integrating the psychosocial domain into routine care
Holland, Jimmie, Watson, Maggie and Dunn, Jeff. 2011. "The IPOS new international standard of quality cancer care: integrating the psychosocial domain into routine care." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 20 (7), pp. 677-680. https://doi.org/10.1002/pon.1978
Reinforcing the role of psycho-social oncology in global cancer prevention: applying psycho-oncology research in programmes and practice
Dunn, Jeff, Adams, Cary, Holland, Jimmie and Watson, Maggie. 2015. "Reinforcing the role of psycho-social oncology in global cancer prevention: applying psycho-oncology research in programmes and practice." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 24 (10), pp. 1217-1221. https://doi.org/10.1002/pon.3923
Psycho-oncology and advocacy in cancer care: an international perspective
Travado, Luzia, Geissler, Jan, Thiboldeaux, Kim, Dunn, Jeff, Kaur, Ranjit and Merriman, Anne. 2012. "Psycho-oncology and advocacy in cancer care: an international perspective." Grassi, Luigi and Riba, Michelle (ed.) Clinical psycho-oncology: an international perspective. United Kingdom. John Wiley & Sons. pp. 297-310
Barriers to lung cancer care: health professionals’ perspectives
Dunn, J., Garvey, G., Valery, P. C., Ball, D., Fong, K. M., Vinod, S., O’Connell, D. L. and Chambers, S. K.. 2017. "Barriers to lung cancer care: health professionals’ perspectives." Supportive Care in Cancer. 25 (2), pp. 497-504. https://doi.org/10.1007/s00520-016-3428-3
Geographic disparities in prostate cancer outcomes - review of international patterns
Baade, Peter D., Yu, Xue Qin, Smith, David P., Dunn, Jeff and Chambers, Suzanne K.. 2015. "Geographic disparities in prostate cancer outcomes - review of international patterns." Asian Pacific Journal of Cancer Prevention (APJCP). 16 (3), pp. 1259-1275. https://doi.org/10.7314/APJCP.2015.16.3.1259
Global controversies and advances in skin cancer
Baldwin, Louise and Dunn, Jeff. 2013. "Global controversies and advances in skin cancer." Asian Pacific Journal of Cancer Prevention (APJCP). 14 (4), pp. 2153-2155. https://doi.org/10.7314/APJCP.2013.14.4.2155
I nuovi standard internazionali IPOS della qualità delle cure oncologiche: integrare l’ambito psicosociale nelle cure di routine
Holland, Jimmie, Watson, Maggie and Dunn, Jeff. 2015. "I nuovi standard internazionali IPOS della qualità delle cure oncologiche: integrare l’ambito psicosociale nelle cure di routine." Salute e Societa.
The impact of rurality and disadvantage on the diagnostic interval for breast cancer in a large population-based study of 3202 women in Queensland, Australia
Youl, Philippa H., Aitken, Joanne F., Turrell, Gavin, Chambers, Suzanne K., Dunn, Jeffrey, Pyke, Christopher and Baade, Peter D.. 2016. "The impact of rurality and disadvantage on the diagnostic interval for breast cancer in a large population-based study of 3202 women in Queensland, Australia." International Journal of Environmental Research and Public Health. 13 (11). https://doi.org/10.3390/ijerph13111156
Survivor identity and post-traumatic growth after participating in challenge-based peer-support programmes
Morris, Bronwyn A., Campbell, Meredith, Dwyer, Megan, Dunn, Jeffrey and Chambers, Suzanne K.. 2011. "Survivor identity and post-traumatic growth after participating in challenge-based peer-support programmes." British Journal of Health Psychology. 16 (3), pp. 660-674. https://doi.org/10.1348/2044-8287.002004
Psychological distress and unmet supportive care needs in cancer patients and carers who contact cancer helplines
Chambers, S. K., Girgis, A., Occhipinti, S., Hutchison, S., Turner, J., Morris, B. and Dunn, J.. 2012. "Psychological distress and unmet supportive care needs in cancer patients and carers who contact cancer helplines." European Journal of Cancer Care. 21 (2), pp. 213-223. https://doi.org/10.1111/j.1365-2354.2011.01288.x
Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment
Dunn, Jeff, Ng, Shu Kay, Breitbart, William, Aitken, Joanne, Youl, Pip, Baade, Peter D. and Chambers, Suzanne K.. 2013. "Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment." Health and Quality of Life Outcomes. 11 (1). https://doi.org/10.1186/1477-7525-11-46
A systematic review of psycho-oncology research in Chinese populations: emerging trends
Chambers, S. K., Hyde, M. K., Au, A. M. L., Ip, D., Shum, D. and Dunn, J.. 2013. "A systematic review of psycho-oncology research in Chinese populations: emerging trends." European Journal of Cancer Care. 22 (6), pp. 824-831. https://doi.org/10.1111/ecc.12087
Advancing prostate cancer survivorship research in Australia
Chambers, Suzanne K., Scuffham, Paul A., Baade, Peter D., Lowe, Anthony P., Dunn, Jeff, Galvao, Daniel A., Gordon, Louisa, Smith, David P., Sandoe, David F., Wootten, Addie C., Spry, Nigel A., Gardiner, Robert A., Davis, Ian D. and Newton, Robert U.. 2015. "Advancing prostate cancer survivorship research in Australia." Cancer Forum. 39 (3), pp. 204-209.
