‘Dropped from the system’: the experiences and challenges of long-term breast cancer survivors

Hannah Matthews, Heather Semper

Research output: Contribution to journalArticle

4 Citations (Scopus)
27 Downloads (Pure)

Abstract

AimsThe aim of this study was to explore breast cancer patients’ experiences during survivorship. Particular attention is given to the role of specialist breast care nurses in supporting women throughout this phase.BackgroundThere is a relative lack of research involving long-term breast cancer survivors. Yet, many survivors experience substantial psychosocial and iatrogenic harms created by diagnosis, symptoms of disease and treatment. A more comprehensive understanding may assist in supporting the needs of breast cancer survivors.DesignAn exploratory qualitative approach was used to collect data on breast cancer survivors’ experiences during 2013.MethodsSemi-structured interview data were collected from seven British women aged 38–80 years exploring the support received during survivorship. Data were analysed using Interpretive Phenomenological Analysis.FindingsBreast cancer survivors perceived a systemic absence in support from oncology teams and rapid deterioration of support from personal support networks. Despite this, survivors were able to find benefits from the cancer experience. This allowed for adjustment and enabled patients to assume a new identity as a breast cancer survivor. We recommend specialist breast care nurses would be suitably placed to provide extended support allowing for a salient transition from treatment to survivorship.ConclusionThis study yields insights into breast cancer survivorship and specifically the role of specialist breast care nurses. Given the growing cohort of breast cancer survivors and the increased importance on promoting and supporting optimal psychosocial adjustment, we advise the cost-effectiveness of providing continuing nursing support and the mode of administration requires further research.Publisher Statement: This is the peer reviewed version of the following article: Matthews, H & Semper, H 2017, '‘Dropped from the system’: the experiences and challenges of long-term breast cancer survivors' Journal of Advanced Nursing, vol 73, no. 6, pp. 1355-1365, which has been published in final form at https://dx.doi.org/10.1111/jan.13237. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Original languageEnglish
Pages (from-to)1355-1365
JournalJournal of Advanced Nursing
Volume73
Issue number6
DOIs
Publication statusPublished - 13 Jan 2017

Fingerprint

Survivors
Breast Neoplasms
Survival Rate
Breast
Nurses
Nursing
Research
Cost-Benefit Analysis
Neoplasms
Interviews
Therapeutics

Bibliographical note

This is the peer reviewed version of the following article: Matthews, H & Semper, H 2017, '‘Dropped from the system’: the experiences and challenges of long-term breast cancer survivors' Journal of Advanced Nursing, vol 73, no. 6, pp. 1355-1365, which has been published in final form at https://dx.doi.org/10.1111/jan.13237. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

Cite this

‘Dropped from the system’: the experiences and challenges of long-term breast cancer survivors. / Matthews, Hannah; Semper, Heather.

In: Journal of Advanced Nursing, Vol. 73, No. 6, 13.01.2017, p. 1355-1365.

Research output: Contribution to journalArticle

@article{d14b132aaecd4a5587ac7299b4ce0b51,
title = "‘Dropped from the system’: the experiences and challenges of long-term breast cancer survivors",
abstract = "AimsThe aim of this study was to explore breast cancer patients’ experiences during survivorship. Particular attention is given to the role of specialist breast care nurses in supporting women throughout this phase.BackgroundThere is a relative lack of research involving long-term breast cancer survivors. Yet, many survivors experience substantial psychosocial and iatrogenic harms created by diagnosis, symptoms of disease and treatment. A more comprehensive understanding may assist in supporting the needs of breast cancer survivors.DesignAn exploratory qualitative approach was used to collect data on breast cancer survivors’ experiences during 2013.MethodsSemi-structured interview data were collected from seven British women aged 38–80 years exploring the support received during survivorship. Data were analysed using Interpretive Phenomenological Analysis.FindingsBreast cancer survivors perceived a systemic absence in support from oncology teams and rapid deterioration of support from personal support networks. Despite this, survivors were able to find benefits from the cancer experience. This allowed for adjustment and enabled patients to assume a new identity as a breast cancer survivor. We recommend specialist breast care nurses would be suitably placed to provide extended support allowing for a salient transition from treatment to survivorship.ConclusionThis study yields insights into breast cancer survivorship and specifically the role of specialist breast care nurses. Given the growing cohort of breast cancer survivors and the increased importance on promoting and supporting optimal psychosocial adjustment, we advise the cost-effectiveness of providing continuing nursing support and the mode of administration requires further research.Publisher Statement: This is the peer reviewed version of the following article: Matthews, H & Semper, H 2017, '‘Dropped from the system’: the experiences and challenges of long-term breast cancer survivors' Journal of Advanced Nursing, vol 73, no. 6, pp. 1355-1365, which has been published in final form at https://dx.doi.org/10.1111/jan.13237. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.",
author = "Hannah Matthews and Heather Semper",
note = "This is the peer reviewed version of the following article: Matthews, H & Semper, H 2017, '‘Dropped from the system’: the experiences and challenges of long-term breast cancer survivors' Journal of Advanced Nursing, vol 73, no. 6, pp. 1355-1365, which has been published in final form at https://dx.doi.org/10.1111/jan.13237. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.",
year = "2017",
month = "1",
day = "13",
doi = "10.1111/jan.13237",
language = "English",
volume = "73",
pages = "1355--1365",
journal = "Internet Journal of Advanced Nursing Practice",
issn = "1523-6064",
publisher = "Wiley",
number = "6",

