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Current Oncology
Volume 21
Issue 1
10.3747/co.21.1698
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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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Article

Qualitative Evaluation of Care Plans for Canadian Breast and Head-and-Neck Cancer Survivors

by
K. Collie
1,2,
J. McCormick
3,4,
A. Waller
3,4,
C. Railton
5,
L. Shirt
6,
J. Chobanuk
7,
A. Taylor
8,
H. Lau
6,
D. Hao
6,
B. Walley
5,
B. Kapusta
9,
A.A. Joy
10,
L.E. Carlson
3,4 and
J. Giese–Davis
3,4,*
1
Department of Psychosocial and Spiritual Resources, Cross Cancer Institute, Edmonton, AB
2
Department of Oncology, Palliative Care Division, University of Alberta, Edmonton, AB
3
Department of Oncology, Division of Psychosocial Oncology, University of Calgary, Calgary, AB
4
Psychosocial Resources, Tom Baker Cancer Centre, Calgary, AB
5
Department of Oncology, Calgary Region Breast Health Program, Tom Baker Cancer Centre, Calgary, AB
6
Department of Radiation Oncology, Head-and-Neck Tumour Group, Tom Baker Cancer Centre, Calgary, AB
7
Comprehensive Breast Care Program, Community Oncology, Alberta Health Services-Cancer Care, Edmonton, AB
8
Breast Cancer Supportive Care Foundation, Calgary, AB
9
Cancer survivor and writer
10
Division of Medical Oncology, Department of Oncology, University of Alberta, Cross Cancer Institute, Edmonton, AB
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2014, 21(1), 18-28; https://doi.org/10.3747/co.21.1698
Submission received: 10 December 2013 / Revised: 1 January 2014 / Accepted: 6 January 2014 / Published: 1 February 2014

Abstract

Background: Survivorship care plans (scps) have been recommended as a way to ease the transition from active cancer treatment to follow-up care, to reduce uncertainty for survivors in the management of their ongoing health, and to improve continuity of care. The objective of the demonstration project reported here was to assess the value of scps for cancer survivors in western Canada. Methods: The Alberta CancerBridges team developed, implemented, and evaluated scps for 36 breast and 21 head-and-neck cancer survivors. For the evaluation, we interviewed 12 of the survivors, 9 nurses who delivered the scps, and 3 family physicians who received the scps (n = 24 in total). We asked about satisfaction, usefulness, emotional impact, and communication value. We collected written feedback from the three groups about positive aspects of the scps and possible improvements (n = 85). We analyzed the combined data using qualitative thematic analysis. Results: Survivors, nurses, and family physicians agreed that scps could ease the transition to survivorship partly by enhancing communication between survivors and care providers. Survivors appreciated the individualized attention and the comprehensiveness of the plans. They described positive emotional impacts, but wanted a way to ensure that their physicians received the scps. Nurses and physicians responded positively, but expressed concern about the time required to implement the plans. Suggestions for streamlining the process included providing survivors with scp templates in advance, auto-populating the templates for the nurses, and creating summary pages for physicians. Conclusions: The results suggest ways in which scps could help to improve the transition to cancer survivorship and provide starting points for larger feasibility studies.
Keywords: care plans; survivorship; communication; breast cancer; head-and-neck cancer; qualitative analysis care plans; survivorship; communication; breast cancer; head-and-neck cancer; qualitative analysis

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MDPI and ACS Style

Collie, K.; McCormick, J.; Waller, A.; Railton, C.; Shirt, L.; Chobanuk, J.; Taylor, A.; Lau, H.; Hao, D.; Walley, B.; et al. Qualitative Evaluation of Care Plans for Canadian Breast and Head-and-Neck Cancer Survivors. Curr. Oncol. 2014, 21, 18-28. https://doi.org/10.3747/co.21.1698

AMA Style

Collie K, McCormick J, Waller A, Railton C, Shirt L, Chobanuk J, Taylor A, Lau H, Hao D, Walley B, et al. Qualitative Evaluation of Care Plans for Canadian Breast and Head-and-Neck Cancer Survivors. Current Oncology. 2014; 21(1):18-28. https://doi.org/10.3747/co.21.1698

Chicago/Turabian Style

Collie, K., J. McCormick, A. Waller, C. Railton, L. Shirt, J. Chobanuk, A. Taylor, H. Lau, D. Hao, B. Walley, and et al. 2014. "Qualitative Evaluation of Care Plans for Canadian Breast and Head-and-Neck Cancer Survivors" Current Oncology 21, no. 1: 18-28. https://doi.org/10.3747/co.21.1698

APA Style

Collie, K., McCormick, J., Waller, A., Railton, C., Shirt, L., Chobanuk, J., Taylor, A., Lau, H., Hao, D., Walley, B., Kapusta, B., Joy, A. A., Carlson, L. E., & Giese–Davis, J. (2014). Qualitative Evaluation of Care Plans for Canadian Breast and Head-and-Neck Cancer Survivors. Current Oncology, 21(1), 18-28. https://doi.org/10.3747/co.21.1698

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