Increasing the visibility of patient fatigue.
OBJECTIVES: To describe the process used by our cancer center to assess staff knowledge and attitudes about cancer-related fatigue, and to change clinical practice of fatigue assessment and management. DATA SOURCES: Review articles, research studies, guidelines, and questionnaires. CONCLUSIONS: Change in clinical practice occurs slowly. One major change that occurred was the inclusion of a fatigue question in the Daily Patient Care Record. This inclusion signified a commitment by the institution to address this under-reported and under-treated symptom. IMPLICATIONS FOR NURSING PRACTICE: Professionals challenged to pursue practice change must be passionate, persistent, and patient. A multidisciplinary effort is needed to support change.