older people medical oncology oncology nursing integrative oncology geriatric assessment
Objective:
Aging can introduce significant changes in health, cognition, function, social status, and emotional status among older adults affected by cancer. Little is known about how existing nurse-led interventions address the needs of older adults. This study aims to identify nurse-led interventions designed for older adults, with a focus on optimizing their recovery and survivorship needs.
Methods:
A integrative systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) 2020 Guidelines. Electronic databases (APA PsycINFO, CINAHL, MEDLINE, Scopus, and Google Scholar databases) were searched using key search terms. Articles were assessed for inclusion according to a pre-determined eligibility criterion. Data extraction and quality appraisal were conducted. Findings were integrated into a narrative synthesis.
Results:
Twenty-one studies were included, and a total of 4253 participants were represented. There were a range of study designs: quantitative (n = 10), randomised controlled trials (n = 6), mixed methods studies (n = 3), qualitative (n = 1), and a non-randomized controlled study (n = 1). Most participants had prostate cancer, with some representation in colorectal, lung, head and neck, renal, esophageal, and mixed cancer patient populations.
Conclusions:
This review shows a lack of evidence on the inclusion of geriatric assessments for older people with cancer within existing nurse-led interventions. Further research is needed to test nurse-led interventions with the inclusion of geriatric assessments and their contribution to the multidisciplinary team across the cancer care continuum for various cancer patient populations.
Details
Title
Nurse-led interventions among older adults affected by cancer: An integrative review
Authors
Elizabeth Alemania - New South Wales Department of Health
Alica Hind - University of Canberra
Juliane Samara - Calvary Hospital
Murray Turner - University of Canberra
Nick Ralph - University of Southern Queensland
Catherine Paterson (Corresponding Author) - University of Canberra
Publication details
Asia-Pacific Journal of Oncology Nursing, Vol.10(10), pp.1-12