Nurse-Led Supportive Care Intervention for Men With Advanced Prostate Cancer: Healthcare Professionals' Perspectives

Ralph, Nicholas; Chambers, Suzanne K.; Laurie, Kirstyn; Oliffe, John L.; Lazenby, Mark; Dunn, Jeff

doi:10.1188/20.onf.33-43

Cited by 10 publications

(70 citation statements)

References 37 publications

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“…Of great concern, men identified physical and psychosocial burdens that included decisional uncertainty, feeling discounted, financial distress, a loss of masculinity, and a lack of information and access to services. The persistence of these problems despite decades of both descriptive and intervention research for men with prostate cancer speaks to a lack of translation of research into practice that is greatly concerning . Participants identified four prostate cancer survivorship priorities to guide health care planning and delivery: (a) delivering person and men‐centred care, (b) improving communication by health professionals, (c) improving care coordination and (d) facilitating access to care.…”

Section: Discussionmentioning

confidence: 99%

Contemporary consumer perspectives on prostate cancer survivorship: Fifty voices

et al. 2020

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Objective To describe contemporary consumer experiences and priorities of prostate cancer survivorship to inform the development of survivorship guidelines. Method In a cross‐sectional qualitative design, semi‐structured interviews were undertaken with fifty prostate cancer support group leaders (50% response) across urban and rural/regional Australia. An interpretative phenomenological approach was used to identify participants' experiences and priorities of survivorship. Results Three themes were identified for informing the development of prostate cancer survivorship guidelines: (a) the Experience of Diagnosis and Treatment, (b) Priorities for Survivorship and (c) Mechanisms for Support. Four priorities for prostate cancer survivorship were: delivering person and men‐centred care; improving communication; improving care coordination; and facilitating access to care. Mechanisms for support were as follows: advocacy; peer support; prostate cancer specialist nurses; and communication training for health professionals. Conclusions The lack of progress in changing prostate cancer survivorship outcomes for men will become increasingly problematic as this patient population group grows. Co‐production provides a way forward to ensure relevance and accessibility for future survivorship initiatives.

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Section: Discussionmentioning

confidence: 99%

Contemporary consumer perspectives on prostate cancer survivorship: Fifty voices

et al. 2020

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“…Our findings indicate that 35 to 40% of men experience long term decrements (ten years) in physical and mental quality of life outcomes and life satisfaction after the diagnosis and treatment of prostate cancer. With gaps in prostate cancer survivorship interventions reported in a recent review, urgent action is needed to improve ongoing care for men with the disease …”

Section: Discussionmentioning

confidence: 99%

Ten‐year quality of life outcomes in men with prostate cancer

Ralph

Zajdlewicz

et al. 2019

Psycho-Oncology

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KEYWORDS mental health, prostatic neoplasms, psychological symptoms, prostate cancer, quality of life, survivors, survivorship, supportive care 1 | BACKGROUND Although men with prostate cancer are living longer, they are not necessarily living well, with symptom burden increasing and HRQoL declining over time. 1 For many men, the first five years after diagnosis is marked by unmet needs, debilitating disease and treatment-related bowel, urinary and sexual symptoms. 2 To date, few studies have examined the trajectories of men over the 10 years after diagnosis. 3 To advance survivorship care, it is crucial to understand what factors drive long-term (10 year) health outcomes after a prostate cancer diagnosis. Accordingly, this study extends our previous research 4 to report physical and mental HRQoL, life satisfaction and symptom burden of men over the 10 years after prostate cancer diagnosis. 2 | METHOD 2.1 | Study setting and participants This study of newly diagnosed adult men with prostate cancer was conducted in Queensland, Australia. Sampling strategy and methods are previously described. 4 Ethical approval was obtained from the Queensland University of Technology Human Research Ethics Committee (Approval No.3629H). In total, 1291 men were approached, 1064 consented, and 598 (56%) completed the final10-year questionnaire. Self-administered questionnaires and computer-assisted telephone interviews were completed at baseline, and 2,6,12,24,36,48,60,72,84,96,108 and 120 months after the commencement of treatment. | Measures and statistical analysesParticipants' demographics and clinical characteristics have been previously described. 4 Outcome measures included Disease-specific (Expanded Prostate Cancer Index Composite; EPIC) and HRQoL (Short Form 36; SF-36); Satisfaction with Life (Satisfaction with Life Scale; SWLS) (see Figures 1a-1c). 5-7 Growth mixture models (GMMs) in Mplus (Muthen and Muthen, 2015, Mplus User's Guide http://www.statmodel.com/usersguide/chapter8.shtml) were adopted to identify trajectory classes and predictors using 10-year follow-up data, with EPIC longitudinal subscales as time-varying covariates. 4 Missing EPIC /journal/pon were computed using multiple-imputation (10 repetitions), but participants with >9 missing values in EPIC or with missing data in other predictors were excluded (sample size reduced to n=928). The number of trajectory classes was determined using the Lo-Mendell-Rubin likelihood ratio test. ORCIDNicholas Ralph https://orcid.org/0000-0002-7404-9996 Suzanne K. Chambers https://orcid.org/0000-0003-2369-6111

