Nurse-Led Supportive Care Intervention for Men With Advanced Prostate Cancer: Healthcare Professionals' Perspectives

Oncol Nurs Forum. 2020 Jan 1;47(1):33-43. doi: 10.1188/20.ONF.33-43.

Abstract

Purpose: To identify barriers and corresponding solutions for implementing a telephone-based, nurse-led supportive care intervention for men with advanced prostate cancer.

Participants & setting: 21 healthcare professionals with an average 15.81 years of experience in diverse prostate cancer care settings.

Methodologic approach: Data from semistructured interviews were coded into the Theoretical Domains Framework and mapped to behavior change techniques (BCTs) to inform the development of an implementation schema.

Findings: Barriers included lack of knowledge about the effectiveness of survivorship interventions and how to deliver them, low referral rates to psychosocial oncology care, low help-seeking behavior among men with advanced prostate cancer, lack of care coordination skills, and inadequate service capacity.

Implications for nursing: Interprofessional support exists for a nurse-led supportive care intervention. Causes of low engagement with supportive care among men with advanced prostate cancer extend beyond gendered patterns of response.

Keywords: advanced cancer; implementation; prostate cancer; qualitative; supportive care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude of Health Personnel
  • Australia
  • Behavior Therapy / methods*
  • Female
  • Focus Groups
  • Health Personnel / psychology*
  • Humans
  • Male
  • Middle Aged
  • Nurse-Patient Relations*
  • Oncology Nursing / methods*
  • Prostatic Neoplasms / nursing*
  • Prostatic Neoplasms / psychology*
  • Qualitative Research
  • Social Support*