Predictors of Survivorship Care Plan Delivery among Professional Nurses in Provincial Cancer Center
Keywords:
cancer survivors, confdence in care delivery, perceived responsibility, professional nurses, survivorship care plansAbstract
Abstract:
Objective: To study predictors of survivorship care plans (SCPs) delivery among professional
nurses in a provincial cancer center in central region of Thailand.
Design: Predictive correlational research
Methodology: A sample was 94 professional nurses who had delivered SCPs to cancer survivors.
Data were collected using perceived responsibility to survivorship care, confdence in survivorship
care delivery, perceived barrier for optimal survivorship care, and SCPs delivery questionnaires
developed by researcher from collaborative projects between countries in Asia-Pacifc regions “The
STEP Study”. A statistical analysis was conducted using Stepwise Linear Regression.
Results: Professional nurses providing cancer survivors care had average age of 36.53 years
(SD = 5.14) with average working experience of 12.20 years (SD = 5.62). Most of them graduated
with bachelor degree (89%) and recieved oncology specialty training (75%). Findings revealed a
high perceived responsibility to survivorship care (Mean = 116.08, SD = 15.97), moderate
confdence in delivery service (Mean = 178.75, SD = 44.85), moderate perceived barrier for
optimal survivorship care (Mean = 35.85, SD = 8.72), and moderate frequency of providing
survivorship care concerning SCPs delivery (Mean = 76.30, SD = 17.17). The higher the perceived
responsibility to survivorship care and confdence in delivery service are, the more frequency of
providing survivorship care by professional nurses is (r =.520, r =.679, p < .05). Nurses with
higher educational level were more likely to have more perception of responsibility to survivorship
care (r = .238, p <.05). Only the perception of responsibility to survivorship care and confdence in
delivery service could jointly explained the varience of the frequency of providing survivorship care
concerning SCPs delivery for 48.9% (R2 = .489, F = 5.084, β = .565, .204, p < .05)
Recommendations: The perception of responsibility to survivorship care and confdence in
delivery service should be promoted among professional nurses. Especially, the oncology specialty
training should be offered in order to enhance the competency in cancer survivorship care delivery
for comprehensive service.
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References
1. Sankaranarayanan R, Ramadas K, Qiao YL.Managing the changing burden of cancer in Asia.
BMC Med 2014;12(3):2-17.
2. National Cancer Institute. Hospital-based cancer registry annual report 2016. Bangkok: Pornsup Printing; 2018. (in Thai)
3. Brennan ME, Gormally JF, Butow P, Boyle FM, Spillane, AJ. Survivorship care plans in cancer: a
systematic review of care plan outcomes. Br J Cancer 2014;111(10):1899-908.
4. Hewitt M, Greenfeld S, Stovall E. From cancer patient to cancer survivor: lost in transition. Washington,D.C.: The National Academies Press, 2005.
5.Powel LL, Seibert SM. Cancer survivorship,models, and care plans a status update. Nurs Clin N Am 2017;52:193–209.
6. Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Safety Health Care 2005;14:26-33.
7. Thailand Nursing and Midwifery Council. Oncology specialty training curriculum. Retrieved January 12,2018. From https://www.tnmc.or.th/news/84.(in Thai)
8. Thongteratham N, Pongthavornkamol K, Olson K, RatanawichitrasinA,NityasuddhiD,Wattanakitkrilert D. Effectiveness of Tai Chi Qi Qong program for Thai women with breast cancer: a randomized control trial. Pacifc Rim Int J Nurs Res 2015;19(4):280-94.145
9. Boekhout AH, Maunsell E, Pond GR, Julian JA, Coyle D, Levine MN. A survivorship care plan for breast cancer survivors: extended results of a randomized clinical trial. J Cancer Surviv 2015;9:683–91.
