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Supporting People Treated with Immune Checkpoint Inhibitors: A Qualitative Study Exploring Oncology Healthcare
Tessa Watts1, Stephen Jennings2, Sally Anstey3
1Reader, School of Healthcare Sciences, Cardiff University, Cardiff, Wales.
Seminars in Oncology Nursing
|October 31, 2024
Summary
Oncology professionals find immune checkpoint inhibitors beneficial but challenging. Continuous education and proactive patient monitoring are crucial for managing adverse events and optimizing patient care during immunotherapy.
Area of Science:
- Oncology
- Immunotherapy
- Cancer Treatment
Background:
- Immune checkpoint inhibitors (ICIs) offer new hope for advanced cancers, but can cause severe immune-related adverse events (irAEs).
- Oncology healthcare professionals play a critical role in managing ICI therapy safety and patient outcomes.
- Understanding healthcare professionals' experiences with supporting patients on ICIs is essential for optimizing care.
Purpose of the Study:
- To explore the experiences of senior oncology healthcare professionals supporting patients receiving immune checkpoint inhibitors.
- To identify challenges and best practices in managing irAEs associated with ICI therapy.
- To understand the perceived needs for education and support among healthcare professionals administering ICIs.
Main Methods:
- Qualitative exploratory study utilizing semi-structured interviews.
- 18 senior oncology healthcare professionals, including 12 nurses, participated.
- Data analyzed using reflexive thematic analysis.
Main Results:
- Professionals acknowledge ICI benefits but face challenges with treatment ambiguities and workload.
- Proactive patient monitoring is vital for early detection and reporting of irAEs.
- Continuous enhancement of immunotherapy knowledge and formal education are needed for healthcare professionals.
Conclusions:
- While ICIs improve disease outcomes, unpredictable irAEs present significant management challenges.
- Nurses are pivotal in supporting patients on ICIs through expert knowledge and care coordination.
- Effective ICI management necessitates nurses' specialized immunotherapy knowledge and cross-boundary care coordination skills.
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