A systematic review of the impact of stigma and nihilism on lung cancer outcomes
Chambers, Suzanne K., Dunn, Jeffrey, Occhipinti, Stefano, Hughes, Suzanne, Baade, Peter, Sinclair, Sue, Aitken, Joanne, Youl, Pip and O'Connell, Dianne L.. 2012. "A systematic review of the impact of stigma and nihilism on lung cancer outcomes." BMC Cancer. 12 (184). https://doi.org/10.1186/1471-2407-12-184
Couple distress after localised prostate cancer
Chambers, Suzanne K., Schover, Leslie, Nielsen, Lisa, Halford, Kim, Clutton, Samantha, Gardiner, Robert A., Dunn, Jeff and Occhipinti, Stefano. 2013. "Couple distress after localised prostate cancer." Supportive Care in Cancer. 21 (11), pp. 2967-2976. https://doi.org/10.1007/s00520-013-1868-6
Sleep disturbance in cancer patients and caregivers who contact telephone-based help services
Morris, Bronwyn A., Thorndike, Frances P., Ritterband, Lee M., Glozier, Nick, Dunn, Jeff and Chambers, Suzanne K.. 2015. "Sleep disturbance in cancer patients and caregivers who contact telephone-based help services." Supportive Care in Cancer. 23 (4), pp. 1113-1120. https://doi.org/10.1007/s00520-014-2458-y
Satisfaction, organizational commitment and future action in charity sport event volunteers
Hyde, Melissa K., Dunn, Jeff, Wust, Natalie, Bax, Caitlin and Chambers, Suzanne K.. 2016. "Satisfaction, organizational commitment and future action in charity sport event volunteers." International Journal of Nonprofit and Voluntary Sector Marketing. 21 (3), pp. 148-167. https://doi.org/10.1002/nvsm.1552
Benefit finding after cancer: the role of optimism, intrusive thinking and social environment
Dunn, Jeff, Occhipinti, Stefano, Campbell, Alistair, Ferguson, Megan and Chambers, Suzanne K.. 2011. "Benefit finding after cancer: the role of optimism, intrusive thinking and social environment." Journal of Health Psychology. 16 (1), pp. 169-177. https://doi.org/10.1177/1359105310371555
The impact of body mass index and physical activity on mortality among patients with colorectal cancer in Queensland, Australia
Baade, Peter D., Meng, Xingqiong, Youl, Philippa H., Aitken, Joanne F., Dunn, Jeff and Chambers, Suzanne K.. 2011. "The impact of body mass index and physical activity on mortality among patients with colorectal cancer in Queensland, Australia." Cancer Epidemiology, Biomarkers and Prevention. 20 (7), pp. 1410-1420. https://doi.org/10.1158/1055-9965.EPI-11-0079
A multilevel investigation of inequalities in clinical and psychosocial outcomes for women after breast cancer
Youl, Philippa H., Baade, Peter D., Aitken, Joanne F., Chambers, Suzanne K., Turrell, Gavin, Pyke, Christopher and Dunn, Jeffrey. 2011. "A multilevel investigation of inequalities in clinical and psychosocial outcomes for women after breast cancer." BMC Cancer. 11. https://doi.org/10.1186/1471-2407-11-415
Motorcycles and breast cancer: the influence of peer support and challenge on distress and posttraumatic growth
Morris, B. A., Chambers, S. K., Campbell, M., Dwyer, M. and Dunn, J.. 2012. "Motorcycles and breast cancer: the influence of peer support and challenge on distress and posttraumatic growth." Supportive Care in Cancer. 20 (8), pp. 1849-1858. https://doi.org/10.1007/s00520-011-1287-5
