Specialist nurse initiated interventions in breast cancer care: A systematic review of randomised controlled trials

doi:10.1111/jocn.15268

Meta-Analysis

. 2020 Jul;29(13-14):2161-2180.

doi: 10.1111/jocn.15268. Epub 2020 Apr 14.

Specialist nurse initiated interventions in breast cancer care: A systematic review of randomised controlled trials

Shejila Chillakunnel Hussain Rawther¹, Mamatha Shivananda Pai², Donald J Fernandes³, Stanley Mathew⁴, Jyothi Chakrabarty¹, Elsa Sanatombi Devi¹

Affiliations

¹ Department of Medical Surgical Nursing, Manipal College of Nursing Manipal, Manipal Academy of Higher Education, Manipal, India.
² Department of Child Health Nursing, Manipal College of Nursing Manipal, Manipal Academy of Higher Education, Manipal, India.
³ Department of Radiotherapy & Oncology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
⁴ Department of Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.

PMID: 32243012
DOI: 10.1111/jocn.15268

Meta-Analysis

Specialist nurse initiated interventions in breast cancer care: A systematic review of randomised controlled trials

Shejila Chillakunnel Hussain Rawther et al. J Clin Nurs. 2020 Jul.

. 2020 Jul;29(13-14):2161-2180.

doi: 10.1111/jocn.15268. Epub 2020 Apr 14.

Authors

Shejila Chillakunnel Hussain Rawther¹, Mamatha Shivananda Pai², Donald J Fernandes³, Stanley Mathew⁴, Jyothi Chakrabarty¹, Elsa Sanatombi Devi¹

Affiliations

¹ Department of Medical Surgical Nursing, Manipal College of Nursing Manipal, Manipal Academy of Higher Education, Manipal, India.
² Department of Child Health Nursing, Manipal College of Nursing Manipal, Manipal Academy of Higher Education, Manipal, India.
³ Department of Radiotherapy & Oncology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
⁴ Department of Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.

PMID: 32243012
DOI: 10.1111/jocn.15268

Abstract

Aims and objectives: To evaluate the effectiveness of specialist nurse interventions in the care of women with breast cancer.

Background: Nurses perform a crucial role in physical and psychosocial support of women with breast cancer. However, only few reviews have explored and discussed the roles and interventions carried out by specialised nurses in breast cancer care.

Design: Systematic review based on PRISMA guidelines.

Methods: A comprehensive literature search was conducted in PubMed, CINAHL, Scopus, Web of Science, Science Direct, Cochrane Library, IndMed and Shodhganga databases for articles published in English language from 1980 to 2018. Only RCTs were included. Quality assessment, data extraction and analysis were completed on all included studies.

Results: Sixteen papers were assessed for methodological quality. Due to methodological heterogeneity of the papers, a meta-analysis was not performed. The reviewers categorised the main outcomes under different domains like physical problems, psychological problems, patient satisfaction, patient needs, quality of life and cost data.

Discussion: This review provides evidence on specialist nurses' role in breast cancer care. The methodological aspects of studies in this review vary in different aspects. More studies with rigorous scientific methods are needed to provide robust evidence on effectiveness of specialist nurses' role.

Conclusion: Even though specialist nursing interventions can contribute to health outcomes of women with breast cancer, there is limited number of studies reported from developing countries. This warrants the need for specialist nurse interventions in breast cancer care from developing countries.

Relevance to clinical practice: Offering a specialist nurse service helps the patients to meet their informational and educational needs, supportive care and coordination of care. Specialist breast nurse services can be integrated into hospital setting to improve patient care and treatment adherence.

Keywords: anxiety; breast cancer care; psychological distress; quality of life; randomised controlled trials; specialist nurse interventions; supportive care; systematic review.

