A Multimethod Evaluation of a Specialist Breast Care Nurse-Led Survivorship Clinic in Australia

Oncol Nurs Forum. 2023 Oct 19;50(6):753-764. doi: 10.1188/23.ONF.753-764.

Abstract

Objectives: To compare the needs and issues faced by breast cancer survivors (BCSs) who received chemotherapy as part of their treatment with those who did not and assess satisfaction with a specialist breast care nurse-led survivorship clinic.

Sample & setting: BCSs who attended a specialist breast care nurse-led survivorship clinic at a Western Australian private, not-for-profit hospital.

Methods & variables: A multimethod evaluation included surveys, quality-of-life assessments, and reviews of wellness plans.

Results: A total of 68 BCSs participated; the majority had received chemotherapy as part of their treatment and were female. BCSs experienced a diverse range of issues. Significant differences were found between chemotherapy and nonchemotherapy groups for financial difficulties (p = 0.002), body image (p = 0.017), future perspective (p = 0.022), and arm symptoms (p = 0.007). Participants indicated that the specialist breast care nurse-led clinic was appropriately timed and highly valued.

Implications for nursing: Specialist breast care nurse-led clinics can identify and address BCSs' ongoing needs.

Keywords: breast cancer; breast care nurse; chemotherapy; nurse-led; survivorship; wellness.

MeSH terms

  • Australia
  • Breast Neoplasms* / drug therapy
  • Cancer Survivors*
  • Female
  • Humans
  • Nurse's Role
  • Quality of Life
  • Survivors
  • Survivorship