Nurse-led interventions among older adults affected by cancer: an integrative review.

Alemania, Elizabeth; Hind, Alica; Samara, Juliane; Turner, Murray; Ralph, Nick; Paterson, Catherine

Abstract

Aging can introduce significant changes in health, cognition, function, social, and emotional status among older adults affected by cancer. Little is known about how existing nurse-led interventions address the needs of older adults. The objective was to identify existing nurse-led interventions among older adults to optimize recovery and survivorship needs. A integrative systematic review was reported conducted according to the 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 in a narrative synthesis. 21 studies were included and a total of 4,253 participants 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-randomised controlled study (n=1). Most participants had prostate cancer with some representation in colorectal, lung, head and neck, renal, oesophageal, and mixed cancer patient populations. 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 in the multidisciplinary team across the cancer care continuum for various cancer patient populations.

Citation

ALEMANIA, E., HIND, A., SAMARA, J., TURNER, M., RALPH, N. and PATERSON, C. 2023. Nurse-led interventions among older adults affected by cancer: an integrative review. Asia-Pacific journal of oncology nursing [online], 10(10), article 100289. Available from: https://doi.org/10.1016/j.apjon.2023.100289

• Journal Article Type: Article
• Acceptance Date: Jul 31, 2023
• Online Publication Date: Aug 7, 2023
• Publication Date: Oct 31, 2023
• Deposit Date: Aug 11, 2023
• Publicly Available Date: Aug 11, 2023
• Journal: Asia-Pacific journal of oncology nursing
• Print ISSN: 2347-5625
• Electronic ISSN: 2349-6673
• Publisher: Medknow Publications
• Peer Reviewed: Peer Reviewed
• Volume: 10
• Issue: 10
• Article Number: 100289
• DOI: https://doi.org/10.1016/j.apjon.2023.100289
• Keywords: Older people; Medical oncology; Oncology nursing; Integrative oncology; Geriatric assessment
• Public URL: https://rgu-repository.worktribe.com/output/2035454
• Additional Information: This article has been published with separate supporting information. This supporting information has been incorporated into a single file on this repository and can be found at the end of the file associated with this output.