540099 research-article2014
WJNXXX10.1177/0193945914540099Western Journal of Nursing Research
Midwest Nursing Research Society DNP Student Award Abstract
Shared Mental Models of Patients, Oncology Providers, and Primary Care Providers Regarding Roles in Cancer Survivorship Care
Western Journal of Nursing Research 2014, Vol. 36(10) 1384–1385 © The Author(s) 2014 Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/0193945914540099 wjn.sagepub.com
In 2009, the United States had an estimated 12.5 million cancer survivors, and an increase to 18 million by 2022 is projected. This volume places a great burden on the health care system, but little consensus exists regarding who should be responsible for providing follow-up care for cancer survivors. A shared care model between oncology providers and primary care providers (PCPs) is a survivorship care model recommended by the Institute of Medicine. Quantitative and qualitative studies have evaluated oncology and PCP roles, but no systematic review has been completed. The purpose of this review is to analyze the convergent and divergent views of provider roles in survivorship care from the perspective of cancer survivors, PCPs, and oncology providers using the conceptual framework of shared mental models, because a shared understanding of goals, roles, and coordination may enhance outcomes. A search using CINAHL, PubMed, and the Cochrane Database yielded 1,995 potential articles. Twenty-two studies fit inclusion criteria of primary research, conducted in the United States, written in English, and addressed views and perceptions of cancer survivors, PCPs, and oncologists regarding general survivorship care. Both PCPs and oncologists reported that they participate in survivorship care, with some expressing confidence in a shared care model. PCPs were identified as the providers of wellness care and oncologists as the providers of specialized cancer care for cancer survivors. Care continuity and the need for psychosocial support during the transition from active treatment to follow-up care were themes noted by all groups. The survivorship care plan was cited as a means to promote care continuity, improve communication, and prepare PCPs to make follow-up care decisions. Cancer survivors require ongoing support as they transition to survivorship care. PCPs and oncologists share this support through their roles in wellness and specialized cancer care, respectively. The survivorship care plan can guide decision making in shared care between PCPs and oncologists,
Downloaded from wjn.sagepub.com at NORTH DAKOTA STATE UNIV LIB on May 21, 2015
1385
Hebdon et al.
where their supportive roles and expertise are maximized. In understanding provider roles and measures that promote continuity and decision making, health care professionals will better facilitate the transition of cancer survivors from active treatment to follow-up care. Megan Hebdon, RN, FNP-C Olivia Fahnestock, BS Sara McComb, PhD, PE Purdue University, West Lafayette, IN, USA
Downloaded from wjn.sagepub.com at NORTH DAKOTA STATE UNIV LIB on May 21, 2015
WJNXXX10.1177/0193945914540099Western Journal of Nursing Research
Midwest Nursing Research Society DNP Student Award Abstract
Shared Mental Models of Patients, Oncology Providers, and Primary Care Providers Regarding Roles in Cancer Survivorship Care
Western Journal of Nursing Research 2014, Vol. 36(10) 1384–1385 © The Author(s) 2014 Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/0193945914540099 wjn.sagepub.com
In 2009, the United States had an estimated 12.5 million cancer survivors, and an increase to 18 million by 2022 is projected. This volume places a great burden on the health care system, but little consensus exists regarding who should be responsible for providing follow-up care for cancer survivors. A shared care model between oncology providers and primary care providers (PCPs) is a survivorship care model recommended by the Institute of Medicine. Quantitative and qualitative studies have evaluated oncology and PCP roles, but no systematic review has been completed. The purpose of this review is to analyze the convergent and divergent views of provider roles in survivorship care from the perspective of cancer survivors, PCPs, and oncology providers using the conceptual framework of shared mental models, because a shared understanding of goals, roles, and coordination may enhance outcomes. A search using CINAHL, PubMed, and the Cochrane Database yielded 1,995 potential articles. Twenty-two studies fit inclusion criteria of primary research, conducted in the United States, written in English, and addressed views and perceptions of cancer survivors, PCPs, and oncologists regarding general survivorship care. Both PCPs and oncologists reported that they participate in survivorship care, with some expressing confidence in a shared care model. PCPs were identified as the providers of wellness care and oncologists as the providers of specialized cancer care for cancer survivors. Care continuity and the need for psychosocial support during the transition from active treatment to follow-up care were themes noted by all groups. The survivorship care plan was cited as a means to promote care continuity, improve communication, and prepare PCPs to make follow-up care decisions. Cancer survivors require ongoing support as they transition to survivorship care. PCPs and oncologists share this support through their roles in wellness and specialized cancer care, respectively. The survivorship care plan can guide decision making in shared care between PCPs and oncologists,
Downloaded from wjn.sagepub.com at NORTH DAKOTA STATE UNIV LIB on May 21, 2015
1385
Hebdon et al.
where their supportive roles and expertise are maximized. In understanding provider roles and measures that promote continuity and decision making, health care professionals will better facilitate the transition of cancer survivors from active treatment to follow-up care. Megan Hebdon, RN, FNP-C Olivia Fahnestock, BS Sara McComb, PhD, PE Purdue University, West Lafayette, IN, USA
Downloaded from wjn.sagepub.com at NORTH DAKOTA STATE UNIV LIB on May 21, 2015
