title: Increasing the visibility of patient fatigue.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Professionals challenged to pursue practice change must be passionate, persistent, and patient. A multidisciplinary effort is needed to support change.
authors.affiliation: Department of Nursing Research and Education, City of Hope National Cancer Center, 1500 E. Duarte Road, Duarte, CA 91010, USA.
authors.forename: Grace E
authors.initials: GE
authors.lastname: Dean
authors.forename: Cindy
authors.initials: C
authors.lastname: Stahl
mesh_terms: D002173:Cancer Care Facilities; D019317:Evidence-Based Medicine; D005221:Fatigue / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000150:complications / Q000451:nursing / Q000628:therapy; D009859:Oncology Nursing / Q000193:education / Q000458:organization & administration / Q000639:trends; D011795:Surveys and Questionnaires