Nurses’ Perceptions of Cancer Survivorship in Brazil
DOI:
https://doi.org/10.32635/2176-9745.RBC.2024v70n2.4556Keywords:
Cancer Survivors/psychology, Nursing Care, Health Services Needs and Demands, Oncology NursingAbstract
Introduction: In Brazil, there is an emerging discussion regarding care plans and concerns related to the needs of cancer survivors. Objective: This study aimed to understand the experience of oncology specialist nurses in providing care to cancer survivors. Method: This exploratory qualitative research was conducted through an exploratory approach with a qualitative focus, carried out in two public hospitals and two private hospitals located in Fortaleza and Rio de Janeiro. Data were collected through in-person focus group sessions in each city, with 11 and 8 participating nurses, respectively. Thematic analysis was employed to analyze the data. Results: The study revealed an understanding that having cancer impacts individuals and society across various dimensions. Notably, the interplay between physical, psychological, social, and economic well-being was highlighted. Additionally, challenges related to the unpreparedness of services and professionals to address these comprehensive needs were identified. Conclusion: These aspects should guide the reconstruction of policies and practices aimed at supporting people with cancer in Brazil, particularly in optimizing care processes and attending to the long-term needs of unsatisfactorily addressed survivor groups.
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References
Jain SL. Malignant: how cancer becomes us. Berkeley: University of California Press; 2013. DOI: https://doi.org/10.1525/9780520956827
Santos ATCD, Silva RPD, Almeida LM, et al. Cancer survivorship needs in Brazil: patient and family perspective. PLoS One. 2020;15(10):e0239811. doi: https://doi.org/10.1371/journal.pone.0239811 DOI: https://doi.org/10.1371/journal.pone.0239811
Shapiro CL. Cancer Survivorship. N Engl J Med. 2018;379(25):2438-50. doi: https://doi.org/10.1056/nejmra1712502 DOI: https://doi.org/10.1056/NEJMra1712502
Manthri S, Geraci SA, Chakraborty K. Overview of cancer survivorship care for primary care providers. Cureus. 2020;12(9):e10210. doi: https://doi.org/10.7759/cureus.10210 DOI: https://doi.org/10.7759/cureus.10210
Hewitt M, Greenfield S, Stovall. From cancer patient to cancer survivor: lost in transition. Washington, DC: National Academies Press; Institute of Medicine and National Research Council; 2006. doi: https://doi.org/10.17226/11468 DOI: https://doi.org/10.17226/11468
Keesing S, McNamara B, Rosenwax L. Cancer survivors’ experiences of using survivorship care plans: a systematic review of qualitative studies. J Cancer Surviv. 2015;9(2):260-8. doi: https://doi.org/10.1007/s11764-014-0407-x DOI: https://doi.org/10.1007/s11764-014-0407-x
Halpern MT, Argenbright KE. Evaluation of effectiveness of survivorship programmes: how to measure success? Lancet Oncol. 2017;18(1):e51-9. doi: https://doi.org/10.1016/s1470-2045(16)30563-0 DOI: https://doi.org/10.1016/S1470-2045(16)30563-0
Oliveira RAA, Zago MMF, Thorne SE. Interaction between professionals and cancer survivors in the context of Brazilian and Canadian care. Rev Lat Am Enfermagem. 2017;25:e2972. doi: https://doi.org/10.1590/1518-8345.2253.2972 DOI: https://doi.org/10.1590/1518-8345.2253.2972
