Abstract
Aims: Research the process of organizational change to understand how interventions such as appearance care can be integrated into daily practice. Background: Typical treatment of breast cancer is surgery, often followed by chemotherapy. Associated aesthetic ramifications, including hair loss, frequently cause patient distress. Methods: We conducted face-to-face semi-structured hour-long recorded interviews with three nurses. We then analyzed the developmental process according to the core competencies for interprofessional collaborative practice using the thematic content analysis. Results: Nurses worked with interdisciplinary team members with mutual respect and shared values such as concern for patients’ quality of life. Nurses used knowledge of appearance-related side effects combined with beautician-provided coping skills. Intervention involved responsible communication with other health professionals and patients in a team approach. Nurses promoted the developmental process and became program facilitators. Conclusion: This group-intervention program, facilitated by nurses, was integrated into daily practice. Implications for nursing management: Research partnerships between academics, clinical nurses, nurse managers, and beauticians can improve the integration of interventions in routine practice and increase awareness of patients’ needs.
Highlights
The survival rate of patients with cancer increased due to early detection and improved treatment; this was made possible by medical advancement [1]
We analyzed the developmental process according to the core competencies for interprofessional collaborative practice using the thematic content analysis
The appearance care program consisted of a group intervention facilitated by the nurse, aiming to build values and apply the principles of team dynamics to collaborate effectively and provide patient-centered care that is safe, timely, and effective
Summary
The survival rate of patients with cancer increased due to early detection and improved treatment; this was made possible by medical advancement [1]. Breast cancer is the most frequently diagnosed cancer among women, with an estimated 1.7 million cases worldwide in 2012 [2]. An estimated 252,710 new cases of invasive breast cancer were diagnosed in America in 2017 [3]. Breast cancer is being diagnosed early, and the typical treatment of breast cancer is surgery, often followed by chemotherapy to reduce the risk of recurrence. The chemotherapeutic regimen, if based on anthracyclines and taxanes, causes complete hair loss in most patients [5]. Associated appearance ramifications, include hair loss, eyelash loss, and facial discoloration which lead to patient distress [6] [7]
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