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Article

What Do Primary Care Providers Think About Implementing Breast Cancer Survivorship Care?

1
Queens Univ, Sch Nursing, 92 Barrie St, Kingston, ON K7L 3N6, Canada
2
Dalhousie Univ, Fac Hlth, Halifax, NS, Canada
3
Queens Univ, Sch Rehabil Therapy, Kingston, ON, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2018, 25(3), 196-205; https://doi.org/10.3747/co.25.3826
Submission received: 9 March 2018 / Revised: 5 April 2018 / Accepted: 10 May 2018 / Published: 1 June 2018

Abstract

Purpose: As cancer centres move forward with earlier discharge of stable survivors of early-stage breast cancer (BCA) to primary care follow-up, it is important to address known knowledge and practice gaps among primary care providers (PCPS). In the present qualitative descriptive study, we examined the practice context that influences implementation of existing clinical practice guidelines for providing such care. The purpose was to determine the challenges, strengths, and opportunities related to implementing comprehensive evidence-based BCA survivorship care guidelines by PCPS in southeastern Ontario. Methods: Semi-structured interviews were conducted with 19 PCPS: 10 physicians and 9 nurse practitioners. Results: Thematic analysis revealed 6 themes within the broad categories of knowledge, attitudes, and resources. Participants highlighted 3 major challenges related to providing BCA survivorship care: inconsistent educational preparation, provider anxieties, and primary care burden. They also described 3 major strengths or opportunities to facilitate implementation of survivorship care guidelines: tools and technology, empowering survivors, and optimizing nursing roles. Conclusions: We identified several important challenges to implementation of comprehensive evidence-based survivorship care for bca survivors, as well as several strengths and opportunities that could be built upon to address those challenges. Findings from our research could inform targeted knowledge translation interventions to provide support and education for PCPS and bca survivors.
Keywords: Breast cancer; evidence-based guidelines; clinical practice guidelines; survivorship care; primary care; qualitative research; knowledge translation Breast cancer; evidence-based guidelines; clinical practice guidelines; survivorship care; primary care; qualitative research; knowledge translation

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MDPI and ACS Style

Luctkar-Flude, M.; Aiken, A.; McColl, M.A.; Tranmer, J. What Do Primary Care Providers Think About Implementing Breast Cancer Survivorship Care? Curr. Oncol. 2018, 25, 196-205. https://doi.org/10.3747/co.25.3826

AMA Style

Luctkar-Flude M, Aiken A, McColl MA, Tranmer J. What Do Primary Care Providers Think About Implementing Breast Cancer Survivorship Care? Current Oncology. 2018; 25(3):196-205. https://doi.org/10.3747/co.25.3826

Chicago/Turabian Style

Luctkar-Flude, M., A. Aiken, M.A. McColl, and J. Tranmer. 2018. "What Do Primary Care Providers Think About Implementing Breast Cancer Survivorship Care?" Current Oncology 25, no. 3: 196-205. https://doi.org/10.3747/co.25.3826

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