The Economist Intelligence Unit [Internet]. London: The Economist Newspaper Limited; 2017. Cancer survivorship country profile Brazil. 2017 [acesso 2019 dez 10]. Disponível em: https://worldcancerinitiative.economist.com/pdf/BMS-Global-cancer-survivorship/Brazil.pdf
Renjith V, Yesodharan R, Noronha JA, et al. Qualitative Methods in Health Care Research. Int J Prev Med. 2021;24:12-20. doi: https://doi.org/10.4103/ijpvm.ijpvm_321_19
Pope C, Mays N. Qualitative research in health care. 4. ed. London: Wiley-Blackwell Publishing; BMJ Publishing Group; 2020. DOI: https://doi.org/10.1002/9781119410867
Launer J, Wohlmann A. Narrative medicine, narrative practice, and the creation of meaning. Lancet. 2023;401(10371):98-9. doi: https://doi.org/10.1016/s0140-6736(23)00017-x DOI: https://doi.org/10.1016/S0140-6736(23)00017-X
Backes D, Colomé J, Erdmann R, et al. Grupo focal como técnica de coleta e análise de dados em pesquisas qualitativas. Mundo saúde. 2011;35:438-42. doi: http://doi.org/10.15343/0104-7809.2011354438442 DOI: https://doi.org/10.15343/0104-7809.2011354438442
Mullan F. Seasons of survival: reflections of a physician with cancer. N Engl J Med. 1985;313(4):270-3. doi: https://doi.org/10.1056/nejm198507253130421 DOI: https://doi.org/10.1056/NEJM198507253130421
Feuerstein M, Nekhlyudov L, editores. Handbook of cancer survivorship. 2. ed. Springer Cham: Gewerbesraße; 2018. doi: https://doi.org/10.1007/978-3-319-77432-9 DOI: https://doi.org/10.1007/978-3-319-77432-9
Malterud K, Siersma VD, Guassora AD. Sample size in qualitative interview studies: guided by information power. Qual Health Res. 2016;26(13):1753-60. doi: https://doi.org/10.1177/1049732315617444 DOI: https://doi.org/10.1177/1049732315617444
Graneheim UH, Lindgren BM, Lundman B. Methodological challenges in qualitative content analysis: a discussion paper. Nurse Educ Today. 2017;56:29-34. doi: https://doi.org/10.1016/j.nedt.2017.06.002 DOI: https://doi.org/10.1016/j.nedt.2017.06.002
Erlingsson C, Brysiewicz P. A hands-on guide to doing content analysis. Afr J Emerg Med. 2017;7(3):93-9. doi: https://doi.org/10.1016/j.afjem.2017.08.001 DOI: https://doi.org/10.1016/j.afjem.2017.08.001
Conselho Nacional de Saúde (BR). Resolução n° 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União, Brasília, DF. 2013 jun 13; Seção I:59.
Malterud K. Qualitative research: standards, challenges, and guidelines. Lancet. 2001;358(9280):483-8. doi: https://doi.org/10.1016/s0140-6736(01)05627-6 DOI: https://doi.org/10.1016/S0140-6736(01)05627-6
Martins AM, Nascimento ARA. Representações sociais de corpo após o adoecimento por câncer na próstata. Psicolestud. 2017;22(3):371-81. doi: https://doi.org/10.4025/psicolestud.v22i3.31728 DOI: https://doi.org/10.4025/psicolestud.v22i3.31728
Junqueira LCU, Santos MA. Atravessando a tormenta: imagem corporal e sexualidade da mulher após o câncer de mama. Rev Fam Ciclos Vida Saúde Contexto Soc. 2020;8(Suppl 1):562-74. doi: https://doi.org/10.18554/refacs.v8i0.4669 DOI: https://doi.org/10.18554/refacs.v8i0.4669
Kim Y, Matthew J. Loscalzo. Gender in Psycho-Oncology. Oxford: Oxford University Press; 2018. doi: https://doi.org/10.1093/med/9780190462253.001.0001 DOI: https://doi.org/10.1093/med/9780190462253.001.0001
Del Pup L, Villa P, Amar ID, et al. Approach to sexual dysfunction in women with cancer. Int J Gynecol Cancer. 2019;29(3):630-4. doi: https://doi.org/10.1136/ijgc-2018-000096 DOI: https://doi.org/10.1136/ijgc-2018-000096
Strada A, Portenoy RK. Psychological, rehabilitative, and integrative therapies for cancer pain. Teerão: Uptodate; 2021.