Engaging NGOs in national cancer-control efforts
Dunn, Jeff, Herron, Lisa, Adams, Cary and Chambers, Suzanne. 2013. "Engaging NGOs in national cancer-control efforts." The Lancet Oncology. 14 (11), pp. 1044-1046. https://doi.org/10.1016/S1470-2045(13)70390-5
Defining young in the context of prostate cancer
Chambers, Suzanne K., Lowe, Anthony, Hyde, Melissa K., Zajdlewicz, Leah, Gardiner, Robert A., Sandoe, David and Dunn, Jeff. 2015. "Defining young in the context of prostate cancer." American Journal of Men's Health. 9 (2), pp. 103-114. https://doi.org/10.1177/1557988314529991
Integrating psychosocial care into neuro-oncology: challenges and strategies
Chambers, Suzanne K., Grassi, Luigi, Hyde, Melissa K., Holland, Jimmie and Dunn, Jeff. 2015. "Integrating psychosocial care into neuro-oncology: challenges and strategies." Frontiers in Oncology. 5 (February). https://doi.org/10.3389/fonc.2015.00041
Systematic review of motives for episodic volunteering
Dunn, Jeff, Chambers, Suzanne K. and Hyde, Melissa K.. 2016. "Systematic review of motives for episodic volunteering." Voluntas: International Journal of Voluntary and Nonprofit Organizations. 27 (1), pp. 425-464. https://doi.org/10.1007/s11266-015-9548-4
Medical help-seeking for sexual concerns in prostate cancer survivors
Hyde, Melissa K., Zajdlewicz, Leah, Wootten, Addie C., Nelson, Christian J., Lowe, Anthony, Dunn, Jeff and Chambers, Suzanne K.. 2016. "Medical help-seeking for sexual concerns in prostate cancer survivors." Sexual Medicine. 4 (1), pp. e7-e17. https://doi.org/10.1016/j.esxm.2015.12.004
Episodic volunteering and retention: an integrated theoretical approach
Hyde, Melissa K., Dunn, Jeff, Bax, Caitlin and Chambers, Suzanne K.. 2016. "Episodic volunteering and retention: an integrated theoretical approach." Nonprofit and Voluntary Sector Quarterly. 45 (1), pp. 45-63. https://doi.org/10.1177/0899764014558934
Adopting a survivor identity after cancer in a peer support context
Morris, Bronwyn A., Lepore, Stephen J., Wilson, Bridget, Lieberman, Morton A., Dunn, Jeff and Chambers, Suzanne K.. 2014. "Adopting a survivor identity after cancer in a peer support context." Journal of Cancer Survivorship. 8 (3), pp. 427-436. https://doi.org/10.1007/s11764-014-0355-5
The influence of high-intensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors: a randomised controlled trial
Devin, James L., Sax, Andrew T., Hughes, Gareth I., Jenkins, David G., Aitken, Joanne F., Chambers, Suzanne K., Dunn, Jeffrey C., Bolam, Kate A. and Skinner, Tina L.. 2016. "The influence of high-intensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors: a randomised controlled trial." Journal of Cancer Survivorship. 10 (3), pp. 467-479. https://doi.org/10.1007/s11764-015-0490-7
A five-year prospective study of quality of life after colorectal cancer
Chambers, Suzanne K., Meng, Xingqiong, Youl, Pip, Aitken, Joanne, Dunn, Jeff and Baade, Peter. 2012. "A five-year prospective study of quality of life after colorectal cancer." Quality of Life Research. 21 (9), pp. 1551-1564. https://doi.org/10.1007/s11136-011-0067-5
Systematic review of research into the psychological aspects of prostate cancer in Asia: what do we know?