}

TY - JOUR

T1 - ‘Dropped from the system’: the experiences and challenges of long-term breast cancer survivors

AU - Matthews, Hannah

AU - Semper, Heather

N1 - This is the peer reviewed version of the following article: Matthews, H & Semper, H 2017, '‘Dropped from the system’: the experiences and challenges of long-term breast cancer survivors' Journal of Advanced Nursing, vol 73, no. 6, pp. 1355-1365, which has been published in final form at https://dx.doi.org/10.1111/jan.13237. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

PY - 2017/1/13

Y1 - 2017/1/13

N2 - AimsThe aim of this study was to explore breast cancer patients’ experiences during survivorship. Particular attention is given to the role of specialist breast care nurses in supporting women throughout this phase.BackgroundThere is a relative lack of research involving long-term breast cancer survivors. Yet, many survivors experience substantial psychosocial and iatrogenic harms created by diagnosis, symptoms of disease and treatment. A more comprehensive understanding may assist in supporting the needs of breast cancer survivors.DesignAn exploratory qualitative approach was used to collect data on breast cancer survivors’ experiences during 2013.MethodsSemi-structured interview data were collected from seven British women aged 38–80 years exploring the support received during survivorship. Data were analysed using Interpretive Phenomenological Analysis.FindingsBreast cancer survivors perceived a systemic absence in support from oncology teams and rapid deterioration of support from personal support networks. Despite this, survivors were able to find benefits from the cancer experience. This allowed for adjustment and enabled patients to assume a new identity as a breast cancer survivor. We recommend specialist breast care nurses would be suitably placed to provide extended support allowing for a salient transition from treatment to survivorship.ConclusionThis study yields insights into breast cancer survivorship and specifically the role of specialist breast care nurses. Given the growing cohort of breast cancer survivors and the increased importance on promoting and supporting optimal psychosocial adjustment, we advise the cost-effectiveness of providing continuing nursing support and the mode of administration requires further research.Publisher Statement: This is the peer reviewed version of the following article: Matthews, H & Semper, H 2017, '‘Dropped from the system’: the experiences and challenges of long-term breast cancer survivors' Journal of Advanced Nursing, vol 73, no. 6, pp. 1355-1365, which has been published in final form at https://dx.doi.org/10.1111/jan.13237. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

AB - AimsThe aim of this study was to explore breast cancer patients’ experiences during survivorship. Particular attention is given to the role of specialist breast care nurses in supporting women throughout this phase.BackgroundThere is a relative lack of research involving long-term breast cancer survivors. Yet, many survivors experience substantial psychosocial and iatrogenic harms created by diagnosis, symptoms of disease and treatment. A more comprehensive understanding may assist in supporting the needs of breast cancer survivors.DesignAn exploratory qualitative approach was used to collect data on breast cancer survivors’ experiences during 2013.MethodsSemi-structured interview data were collected from seven British women aged 38–80 years exploring the support received during survivorship. Data were analysed using Interpretive Phenomenological Analysis.FindingsBreast cancer survivors perceived a systemic absence in support from oncology teams and rapid deterioration of support from personal support networks. Despite this, survivors were able to find benefits from the cancer experience. This allowed for adjustment and enabled patients to assume a new identity as a breast cancer survivor. We recommend specialist breast care nurses would be suitably placed to provide extended support allowing for a salient transition from treatment to survivorship.ConclusionThis study yields insights into breast cancer survivorship and specifically the role of specialist breast care nurses. Given the growing cohort of breast cancer survivors and the increased importance on promoting and supporting optimal psychosocial adjustment, we advise the cost-effectiveness of providing continuing nursing support and the mode of administration requires further research.Publisher Statement: This is the peer reviewed version of the following article: Matthews, H & Semper, H 2017, '‘Dropped from the system’: the experiences and challenges of long-term breast cancer survivors' Journal of Advanced Nursing, vol 73, no. 6, pp. 1355-1365, which has been published in final form at https://dx.doi.org/10.1111/jan.13237. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

U2 - 10.1111/jan.13237

DO - 10.1111/jan.13237

M3 - Article

VL - 73

SP - 1355

EP - 1365

JO - Internet Journal of Advanced Nursing Practice

JF - Internet Journal of Advanced Nursing Practice

SN - 1523-6064

IS - 6

ER -