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Patients’ and healthcare professionals’ views on a pre‐ and post‐operative rehabilitation programme (SOLACE) for lung cancer: A qualitative study

Patients’ and healthcare professionals’ views on a pre‐ and post‐operative rehabilitation programme (SOLACE) for lung cancer: A qualitative study
Patients’ and healthcare professionals’ views on a pre‐ and post‐operative rehabilitation programme (SOLACE) for lung cancer: A qualitative study

Aims and objectives: To explore patients’ and healthcare professionals’ views and experiences of a pre- and post-operative rehabilitation intervention (SOLACE), for patients undergoing surgery for early-stage lung cancer. Background: Considerable post-operative complications can occur after surgery. A specialist lung cancer service (SOLACE) was developed to optimise health and fitness levels prior to and following lung cancer resections, as well as reducing morbidity and mortality, and improving the physical and psychological well-being of patients. Design: The design was an exploratory, descriptive qualitative interview study. Methods: Seventeen lung cancer patients and eight healthcare professionals were recruited from a large teaching hospital in South England. Data were collected through semi-structured telephone and face-to-face interviews. Transcribed interview data were analysed thematically. The COREQ checklist was used to report on the study process. Results: The SOLACE service was positively perceived by patients and healthcare professionals. Patients valued the provision of tailored support/advice and peer support and reported benefits to their health and well-being. Barriers to patient uptake of the classes included time constraints, motivation and access for patients who lived at a distance. Conclusions: There is benefit in providing a personalised approach through a pre- and post-operative rehabilitation service for lung cancer patients. Virtual support may address equality of access to service for those who live at a distance from the hospital. Relevance to clinical practice: Introduction of a pre- and post-operative rehabilitation service provided by specialist peri-operative rehabilitation nurses and practitioners can yield positive outcomes for patients undergoing surgical treatment of early-stage lung cancer. Engagement of key healthcare professionals, consideration of virtual follow-up services and making patients aware of services could maximise patient uptake. Further consideration is needed of the best way to promote patient self-management and long-term continuation of patient rehabilitation in the community.

lung cancer, patient experience, pre-habilitation, qualitative, rehabilitation, surgery
0962-1067
283-293
Collaço, Nicole
d7a41227-8aa4-4bbb-a380-980824736945
Henshall, Catherine
53a7e711-4fb4-4c88-bc02-80abc38a261e
Belcher, Elizabeth
d772697d-ab03-4a3b-b69b-709366399c72
Canavan, Jane
04d6f776-c9d6-457d-91ea-ad33c6207799
Merriman, Charlotte
62c648db-4a2e-40b0-aacf-7a832872047e
Mitchell, Jenny
631e1cb1-9f4c-4bff-adfb-5bb75311497d
Watson, Eila
d295228d-d534-4c35-844f-ca8471c169c0
Collaço, Nicole
d7a41227-8aa4-4bbb-a380-980824736945
Henshall, Catherine
53a7e711-4fb4-4c88-bc02-80abc38a261e
Belcher, Elizabeth
d772697d-ab03-4a3b-b69b-709366399c72
Canavan, Jane
04d6f776-c9d6-457d-91ea-ad33c6207799
Merriman, Charlotte
62c648db-4a2e-40b0-aacf-7a832872047e
Mitchell, Jenny
631e1cb1-9f4c-4bff-adfb-5bb75311497d
Watson, Eila
d295228d-d534-4c35-844f-ca8471c169c0

Collaço, Nicole, Henshall, Catherine, Belcher, Elizabeth, Canavan, Jane, Merriman, Charlotte, Mitchell, Jenny and Watson, Eila (2022) Patients’ and healthcare professionals’ views on a pre‐ and post‐operative rehabilitation programme (SOLACE) for lung cancer: A qualitative study. Journal of Clinical Nursing, 31 (1-2), 283-293. (doi:10.1111/jocn.15907).

Record type: Article

Abstract

Aims and objectives: To explore patients’ and healthcare professionals’ views and experiences of a pre- and post-operative rehabilitation intervention (SOLACE), for patients undergoing surgery for early-stage lung cancer. Background: Considerable post-operative complications can occur after surgery. A specialist lung cancer service (SOLACE) was developed to optimise health and fitness levels prior to and following lung cancer resections, as well as reducing morbidity and mortality, and improving the physical and psychological well-being of patients. Design: The design was an exploratory, descriptive qualitative interview study. Methods: Seventeen lung cancer patients and eight healthcare professionals were recruited from a large teaching hospital in South England. Data were collected through semi-structured telephone and face-to-face interviews. Transcribed interview data were analysed thematically. The COREQ checklist was used to report on the study process. Results: The SOLACE service was positively perceived by patients and healthcare professionals. Patients valued the provision of tailored support/advice and peer support and reported benefits to their health and well-being. Barriers to patient uptake of the classes included time constraints, motivation and access for patients who lived at a distance. Conclusions: There is benefit in providing a personalised approach through a pre- and post-operative rehabilitation service for lung cancer patients. Virtual support may address equality of access to service for those who live at a distance from the hospital. Relevance to clinical practice: Introduction of a pre- and post-operative rehabilitation service provided by specialist peri-operative rehabilitation nurses and practitioners can yield positive outcomes for patients undergoing surgical treatment of early-stage lung cancer. Engagement of key healthcare professionals, consideration of virtual follow-up services and making patients aware of services could maximise patient uptake. Further consideration is needed of the best way to promote patient self-management and long-term continuation of patient rehabilitation in the community.

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Patients' and healthcare professionals' views - Accepted Manuscript
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Accepted/In Press date: 17 May 2021
e-pub ahead of print date: 10 June 2021
Published date: January 2022
Additional Information: Funding Information: This work is funded by Macmillan Cancer Support We would like to thank Macmillan Cancer Support for funding this study. Catherine Henshall is a National Institute for Health Research (NIHR) Senior Nurse and Midwife Research Leader and is also supported by the NIHR Oxford cognitive health Clinical Research Facility. The views expressed are those of the authors and not necessarily those of the NIHR, UK National Health Service or the UK Department of Health and Social Care. Funding Information: This work is funded by Macmillan Cancer Support Publisher Copyright: © 2021 John Wiley & Sons Ltd.
Keywords: lung cancer, patient experience, pre-habilitation, qualitative, rehabilitation, surgery

Identifiers

Local EPrints ID: 450050
URI: http://eprints.soton.ac.uk/id/eprint/450050
ISSN: 0962-1067
PURE UUID: 52d62d7b-7971-4f95-aa9e-a9d3fa444917
ORCID for Nicole Collaço: ORCID iD orcid.org/0000-0003-1398-9105

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Date deposited: 07 Jul 2021 16:30
Last modified: 25 Nov 2022 05:01

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Contributors

Author: Nicole Collaço ORCID iD
Author: Catherine Henshall
Author: Elizabeth Belcher
Author: Jane Canavan
Author: Charlotte Merriman
Author: Jenny Mitchell
Author: Eila Watson

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