Specialist breast care nurses for supportive care of women with breast cancer

Susanne Cruickshank, Catriona Kennedy, Karen STRICKLAND, Isabel Dosser, Lorraine Dallas

Research output: Contribution to journalReview article

55 Citations (Scopus)

Abstract

Background
Breast Care Nurses (BCNs) are now established internationally, predominantly in well resourced healthcare systems. The role of BCNs
has expanded to reflect the diversity of the population in which they work, and the improvements in survival of women with breast
cancer. Interventions by BCNs aim to support women and help them cope with the impact of the disease on their quality of life.
Objectives
To assess the effectiveness of individual interventions carried out by BCN’s on quality of life outcomes for women with breast cancer.
Search methods
We searched the Cochrane Breast Cancer Group Specialised Register and the Cochrane Central Register of Controlled Trials (15 January
2007). We also searched MEDLINE (1966 to September 2006), CINAHL (1982 to September 2006), EMBASE (1980 to September
2006), British Nursing Index (1984 to September 2006), CancerLit (1961 to September 2006), PsycInfo (1967 to September 2006),
Library and Info Science Abstracts (LISA) (1969 to September 2006), Dissertation Abstracts International (only available 2005 to
September 2006). We contacted authors as appropriate.
Selection criteria
Randomised controlled trials assessing the effects of interventions carried out by BCN’s on quality of life outcomes, for women with
breast cancer.
Data collection and analysis
Two authors independently assessed relevant studies for inclusion and undertook data extraction and quality assessment of included
studies.
Main results
We included five studies, categorised into three groups. Three studies assessing psychosocial nursing interventions around diagnosis
and early treatment found that the BCN could affect some components of quality of life, such as anxiety and early recognition of
depressive symptoms. However, their impact on social and functional aspects of the disease trajectory was inconclusive. Supportive
care interventions during radiotherapy was assessed by one study which showed that specific BCN interventions can alleviate perceived distress during radiotherapy treatment, but did not improve coping skills, mood or overall quality of life. One study assessed nurse-led
follow-up interventions in which no statistically significant difference was identified for main demographic variables, satisfaction with
care, access to medical care or anxiety and depression.
Authors’ conclusions
There is limited evidence at this time to support the contention that interventions by BCNs assist in the short-term with therecognition
and management of psychological distress for women with breast cance
Original languageEnglish
Pages (from-to)1-38
Number of pages38
JournalCochrane Database of Systematic Reviews
DOIs
Publication statusPublished - 2008
Externally publishedYes

Fingerprint

Breast
Nurses
Breast Neoplasms
Quality of Life
Radiotherapy
Anxiety
Library Science
Psychiatric Nursing
Psychological Adaptation
MEDLINE
Nursing
Demography
Depression
Psychology
Delivery of Health Care
Survival
Therapeutics
Population
Neoplasms

Cite this

Cruickshank, Susanne ; Kennedy, Catriona ; STRICKLAND, Karen ; Dosser, Isabel ; Dallas, Lorraine . / Specialist breast care nurses for supportive care of women with breast cancer. In: Cochrane Database of Systematic Reviews. 2008 ; pp. 1-38.
@article{3414633123404bf5b16d3e894afb0b8f,
title = "Specialist breast care nurses for supportive care of women with breast cancer",
abstract = "BackgroundBreast Care Nurses (BCNs) are now established internationally, predominantly in well resourced healthcare systems. The role of BCNshas expanded to reflect the diversity of the population in which they work, and the improvements in survival of women with breastcancer. Interventions by BCNs aim to support women and help them cope with the impact of the disease on their quality of life.ObjectivesTo assess the effectiveness of individual interventions carried out by BCN’s on quality of life outcomes for women with breast cancer.Search methodsWe searched the Cochrane Breast Cancer Group Specialised Register and the Cochrane Central Register of Controlled Trials (15 January2007). We also searched MEDLINE (1966 to September 2006), CINAHL (1982 to September 2006), EMBASE (1980 to September2006), British Nursing Index (1984 to September 2006), CancerLit (1961 to September 2006), PsycInfo (1967 to September 2006),Library and Info Science Abstracts (LISA) (1969 to September 2006), Dissertation Abstracts International (only available 2005 toSeptember 2006). We contacted authors as appropriate.Selection criteriaRandomised controlled trials assessing the effects of interventions carried out by BCN’s on quality of life outcomes, for women withbreast cancer.Data collection and analysisTwo authors independently assessed relevant studies for inclusion and undertook data extraction and quality assessment of includedstudies.Main resultsWe included five studies, categorised into three groups. Three studies assessing psychosocial nursing interventions around diagnosisand early treatment found that the BCN could affect some components of quality of life, such as anxiety and early recognition ofdepressive symptoms. However, their impact on social and functional aspects of the disease trajectory was inconclusive. Supportivecare interventions during radiotherapy was assessed by one study which showed that specific BCN interventions can alleviate perceived distress during radiotherapy treatment, but did not improve coping skills, mood or overall quality of life. One study assessed nurse-ledfollow-up interventions in which no statistically significant difference was identified for main demographic variables, satisfaction withcare, access to medical care or anxiety and depression.Authors’ conclusionsThere is limited evidence at this time to support the contention that interventions by BCNs assist in the short-term with therecognitionand management of psychological distress for women with breast cance",
author = "Susanne Cruickshank and Catriona Kennedy and Karen STRICKLAND and Isabel Dosser and Lorraine Dallas",
year = "2008",
doi = "10.1002/14651858.CD005634.pub2",
language = "English",
pages = "1--38",
journal = "Cochrane Database of Systematic Reviews",
issn = "1469-493X",
publisher = "John Wiley & Sons",

}

Specialist breast care nurses for supportive care of women with breast cancer. / Cruickshank, Susanne ; Kennedy, Catriona; STRICKLAND, Karen; Dosser, Isabel; Dallas, Lorraine .

