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Title: Provision of survivorship care for patients with haematological malignancy at completion of treatment: A cancer nursing practice survey study.
Austin Authors: Wallace, Ann;Downs, Erin;Gates, Priscilla ;Thomas, Alison;Yates, Patsy;Chan, Raymond Javan
Affiliation: Cancer Care Services, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia
Olivia Newton-John Cancer and Wellness Centre, Austin Health, Heidelberg, Victoria, Australia
School of Nursing, Queensland University of Technology, Kelvin Grove, Queensland, Australia
Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia
Department of Research and Innovation, West Moreton Hospital and Health Services, Queensland, Australia
Issue Date: 2015
Date: 2015-03-18
Publication information: European Journal of Oncology Nursing 2015; 19(5): 516-522
Abstract: Many haematological cancer survivors report long-term physiological and psychosocial effects, which persist far beyond treatment completion. Cancer services have been required to extend care to the post-treatment phase to implement survivorship care strategies into routine practice. As key members of the multidisciplinary team, cancer nurses' perspectives are essential to inform future developments in survivorship care provision.This is a pilot survey study, involving 119 nurses caring for patients with haematological malignancy in an Australian tertiary cancer care centre. The participants completed an investigator developed survey designed to assess cancer care nurses' perspectives on their attitudes, confidence levels, and practice in relation to post-treatment survivorship care for patients with a haematological malignancy.Overall, the majority of participants agreed that all of the survivorship interventions included in the survey should be within the scope of the nursing role. Nurses reported being least confident in discussing fertility and employment/financial issues with patients and conducting psychosocial distress screening. The interventions performed least often included, discussing fertility, intimacy and sexuality issues and communicating survivorship care with the patient's primary health care providers. Nurses identified lack of time, limited educational resources, lack of dedicated end-of-treatment consultation and insufficient skills/knowledge as the key barriers to survivorship care provision.Cancer centres should implement an appropriate model of survivorship care and provide improved training and educational resources for nurses to enable them to deliver quality survivorship care and meet the needs of haematological cancer survivors.
Gov't Doc #: 25795159
DOI: 10.1016/j.ejon.2015.02.012
Journal: European Journal of Oncology Nursing
Type: Journal Article
Subjects: Cancer survivor
Haematological cancer
Oncology nurses
Physiological effects
Psychosocial effects
Survivorship care
Survivorship care model
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