PURPOSE/ OBJECTIVES: To understand the experiences of women having same-day breast cancer surgery and make recommendations to assist healthcare professionals effect change to enhance quality of care. RESEARCH APPROACH: Thematic analysis of audiotaped interviews. SETTING: Outpatient departments of two city hospitals on the east coast of Canada. PARTICIPANTS: Purposive sample of 13 women who had undergone same-day breast cancer surgery. METHODOLOGIC APPROACH: A constructivist approach with in-depth interviews and comparative analysis to develop and systemically organize data into four major interrelated themes and a connecting essential thread. MAIN RESEARCH VARIABLES: Women's experiences with same-day breast cancer surgery. FINDINGS: The themes of preparation, timing, supports, and community health nursing intervention were of paramount importance for effective coping and recovery. Women who had a positive experience with same-day breast cancer surgery also reported having adequate preparation, appropriate timing of preparation, strong support systems, and sufficient community health nursing intervention. Those reporting a negative experience encountered challenges in one or more of the identified theme areas. CONCLUSIONS: Same-day surgery is a sign of the times, and the approach to it is changing. Healthcare systems need to be responsive to such changes. Although same-day surgery for breast cancer is not suitable for every patient, women undergoing this type of surgery should be assessed individually to determine whether it is appropriate for them. INTERPRETATION: Women undergoing breast cancer surgery should be screened for same-day surgery suitability. Those having same-day breast cancer surgery should be prepared adequately with timely education. Most importantly, such women should receive community health nursing follow-up for assessment, continuing education, and psychosocial support.
PURPOSE/ OBJECTIVES: To understand the experiences of women having same-day breast cancer surgery and make recommendations to assist healthcare professionals effect change to enhance quality of care. RESEARCH APPROACH: Thematic analysis of audiotaped interviews. SETTING:Outpatient departments of two city hospitals on the east coast of Canada. PARTICIPANTS: Purposive sample of 13 women who had undergone same-day breast cancer surgery. METHODOLOGIC APPROACH: A constructivist approach with in-depth interviews and comparative analysis to develop and systemically organize data into four major interrelated themes and a connecting essential thread. MAIN RESEARCH VARIABLES: Women's experiences with same-day breast cancer surgery. FINDINGS: The themes of preparation, timing, supports, and community health nursing intervention were of paramount importance for effective coping and recovery. Women who had a positive experience with same-day breast cancer surgery also reported having adequate preparation, appropriate timing of preparation, strong support systems, and sufficient community health nursing intervention. Those reporting a negative experience encountered challenges in one or more of the identified theme areas. CONCLUSIONS: Same-day surgery is a sign of the times, and the approach to it is changing. Healthcare systems need to be responsive to such changes. Although same-day surgery for breast cancer is not suitable for every patient, women undergoing this type of surgery should be assessed individually to determine whether it is appropriate for them. INTERPRETATION:Women undergoing breast cancer surgery should be screened for same-day surgery suitability. Those having same-day breast cancer surgery should be prepared adequately with timely education. Most importantly, such women should receive community health nursing follow-up for assessment, continuing education, and psychosocial support.
Authors: Kerri-Anne R Mitchell; Kelly J Brassil; Serena A Rodriguez; Edward Tsai; Kayo Fujimoto; Kate J Krause; L Aubree Shay; Andrew E Springer Journal: Psychooncology Date: 2020-08-23 Impact factor: 3.894
Authors: Ingrid Annette Zøylner; Kirsten Lomborg; Peer Michael Christiansen; Pia Kirkegaard Journal: Health Expect Date: 2019-01-12 Impact factor: 3.377
Authors: Mahesh Nagappa; Jill Querney; Janet Martin; Ava John-Baptiste; Yamini Subramani; Brent Lanting; Christopher Schlachta; Julie Ann Von Koughnett; Kathy Speechley; Jeff Correa; Maoz Bin Yunus Chohan; Nita Rrafshi; Mariska Batohi; Ashraf Fayad; Homer Yang Journal: Anesth Essays Res Date: 2022-03-30