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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.
Aim:
This study aimed to evaluate the significance of a stepped nurse-led low anterior resection syndrome (LARS) clinic for patients.
Methods:
A Nurse-Led Clinic (NLC) with a stepped intervention approach for patients with LARS was developed and implemented. An exploratory study was conducted in three hospitals to evaluate the nurse-led clinic. Adult rectal cancer patients experiencing LARS who attended the NLC were recruited via maximum variation sampling for semi-structured interviews. Thematic analysis was performed, employing researcher triangulation to enhance reliability.
Results:
Seventeen participants were interviewed to evaluate the clinic. Participants described five characteristics: (1) presence of the nurse, (2) accessibility, (3) providing recognition, affirmation and understanding, (4) coordinating and (5) timing of the consultation. In addition, participants outlined four principal tasks: (1) providing information, (2) management of symptoms, (3) support and (4) follow-up and continuity of care.
Conclusion:
The NLC offered meaningful support by addressing patients' concerns comprehensively. It normalised the condition, empowered patients with tailored information and provided effective symptom management strategies.
Reporting Method:
SRQR checklist.
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