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Güner P, Kocaman Yıldırım N, İnci F, Sancı K, Semerci R. Psychometric Properties of a Turkish Version of The Psychosocial Needs Inventory; Sampling from Oncology Patients. Semin Oncol Nurs 2024; 40:151678. [PMID: 38897857 DOI: 10.1016/j.soncn.2024.151678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Revised: 05/11/2024] [Accepted: 05/19/2024] [Indexed: 06/21/2024]
Abstract
OBJECTIVES This study aimed to assess the reliability and validity of the Psychosocial Needs Inventory (PNI) among Turkish oncology patients. METHODS A methodological study was conducted with 1,547 oncology patients. This validation study was divided into two phases. Phase 1 included translation of the PNI according to World Health Organization recommendations, investigation of content validity by experts, and a pilot study involving 136 participants. Phase 2 included a validity and reliability analysis of the PNI. Data analysis comprised exploratory (EFA) and confirmatory factor analyses (CFA), Cronbach's alpha, test-retest reliability, Hotelling's T2 test and item-total score correlation, and the Content Validity Index (CVI). RESULTS For the phase 1, the CVI for items and scale were >.75 and .883, respectively. Cronbach's alpha values of the subdimensions ranged between 0.84 and 0.94. The test-retest analyses of the subdimensions showed correlation coefficients based on the pilot test (p < .001). For the phase 2, based on the fit indices in confirmatory factor analysis, the structures of the dimensions "Importance" and "Satisfaction" were acceptable. Cronbach's alpha values of the subdimensions ranged between 0.84 to 0.94 in the "Importance" dimension and 0.86 to 0.94 in the "Satisfaction" dimension. As a result of EFA, the Kaiser-Meyer-Olkin, Bartlett's test (p < 0.001) and PNI Importance explained at 68.46% and PNI Satisfaction at 70.15% of the total variance by the six-factor structure. CFA showed that the indices and validity, including content validity, convergent validity were satisfactory. CONCLUSION The PNI, which was found to be a valid and reliable measurement tool, can be used to determine the psychosocial needs of cancer patients. IMPLICATIONS FOR NURSING PRACTICE Health professionals need to use the PNI to measure their importance to cancer patients' psychosocial needs and assess their satisfaction with meeting them to improve holistic care and support.
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Affiliation(s)
- Perihan Güner
- Istanbul Bilgi University Faculty of Health Sciences, Nursing Department, Istanbul, Türkiye.
| | | | - Figen İnci
- Ömer Halisdemir University Zubeyde Hanım School of Health, Nursing Department, Niğde, Türkiye
| | | | - Remziye Semerci
- Koç University, School of Nursing, Department of Child Health and Disease Nursing, İstanbul, Turkey
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Luo X, Xu H, Zhang Y, Liu S, Xu S, Xie Y, Xiao J, Hu T, Xiao H. Identifying the unmet needs of post-treatment colorectal cancer survivors: A critical literature review. Eur J Oncol Nurs 2024; 70:102570. [PMID: 38574419 DOI: 10.1016/j.ejon.2024.102570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 03/11/2024] [Accepted: 03/16/2024] [Indexed: 04/06/2024]
Abstract
PURPOSE Following treatment completion, colorectal cancer (CRC) survivors experience various unmet needs. This review aims to synthesize the unmet needs of CRC survivors after treatment and to identify demographic, disease or treatment-related, healthcare-related, and psychosocial factors correlated with unmet needs. METHOD English or Chinese articles that focused on CRC survivors' post-treatment unmet needs were systematically searched from the five electronic databases, which included CINAHL, PubMed, Embase, PsycINFO, and the China Academic Journal Full-text Database, from the launch of databases to July 2023. The reference lists of the subsequent articles were further screened. RESULTS 136 individual needs extracted from 50 manuscripts were classified into nine domains based on the Supportive Care Framework. The top four unmet needs identified by CRC survivors were assistance with fears of cancer recurrence, information about managing illness and side effects at home, emotional or psychological support and reassurance, and help with sexuality problems. Following surgery, CRC survivors showed strong demand in the physical, psychological, and information domains. Survivors completed treatment within 1-year had more diverse needs than those who completed 1-3 years. Unmet needs may be greater among CRC survivors who were young, female, more educated, and unmarried. Furthermore, greater unmet needs were associated with distress, anxiety, depression, and worse quality of life. CONCLUSIONS Despite diverse needs experienced by post-treatment CRC survivors, a predominant focus on fears of cancer recurrence, information, psychological support, and sexuality needs is noted. Future studies should further explore the needs of CRC survivors after specific treatment and in different post-treatment periods.
