A model of consultation in prostate cancer care: evidence from a systematic review.

Paterson, Catherine; Nabi, Ghulam

Abstract

Background: There has been an evolution of various consultation models in the literature. Men affected by prostate cancer can experience a range of unmet supportive care needs. Thus, effective consultations are paramount in the delivery of supportive care to optimize tailored self-management plans at the individual level of need. Objective: The aim of this study is to critically appraise existing models of consultation and make recommendations for a model of consultation within the scope of clinical practice for prostate cancer care. Methods: A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement Guidelines. Electronic databases were searched using a wide range of keywords and free text items to increase the sensitivity and inclusiveness of the searches. Findings were integrated in a narrative synthesis. Results: A total of 1829 articles were retrieved and 17 papers were included. Beneficial features ranged across a number of models that included a person-centered consultation, shared management plans, and safety netting. None of the reviewed models of consultation are suitable for use in prostate cancer care because of a range of limitations and the clinical context in which models were developed. A Cancer Care Consultation Model was informed from critical appraisal of the evidence and expert clinical and service user comment. Conclusion: Further research is needed to empirically test consultation models in routine clinical practice, specifically for advanced cancer specialist nurses. Implications for Practice: The Prostate Cancer Model of Consultation can be used to structure clinical consultations to target self-management care plans at the individual level of need over the cancer care continuum.

Citation

PATERSON, C. and NABI, G. 2017. A model of consultation in prostate cancer care: evidence from a systematic review. Cancer nursing [online], 40(4), pages 276-288. Available from: https://doi.org/10.1097/NCC.0000000000000404

• Journal Article Type: Review
• Acceptance Date: Apr 12, 2016
• Online Publication Date: Jun 27, 2016
• Publication Date: Aug 31, 2017
• Deposit Date: Sep 9, 2016
• Publicly Available Date: Jun 28, 2017
• Journal: Cancer nursing
• Print ISSN: 0162-220X
• Electronic ISSN: 1538-9804
• Publisher: Lippincott, Williams & Wilkins
• Peer Reviewed: Peer Reviewed
• Volume: 40
• Issue: 4
• Pages: 276-288
• DOI: https://doi.org/10.1097/NCC.0000000000000404
• Keywords: Consultation models; Prostate cancer care; Systematic review
• Public URL: http://hdl.handle.net/10059/2913
• Contract Date: Sep 9, 2016