scholarly journals Developing a Nurse-Led Intervention for Men With Advanced Prostate Cancer: A Preimplementation Study

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 223s-223s
Author(s):  
N. Ralph ◽  
S. Chambers ◽  
A. Pomery ◽  
J. Dunn

Background: Men with advanced prostate cancer can experience poor life quality and health outcomes compared with men with localized disease. Closely matching men's needs and identifying barriers and facilitators to implementation were critical first steps for ensuring the feasibility of our nurse-led telephone-based supportive care intervention for men with advanced prostate cancer. Aim: The aim of this study is to understand the context for implementing ProsCare from PCSNs, and in doing so, further develop the intervention and implementation strategy. Methods: A total of 30 Prostate Cancer Specialist Nurses (PCSNs) participated in 4 semistructured focus groups. Data were coded into the Consolidated Framework for Implementation Research (CFIR) to evaluate the ProsCare program content and guide the implementation and evaluation of this targeted program for men with advanced prostate cancer. Results: Participants validated ProsCare components of (1) decision support; (2) treatment education with self-management and skills training for symptom effects, including exercise prescription; (3) routine screening for psychological distress with referral; (4) psycho-education with tailored distress management strategies; and (5) communicating with health professionals. Data supported a revised treatment schedule and a comprehensive implementation plan including professional education and centralised administration. Conclusion: ProsCare is a valid supportive care nurse-led intervention. The CFIR framework is useful for the structured identification of implementation factors.

2020 ◽  
Vol 47 (1) ◽  
pp. 33-43
Author(s):  
Nicholas Ralph ◽  
Suzanne Chambers ◽  
Kirstyn Laurie ◽  
John Oliffe ◽  
Mark Lazenby ◽  
...  

2011 ◽  
Vol 38 (2) ◽  
pp. 189-198 ◽  
Author(s):  
Nancy Carter ◽  
Denise Bryant-Lukosius ◽  
Alba DiCenso ◽  
Jennifer Blythe ◽  
Alan J. Neville

2021 ◽  
pp. 412-429
Author(s):  
Alejandra Calvo-Schimmel ◽  
Suparna Qanungo ◽  
Susan Newman ◽  
Katherine Sterba

Background: Supportive care interventions can improve quality of life and health outcomes of advanced prostate cancer survivors. Despite the high prevalence of unmet needs, supportive care for this population is sparse. Methods: The databases PubMed, SCOPUS, CINAHL, and ProQuest were searched for relevant articles. Data were extracted, organized by thematic matrix, and categorized according to the seven domains of the Supportive Care Framework for Cancer Care. Results: The search yielded 1678 articles, of which 18 were included in the review and critically appraised. Most studies were cross-sectional with small, non-diverse samples. Supportive care interventions reported for advanced prostate cancer survivors are limited with some positive trends. Most outcomes were symptom-focused and patient self-reported (e.g., anxiety, pain, self-efficacy) evaluated by questionnaires or interview. Interventions delivered in group format reported improvements in more outcomes. Conclusions: Additional supportive care intervention are needed for men with advanced prostate cancer. Because of their crucial position in caring for cancer patients, nurse scientists and clinicians must partner to research and develop patient-centered, culturally relevant supportive care interventions that improve this population’s quality of life and health outcomes. Efforts must concentrate on sampling, domains of needs, theoretical framework, guidelines, and measurement instruments.


BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019917 ◽  
Author(s):  
Suzanne K Chambers ◽  
Melissa K Hyde ◽  
Kirstyn Laurie ◽  
Melissa Legg ◽  
Mark Frydenberg ◽  
...  

ObjectiveTo explore men’s lived experience of advanced prostate cancer (PCa) and preferences for support.DesignCross-sectional qualitative study applying open-ended surveys and interviews conducted between June and November 2016. Interviews audio-recorded and transcribed verbatim and analysed from an interpretive phenomenological perspective.SettingAustralia, nation-wide.Participants39 men diagnosed with advanced PCa (metastatic or castration-resistant biochemical progression) were surveyed with 28 men subsequently completing a semistructured in depth telephone interview.ResultsThematic analysis of interviews identified two organising themes: lived experience and supportive care. Lived experience included six superordinate themes: regret about late diagnosis and treatment decisions, being discounted in the health system, fear/uncertainty about the future, acceptance of their situation, masculinity and treatment effects. Supportive care included five superordinate themes: communication, care coordination, accessible care, shared experience/peer support and involvement of their partner/family.ConclusionsLife course and the health and social context of PCa influence men’s experiences of advanced disease. Multimodal interventions integrating peer support and specialist nurses are needed that more closely articulate with men’s expressed needs.


2010 ◽  
Vol 20 (4) ◽  
pp. 166-170 ◽  
Author(s):  
Nancy Carter ◽  
Denise Bryant-Lukosius ◽  
Alba DiCenso ◽  
Jennifer Blythe ◽  
Alan J. Neville

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