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Affiliation(s)
- Xingjuan Luo
- School of Basic Medicine, Hubei University of Arts and Science, Xiangyang, Hubei, China
| | - Haiying Xu
- Nursing Department, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China
| | - Yanting Zhang
- School of Basic Medicine, Hubei University of Arts and Science, Xiangyang, Hubei, China
| | - Sirun Liu
- School of Basic Medicine, Hubei University of Arts and Science, Xiangyang, Hubei, China
| | - Shan Xu
- School of Basic Medicine, Hubei University of Arts and Science, Xiangyang, Hubei, China
| | - Yali Xie
- Nursing Department, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China
| | - Juan Xiao
- Institute of Neuroscience and Brain Diseases, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China.
| | - Tingting Hu
- Nursing Department, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China.
| | - Hong Xiao
- Nursing Department, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China.
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Galica J, Silva A, Robb K. Developing an educational resource for gynecological cancer survivors and their caregivers: A methods and experience paper. Can Oncol Nurs J 2024; 34:4-9. [PMID: 38352933 PMCID: PMC10861237 DOI: 10.5737/236880763414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2024] Open
Abstract
Building upon the need for greater education, identified by gynecological cancer survivors and their caregivers, the objective of this paper is to describe our patient-clinician-researcher partnership to develop an evidence- and experiential-based educational resource. We engaged in five phases using multiple research methods: 1) assembling the essential expertise, 2) reviewing the literature, 3) drafting the resource, 4) testing the resource, and 5) disseminating the resource. Our diverse partnership provided expertise toward multiple research methods that produced results useful for each successive phase. This combination - a diverse partnership and multiple research methods - resulted in a useful resource to fulfill a gap identified by knowledge users. The combined features described in our paper fill a procedural gap for clinicians and researchers intending to develop educational resources that are empirically and experientially founded.
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Affiliation(s)
- Jacqueline Galica
- Queen's University School of Nursing; Kingston, ON; Queen's Cancer Research Institute, Division of Cancer Care and Epidemiology, Kingston, ON
| | - Amina Silva
- Brock University School of Nursing; St. Catharines, ON
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Galica J, Silva A, Robb K. Élaboration d’une ressource d’information à l’intention des survivantes d’un cancer gynécologique et de leurs proches aidants : exposé sur le vécu et les méthodes. Can Oncol Nurs J 2024; 34:10-15. [PMID: 38352925 PMCID: PMC10861229 DOI: 10.5737/2368807634110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2024] Open
Abstract
Le présent article fait ressortir la nécessité de mieux informer les survivantes de cancer gynécologique (CG) et leurs proches aidants. Il vise à décrire le partenariat établi entre les patientes, les cliniciens et les chercheurs pour concevoir une ressource d’information fondée sur l’expérience et les données probantes. L’élaboration de cette ressource d’information a fait appel à plusieurs méthodes de recherche. Elle s’est déroulée en cinq étapes : 1) réunion de l’expertise nécessaire; 2) revue de la littérature; 3) ébauche de la ressource; 4) mise à l’essai; 5) diffusion de la ressource. La diversité des partenaires apportait l’expertise nécessaire à l’utilisation de multiples méthodes de recherche ayant produit des résultats utiles à chaque étape. Grâce à cette combinaison (partenariat diversifié et multiples méthodes de recherche), on a élaboré une ressource utile pour répondre à un manque observé par les utilisateurs des connaissances. La combinaison des caractéristiques décrites dans le présent article vient combler une lacune dans la procédure utilisée par les cliniciens et les chercheurs désireux d’élaborer des ressources d’information fondées à la fois sur l’expérience et la pratique.
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Affiliation(s)
- Jacqueline Galica
- École des sciences infirmières de l'Université Queen's, Kingston, ON; Institut de recherche sur le cancer de l'Université Queen's, Division d'oncologie et d'épidémiologie; Kingston, ON
| | - Amina Silva
- École des sciences infirmières de l'Université Brock, St. Catharines, ON
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Rutkowski N, MacDonald-Liska C, Baines KA, Samuel V, Harris C, Lebel S. Standardized versus personalized survivorship care plans for breast cancer survivors: A program evaluation. Can Oncol Nurs J 2021; 31:451-456. [PMID: 34786462 DOI: 10.5737/23688076314451456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The Wellness Beyond Cancer Program provides survivorship care plans (SCPs) to cancer survivors, as they transition from cancer centres back to their primary care provider (PCP) upon treatment completion. A program evaluation examined whether standardized SCPs resulted in comparable outcomes on perceived knowledge and patient activation as personalized SCPs. Breast cancer survivors who received either standardized or personalized SCPs completed pre- and post-surveys during their discharge appointment, which included an in-house measure on perceived knowledge, The Perceived Efficacy in Patient-Physician Interactions, and The Patient Activation Measure. Eighty-seven breast cancer survivors completed the surveys (personalized SCP n = 43; standardized SCP n = 44). Standardized SCPs resulted in comparable knowledge and activation outcomes as personalized SCPs. Cost-efficient standardized SCPs may help alleviate human resource constraints and may be considered for further evaluation and implementation in cancer centres.
