Validation of an educational nursing intervention to promote the adaptation of cancer survivors

Authors

  • Tiago André dos Santos Martins Peixoto Universidade do Porto, Instituto de Ciências Biomédicas Abel Salazar, Porto, Portugal; Centro Hospitalar Universitário do Porto, Porto, Portugal; Escola Superior de Enfermagem do Porto, Porto, Portugal https://orcid.org/0000-0003-4229-0205
  • Nuno Miguel dos Santos Martins Peixoto Universidade do Porto, Instituto de Ciências Biomédicas Abel Salazar, Porto, Portugal; Centro Hospitalar Universitário do Porto, Porto, Portugal; Escola Superior de Enfermagem do Porto, Porto, Portugal https://orcid.org/0000-0001-5221-9491
  • Cândida Assunção Santos Pinto Escola Superior de Enfermagem do Porto, Porto, Portugal https://orcid.org/0000-0003-4874-6728
  • Célia Samarina Vilaça de Brito Santos Escola Superior de Enfermagem do Porto, Porto, Portugal; Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS), Porto, Portugal https://orcid.org/0000-0001-9198-2668

DOI:

https://doi.org/10.12707/RV21052

Keywords:

nursing, neoplasms, survival, adaptation, psychological, patient education as topic, health education

Abstract

Background: Cancer survivors represent a major challenge for health systems due to the lack of care plans for these patients.

Objective: To validate the structure and content of an educational nursing intervention (complex intervention) to promote the adaptation of cancer survivors.

Methodology: The modified e-Delphi technique consisted of three rounds of online questionnaires.

Results: A group of 27 experts validated the inclusion of 33 items related to the structure and 177 items related to the content. The educational intervention should consist of five to eight individual (with the possibility of including a significant family member), group sessions, and focus on the four domains proposed: Adaptation, Attitude/Coping, Emotion/Anxiety, and Resources.

Conclusion: The consensus reached is essential to highlight nurses’ role in this stage of cancer and assess the effectiveness of this educational intervention.

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References

Agochukwu, N. Q., Skolarus, T. A., & Wittmann, D. (2018). Telemedicine and prostate cancer survivorship: A narrative review. mHealth, 4, 45–45. https://doi.org/10.21037/mhealth.2018.09.08

Albreht T., Kiasuwa, R., van den Bulcke, M. (2017). European guideon quality improvement in comprehensive cancer control. National Institute of Public Health, Scientific Institute of Public Health. https://cancercontrol.eu/archived/uploads/images/Guide/pdf/

CanCon_Guide_FINAL_Web.pdf Andrykowski, M. A., Lykins, E., & Floyd, A. (2008). Psychological health in cancer survivors. Seminars in Oncology Nursing, 24(3), 193–201 https://doi.org/10.1016/j.soncn.2008.05.007

Antoni, M. H. (2013). Psychosocial intervention effects on adaptation, disease course and biobehavioral processes in cancer. Brain, Behavior, and Immunity, 30, S88–S98. https://doi.org/10.1016/j.bbi.2012.05.009

Bardin, L. (2011). Análise de conteúdo. Edições 70.

Carlson, L. E., & Bultz, B. D. (2004). Efficacy and medical cost offse of psychosocial interventions in cancer care: Making the case for economic analyses. Psycho-Oncology, 13(12), 837–849. https://doi.org/10.1002/pon.832

Castonguay, A., Wrosch, C., Pila, E., & Sabiston, C. (2017). Body-related shame and guilt predict physical activity in breast cancer survivors over time. Oncology Nursing Forum, 44(4), 465–475. https://doi.org/10.1188/17.onf.465-475

Faithfull, S., Hearne-Cockle, J., & Khoo, V. (2010). Self-management after prostate cancer treatment: Evaluating the feasibility of providing a cognitive and behavioral programme for lower urinary tract symptoms. British Journal Urology International, 107(5), 783-790. https://doi.org/10.1111/j.1464-410X.2010.09588.x

Havers, S. M., Martin, E., & Wilson, A. (2019). Implementation of government-directed policy in the hospital setting: A modifie Delphi study. Health Research Policy and Systems, 17(91). https://doi.org/10.1186/s12961-019-0500-8

Keeney, S., McKenna, H. & Hasson, F. (2011). The Delphi tech nique in nursing and health research. Wiley-Blackwell. https://doi.org/10.1002/9781444392029

Krouse, R. S., Grant, M., McCorkle, R, Wendel, C. S., Cobb, M. D., Tallman, N. J., Ercolano, E., Sun, V., Hibbard, J. H., & Horn brook, M. C. (2016). A chronic care ostomy self-management program for cancer survivors. Psychooncology, 25(5), 574-581. https://doi.org/10.1002/pon.4078

Lester, J. L., Wessels, A. L., & Jung, Y. (2014). Oncology nurses’ knowledge of survivorship care planning: The need for education. Oncology Nursing Forum, 41(2), E35–E43. https://doi.org/10.1188/14.onf.e35-e43

Marques, J. B., & Freitas, D. (2018). Método DELPHI: Caracterização e potencialidades na pesquisa em educação. Pro-Posições, 29(2), 389-415. https://doi.org/10.1590/1980-6248-2015-0140

Naus, M. J., Ishler, M. D., Parrott, C. E., & Kovacs, S. A. (2009). Cancer survivor adaptation model: Conceptualizing cancer as a chronic illness. Journal of Clinical Psychology, 65(12), 1350–1359. https://doi.org/10.1002/jclp.20622

Osborne, J., Collins, S., Ratcliffe, M., Millar, R., & Duschl, R. (2003). What ideas-about-science should be taught in school science? A Delphi study of the expert community. Journal of Research in Science Teaching, 40(7), 692-720. https://doi.org/10.1002/tea.10105

Peixoto, T. A., Peixoto, N. M., Pinto, C. A., & Santos, C. S. (2021a). Nursing strategies to support psychological adaptation in adult cancer patients: A scoping review. Revista Da Escola De Enfermagem Da USP, 55, e03690. https://doi.org/10.1590/s1980-220x2019039203690

Peixoto, T. A., Peixoto, N. M., Pinto, C. A., & Santos, C. S. (2021b). Elementos-chave de uma intervenção educacional em enfermagem promotora da adaptação dos sobreviventes de cancro. Revista de Enfermagem Referência, 5(5), e20078. https://doi.org/10.12707/RV20078

Toronto, C. (2017). Considerations when conducting e-Delphi research: A case study. Nurse Researcher, 25(1), 10–15. https://doi.org/10.7748/nr.2017.e1498

Towsley, G. L., Beck, S. L., & Watkins, J. F. (2007). “Learning to live with it”: Coping with the transition to cancer survivorship in older adults. Journal of Aging Studies, 21(2), 93–106. https://doi.org/10.1016/j.jaging.2006.08.003

Yi, J. C., & Syrjala, K. L. (2017). Anxiety and depression in cancer survivors. Medical Clinics of North America, 101(6), 1099–1113. https://doi.org/10.1016/j.mcna.2017.06.005

Published

2022-03-16

How to Cite

Peixoto, T. A. dos S. M., Peixoto, N. M. dos S. M., Pinto, C. A. S., & Santos, C. S. V. de B. (2022). Validation of an educational nursing intervention to promote the adaptation of cancer survivors. Journal of Nursing Referência, 6(1), 1–16. https://doi.org/10.12707/RV21052

Issue

Section

Research Articles