Effectiveness, structure, and content of nurse counseling in gynecologic oncology: a systematic review

Raphaelis, Silvia; Kobleder, Andrea; Mayer, Hanna; Senn, Beate

doi:10.1186/s12912-017-0237-z

BMC Nursing

Table 2 Structure and content components of nurse counseling in gynecologic oncology

From: Effectiveness, structure, and content of nurse counseling in gynecologic oncology: a systematic review

Structural main components	Structural sub-components	Studies containing each coded component	Components with the best available evidence
Provider^a	Non-APN without academic education	[48]
	Non-APN with academic education	[25, 42]	✓
	APN with academic education	[26, 43, 44, 46]	✓
Receiver^b	Patients	[25, 26, 41,42,43,44,45,46,47,48]	✓
Receiver^b	Families	[26, 43, 44, 47]	✓
Time frame^c	Before active treatment	[45, 47]
	During active treatment	[48]
	After active treatment	[46]
	During and after active treatment	[43, 44]	✓
	Before, during, and after active treatment	[25, 26, 41, 42]	✓
	One-time consultation	[45, 47]
	Repeated consultation	[25, 26, 41,42,43,44, 46, 48]
	Short consultation	[46]
	Long consultation	[42, 47]
Mode of delivery^d	Face-to-face	[26, 41, 45, 47, 48]
	Phone	[46]
	Internet	[25]	✓
	Face-to-face and phone	[42,43,44]	✓
Format^e	Individual counseling	[25, 26, 41, 43,44,45,46,47,48]	✓
Format^e	Individual and group counseling	[42]
Setting^f	Clinic	[42, 45, 47, 48]
Setting^f	Clinic and home	[26, 41, 43, 44]	✓
Materials	Symptom-assessment tools^g	[25, 43, 44, 46]
	Symptom-management guidelines^h	[25, 41, 43,44,45,46]
	Individual care plansⁱ	[25, 41, 43, 44]
	Leaflets^j	[26, 46,47,48]
	Videos^k	[45, 47]
Concepts	Structured counseling^l	[45, 48]
	Structured and tailored counseling^m	[25, 26, 41,42,43,44, 46, 47]	✓
	Interdisciplinary orientationⁿ	[25, 26, 43, 44, 46]
	Theoretical basis^o	[25, 42,43,44,45]
Content main components	Content sub-components	Studies containing each coded component	Components with the best available evidence
Disease	Etiology^p	[42, 46]
	Diagnostic procedures^q	[46]
	Physical symptoms^r	[25, 42,43,44, 46]	✓
	Psychosocial symptoms^s	[25, 41,42,43,44, 46]	✓
Treatment	Therapeutic procedures^t	[26, 42]
	Decision-making^u	[43, 44]	✓
	Physical symptoms^v	[25, 42,43,44,45,46,47,48]	✓
	Psychosocial symptoms^w	[25, 26, 41,42,43,44, 46]	✓
Symptom-management^x	Symptom etiology	[25, 26, 41, 43,44,45,46,47]	✓
	Symptom assessment	[25, 43, 44, 47, 48]	✓
	Goal-setting and planning	[25, 43, 44]	✓
	Symptom prevention	[25, 26, 41,42,43,44, 47, 48]	✓
	Symptom treatment	[25, 26, 41,42,43,44,45,46,47,48]	✓
	Evaluation and modification of symptom management strategies	[25, 43, 44, 48]	✓
Resources^y	Personal capabilities	[25, 26, 42, 46]	✓
	Social network	[26, 41,42,43,44, 46]	✓
	Healthcare services	[25, 26, 42,43,44,45,46]	✓

^aThe intervention provider, including specifications and educational background
^bPatients and families (partners, parents etc.) as intervention receivers
^cThe time points (before/during/after active treatment), frequency (one-time/repeated counseling), and duration of each counseling session (sessions up to 20 min were considered as short consultations and sessions exceeding these frames as long consultations)
^dThe interaction channel by which interventions are delivered to recipients
^eIndividual counseling is provided to patients and families, whereas group counseling is delivered to a group of patients
^fThe counseling location, including inpatient and outpatient clinics and patients’ homes
^gAny tools utilized by nurses or patients for symptom assessment
^hStandardized recommendations regarding symptom self-care
ⁱAny nursing plans regarding the care of individual patients
^jBooklets by official organizations (such as Cancer Aid) and information sheets prepared by healthcare providers
^kVideotapes shown or given to patients
^lThe intervention is delivered the same way for all recipients
^mThe intervention is adapted to the individual needs, priorities, and meanings of recipients
ⁿCounselors consider interdisciplinary requirements to solve patients’ problems, such as collaborative and coordinative activities
^oAny theoretical foundation of the counseling program (e.g., Orem’s self-care theory)
^pCauses of gynecological neoplasia
^qAny procedures used to diagnose gynecological neoplasia, including a discussion of diagnostic results
^rDisease-related physical symptoms
^sDisease-related psychosocial symptoms
^tAny medical therapy for gynecological neoplasia, such as surgery, chemotherapy, or radiotherapy
^uPatients’ decisions affecting subsequent treatment
^vTreatment-related physical symptoms
^wTreatment-related psychosocial symptoms
^xThe management of disease and treatment-related symptoms, including their causes, their assessment, goal-setting and subsequent planning of management strategies, prevention and treatment, as well as evaluation and modification of management strategies
^yAny resources of patients to cope with disease and treatment-related issues, including personal capabilities (such as personal strengths, financial resources), the social network (utilization and communication), and healthcare services (utilization and communication)

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ISSN: 1472-6955

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