Date of Graduation

Spring 5-19-2017

Document Type

Project/Capstone

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Elena Capella, EdD, MSN, MPA, RN, CNL, CPHQ, LNCC

Second Advisor

Susan Mortell, DNP, RN, CNL

Abstract

Purpose. For breast cancer survivors, after-effects of surgery, radiation and chemotherapy can be substantial, and recurrence is a concern requiring constant surveillance. National healthcare organizations have promulgated guidelines that include providing individualized survivorship care plans (SCP’s). At a northern California oncology department, SCP’s will be prepared for breast cancer patients and delivered in-person by the oncology nurse navigator (ONN).

Method. The author worked with the ONN to develop the format and content requirements for the SCP’s. The ONN prepared individualized plans for patients and scheduled in-person appointments to deliver the SCP’s. A feedback survey to assess preliminary impact was then administered to patients. The ten-question survey used a five-point Likert scale and allowed opportunity for qualitative feedback. Follow-up surveys were planned 4 to 6 weeks later.

Results. Twelve patients completed the initial survey five of whom also completed the follow-up survey. Most patients strongly agreed (“5” on a “1 to 5” scale) with positive statements about the ONN and the usefulness of their SCP’s. Notably, two patients initially indicated mild agreement (“4”) as to “I will use the survivorship plan to help self-manage my wellness” but on follow-up changed their responses to strong agreement (“5”). Qualitative data was positive with some feedback that the nutrition/diet element of the SCP’s needs attention.

Conclusion. Patient feedback was consistent with evidence-based practice that SCP’s can provide measurable benefits. Minimizing the risk of recurrence is a substantial benefit that justifies continued use of SCP’s for breast cancer patients and expanding to other cancer patients.

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