McDaniel Dana
Mosaic Life Care, Saint Joseph, Missouri.
J Adv Pract Oncol. 2022 Nov;13(8):766-774. doi: 10.6004/jadpro.2022.13.8.3. Epub 2022 Nov 1.
The continued increase in the number of cancer survivors is encouraging and credited to better prevention, screening, and treatment. Cancer care authorities call for survivorship follow-up focusing on surveillance, health behaviors, and lingering effects of treatment. Despite the recommendations, cancer centers struggle to provide cost-effective, time efficient, comprehensive programming to address this call.
The primary objectives of this quality improvement project were to (1) develop and pilot a shared survivorship visit for breast cancer survivors and (2) evaluate the feasibility and acceptability of the program.
The participants in this 4-week pilot project included five female breast cancer survivors, ages 18 and older, diagnosed with stage I, II, or III breast cancer within the past year. Each survivor completed a one-time, 2-hour shared survivorship visit.
The shared, interdisciplinary survivorship visit was directed by an advanced practice nurse. A team of nursing and ancillary experts presented information on their specialized area. Upon completion of the visit, the survivor received an individualized survivorship care plan. There were 21 eligible breast cancer survivors and 5 participants. The pilot was successfully implemented, acknowledged the feasibility, and identified the adaptability to other cancer survivors. An evaluation concluded that the APRN-led, shared survivorship visit model was accepted by the patients and the survivorship team. The shared survivorship visits will be implemented into the cancer care program to address the needs of breast cancer survivors. Furthermore, there will be an expansion of the shared survivorship visits to meet the needs of those with other types of cancers.
癌症幸存者数量持续增加，这令人鼓舞，归功于更好的预防、筛查和治疗。癌症护理当局呼吁对幸存者进行随访，重点关注监测、健康行为和治疗的长期影响。尽管有这些建议，但癌症中心仍难以提供具有成本效益、高效且全面的方案来响应这一呼吁。
本质量改进项目的主要目标是：（1）为乳腺癌幸存者开发并试行一次共享的幸存者就诊；（2）评估该方案的可行性和可接受性。
这个为期4周的试点项目的参与者包括5名年龄在18岁及以上的女性乳腺癌幸存者，她们在过去一年内被诊断为I期、II期或III期乳腺癌。每位幸存者都完成了一次时长2小时的共享幸存者就诊。
这次共享的跨学科幸存者就诊由一名高级执业护士主导。一组护理和辅助专家介绍了他们专业领域的信息。就诊结束后，幸存者收到了一份个性化的幸存者护理计划。有21名符合条件的乳腺癌幸存者，5名参与者。试点成功实施，确认了可行性，并确定了对其他癌症幸存者的适用性。一项评估得出结论，由高级执业注册护士主导的共享幸存者就诊模式得到了患者和幸存者团队的认可。共享幸存者就诊将被纳入癌症护理项目，以满足乳腺癌幸存者的需求。此外，将扩大共享幸存者就诊的范围，以满足其他类型癌症患者的需求。
