Open Access
'Opportunistic care': a focus group study of nurses' perspective on caring for long-term cancer survivors and their families
(Wolters Kluwer, 2024) Elizondo Rodríguez, Nerea; La Rosa-Salas, Virginia; Leite, Ana Carolina Andrade Biaggi; Domingo-Oslé, Marta; Nascimento, Lucila; García Vivar, Cristina; Ciencias de la Salud; Osasun Zientziak
Background: The global population of long-term cancer survivors is increasing, thanks to advances in treatments and care. Healthcare systems are working to address the unique needs of these individuals. However, there remains a knowledge gap concerning nurses' view on cancer survivorship care. Objective: To identify nurses' perspective of care for long-term cancer survivors and their families. Methods: This qualitative descriptive study used 5 focus groups comprising 33 nurses from primary healthcare and specialized oncology care. Data analysis was conducted through thematic analysis, and the study received ethical approval. Results: Long-term cancer survivors and their families often remained unrecognized as a distinct group within the healthcare system. Consequently, nurses provide what can be termed as opportunistic care during nurse-survivor encounters, addressing health needs beyond the purpose of the initial healthcare visit. This absence of a systematic or structured approach for this patient group has prompted nurses to seek the establishment of a comprehensive framework through survivorship care plans, thus ensuring a continuum of care for this specific population. Conclusion: The lack of a structured approach to caring for long-term cancer survivors and their families, often invisible as a distinct population group, results in nurses providing care on an opportunistic basis. Implications for practice: It is crucial to develop and implement survivorship care plans tailored to this population's needs. Simultaneously, it is important to advance research in this area and establish an educational framework for nurses, enabling them to effectively address the care of long-term cancer survivors and their families.
Open Access
Intervención educativa para cuidar a los largos-supervivientes de cáncer y sus familias: protocolo del estudio
(Sociedad Española de Enfermería Oncológica, 2023) Domingo-Oslé, Marta; La Rosa-Salas, Virginia; Elizondo Rodríguez, Nerea; Canales Bilbao, Almudena; García Vivar, Cristina; Ciencias de la Salud; Osasun Zientziak
Introducción: La calidad de vida de los supervivientes de cáncer y de sus familiares se ve afectada por la falta de atención a sus necesidades. Por ello se necesitan intervenciones educativas que formen a los futuros profesionales de enfermería para cuidar a los largos supervivientes de cáncer y a sus familiares. Objetivo: Describir el protocolo para la fase piloto de una intervención compleja, diseñada para abordar la formación de estudiantes de enfermería en larga supervivencia de cáncer y en familia. Diseño: Estudio piloto controlado aleatorizado. Métodos: Los participantes serán estudiantes de 3º de grado de enfermería. El grupo intervención recibirá el programa Learning & Care durante un período de 3 meses. El grupo de control continuará con formación del grado de enfermería. El piloto ayudará a determinar la viabilidad, aceptabilidad y calidad del programa educativo. Los datos recopilados antes y después de la intervención proporcionarán estimaciones de los efectos preliminares de la intervención sobre la variable principal (conocimiento, habilidad, actitud) y el grado de satisfacción de los estudiantes al realizarlo. Discusión: Si los resultados del estudio piloto mostrarán que la intervención Learning & Care es un programa educativo interdisciplinar en el que el alumno es líder de su aprendizaje y se forma en el área de la supervivencia de cáncer, se podrá incorporar al curriculum de grado de enfermería. Las organizaciones sanitarias podrían beneficiarse de la incorporación de nuevas enfermeras con formación en cuidados en larga supervivencia de cáncer y en familia que cuiden de forma holística a esta población.
Open Access
Educational intervention for family nursing students in long-term cancer survivorship: a randomized pilot trial
(SAGE, 2023) Domingo-Oslé, Marta; La Rosa-Salas, Virginia; García Vivar, Cristina; Ciencias de la Salud; Osasun Zientziak
A randomized pilot study was conducted involving 69 third-year nursing students (ClinicalTrials.gov ID: NCT05270252). Students were randomly assigned to the CG (n = 34) or the intervention group (n = 35), using computer-generated randomization. The CG completed the third-year nursing, and the intervention group received in addition the Learning & Care educational intervention. The aim of this study was to determine the effectiveness, feasibility, and acceptability of the Learning & Care for students to acquire the knowledge, skills, and attitudes necessary to care for survivors and their families. The intervention group significantly improved in knowledge (p = .004; −1.15, 95% confidence interval [CI] [−1.94, −0.37]), skills (p ≤ .0001; −13.51, 95% CI [−15.19, −11.83]), and attitudes (p = .006; −5.61, 95% CI [−8.81, −2.42]). The students' satisfaction was found to be high (93.75%). Offering a family nursing approach improves students' competence to care for long-term cancer survivors and their families.

García Vivar, Cristina

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