Chambers, Suzanne Kathleen, Hyde, Melissa Karen, Ip, David Fu-Keung, Dunn, Jeffrey Charles and Gardiner, Robert Alexander. 2013. "Systematic review of research into the psychological aspects of prostate cancer in Asia: what do we know?" Asian Pacific Journal of Cancer Prevention (APJCP). 14 (4), pp. 2621-2626. https://doi.org/10.7314/APJCP.2013.14.4.2621
Measuring masculinity in the context of chronic disease
Chambers, Suzanne K., Hyde, Melissa K., Oliffe, John L., Zajdlewicz, Leah, Lowe, Anthony, Wootten, Addie C. and Dunn, Jeff. 2016. "Measuring masculinity in the context of chronic disease." Psychology of Men and Masculinity. 17 (3), pp. 228-242. https://doi.org/10.1037/men0000018
Psycho-oncology assessment in Chinese populations: a systematic review of quality of life and psychosocial measures
Hyde, M. K., Chambers, S. K., Shum, D., Ip, D. and Dunn, J.. 2016. "Psycho-oncology assessment in Chinese populations: a systematic review of quality of life and psychosocial measures." European Journal of Cancer Care. 25 (5), pp. 691-718. https://doi.org/10.1111/ecc.12367
'ScreenIT': computerised screening of swallowing nutrition and distress in head and neck cancer patients during (chemo)radiotherapy
Wall, Laurelie R., Cartmill, Bena, Ward, Elizabeth C., Hill, Anne J., Isenring, Elizabeth, Byrnes, Joshua, Chambers, Suzanne, Dunn, Jeff, Nixon, Jodie, Whelan, Jane and Porceddu, Sandro V.. 2016. "'ScreenIT': computerised screening of swallowing nutrition and distress in head and neck cancer patients during (chemo)radiotherapy." Oral Oncology. 54, pp. 47-53. https://doi.org/10.1016/j.oraloncology.2016.01.004
The multi-disciplinary art and science of cancer care: integrating psycho-oncology
Watson, Maggie and Dunn, Jeffrey. 2016. "The multi-disciplinary art and science of cancer care: integrating psycho-oncology." Future Oncology. 12 (24), pp. 2775-2778. https://doi.org/10.2217/fon-2016-0374
Psychological wellness and health-related stigma: a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer
Chambers, S. K., Morris, B. A., Clutton, S., Foley, E., Giles, L., Schofield, P., O'Connell, D. and Dunn, J.. 2015. "Psychological wellness and health-related stigma: a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer." European Journal of Cancer Care. 24 (1), pp. 60-70. https://doi.org/10.1111/ecc.12221
Epidemiology of prostate cancer in the Asia-Pacific region
Baade, Peter D., Youlden, Danny R., Cramb, Susanna M., Dunn, Jeff and Gardiner, Robert A.. 2013. "Epidemiology of prostate cancer in the Asia-Pacific region." Prostate International. 1 (2), pp. 47-58. https://doi.org/10.12954/PI.12014
Review of the history and development in the field of psychosocial oncology
Watson, Maggie, Dunn, Jeff and Holland, Jimmie C.. 2014. "Review of the history and development in the field of psychosocial oncology." International Review of Psychiatry. 26 (1), pp. 128-135. https://doi.org/10.3109/09540261.2013.849230
A longitudinal study of post-traumatic growth and psychological distress in colorectal cancer survivors
Occhipinti, Stefano, Chambers, Suzanne K., Lepore, Stephen, Aitken, Joanne and Dunn, Jeff. 2015. "A longitudinal study of post-traumatic growth and psychological distress in colorectal cancer survivors." PLoS One. 10 (9). https://doi.org/10.1371/journal.pone.0139119
Can A Complex Online Intervention Improve Cancer Nurses’ Pain Screening and Assessment Practices? Results from a Multicenter, Pre-post Test Pilot Study
Phillips, Jane L., Heneka, Nicole, Hickman, Louise, Lam, Lawrence and Shaw, Tim. 2017. "Can A Complex Online Intervention Improve Cancer Nurses’ Pain Screening and Assessment Practices? Results from a Multicenter, Pre-post Test Pilot Study." Pain Management Nursing. 18 (2), pp. 75-89. https://doi.org/10.1016/j.pmn.2017.01.003
New Challenges in Psycho-Oncology Research III: A systematic review of psychological interventions for prostate cancer survivors and their partners: clinical and research implications
