exercise programs have any effect on the quality of life of cancer survivors relative to either standard care or non-exercise programs over a period of 6 months.Action Plan
- Need Assessment: The need assessment, which incorporates focus group, surveys, and professional consultations will assist in determining the specific needs of exercise and preferences of the cancer survivors.
- Review Evidence: An extensive literature review is necessary as a way of comprehending of the best practices which will justify the inclusion of the exercise in the care of cancer survivors, particularly in relation to nursing interventions for cancer patients.
- Practice Change Recommendation: The practices are developed on the basis of the need assessment in the form of particular person-oriented practice changes, including guidelines, protocols, frequency, intensity, duration, and the type of exercise.
- Developing a Timeline: It is important to create an intervention plan with approximate timeline in order to define milestones and deadlines of every step.
- Identify Practice Changes: One should implement practice changes as per the timeline with the support of identified tools and resources for cancer care quality improvement.
- Find Resources and Equipment: This is the education material, exercise equipment, funds on program development and implementation.
- Evaluation of Impact: Measure the changes in health outcomes and quality of life of cancer survivors and the changes in practice; obtain data on exercise engagement, physical function, and outcomes as part of patient-centered oncology care.
Stakeholders and Potential Barriers
The stakeholders are survivors, healthcare practitioners, hospitals, qualified professionals, and researchers. The possible obstacles are the absence of information, restricted access, and financial limitations as well as physical constraints as highlighted in NURS FPX 6011 Assessment 3
Outcome Assessment
Measured results by rates of participation, physical functioning, quality of life, and cancer associated results in alignment with oncology nursing best practices.
Value and Relevance
The necessity of the use of exercise in the management of cancer survivors is well supported by evidence and provides many advantages related to physical functioning, quality of life, and cancer outcomes which is emphasized in NURS FPX 6011 Assessment 3.
Conclusion
In NURS FPX 6011 Assessment 3, it is noted that cancer survivors exercise well, which enhances health and outcome. A needs assessment, literature review, practice change recommendations and evaluation of an evidence-based practice project is essential. Different stakeholders can be involved, and obstacles should be overcome to achieve an effective implementation of evidence-based nursing interventions.
References
Cormie, P., Zopf, E. M., Zhang, X., & Schmitz, K. H. (2017). The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiologic reviews, 39(1), 71–92. https://doi.org/10.1093/epirev/mxx007
Campbell, K. L., Winters-Stone, K., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., … & Schmitz, K. H. (2019). Exercise guidelines for cancer survivors: Consensus statement from international multidisciplinary roundtable. Medicine and science in sports and exercise, 51(11), 2375.
NURS FPX 6011 Assessment 3
Czosnek, L., Richards, J., Zopf, E., Cormie, P., Rosenbaum, S., & Rankin, N. M. (2021). Exercise interventions for people diagnosed with cancer: A systematic review of implementation outcomes. BMC cancer, 21(1), 1-25.
Ferioli, M., Zauli, G., Martelli, A. M., Vitale, M., McCubrey, J. A., Ultimo, S., Capitani, S., & Neri, L. M. (2018). Impact of physical exercise in cancer survivors during and after antineoplastic treatments. Oncotarget, 9(17), 14005–14034. https://doi.org/10.18632/oncotarget.24456
Siegel, R. L., Miller, K. D., Fuchs, H. E., & Jemal, A. (2022). Cancer statistics, 2022. CA: A cancer journal for clinicians, 72(1), 7-33.
Hanahan, D. (2022). Hallmarks of cancer: New dimensions. Cancer discovery, 12(1), 31-46.
Stout, N. L., Baima, J., Swisher, A. K., Winters-Stone, K. M., & Welsh, J. (2017). A systematic review of exercise systematic reviews in the cancer literature (2005-2017). PM & R: The journal of injury, function, and rehabilitation, 9(9S2), S347–S384. https://doi.org/10.1016/j.pmrj.2017.07.074
