Nursing intervention focusing on health promotion behaviors in adult cancer patients: a scoping review

Abstract

Objective: This review aims to map and provide an overview of literature concerning nursing strategies and intervention programs that promote healthy behaviors in cancer patients. Method: A scoping review was conducted using the methodological framework developed by Joanna Briggs Institute and preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews. Twelve databases were searched (2012-2019). Retrieved data included descriptive analyses exploring studies’ methodological characteristics and results. Results: From 1589 studies, 12 were included. Most studies included patients on survivorship period (n=10) and selected intervention strategies focusing patient’s knowledge and awareness (n=8). Educational sessions were supported by behavioral change reinforcements and motivational incentives. Only two of the considered studies analysed intervention cost effectiveness, but none disclosed intervention-related costs. Conclusion: Nursing interventions are effective in promoting health behaviors when include health education and encouragement towards change. Survivorship is the perfect time for health promotion. Nurses can be considered health promoters, by encouraging health education and enhance survivor’s motivation.

Validação de uma intervenção educacional para promover comportamentos de saúde nos sobreviventes de cancro: Técnica e-Delphi

“…They were sent to the participants via email to maximize time and resources and because they are easier to use and facilitate data management. A modified technique was used because the process started with a set of pre-selected items extracted from the findings of previous studies, namely a literature review (Peixoto et al, 2021a) and a focus group meeting with experts (Peixoto et al, 2021b). This study aims to reach consensus on the structure and content of the educational nursing intervention.…”

“…In this questionnaire, the experts could provide suggestions on the topics. The options regarding the structure of the intervention and the participant exclusion criteria were based on the findings of previous studies (Peixoto et al, 2021a;Peixoto et al, 2021b). The areas related to focuses of nursing practice and nursing interventions were designed based on the International Classification for Nursing Practice (ICNP®) in order to standardize the content of the intervention.…”

“…Oncology clinicians have limited time to address some health issues, so collaboration with nurses specifically trained to educate and motivate people about wellness behaviors can bridge this gap (Stan et al, 2020). Although there are several nursing programs and interventions for cancer survivors in the international literature, Portugal lacks salutogenic interventions for this population (Peixoto et al, 2021a). Therefore, an educational nursing intervention was developed to promote health behaviors in cancer survivors.…”

“…Unlike what happens in the active phase, in the post-treatment phase, care is not so well structured, individuals are lost in this transition and lose the support associated with the frequent contact with the health systems, and professional support is insufficient (Hewitt et al, 2006). Contrary to what is internationally proposed and implemented, the review conducted by Peixoto et al (2021a) points out that the national evidence on nurse-led health promotion programs and interventions for cancer survivors is scarce. In this context, this study surveyed a group of expert oncology nurses who, due to their academic, scientific, and professional background, are able to validate the structure and content of the educational nursing intervention under development.…”

Protocol for a pilot and feasibility study evaluating a complex nurse-led patient education intervention to promote cancer patient engagement in healthy lifestyle (O-PHE programme)

“…As carried out in other studies, [31][32][33][34][35] the control intervention providing standard of care, will consist of providing people who will be randomised to this group, information materials about healthy lifestyle, but they will not be involved in the educational intervention provided by the nurse. Also, in the control group all the variables identified for the experimental group will be monitored (ie, Open access the level of engagement, lifestyle changes, nutritional parameters, quality of life, recurrences or the onset of new cancers, number of hospitalisations).…”