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.