Skip to main content

Advertisement

Log in

Facilitating survivorship program development for health care providers and administrators

  • Published:
Journal of Cancer Survivorship Aims and scope Submit manuscript

Abstract

Purpose

This manuscript will describe institutional changes observed through goal analysis that occurred following a multidisciplinary education project, aimed at preparing health care professionals to meet the needs of the growing numbers of cancer survivors.

Method

Postcourse evaluations consisted of quantitative questionnaires and follow-up on three goals created by each participating team, during the 3-day educational program. Evaluations were performed 6, 12, and 18 months postcourse for percent of goal achievement. Goals were a priori coded based on the Institute of Medicine’s survivorship care components along with two additional codes related to program development and education.

Results

Two hundred and four teams participated over the four yearly courses. A total of 51.6 % of goals were related to program development, 21 % to survivorship care interventions, 20.9 % on educational goals, and only 4.7 % related to coordination of care, 1.4 % on surveillance, and 0.4 % related to prevention-focused goals. Quantitative measures postcourse showed significant changes in comfort and effectiveness in survivorship care in the participating institutions.

Conclusion

During the period 2006–2009, health care institutions focused on developing survivorship care programs and educating staff, in an effort to prepare colleagues to provide and coordinate survivorship care, in cancer settings across the country.

Implications for cancer survivors

Goal-directed education provided insight into survivorship activities occurring across the nation. Researchers were able to identify survivorship care programs and activities, as well as the barriers to developing these programs. This presented opportunities to discuss possible interventions to improve follow-up care and survivors’ quality of life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. American Cancer Society. ACS The official sponsor of birthdays celebrates national cancer survivors day. 2009 [cited 2010 November 1, 2010]. www.cancer.org/fight/index?gclid=CKWK

  2. NCCS. National Coalition of Cancer Survivors (NCCS). www.canceradvocacy.org

  3. Institute of Medicine [IOM], From cancer patient to cancer survivor: lost in transition, M. Hewitt, S. Greenfield, and E. Stovall, Editors. 2006, The National Academies Press: Washington DC. p. 9–186

  4. Brearley SG et al. The physical and practical problems experienced by cancer survivors: a rapid review and synthesis of the literature. Eur J Oncol Nurs. 2011;15(3):204–12.

    Article  CAS  PubMed  Google Scholar 

  5. Ness S et al. Concerns across the survivorship trajectory: results from a survey of cancer survivors. Oncol Nurs Forum. 2013;40(1):35–42.

    Article  PubMed  Google Scholar 

  6. Simard S, Savard J. Fear of cancer recurrence inventory: development and initial validation of a multidimensional measure of fear of cancer recurrence. Support Care Cancer. 2009;17(3):241–51.

    Article  PubMed  Google Scholar 

  7. McCabe MS et al. American society of clinical oncology statement: achieving high-quality cancer survivorship care. J Clin Oncol. 2013;31(5):631–40.

    Article  PubMed  Google Scholar 

  8. Krugman M, Smith K, Goode CJ. A clinical advancement program: evaluating 10 years of progressive change. J Nurs Adm. 2000;30(5):215–25.

    Article  CAS  PubMed  Google Scholar 

  9. Lester JL, Wessels AL, Jung Y. Oncology nurses’ knowledge of survivorship care planning: the need for education. Oncol Nurs Forum. 2014;41(2):E35–43.

    Article  PubMed  Google Scholar 

  10. Ferris FD, von Gunten CF, Emanuel LL. Knowledge: insufficient for change. J Palliat Med. 2001;4(2):145–7.

    Article  CAS  PubMed  Google Scholar 

  11. Grant M et al. Educating health care professionals to provide institutional changes in cancer survivorship care. J Cancer Educ. 2012;27(2):226–32.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Ferrell BR, Dow KH, Grant M. Measurement of the quality of life in cancer survivors. Qual Life Res. 1995;4(6):523–31.

    Article  CAS  PubMed  Google Scholar 

  13. Knowles, M.S. The adult learner: a neglected species. Vol. 4e. Houston: Gulf Publishing; 1973, 1990.

  14. O’Neill J, Conzemius A, Commodore C, Pulsfus C. The Power of SMART goals—using goals to improve student learning. Bloomington: Solution Tree Press; 2006.

    Google Scholar 

  15. Gates P, Krishnasamy M. Nurse-led survivorship care. Cancer Forum. 2009;33(3):176–9.

    Google Scholar 

  16. Needleman J et al. Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715–22.

    Article  PubMed  Google Scholar 

  17. City of Hope Pain & Palliative Care Resource Center. Survivorship 3/23/09. http://prc.coh.org

  18. McCabe MS, Jacobs L. Survivorship care: models and programs. Semin Oncol Nurs. 2008;24(3):202–7.

    Article  PubMed  Google Scholar 

  19. NCCN. National Comprehensive Cancer Network-Guidelines. [cited 2012 February 22, 2012]. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp

  20. ASCO, Clincal Practice Guidelines: Practice Resources

  21. Wyatt DE. The impact of oncology education on practice—a literature review. Eur J Oncol Nurs. 2007;11(3):255–61.

    Article  PubMed  Google Scholar 

  22. McCabe, M.S., et al.. American Society of Clinical Oncology statement: achieving high-quality cancer survivorship care. J Clin Oncol. 2013;31:631–40

Download references

Acknowledgments

This study was supported by NCI-R25 CA 107109 and funded by NIH grant R25 CA107109.

Conflict of interest

There are no conflicts of interest for this manuscript.

Ethical approval: For this type of study formal consent is not required.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marcia Grant.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Grant, M., Economou, D., Ferrell, B. et al. Facilitating survivorship program development for health care providers and administrators. J Cancer Surviv 9, 180–187 (2015). https://doi.org/10.1007/s11764-014-0397-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11764-014-0397-8

Keywords

Navigation