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Role of the nurse in the design, delivery, monitoring and coordination of cancer survivorship care plans: an integrative review

Role of the nurse in the design, delivery, monitoring and coordination of cancer survivorship care plans: an integrative review
Role of the nurse in the design, delivery, monitoring and coordination of cancer survivorship care plans: an integrative review
Aim: survivorship care plans (SCPs) are recommended as a tool for the care of cancer survivors. SCPs have been implemented with a multidisciplinary approach; however, the specific role of nurses in the SCP is unknown. Our aim is to determine the role of nurses and their degree of participation in cancer SCPs.

Design: integrative review of the literature with systematic methodology.

Data sources: PubMed, CINAHL, PsycINFO, Web of Science, Cochrane and Cancerlit databases were reviewed. Articles published up to March 2021 were included.

Review method: of the 2,638 publications identified, 22 studies met our inclusion criteria. Quality of included studies was assessed using Joanna Briggs Institute quality assessment tools.

Results: the studies showed that nurses play a key role and participate in different phases of the SCP, including design, delivery, monitoring and coordination among different levels of care, with varying degrees of involvement and responsibility; design and delivery of the SCP are the phases with the highest nurse participation (18 out of 22 studies). The majority of SCPs are implemented in specialized, hospital-based care and focus on short-term cancer survivors, who are actively undergoing oncological treatments.

Conclusion: this review shows that nurses actively participate in the design, implementation and coordination of SCPs. However, SCPs focus on the acute survival and treatment phases, and there is a gap in their use in long-term cancer survivorship. This gap may be one reason the needs of long-term cancer survivors are not covered.

Impact: this review contributes to the current body of knowledge by addressing the role of nurses in cancer SCPs. We recommend the involvement of an advanced practice nurse as SCP coordinator to improve communication between cancer specialists and primary care providers and to promote continued care throughout the different phases of cancer survivorship, including long-term survival.
care plan, nurse, oncology, participation, role, survivorship
0309-2402
48-62
Elizondo Rodriguez, Nerea
6edcad16-9847-45da-84e2-63937d8e3aec
Ambrosio Gutierrez, Leire
0a21749c-3817-49de-bf15-0ea9233ecc5c
La Rosa-Salas, Virginia
21dfe034-73c3-427f-84d8-8ab2446d4b8d
Domingo-Osle, Marta
5e478fe7-07c0-4d43-ac25-4a1e455e2898
Garcia-Vivar, Cristina
f0cb100e-979e-4862-9715-f67ef39ecad8
Elizondo Rodriguez, Nerea
6edcad16-9847-45da-84e2-63937d8e3aec
Ambrosio Gutierrez, Leire
0a21749c-3817-49de-bf15-0ea9233ecc5c
La Rosa-Salas, Virginia
21dfe034-73c3-427f-84d8-8ab2446d4b8d
Domingo-Osle, Marta
5e478fe7-07c0-4d43-ac25-4a1e455e2898
Garcia-Vivar, Cristina
f0cb100e-979e-4862-9715-f67ef39ecad8

Elizondo Rodriguez, Nerea, Ambrosio Gutierrez, Leire, La Rosa-Salas, Virginia, Domingo-Osle, Marta and Garcia-Vivar, Cristina (2022) Role of the nurse in the design, delivery, monitoring and coordination of cancer survivorship care plans: an integrative review. Journal of Advanced Nursing, 78 (1), 48-62. (doi:10.1111/jan.14962).

Record type: Review

Abstract

Aim: survivorship care plans (SCPs) are recommended as a tool for the care of cancer survivors. SCPs have been implemented with a multidisciplinary approach; however, the specific role of nurses in the SCP is unknown. Our aim is to determine the role of nurses and their degree of participation in cancer SCPs.

Design: integrative review of the literature with systematic methodology.

Data sources: PubMed, CINAHL, PsycINFO, Web of Science, Cochrane and Cancerlit databases were reviewed. Articles published up to March 2021 were included.

Review method: of the 2,638 publications identified, 22 studies met our inclusion criteria. Quality of included studies was assessed using Joanna Briggs Institute quality assessment tools.

Results: the studies showed that nurses play a key role and participate in different phases of the SCP, including design, delivery, monitoring and coordination among different levels of care, with varying degrees of involvement and responsibility; design and delivery of the SCP are the phases with the highest nurse participation (18 out of 22 studies). The majority of SCPs are implemented in specialized, hospital-based care and focus on short-term cancer survivors, who are actively undergoing oncological treatments.

Conclusion: this review shows that nurses actively participate in the design, implementation and coordination of SCPs. However, SCPs focus on the acute survival and treatment phases, and there is a gap in their use in long-term cancer survivorship. This gap may be one reason the needs of long-term cancer survivors are not covered.

Impact: this review contributes to the current body of knowledge by addressing the role of nurses in cancer SCPs. We recommend the involvement of an advanced practice nurse as SCP coordinator to improve communication between cancer specialists and primary care providers and to promote continued care throughout the different phases of cancer survivorship, including long-term survival.

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Accepted/In Press date: 8 May 2021
e-pub ahead of print date: 7 July 2021
Published date: January 2022
Additional Information: Funding Information: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. The authors thank the American Journal Experts (AJE) for translating and editing the document. Publisher Copyright: © 2021 John Wiley & Sons Ltd
Keywords: care plan, nurse, oncology, participation, role, survivorship

Identifiers

Local EPrints ID: 450128
URI: http://eprints.soton.ac.uk/id/eprint/450128
ISSN: 0309-2402
PURE UUID: cd83778d-b683-4c25-89a9-ae3d7d2ca3f3

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Date deposited: 12 Jul 2021 16:32
Last modified: 25 Nov 2022 05:01

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Contributors

Author: Nerea Elizondo Rodriguez
Author: Leire Ambrosio Gutierrez
Author: Virginia La Rosa-Salas
Author: Marta Domingo-Osle
Author: Cristina Garcia-Vivar

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