Abstract
Purpose
To establish oncology practitioners’ perceptions of responsibility, confidence levels, and frequency of survivorship care practice in relation to the post-treatment phase of survivorship care in Mainland China; to identify factors associated with oncology practitioners’ perceptions of responsibility, confidence levels, and frequency of survivorship care practice; and to examine factors that impede the provision of quality survivorship care.
Methods
A cross-sectional survey of Chinese oncology practitioners was conducted using a test battery consisting of a self-developed information sheet, a 29-item survivorship care scale (29-SCS), and a 16-item impeding factors scale.
Results
There were 331 participants. Mean values of the four subscales (8.87, 61.82, 18.62, and 40.49) on perceptions of responsibility were relatively higher than those of the mean values of confidence levels and frequency of survivorship care practice. Participant characteristics, including professional discipline, highest educational qualification achieved, work status, work role, and work setting, were identified as factors associated with oncology practitioners’ responsibility perceptions, confidence levels, and survivorship care practice frequency. The top three barriers to quality survivorship care perceived by participants were lack of time, an appropriate physical location, and evidence-based practice guidelines to inform survivorship care.
Conclusions
Findings of relatively high levels of perception of responsibility and low levels of confidence in survivorship care suggest that survivorship care is needed, with the aim of implementing oncology practitioners’ responsibility and improving their confidence in providing survivorship care in cancer practice. Future multiple levels of cooperation for overcoming barriers and implementing quality survivorship care are highly recommended.
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References
World Health Organisation (2018) Cancer Fact sheet. http://www.who.int/mediacentre/factsheets/fs297/en/. Accessed 20 Feb 2018
Chen W, Zheng R, Baade PD, Zhang S, Zeng H, Bray F, Jemal A, Yu XQ, He J (2016) Cancer statistics in China, 2015. CA Cancer J Clin 66(2):115–132. https://doi.org/10.3322/caac.21338
Jarrett N, Scott I, Addingtonhall J, Amir Z, Brearley S, Hodges L, Richardson A, Sharpe M, Stamataki Z, Stark D (2013) Informing future research priorities into the psychological and social problems faced by cancer survivors: a rapid review and synthesis of the literature. Eur J Oncol Nurs 17(5):510–520
Stein KD, Syrjala KL, Andrykowski MA (2010) Physical and psychological long-term and late effects of cancer. Cancer 112(S11):2577–2592
Molassiotis A, Yates P, Li Q, So WKW, Pongthavornkamol K, Pittayapan P, Komatsu H, Thandar M, Li MS, Titus Chacko S, Lopez V, Butcon J, Wyld D, Chan RJ (2017) Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region: results from the International STEP Study. Ann Oncol 28(10):2552–2558. https://doi.org/10.1093/annonc/mdx350
National Coalition for Cancer Survivorship (2014) Defining cancer survivorship. http://www.canceradvocacy.org/news/defining-cancer-survivorship/. Accessed 21 Feb 2018
Fitch MI (2008) Supportive care framework. Can Oncol Nurs J 18(1):6–14
Committee on Cancer Survivorship: Improving care and quality of life NCPB, Institute of Medicine, Institute of Medicine and National Research Council (2005) From cancer patient to cancer survivor: Lost in transition
Zhao P, Dai M, Chen W, Li N (2010) Cancer trends in China. Jpn J Clin Oncol 40(4):281–285
Miura A, Matsuda Y, Ogawa I, Takagai J, Hirai K, Hosoda Y, Suzukz S, Onishi K (2015) Oncology nurses’ recognition of long-term cancer survivorship care in Japan. Asia Pac J Oncol Nurs 2(3):136–143. https://doi.org/10.4103/2347-5625.163412
Birken SA, Presseau J, Ellis SD, Gerstel AA, Mayer DK (2014) Potential determinants of health-care professionals’ use of survivorship care plans: a qualitative study using the theoretical domains framework. Implement Sci 9:167. https://doi.org/10.1186/s13012-014-0167-z
