Cancer, Cognitive Impairment, and Work-Related Outcomes: An Integrative Review

Diane Von Ah, PhD, RN, FAAN; Susan Storey, PhD, RN, AOCNS®; Eileen Tallman, BA; Adele Nielsen, BSN, RN; Shelley A. Johns, PsyD, ABPP; and Susan J. Pressler, PhD, RN, FAAN, FAHA
ONF
10.1188/16.ONF.602-616

Description

Problem Identification: Cancer survivors often report concerns regarding their memory, attention, and ability to process information and make decisions. These problems, which have also been demonstrated on objective neuropsychological assessments, may have a significant impact on work-related outcomes.

Literature Search: A literature review was conducted using the following electronic databases: Ovid (MEDLINE®), PubMed, CINAHL®, and Web of Science. Search terms included cancer, survivors, cognitive, work, and work ability. Empirical research published in English from January 2002 to August 2015 that focused on cognitive impairment in adult cancer survivors was included in the review.

Data Evaluation: Articles were evaluated by two independent researchers.

Synthesis: Twenty-six studies met the inclusion criteria. Ten were qualitative, 15 were quantitative, and 1 had a mixed-methods design. Quantitative articles were synthesized using the integrative methodology strategies proposed by Whittemore and Knafl. Synthesis of qualitative articles was conducted using the criteria established by the Swedish Agency for Health Technology Assessment and Assessment of Social Services.

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