10.MolassiotisA,YatesP,LiQ,SoW,Pongthavornkamol K, Pittayapan P, et al. Mapping unmet supportive care needs, quality of life perceptions and current symptoms in cancer survivors across the AsiaPacifc region: results from the international STEP study. Ann Oncol 2017;28:2552–8.
11.Huibertse LJ, Eenbergen M, Rooij BH, Bastiaens MT,FossionLM,FuenteRB,etal.Cancersurvivors’ preference for follow-up care providers: a crosssectional study from the population-based PROFILES-registry. Acta Oncol 2017;56(2):278-87.
12.Pongthavornkamol K, Lekdamrongkul P,Siritanaratkul N, Siripoon S. Relationships between patient’s preference for participation in care, gender, age, symptom burden, and perceived quality of care of hematological cancer patients during hospitalization. J Nurs Sci 2016;34(2):45-57. (in Thai)
13.Jacobsen PB, DeRosa AP, Henderson TO, Mayer DK, Moskowitz CS, Paskett ED, Rowland JH. Systematicreviewoftheimpactofcancersurvivorship care plans on health outcomes and health care delivery. J Clin Oncol 2018;36(20):2088-100.
14.Kianne NA, Wiley G, Nolte L, Piper A, Evans J, Jefford M. Transforming cancer survivorship careanAustralianexperience.CancerNurs2016;39:S25.
15.McCabe M, Bhatia S, Oeffnger K, Reaman G, Tyne C, Wollins D, et al. American Society of Clinical Oncology statement: achieving high-quality cancer survivorship care. J Clin Oncol 2013;31:631-40.
16.Chan RJ, Yates P, Li Q, Komatsu H, Lopez V, Thandar M, etal. Health care providers’ perspectives patterns of post-treatment cancer survivorship care in the Asia-Pacifc region: results from the STEP study. BMC Cancer 2017;17(715):1-10.
17.Almatar, A., Richter, S., Lalani, N., Bender, J.L., Wiljer, D., Alkazaz, N., et al. Practice patterns and perceptions of survivorship care in Canadian genitourinary oncology: a multidisciplinary perspective. Can Urol Assoc J 2014;8(11-
12):409-17.
18.ChanR,WallaceA,DownsE,LangbeckerD,Ekberg S, Gates P, et al. Cancer nurses’ provision of survivorship care for patients with haematological malignancy. Support Care Cancer 2016;24:S221-8.
19.Wallace A, Downs E, Gates P, Thomas A, Yates P, Chan RJ. Provision of survivorship care for patients with haematological malignancy at completion of treatment: a cancer nursing practice survey study. Eur J Oncol Nurs 2015;19:516-22.
20.Dulko D, Pace CM, Dittus KL, Sprague BL, Pollack LA, Hawkins NA, et al. Barriers and facilitators to implementing cancer survivorship care plans. Oncol Nurs Forum 2013;40:575–80.
21.Langbecker D, Ekberg S, Yates P, Chan A, Chan RJ. What are the barriers of quality survivorship care for haematologycancer patients?Qualitativeinsights from cancer nurses. J Cancer Surviv 2016;10(1): 122-30.
22.Ng T, Toh MR, Cheung YT, Chan A. Follow-up care practices and barriers to breast cancer survivorship: perspectives from Asian health care providers. Support Care Cancer 2015;23(11):3193-200.146
23.EconomouD,RebA.Communicationconcernswhen transitioning to cancer survivorship care. Semin Oncol Nurs 2017;33(5):526-35.
24.Brunet J, Wurz A, O’Rielly C, Howell D, Bélanger M, Sussman J. The effectiveness of health care provider physical activity recommendations in cancer survivors: a systematic review and meta-analysis protocol. Syst Rev 2017;6(1):1-6.
25.Tomasone JR, Brouwers MC, Vukmirovic M, Grunfeld E, O’Brien MA, Urquhart R, et al. Interventions to improve care coordination between primary healthcare and oncology care providers: a systematic review. ESMO Open 2016;1(5):e000077-89.