Nurse-Led Supportive Care Intervention for Men With Advanced Prostate Cancer: Healthcare Professionals' Perspectives

Nicholas Ralph, PhD, BN, RN; Suzanne K. Chambers, PhD, RN; Kirstyn Laurie, BPsych(Hons); John Oliffe, PhD, MEd, RN; Mark Lazenby, PhD, APRN, FAPOS, FAAN; Jeff Dunn, PhD


Purpose: To identify barriers and corresponding solutions for implementing a telephone-based, nurse-led supportive care intervention for men with advanced prostate cancer.

Participants & Setting: 21 healthcare professionals with an average 15.81 years of experience in diverse prostate cancer care settings.

Methodologic Approach: Data from semistructured interviews were coded into the Theoretical Domains Framework and mapped to behavior change techniques (BCTs) to inform the development of an implementation schema.

Findings: Barriers included lack of knowledge about the effectiveness of survivorship interventions and how to deliver them, low referral rates to psychosocial oncology care, low help-seeking behavior among men with advanced prostate cancer, lack of care coordination skills, and inadequate service capacity.

Implications for Nursing: Interprofessional support exists for a nurse-led supportive care intervention. Causes of low engagement with supportive care among men with advanced prostate cancer extend beyond gendered patterns of response.

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