Review Article

Shared Mental Models of Provider Roles in Cancer Survivorship Care

Megan Hebdon, DNP, RN, NP-c,1 Olivia Fahnestock, BS,2 and Sara McComb, PhD1,3

1Purdue University School of Nursing, West Lafayette, Indiana; 2OHL Global Supply Chain Management and Logistics Solutions, Nashville, Tennessee; 3Purdue University School of Industrial Engineering, West Lafayette, Indiana

Authors' disclosures of potential conflicts of interest are found at the end of this article.

Megan Hebdon, DNP, RN, NP-C, Purdue University School of Nursing, 502 N. University Street, West Lafayette, IN 47907. E-mail: hebdon@purdue.edu


J Adv Pract Oncol 2015;6:337–348 | DOI: 10.6004/jadpro.2015.6.4.4 | © 2015 Harborside Press®


  

ABSTRACT

In 2012, the United States had an estimated 13.7 million cancer survivors, with a projected increase to 18 million by 2022. Little consensus exists regarding provider roles in cancer follow-up care. The purpose of this integrative review is to analyze cancer survivor, primary care provider, and oncology provider views of provider roles in survivorship care using the conceptual framework of shared mental models. Searches using CINAHL, PubMed, and the Cochrane Database identified 22 studies fitting inclusion criteria. Primary care providers and oncologists were identified as providers of wellness care and specialized cancer care for survivors, respectively. Care continuity and the need for psychosocial support were themes noted by all groups. Survivorship care plans were cited as a means to foster provider communication and coordination. Survivorship research and interventions should be guided by a teamwork approach, where provider and patient roles are understood and maintained through measures such as shared care and survivorship care plans. Clarity of provider roles within the health-care team and team communication has the potential to improve continuity of care for cancer survivors.




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