The Needs of Older Adult Cancer Survivors During COVID-19: Implications for Oncology Nursing
Open accessAbstract
Objectives Older adults living with cancer have been described as more susceptible to coronavirus disease 2019 (COVID-19) and in need of special attention during the COVID-19 pandemic. For cancer survivors, the first year post-treatment is a critical time because many individuals transition back to their primary care provider and adjust to physical and psychosocial changes that occurred during their cancer treatment. In this longitudinal qualitative study, we followed a cohort of older adult cancer survivors through the first three waves of the pandemic to describe their experiences as a means for providing recommendations for how oncology nurses can tailor support to this unique population.Data sources We conducted individual, semi-structured qualitative interviews with 24 older adults at three time points during the pandemic. Data were analyzed drawing from interpretive descriptive methodologies.Conclusion Older adult cancer survivors' needs shifted during the pandemic from feeling confident and self-assured during the early days of COVID-19 to growing uncertainty and unease about their health and well-being. The main survivorship concerns included a preference for in-person appointments (as opposed to virtual), barriers to caregiver attendance at appointments, and diminished access to health care services.Implications for nursing practice Oncology nurses play a critical role providing care to older adult cancer survivors and are most familiar with unique patient needs and the gaps in services they face. We provide recommendations for oncology nursing practice that consider the shifting needs of older adult cancer survivors during COVID-19 and beyond.
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Many expressed concerns with the transition to virtual appointments, noting that in-person appointments provided reassurance and comfort, that telehealth quality was suboptimal compared to in-person consultations, and that telehealth restricted engagement and led to missed questions and reduced empathy.
“Across the included studies, many expressed concerns with the transition to virtual appointments with their health care team, noting that the previous model of in-person appointments provided reassurance and feelings of comfort [35].”
From The unmet supportive care needs of people affected by cancer during the COVID-19 pandemic: an integrative review (2023) · cites this paper as [35]
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- Authors
- Kilgour, H. M., Galica, J., Oliffe, J. L., & Haase, K. R.
- Affiliations
- University of British Columbia (CA)
- Queen's University (CA)
- Corresponding author
- Haase, Kristen R.
- Venue
- Seminars in Oncology Nursing
- Publisher
- Elsevier BV
- Published
- 2021-12
- Volume
- 37
- Issue
- 6
- Pages
- 151229
- ISSN
- 0749-2081 (ISSN-L)
- PMC
- PMC8502729
- OpenAlex
- W3205042558
- Cited by
- 9
- References
- 36
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 5
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Seminars in Oncology Nursing (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- UBC
- Canada Research Chairs
- Queen's University (SARS CoV-2/COVID-19)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- COVID-19 pandemic, oncology nursing, survivorship care, caregiver barriers, health care access, nursing recommendations
- MeSH terms
- Cancer Survivors, COVID-19, SARS-CoV-2, Aged, Humans, Neoplasms, Oncology Nursing, Pandemics
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