Chambers, Suzanne K., Hyde, Melissa K., Smith, David P., Hughes, Suzanne, Yuill, Susan, Egger, Sam, O'Connell, Dianne L., Stein, Kevin, Frydenberg, Mark, Wittert, Gary and Dunn, Jeff. 2017. "New Challenges in Psycho-Oncology Research III: A systematic review of psychological interventions for prostate cancer survivors and their partners: clinical and research implications." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 26 (7), pp. 873-913. https://doi.org/10.1002/pon.4431
Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic review
Heneka, Nicole, Shaw, Tim, Rowett, Debra and Phillips, Jane L.. 2016. "Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic review." Palliative Medicine. 30 (6), pp. 520-532. https://doi.org/10.1177/0269216315615002
Identifying Opioid Medication Error Types, Incidence and Patient Impact in Adult Oncology and Palliative Care Settings: A Systematic Review
Heneka, Nicole, Phillips, Jane L., Rowett, D. and Shaw, Tim. 2015. "Identifying Opioid Medication Error Types, Incidence and Patient Impact in Adult Oncology and Palliative Care Settings: A Systematic Review." 42nd COSA Annual Scientific Meeting. Hobart, Australia 17 - 19 Nov 2015 United Kingdom.
Multi-Centre Pre-Post Test Trial of a Complex QStream (c) Pain Assessment Intervention on Cancer Nurses' Pain Screening and Assessment Practices
Phillips, Jane, Heneka, Nicole, Lam, Lawrence and Shaw, Tim. 2014. "Multi-Centre Pre-Post Test Trial of a Complex QStream (c) Pain Assessment Intervention on Cancer Nurses' Pain Screening and Assessment Practices." Asia Pacific Journal of Clinical Oncology. 10, pp. 206-206.
A Complex QStream (R) Pain Assessment Intervention on Cancer Nurses' Pain Screening and Assessment Practices: Results from a Quasi-Experimental Study
Phillips, Jane, Heneka, Nicole, Lam, Lawrence and Shaw, Tim. 2014. "A Complex QStream (R) Pain Assessment Intervention on Cancer Nurses' Pain Screening and Assessment Practices: Results from a Quasi-Experimental Study." Asia Pacific Journal of Clinical Oncology. 10, pp. 136-136.
Impact of a novel online learning module on specialist palliative care nurses’ pain assessment competencies and patients’ reports of pain: Results from a quasiexperimental pilot study
Phillips, Jane L., Heneka, Nicole, Hickman, Louise, Lam, Lawrence and Shaw, Tim. 2014. "Impact of a novel online learning module on specialist palliative care nurses’ pain assessment competencies and patients’ reports of pain: Results from a quasiexperimental pilot study." Palliative Medicine. 28 (6), pp. 521-529. https://doi.org/10.1177/0269216314527780
Exploring opiate errors in the specialist cancer and palliative care setting: perceptions of key stakeholders
Phillips, Jane, Heneka, Nicole and Shaw, Tim. 2013. "Exploring opiate errors in the specialist cancer and palliative care setting: perceptions of key stakeholders." COSA Annual Scientific Meeting 2013. Adelaide, Australia 12 - 14 Nov 2013 Australia.
Mapping cancer pain screening, assessment and reassessment practices within one Australian health district: results from a baseline chart audit
Phillips, Jane, Heneka, Nicole and Shaw, Tim. 2013. "Mapping cancer pain screening, assessment and reassessment practices within one Australian health district: results from a baseline chart audit." COSA Annual Scientific Meeting 2013. Adelaide, Australia 12 - 14 Nov 2013 Australia.
Impact of a Qstream Online Learning Module on Palliative Care Nurses’ Pain Assessment Competencies and Patients’ Reports of Pain: Results from a Quasi-Experimental Pilot Study
Phillips, Jane, Heneka, Nicole, Hickman, Louise, Lam, Lawrence and Shaw, Tim. 2013. "Impact of a Qstream Online Learning Module on Palliative Care Nurses’ Pain Assessment Competencies and Patients’ Reports of Pain: Results from a Quasi-Experimental Pilot Study." COSA Annual Scientific Meeting 2013. Adelaide, Australia 12 - 14 Nov 2013 Australia.