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A stepped nurse-led LARS clinic: A qualitative evaluation.
Noa Bornauw1, Gabriëlle H van Ramshorst2, Yves Van Nieuwenhove2
1Ghent University, Ghent, Belgium.
Summary
A stepped nurse-led clinic significantly supports rectal cancer patients experiencing low anterior resection syndrome (LARS). It provides comprehensive care, tailored information, and effective symptom management, improving patient outcomes.
Area of Science:
- Oncology Nursing
- Surgical Patient Care
Background:
- Low Anterior Resection Syndrome (LARS) significantly impacts quality of life for rectal cancer survivors.
- Existing management strategies for LARS often lack a coordinated, patient-centered approach.
Purpose of the Study:
- To evaluate the significance and patient experience of a stepped nurse-led clinic (NLC) for managing LARS.
- To explore patient-identified characteristics and tasks crucial for effective LARS management within an NLC setting.
Main Methods:
- An exploratory study involving semi-structured interviews with 17 adult rectal cancer patients experiencing LARS.
- The NLC utilized a stepped intervention approach across three hospitals.
- Thematic analysis with researcher triangulation was employed for data analysis.
Main Results:
- Patients highlighted the importance of nurse presence, accessibility, recognition, affirmation, understanding, coordination, and timely consultations.
- Key NLC tasks identified by patients included providing information, symptom management, emotional support, and ensuring continuity of care.
Conclusions:
- The nurse-led clinic offers meaningful, comprehensive support for patients with LARS.
- The NLC empowers patients through normalized experiences, tailored information, and effective symptom management strategies.
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