In: Cochrane Database of Systematic Reviews, 2008, p. 1-38.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Specialist breast care nurses for supportive care of women with breast cancer

AU - Cruickshank, Susanne

AU - Kennedy, Catriona

AU - STRICKLAND, Karen

AU - Dosser, Isabel

AU - Dallas, Lorraine

PY - 2008

Y1 - 2008

N2 - BackgroundBreast Care Nurses (BCNs) are now established internationally, predominantly in well resourced healthcare systems. The role of BCNshas expanded to reflect the diversity of the population in which they work, and the improvements in survival of women with breastcancer. Interventions by BCNs aim to support women and help them cope with the impact of the disease on their quality of life.ObjectivesTo assess the effectiveness of individual interventions carried out by BCN’s on quality of life outcomes for women with breast cancer.Search methodsWe searched the Cochrane Breast Cancer Group Specialised Register and the Cochrane Central Register of Controlled Trials (15 January2007). We also searched MEDLINE (1966 to September 2006), CINAHL (1982 to September 2006), EMBASE (1980 to September2006), British Nursing Index (1984 to September 2006), CancerLit (1961 to September 2006), PsycInfo (1967 to September 2006),Library and Info Science Abstracts (LISA) (1969 to September 2006), Dissertation Abstracts International (only available 2005 toSeptember 2006). We contacted authors as appropriate.Selection criteriaRandomised controlled trials assessing the effects of interventions carried out by BCN’s on quality of life outcomes, for women withbreast cancer.Data collection and analysisTwo authors independently assessed relevant studies for inclusion and undertook data extraction and quality assessment of includedstudies.Main resultsWe included five studies, categorised into three groups. Three studies assessing psychosocial nursing interventions around diagnosisand early treatment found that the BCN could affect some components of quality of life, such as anxiety and early recognition ofdepressive symptoms. However, their impact on social and functional aspects of the disease trajectory was inconclusive. Supportivecare interventions during radiotherapy was assessed by one study which showed that specific BCN interventions can alleviate perceived distress during radiotherapy treatment, but did not improve coping skills, mood or overall quality of life. One study assessed nurse-ledfollow-up interventions in which no statistically significant difference was identified for main demographic variables, satisfaction withcare, access to medical care or anxiety and depression.Authors’ conclusionsThere is limited evidence at this time to support the contention that interventions by BCNs assist in the short-term with therecognitionand management of psychological distress for women with breast cance

AB - BackgroundBreast Care Nurses (BCNs) are now established internationally, predominantly in well resourced healthcare systems. The role of BCNshas expanded to reflect the diversity of the population in which they work, and the improvements in survival of women with breastcancer. Interventions by BCNs aim to support women and help them cope with the impact of the disease on their quality of life.ObjectivesTo assess the effectiveness of individual interventions carried out by BCN’s on quality of life outcomes for women with breast cancer.Search methodsWe searched the Cochrane Breast Cancer Group Specialised Register and the Cochrane Central Register of Controlled Trials (15 January2007). We also searched MEDLINE (1966 to September 2006), CINAHL (1982 to September 2006), EMBASE (1980 to September2006), British Nursing Index (1984 to September 2006), CancerLit (1961 to September 2006), PsycInfo (1967 to September 2006),Library and Info Science Abstracts (LISA) (1969 to September 2006), Dissertation Abstracts International (only available 2005 toSeptember 2006). We contacted authors as appropriate.Selection criteriaRandomised controlled trials assessing the effects of interventions carried out by BCN’s on quality of life outcomes, for women withbreast cancer.Data collection and analysisTwo authors independently assessed relevant studies for inclusion and undertook data extraction and quality assessment of includedstudies.Main resultsWe included five studies, categorised into three groups. Three studies assessing psychosocial nursing interventions around diagnosisand early treatment found that the BCN could affect some components of quality of life, such as anxiety and early recognition ofdepressive symptoms. However, their impact on social and functional aspects of the disease trajectory was inconclusive. Supportivecare interventions during radiotherapy was assessed by one study which showed that specific BCN interventions can alleviate perceived distress during radiotherapy treatment, but did not improve coping skills, mood or overall quality of life. One study assessed nurse-ledfollow-up interventions in which no statistically significant difference was identified for main demographic variables, satisfaction withcare, access to medical care or anxiety and depression.Authors’ conclusionsThere is limited evidence at this time to support the contention that interventions by BCNs assist in the short-term with therecognitionand management of psychological distress for women with breast cance

U2 - 10.1002/14651858.CD005634.pub2

DO - 10.1002/14651858.CD005634.pub2

M3 - Review article

SP - 1

EP - 38

JO - Cochrane Database of Systematic Reviews

JF - Cochrane Database of Systematic Reviews

SN - 1469-493X

ER -