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“…Based on systematic reviews, there is currently sufficient evidence to progress implementing physical and psychosocial care for men (Crawford‐Williams et al, ), yet while PCSNs reported these as important they were not seen as feasible. Barriers to delivering such care were not specifically investigated in this study; however, they may relate to workforce shortages and a lack of specialist training for nurses in survivorship care as previously reported in the Australian context (Ralph et al, ). Innovative care models that connect to peer‐support programmes and other allied health services, as well as primary care, could also support improved accessibility and depth of care.…”

Section: Discussionmentioning

confidence: 95%

“…Increasingly, prostate cancer specialist nurses (PCSNs) are proposed as an efficient and effective solution for meeting the challenges of delivering survivorship care both in Australia and further afield (Helgesen et al, ; Ralph, Chambers, Pomery, Oliffe, & Dunn, ; Sykes, ). Since its initiation in 2012, the PCSN programme in Australia has grown to a national workforce of 48 registered nurses providing specialist survivorship care in public and private hospitals across every state and territory in the nation to men with a broad array of needs across all stages of disease (Sykes, ).…”

Section: Introductionmentioning

confidence: 99%

Prostate cancer survivorship priorities for men and their partners: Delphi consensus from a nurse specialist cohort

Ralph

Gréen

Sara

et al. 2019

Journal of Clinical Nursing

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Aims & objectives To describe the prostate cancer survivorship experience and priorities from the perspective of prostate cancer specialist nurses. Background Specialist nurses are providing long‐term survivorship care to men and their partners however, few prostate cancer survivorship interventions are effective and priorities for nurse‐led survivorship care are poorly understood. Design A three‐round modified Delphi approach. Methods The study was conducted between 1 December 2018 and 28 February 2019 to develop a consensus view from an expert nurse cohort (43 prostate cancer specialist nurses: 90% response). First, participants described men's prostate cancer survivorship experience and priorities for improving care for men and partners. In subsequent rounds, participants identified key descriptors of the survivorship experience; rated priorities for importance and feasibility; and identified a top priority action for men and for partners. Thematic analysis and descriptive statistics were applied. Guidelines for Reporting Reliability and Agreement Studies informed the conduct of the study. Results Prostate cancer specialist nurses characterised the prostate cancer survivorship experience of men as under‐resourced, disjointed and distressing. In all, 11 survivorship priorities for men and three for partners were identified within five broad areas: capacity building; care coordination; physical and psychosocial care; community awareness and early detection; and palliative care. However, feasibility for individual items was frequently described as low. Conclusion Internationally, prostate cancer survivorship care for men and their partners requires urgent action to meet future need and address gaps in capacity and care coordination. Low feasibility of survivorship priorities may reflect translational challenges related to capacity. Prostate cancer survivorship care guidelines connected to practice priorities are urgently needed. Relevance to clinical practice These findings address key gaps in the evidence for developing national nurse‐led prostate cancer survivorship priorities. These priorities can be used to inform survivorship guidelines including nursing care for men with prostate cancer and their partners.

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Nurse-Led Supportive Care Intervention for Men With Advanced Prostate Cancer: Healthcare Professionals' Perspectives

Cited by 10 publications

References 37 publications

Contemporary consumer perspectives on prostate cancer survivorship: Fifty voices

Contemporary consumer perspectives on prostate cancer survivorship: Fifty voices

Ten‐year quality of life outcomes in men with prostate cancer

Prostate cancer survivorship priorities for men and their partners: Delphi consensus from a nurse specialist cohort

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