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References

REFERENCES

1. Allen, S. M., Shah, A. C., Nezu, A. M., Nezu, C. M., Ciambrone, D., Hogan, J., & Mor, V. (2002). A problem-solving approach to stress reduction among younger women with breast carcinoma. Cancer, 94(12), 3089-3100. https://doi.org/10.1002/cncr.10586
1. Aranda, S., Schofield, P., Weih, L., Milne, D., Yates, P., & Faulkner, R. (2006). Meeting the support and information needs of women with advanced breast cancer: A randomised controlled trial. British Journal of Cancer, 95(6), 667-673. https://doi.org/10.1038/sj.bjc.6603320
1. Arving, C., Sjoden, P.-O., Bergh, J., Hellbom, M., Johansson, B., Glimelius, B., … Brandberg, Y. (2007). Individual psychosocial support for breast cancer patients: A randomized study of nurse versus psychologist interventions and standard care. Cancer Nursing, 30(3), E10-E19. https://doi.org/10.1097/01.NCC.0000270709.64790.05
1. Atesci, F. C., Baltalarli, B., Oguzhanoglu, N. K., Karadag, F., Ozdel, O., & Karagoz, N. (2004). Psychiatric morbidity among cancer patients and awareness of illness. Supportive Care in Cancer, 12(3), 161-167. https://doi.org/10.1007/s00520-003-0585-y
1. Beaver, K., Tysver-Robinson, D., Campbell, M., Twomey, M., Williamson, S., Hindley, A., … Luker, K. (2009). Comparing hospital and telephone follow-up after treatment for breast cancer: Randomised equivalence trial. BMJ, 338. https://doi.org/10.1136/bmj.a3147

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[1] Allen, S. M., Shah, A. C., Nezu, A. M., Nezu, C. M., Ciambrone, D., Hogan, J., & Mor, V. (2002). A problem-solving approach to stress reduction among younger women with breast carcinoma. Cancer, 94(12), 3089-3100. https://doi.org/10.1002/cncr.10586

[2] Allen, S. M., Shah, A. C., Nezu, A. M., Nezu, C. M., Ciambrone, D., Hogan, J., & Mor, V. (2002). A problem-solving approach to stress reduction among younger women with breast carcinoma. Cancer, 94(12), 3089-3100. https://doi.org/10.1002/cncr.10586

[3] Aranda, S., Schofield, P., Weih, L., Milne, D., Yates, P., & Faulkner, R. (2006). Meeting the support and information needs of women with advanced breast cancer: A randomised controlled trial. British Journal of Cancer, 95(6), 667-673. https://doi.org/10.1038/sj.bjc.6603320

[4] Aranda, S., Schofield, P., Weih, L., Milne, D., Yates, P., & Faulkner, R. (2006). Meeting the support and information needs of women with advanced breast cancer: A randomised controlled trial. British Journal of Cancer, 95(6), 667-673. https://doi.org/10.1038/sj.bjc.6603320

[5] Arving, C., Sjoden, P.-O., Bergh, J., Hellbom, M., Johansson, B., Glimelius, B., … Brandberg, Y. (2007). Individual psychosocial support for breast cancer patients: A randomized study of nurse versus psychologist interventions and standard care. Cancer Nursing, 30(3), E10-E19. https://doi.org/10.1097/01.NCC.0000270709.64790.05

[6] Arving, C., Sjoden, P.-O., Bergh, J., Hellbom, M., Johansson, B., Glimelius, B., … Brandberg, Y. (2007). Individual psychosocial support for breast cancer patients: A randomized study of nurse versus psychologist interventions and standard care. Cancer Nursing, 30(3), E10-E19. https://doi.org/10.1097/01.NCC.0000270709.64790.05

[7] Atesci, F. C., Baltalarli, B., Oguzhanoglu, N. K., Karadag, F., Ozdel, O., & Karagoz, N. (2004). Psychiatric morbidity among cancer patients and awareness of illness. Supportive Care in Cancer, 12(3), 161-167. https://doi.org/10.1007/s00520-003-0585-y

[8] Atesci, F. C., Baltalarli, B., Oguzhanoglu, N. K., Karadag, F., Ozdel, O., & Karagoz, N. (2004). Psychiatric morbidity among cancer patients and awareness of illness. Supportive Care in Cancer, 12(3), 161-167. https://doi.org/10.1007/s00520-003-0585-y

[9] Beaver, K., Tysver-Robinson, D., Campbell, M., Twomey, M., Williamson, S., Hindley, A., … Luker, K. (2009). Comparing hospital and telephone follow-up after treatment for breast cancer: Randomised equivalence trial. BMJ, 338. https://doi.org/10.1136/bmj.a3147

[10] Beaver, K., Tysver-Robinson, D., Campbell, M., Twomey, M., Williamson, S., Hindley, A., … Luker, K. (2009). Comparing hospital and telephone follow-up after treatment for breast cancer: Randomised equivalence trial. BMJ, 338. https://doi.org/10.1136/bmj.a3147

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Specialist nurse initiated interventions in breast cancer care: A systematic review of randomised controlled trials

Affiliations

Specialist nurse initiated interventions in breast cancer care: A systematic review of randomised controlled trials

Authors

Affiliations

Abstract

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Medical