Quality Improvement

Implementation of a Survivorship Care Plan Program in a Community-Based Oncology Clinic

Stephanie L. Soulia,(1) DNP, RN, ANP-BC, Elizabeth A. Duffy,(2) DNP, RN, CPNP, Kimberly A. Morley,(3) MD, and Ellen M. L. Smith,(2) PhD, APRN, AOCN®, FAAN

(1) Mott Community College, Flint, Michigan; (2) University of Michigan School of Nursing, Ann Arbor, Michigan; (3) IHA Hematology/Oncology, Ann Arbor, Michigan.

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

Stephanie L. Soulia, DNP, RN, ANP-BC, Mott Community College, 1401 East Court Street, Flint, Michigan 48503. E-mail: stephanie.soulia@mcc.edu https://doi.org/10.6004/jadpro.2019.10.7.3

ABSTRACT

Abstract

There is conflicting evidence from the small number of randomized controlled trials (RCTs) that have assessed the benefit of survivorship care plans (SCPs) on improving patient outcomes. Yet, published quasi-experimental and descriptive studies provide preliminary evidence suggesting that using survivorship care plans in practice may improve patient knowledge, decrease worry and anxiety, and lead to patient and primary care physician satisfaction. Given the conflicting evidence and the paucity of RCTs, further research is needed to more fully explore the effect of SCP on patient outcomes. To address this knowledge gap, an SCP program was implemented in a community-based oncology clinic and used quality improvement methodology to assess the effect on patient knowledge of diagnosis, treatment, and follow-up, and to understand patients’ satisfaction with the current SCP program. A total of 30 cancer patients were recruited in Southeast Michigan to participate in an SCP quality improvement project and completed surveys to evaluate the SCP program. Data were collected between December 2017 and March 2018. We observed a statistically significant (p = .028) difference between pre- and postintervention (survivorship care plan visit) knowledge scores about cancer diagnosis, treatment received, and follow-up recommendations. Moreover, participants were satisfied with the survivorship care plan and visit.

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