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Affiliation(s)
- Nicole Rutkowski
- Doctoral Student, School of Psychology, University of Ottawa, Ottawa, ON
| | | | - Kelly-Anne Baines
- Wellness Beyond Cancer Program, The Ottawa Hospital Ottawa Cancer Centre, Ottawa, ON
| | - Vicky Samuel
- Wellness Beyond Cancer Program, The Ottawa Hospital Cancer Centre, Ottawa, ON
| | - Cheryl Harris
- CPsych Clinician Investigator, Cancer Therapeutics, Ottawa Hospital Research Institute, Ottawa, ON
| | - Sophie Lebel
- PPsych, Professor, School of Psychology, University of Ottawa, Ottawa, ON
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Rutkowski N, MacDonald-Liska C, Baines KA, Samuel V, Harris C, Lebel S. Plans de soins de suivi normalisés et individualisés dédiés aux survivantes du cancer du sein : Évaluation du programme. Can Oncol Nurs J 2021; 31:457-462. [PMID: 34786463 DOI: 10.5737/23688076314457462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Le Programme de bien-être au-delà du cancer fournit des plans de soins de suivi (PSS) aux survivants qui passent du centre de cancérologie à leur médecin traitant une fois leurs traitements terminés. L’évaluation de ce programme a permis de vérifier si les PSS normalisés stimulent autant les connaissances et l’activation des patients que les PSS personnalisés. Les survivantes d’un cancer du sein qui ont reçu un PSS (normalisé ou personnalisé) ont répondu à un premier sondage avant le « rendez-vous de transition » puis à un autre à la fin de la rencontre. On leur demandait alors d’autoévaluer leurs connaissances et de répondre aux questions sur l’Efficacité perçue de la relation médecin-patient (PEPPI) et la Mesure d’activation du patient (MAP). Au total, quatre-vingt-sept survivantes du cancer du sein ont répondu aux sondages (PSS personnalisé, n = 43; PSS normalisé, n = 44). Dans les deux cas, les résultats sur les connaissances et l’activation des patientes étaient comparables. Les PSS normalisés, plus rentables, pourraient donc contribuer à alléger les contraintes relatives aux ressources humaines et faire l’objet d’évaluations plus poussées en vue d’être intégrés dans les centres de cancérologie.
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Affiliation(s)
- Nicole Rutkowski
- Doctorante, École de psychologie, Université d'Ottawa, Ottawa (Ontario)
| | - Carrie MacDonald-Liska
- Coordonnatrice des soins, Centre de cancérologie de L'Hôpital d'Ottawa, Ottawa (Ontario)
| | - Kelly-Anne Baines
- Programme de bien-être au-delà du cancer, Centre de cancérologie de L'Hôpital d'Ottawa, Ottawa (Ontario)
| | - Vicky Samuel
- Programme de bien-être au-delà du cancer, Centre de cancérologie de L'Hôpital d'Ottawa, Ottawa (Ontario)
| | - Cheryl Harris
- Psychologue, chercheuse-clinicienne, Programme de thérapeutique anticancéreuse, Institut de recherche de L'Hôpital d'Ottawa, Ottawa (Ontario)
| | - Sophie Lebel
- Psychologue, professeure, École de psychologie, Université d'Ottawa, Ottawa (Ontario)
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Canadian Resources, Programs, and Models of Care to Support Cancer Survivors' Transition beyond Treatment: A Scoping Review. ACTA ACUST UNITED AC 2021; 28:2134-2145. [PMID: 34207635 PMCID: PMC8293069 DOI: 10.3390/curroncol28030198] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 05/27/2021] [Accepted: 06/03/2021] [Indexed: 12/01/2022]
Abstract
(1) Background: One in two Canadians will be diagnosed with cancer in their lifetime, but as a result of the progress in diagnosis and treatment, more individuals are surviving cancer than ever before. However, the impact of cancer does not end with treatment. The objectives of this review are to (1) provide a broad overview of the supportive care interventions and models of care that have been researched to support Canadian post-treatment cancer survivors; and (2) analyze how these supportive care interventions and/or care models align with the practice recommendations put forth by Cancer Care Ontario (CCO) and the Canadian Association of Psychosocial Oncology/Canadian Partnership Against Cancer (CAPO/CPAC). (2) Methods: An electronic search was completed in MEDLINE, Embase, PsycINFO, and CINAHL in January 2021. Included studies described supportive care interventions or models of care utilized by adult Canadian cancer survivors. (3) Results: Forty-two articles were included. Survivors utilized a multitude of supportive care interventions, with peer support and physical activity programs being most frequently cited. Four models of follow-up care were identified: primary care, oncology care, shared-care, and transition clinics. The supportive care interventions and models of care variably aligned with the recommendations set by CCO and CAPO/CPAC. The most commonly followed recommendation was the promotion of self-management and quality resources for patients. (4) Conclusions: Results indicate an inconsistency in access to supportive care interventions and the delivery of survivorship care for cancer survivors across Canada. Current efforts are being made to implement the recommendations by CCO and CAPO/CPAC; however, provision of these guidelines remains varied.
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