TITLE:
Implementing Appearance-Care Research for Breast Cancer Patient into Routine Clinical Practice
AUTHORS:
Mari Ikeda, Hisako Kanai, Misato Osaka, Nao Tamai, Yukie Takemura, Hiromi Sanada
KEYWORDS:
Breast Cancer, Chemotherapy, Group Intervention, Interprofessional Collaborative Practice, Quality of Life
JOURNAL NAME:
Open Journal of Nursing,
Vol.10 No.3,
March
30,
2020
ABSTRACT: Aims: Research the process of organizational change to understand how interventions such as appearance care can be integrated into daily practice. Background: Typical treatment of breast cancer is surgery, often followed by chemotherapy. Associated aesthetic ramifications, including hair loss, frequently cause patient distress. Methods: We conducted face-to-face semi-structured hour-long recorded interviews with three nurses. We then analyzed the developmental process according to the core competencies for interprofessional collaborative practice using the thematic content analysis. Results: Nurses worked with interdisciplinary team members with mutual respect and shared values such as concern for patients’ quality of life. Nurses used knowledge of appearance-related side effects combined with beautician-provided coping skills. Intervention involved responsible communication with other health professionals and patients in a team approach. Nurses promoted the developmental process and became program facilitators. Conclusion: This group-intervention program, facilitated by nurses, was integrated into daily practice. Implications for nursing management: Research partnerships between academics, clinical nurses, nurse managers, and beauticians can improve the integration of interventions in routine practice and increase awareness of patients’ needs.