Dulko D, Pace CM, Dittus KL, Sprague BL, Pollack LA, Hawkins NA, Geller BM (2013) Barriers and facilitators to implementing cancer survivorship care plans. Oncol Nurs Forum 40(6):575–580. https://doi.org/10.1188/13.onf.575-580
Ye AY, Cheung WY, Goddard KJ, Horvat D, Olson RA (2015) Follow-up patterns of cancer survivors: a survey of Canadian radiation oncologists. J Cancer Surviv 9(3):388–403. https://doi.org/10.1007/s11764-014-0390-2
Ng T, Toh MR, Cheung YT, Chan A (2015) Follow-up care practices and barriers to breast cancer survivorship: perspectives from Asian oncology practitioners. Support Care Cancer 23(11):3193–3200. https://doi.org/10.1007/s00520-015-2700-2
Chan RJ, Yates P, Li Q, Komatsu H, Lopez V, Thandar M, Chacko ST, So WKW, Pongthavornkamol K, Yi M, Pittayapan P, Butcon J, Wyld D, Molassiotis A (2017) Oncology practitioners’ perspectives and practice patterns of post-treatment cancer survivorship care in the Asia-Pacific region: results from the STEP study. BMC Cancer 17(1):715. https://doi.org/10.1186/s12885-017-3733-3
Wu ML (2010) Statistical analysis of questionnaires: SPSS operation and application. Chongqing University Press, Chongqing
Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A (2005) Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care 14(1):26–33. https://doi.org/10.1136/qshc.2004.011155
Chan R, Wallace A, Downs E, Langbecker D, Ekberg S, Gates P, Chan A, Yates P (2016) Cancer nurses’ provision of survivorship care for patients with haematological malignancy. Support Care Cancer 24(Suppl 1):S221
Wallace A, Downs E, Gates P, Thomas A, Yates P, Chan RJ (2015) Provision of survivorship care for patients with haematological malignancy at completion of treatment: a cancer nursing practice survey study. Eur J Oncol Nurs 19(5):516–522. https://doi.org/10.1016/j.ejon.2015.02.012
World Health Organisation (2014) Process of translation and adaptation of instruments. http://www.who.int/substance_abuse/research_tools/translation/en/. Accessed 22 Feb 2018
Yip WC, Hsiao WC, Chen W, Hu S, Ma J, Maynard A (2012) Early appraisal of China’s huge and complex health-care reforms. Lancet 379(9818):833–842
Ganz PA, Yip CH, Gralow JR, Distelhorst SR, Albain KS, Andersen BL, Bevilacqua JL, de Azambuja E, El Saghir NS, Kaur R, McTiernan A, Partridge AH, Rowland JH, Singh-Carlson S, Vargo MM, Thompson B, Anderson BO (2013) Supportive care after curative treatment for breast cancer (survivorship care): resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement. Breast 22(5):606–615. https://doi.org/10.1016/j.breast.2013.07.049
Nolte L, Kinnane N, Lai-Kwon J, Gates P, Shilkin P, Jefford M (2016) The impact of survivorship care planning on patients, general practitioners, and hospital-based staff. Cancer Nurs 39(6):E26–e35. https://doi.org/10.1097/ncc.0000000000000329
Acknowledgments
The first author (Qiuping LI) is especially grateful to Professor Raymond Javan CHAN (School of Nursing, Queensland University of Technology) for his valuable comments on the previous version of the manuscript. The authors gratefully acknowledge the support from the related hospital and all the participants for their sharing of their experience in this study.
Funding
Financial support of this study was provided by the National Natural Science Foundation of China (No. 81773297). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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Qiuping Li: Study conception/design; data collection/analysis; drafting of manuscript.
Yi Lin and Yinghua Xu: Data collection/analysis; drafting of manuscript.
Alex Molassiotis: Critical revisions for important intellectual content.
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Li, Q., Lin, Y., Xu, Y. et al. Cancer survivorship care after curative treatment: Chinese oncology practitioners’ practices. Support Care Cancer 27, 1287–1298 (2019). https://doi.org/10.1007/s00520-018-4615-1
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DOI: https://doi.org/10.1007/s00520-018-4615-1