Gomes P, Lima FLT, Santos ATC. Significados da dor crônica na sobrevivência ao câncer de mama. Rev Bras Cancerol. 2021;67(1):e-071143. doi: https://doi.org/10.32635/2176-9745.RBC.2021v67n1.1143 DOI: https://doi.org/10.32635/2176-9745.RBC.2021v67n1.1143
Niveau N, New B, Beaudoin M. How should selfesteem be considered in cancer patients? Front Psychol. 2021;12:763900. doi: https://doi.org/10.3389/fpsyg.2021.763900 DOI: https://doi.org/10.3389/fpsyg.2021.763900
Naughton MJ, Weaver KE. Physical and mental health among cancer survivors: considerations for long-term care and quality of life. N C Med J. 2014;75(4):283-6. doi: https://doi.org/10.18043/ncm.75.4.283 DOI: https://doi.org/10.18043/ncm.75.4.283
Berry-Stoelzle MA, Mark AC, Kim P, et al. Anxietyrelated issues in cancer survivorship. J Patient Cent Res Rev. 2020;7(1):31-8. DOI: https://doi.org/10.17294/2330-0698.1711
Cupit-Link M, Syrjala KL, Hashmi SK. Damocles’ syndrome revisited: Update on the fear of cancer recurrence in the complex world of today’s treatments and survivorship. Hematol Oncol Stem Cell Ther. 2018;11(3):129-34. doi: https://doi.org/10.1016/j.hemonc.2018.01.005 DOI: https://doi.org/10.1016/j.hemonc.2018.01.005
Pelaez Doro M, Pasquim R, Medeiros CR, et al. O câncer e sua representação simbólica. Psicol cienc prof. 2004;24(2):120-33. doi: https://doi.org/10.1590/S1414-98932004000200013 DOI: https://doi.org/10.1590/S1414-98932004000200013
Daniel E. Revisión sistemática sobre la intervención del psicólogo en el abordaje de los pacientes con cáncer. CdVS [Internet]. 2023[acesso 2024 jan 25];16(2):81-101. Disponível em: http://revistacdvs.uflo.edu.ar/index.php/CdVUFLO/article/view/392
Lewis FM. Strengthening family supports. Cancer and the family. Cancer. 1990;65(Supl3):752-9 . d o i : h t t p s : / / d o i . o r g / 1 0 . 1 0 0 2 / 1 0 9 7 -0 1 4 2 ( 1 9 9 0 0 2 0 1 ) 6 5 : 3 + % 3 C 7 5 2 : : a i d-cncr2820651320%3E3.0.co;2-d
Meira EC, Reis LA, Gonçalves LHT, et al. Vivências de mulheres cuidadoras de pessoas idosas dependentes: orientação de gênero para o cuidado. Esc Anna Nery. 2017;21(2):e20170046. doi: https://doi.org/10.5935/1414-8145.20170046 DOI: https://doi.org/10.5935/1414-8145.20170046
Skinner D. The gendering of cancer survivorship. Health Cul Soc. 2012;3(1):64-76. doi: https://doi.org/10.5195/hcs.2012.83 DOI: https://doi.org/10.5195/HCS.2012.83
Çamlıca T, Koç Z. Loneliness, social support level, quality of life and symptom management among turkish oncology patients. Omega (Westport). 2022;302228221086057. doi: https://doi.org/10.1177/00302228221086057 DOI: https://doi.org/10.1177/00302228221086057
Jiang H, Lyu J, Mou W, et al. Association between financial toxicity and health-related quality of life in cancer survivors: a systematic review. Asia Pac J Clin Oncol. 2023;19(4):439-57. doi: https://doi.org/10.1111/ajco.13901 DOI: https://doi.org/10.1111/ajco.13901
Short PF, Vasey JJ, Tunceli K. Employment pathways in a large cohort of adultcancer survivors. Cancer. 2005;103(6):1292-301. doi: https://doi.org/10.1002/cncr.20912 DOI: https://doi.org/10.1002/cncr.20912
Urquhart R, Scruton S, Kendell C. Understanding cancer survivors’ needs and experiences returning to work posttreatment:
a longitudinal qualitative study. Curr Oncol. 2022;29(5):3013-25. doi: https://doi.org/10.3390/curroncol29050245 DOI: https://doi.org/10.3390/curroncol29050245
Boer AG, Tamminga SJ, Boschman JS, et al. Non-medical interventions to enhance return to work for people with cancer. Cochrane Database Syst Rev. 2024;3(3):CD007569. doi: https://doi.org/10.1002/14651858.cd007569.pub4 DOI: https://doi.org/10.1002/14651858.CD007569.pub4
Feuerstein M. Work and Cancer Survivors. New York: Springer; 2009. doi: https://doi.org/10.1007/978-0-387-72041-8_2 DOI: https://doi.org/10.1007/978-0-387-72041-8_2
Pearce A, Sharp L, Hanly P, et al. Productivity losses dueto premature mortality from cancer in Brazil, Russia, India, China, and South Africa (BRICS): a populationbased comparison. Cancer Epidemiol. 2018;53:27-34. doi: https://doi.org/10.1016/j.canep.2017.12.013 DOI: https://doi.org/10.1016/j.canep.2017.12.013
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