title: Provision of survivorship care for patients with haematological malignancy at completion of treatment: A cancer nursing practice survey study.
abstract: OBJECTIVE
  Many haematological cancer survivors report long-term physiological and psychosocial effects, which persist far beyond treatment completion. Cancer services have been required to extend care to the post-treatment phase to implement survivorship care strategies into routine practice. As key members of the multidisciplinary team, cancer nurses' perspectives are essential to inform future developments in survivorship care provision.
  
  
  METHODS
  This is a pilot survey study, involving 119 nurses caring for patients with haematological malignancy in an Australian tertiary cancer care centre. The participants completed an investigator developed survey designed to assess cancer care nurses' perspectives on their attitudes, confidence levels, and practice in relation to post-treatment survivorship care for patients with a haematological malignancy.
  
  
  RESULTS
  Overall, the majority of participants agreed that all of the survivorship interventions included in the survey should be within the scope of the nursing role. Nurses reported being least confident in discussing fertility and employment/financial issues with patients and conducting psychosocial distress screening. The interventions performed least often included, discussing fertility, intimacy and sexuality issues and communicating survivorship care with the patient's primary health care providers. Nurses identified lack of time, limited educational resources, lack of dedicated end-of-treatment consultation and insufficient skills/knowledge as the key barriers to survivorship care provision.
  
  
  CONCLUSIONS
  Cancer centres should implement an appropriate model of survivorship care and provide improved training and educational resources for nurses to enable them to deliver quality survivorship care and meet the needs of haematological cancer survivors.
authors: Cancer Care Services, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
authors: Ann
authors: A
authors: Wallace
authors: Cancer Care Services, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
authors: Erin
authors: E
authors: Downs
authors: Olivia Newton-John Cancer and Wellness Centre, Austin Hospital, Heidelberg, Victoria, Australia.
authors: Priscilla
authors: P
authors: Gates
authors: Cancer Care Services, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia; School of Nursing, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
authors: Alison
authors: A
authors: Thomas
authors: Cancer Care Services, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia; School of Nursing, Queensland University of Technology, Kelvin Grove, Queensland, Australia; Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
authors: Patsy
authors: P
authors: Yates
authors: Cancer Care Services, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia; School of Nursing, Queensland University of Technology, Kelvin Grove, Queensland, Australia; Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia; Department of Research and Innovation, West Moreton Hospital and Health Services, Queensland, Australia. Electronic address: Raymond.Chan@health.qld.gov.au.
authors: Raymond Javan
authors: RJ
authors: Chan
mesh_terms: D000223:Adaptation, Psychological; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D001315:Australia; D002173:Cancer Care Facilities; D002983:Clinical Competence / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D019337:Hematologic Neoplasms / Q000451:nursing* / Q000503:physiopathology*; D006801:Humans; D008134:Long-Term Care; D008297:Male; D024802:Nurse's Role / Q000523:psychology*; D009723:Nurse-Patient Relations; D009859:Oncology Nursing / Q000379:methods* / Q000639:trends; D010865:Pilot Projects; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D062606:Tertiary Care Centers
keywords: Cancer survivor; Haematological cancer; Oncology nurses; Physiological effects; Psychosocial effects; Survivorship care; Survivorship care model