The Impact of APN-Led Interventions with Breast and Gynaecological Adult Cancer Patients: Making a Difference for Health Disparities

Primary Faculty Mentor’s Name

Kathryn Anderson

Proposal Track

Student

Session Format

Poster

Abstract

The Impact of APN-Led Interventions with Breast and Gynaecological Adult Cancer Patients: Making a Difference for Health Disparities

Picara Mosley, BSPH, student; Kathryn Hoehn Anderson, PhD,ARNP, Georgia Southern University Statesboro, Georgia; Johanna Feuchtinger, PhD, RN., University Medical Center Freiburg Freiburg, Germany

Breast and gynaecological cancer are common cancers with 306,187 diagnoses and 69,460 deaths in a year in the U.S. (CDC, 2011). For survivors, psychosocial effects include depression, anxiety, fatigue, problems concentrating, and occupational problems. Health disparities arise from the lack attention in aftercare that assists patients dealing with psychosocial symptoms of cancers. While completing a research practicum 2014 Minority Health International Research Training program in Freiburg, Germany, an integrative literature review was conducted to determine the effectiveness of Advanced Practitioner Nurse (APN) - led interventions with special attention in psychosocial needs of breast and gynaecological adult cancer patients for program planning in German healthcare. The database search (PubMED) yielded 257 abstracts; 27 articles were reviewed; and 14 articles fit all criteria. Inclusion criteria were (1) have a master-prepared nurse with training/experience in oncology; (2) the nurse administering the intervention; (3) articles from 1994-2014; and (4) adult patients with breast or gynaecological cancers seeking psychosocial help before, during, or after being diagnosed to treatment. Exclusion criteria were studies with (1) no outcome; (2) nurses role not explained; (3) nurse not used in intervention; (4) specific cancer not included. Results show that APNs are capable of leading interventions and making a difference in the psychosocial outcomes for women. Common effective interventions focused on psychosocial/educational and psychosocial/emotional interventions. Techniques included both face-to-face and telephone connection with patients. Self-management, major depressive disorder interventions, psycho-educational, telephone interpersonal counselling, and computer-based nursing interventions showed improvement of psychological and physical aspects of quality of life. APN led interventions are effective when properly administered to improve the aftercare of patients. Future research should be focused on individuals without health care access to examine outcomes from these cancers using APN interventions. Use of APN interventions in breast and gynaecological care across settings has the potential to address health disparities.

This research was supported by the National Institute for Minority Health and Health Disparities (NIMHD) My work on this project was supported by “Training in Chronic Illness Research in Florida and Abroad,” (T37MD001489-10) from the National Institute for Minority Health and Health Disparities, National Institutes of Health, Dr. K. Anderson, PI. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

References

Beaver, K., Williamson, S., et al. (2010). Telephone follow-up after treatment for breast cancer: views and experiences of patients and specialist breast care nurses. Journal Clinical Nursing, 19(19-20), 2916-24.

Centers for Disease Control and Prevention (2014). Basic information about gynaecologic cancers [Data file]. Retrieved from http://www.cdc.gov/cancer/gynecologic/basic_info/index.htm

Maughan, K., & Clarke, C. (2001). The effect of a clinical nurse specialist in gynaecological oncology on quality of life and sexuality. Journal Clinical Nursing, 10(2), 221-9.

Strong, V., Waters, R. , et al. (2008). Management of depression for people with cancer (SMaRT oncology 1): A randomised trial. Lancet, 372(9632), 40-8.

Keywords

Nurse, Intervention, Breast cancer, Gynaecological cancer

Award Consideration

1

Location

Concourse/Atrium

Presentation Year

2014

Start Date

11-15-2014 2:55 PM

End Date

11-15-2014 4:10 PM

Publication Type and Release Option

Presentation (Open Access)

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Nov 15th, 2:55 PM Nov 15th, 4:10 PM

The Impact of APN-Led Interventions with Breast and Gynaecological Adult Cancer Patients: Making a Difference for Health Disparities

Concourse/Atrium

The Impact of APN-Led Interventions with Breast and Gynaecological Adult Cancer Patients: Making a Difference for Health Disparities

Picara Mosley, BSPH, student; Kathryn Hoehn Anderson, PhD,ARNP, Georgia Southern University Statesboro, Georgia; Johanna Feuchtinger, PhD, RN., University Medical Center Freiburg Freiburg, Germany

Breast and gynaecological cancer are common cancers with 306,187 diagnoses and 69,460 deaths in a year in the U.S. (CDC, 2011). For survivors, psychosocial effects include depression, anxiety, fatigue, problems concentrating, and occupational problems. Health disparities arise from the lack attention in aftercare that assists patients dealing with psychosocial symptoms of cancers. While completing a research practicum 2014 Minority Health International Research Training program in Freiburg, Germany, an integrative literature review was conducted to determine the effectiveness of Advanced Practitioner Nurse (APN) - led interventions with special attention in psychosocial needs of breast and gynaecological adult cancer patients for program planning in German healthcare. The database search (PubMED) yielded 257 abstracts; 27 articles were reviewed; and 14 articles fit all criteria. Inclusion criteria were (1) have a master-prepared nurse with training/experience in oncology; (2) the nurse administering the intervention; (3) articles from 1994-2014; and (4) adult patients with breast or gynaecological cancers seeking psychosocial help before, during, or after being diagnosed to treatment. Exclusion criteria were studies with (1) no outcome; (2) nurses role not explained; (3) nurse not used in intervention; (4) specific cancer not included. Results show that APNs are capable of leading interventions and making a difference in the psychosocial outcomes for women. Common effective interventions focused on psychosocial/educational and psychosocial/emotional interventions. Techniques included both face-to-face and telephone connection with patients. Self-management, major depressive disorder interventions, psycho-educational, telephone interpersonal counselling, and computer-based nursing interventions showed improvement of psychological and physical aspects of quality of life. APN led interventions are effective when properly administered to improve the aftercare of patients. Future research should be focused on individuals without health care access to examine outcomes from these cancers using APN interventions. Use of APN interventions in breast and gynaecological care across settings has the potential to address health disparities.

This research was supported by the National Institute for Minority Health and Health Disparities (NIMHD) My work on this project was supported by “Training in Chronic Illness Research in Florida and Abroad,” (T37MD001489-10) from the National Institute for Minority Health and Health Disparities, National Institutes of Health, Dr. K. Anderson, PI. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

References

Beaver, K., Williamson, S., et al. (2010). Telephone follow-up after treatment for breast cancer: views and experiences of patients and specialist breast care nurses. Journal Clinical Nursing, 19(19-20), 2916-24.

Centers for Disease Control and Prevention (2014). Basic information about gynaecologic cancers [Data file]. Retrieved from http://www.cdc.gov/cancer/gynecologic/basic_info/index.htm

Maughan, K., & Clarke, C. (2001). The effect of a clinical nurse specialist in gynaecological oncology on quality of life and sexuality. Journal Clinical Nursing, 10(2), 221-9.

Strong, V., Waters, R. , et al. (2008). Management of depression for people with cancer (SMaRT oncology 1): A randomised trial. Lancet, 372(9632), 40-8.