title: Piloting a needs assessment to guide development of a survivorship program for a community cancer center.
abstract: OBJECTIVE
  To develop and pilot a survey to assess needs and distress of cancer survivors receiving care in a community cancer center.
  
  
  METHODS
  Descriptive, quantitative.
  
  
  METHODS
  A community cancer center in the southeastern United States partnering with a local college of nursing faculty.
  
  
  METHODS
  Convenience sample of 307 adult cancer survivors.
  
  
  METHODS
  Voluntary completion of a modified survey of needs.
  
  
  METHODS
  Cancer survivor needs and distress according to five subscales (physical effects, social issues, emotional aspects, spiritual issues, and other issues), age, and gender.
  
  
  RESULTS
  Patients on average reported experiencing more than 25 of 50 possible survivorship needs. Average distress scores associated with individual needs were low. The most frequently experienced needs were fatigue, fear of recurrence, and sleep disturbance. Middle-aged survivors experienced significantly greater need and distress across all subscales.
  
  
  CONCLUSIONS
  Need and distress exist among adult cancer survivors receiving treatment and follow-up in community cancer care settings, with the middle-age phase of life creating unique barriers. Survey data may provide documentation of the multidimensional impact of cancer on quality of life and can help direct survivorship program development.
  
  
  CONCLUSIONS
  Nurses can address a barrier to survivorship care in community care settings by using the Pearlman-Mayo Survey of Needs to assess outcomes relevant to survivors. Partnership between community hospital RNs and college of nursing faculty may create local or regional solutions and serve as useful models for survivorship care.
authors.affiliation: College of Nursing, Valdosta State University, Georgia, USA. mcschlai@valdosta.edu
authors.forename: Maura
authors.initials: M
authors.lastname: Schlairet
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Heddon
authors.forename: Martha
authors.initials: M
authors.lastname: Griffis
mesh_terms: D000328:Adult; D000342:Affective Symptoms; D000368:Aged; D003151:Community Health Centers; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009369:Neoplasms / Q000451:nursing* / Q000523:psychology; D009859:Oncology Nursing; D010865:Pilot Projects; D012944:Social Support; D017741:Survivors