title: Oncology nurses' perspectives on the state of cancer survivorship care: current practice and barriers to implementation.
abstract: OBJECTIVE
  to describe current survivorship care from the perspectives of oncology nurses.
  
  
  METHODS
  descriptive.
  
  
  METHODS
  e-mail invitation to Web-based survey.
  
  
  METHODS
  399 Oncology Nursing Society members providing care for patients initially treated more than one year previously.
  
  
  METHODS
  an online survey was used to evaluate current aspects of survivorship care.
  
  
  METHODS
  practice settings, services provided, and barriers to delivering survivorship care.
  
  
  RESULTS
  few nurses (27%) worked in settings with a formal survivorship program. Several program components were provided significantly more often in outpatient settings, pediatric facilities, and workplaces with a formal survivorship program. At the transition from acute to follow-up care, the survivorship nursing care provided most often was scheduling for ongoing monitoring (71%) and the least likely was assistance for employment or legal issues (16%). The greatest barriers to providing survivorship care were lack of time and funding (46%). Among nurses new to oncology (fewer than five years), 49% indicated they lacked sufficient knowledge compared to 36% of nurses with more than five years of oncology experience.
  
  
  CONCLUSIONS
  findings describe current aspects of survivorship care across practice settings. Nurses reported that the greatest barriers are lack of time, funding, and lack of knowledge about survivorship issues.
  
  
  CONCLUSIONS
  a need exists for education to enhance knowledge and skills of nurses who will provide survivorship care. Research is warranted to develop empirically supported guidelines and care-delivery models that address the barriers to providing survivorship services.
authors.affiliation: Research Department, Oncology Nursing Society (ONS), Pittsburgh, PA, USA. mirwin@ons.org
authors.forename: Margaret
authors.initials: M
authors.lastname: Irwin
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Klemp
authors.forename: Catherine
authors.initials: C
authors.lastname: Glennon
authors.forename: Linda M
authors.initials: LM
authors.lastname: Frazier
mesh_terms: D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D006801:Humans; D020407:Internet; D020380:Needs Assessment / Q000706:statistics & numerical data; D009369:Neoplasms / Q000453:epidemiology* / Q000451:nursing*; D009859:Oncology Nursing / Q000706:statistics & numerical data*; D010045:Outpatients / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D017741:Survivors / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology