Shared mental models of cancer survivorship care

Quality cancer survivorship care relies on care continuity within the healthcare team. The purpose of this study was to explore the perspectives of healthcare team members regarding cancer survivorship care using the framework of shared mental models. Semi‐structured interviews of cancer survivors, primary support individuals, oncology providers, primary care providers and registered nurses were completed. Data were extrapolated to seven primary themes with associated secondary themes. Primary themes included survivor definition and identity, care setting, team member roles, care gaps, survivor needs, barriers to care and facilitators of care. Through these themes, participants emphasised the individuality of the survivorship experience, acknowledged care gaps and described ongoing needs of cancer survivors. Information provision and communication were noted as care facilitators. Through clarification of team member roles, healthcare providers will be equipped to promote cancer survivor transition by focusing on care continuity, communication and collaboration.     

American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline

Answer questions and earn CME/CNE The purpose of the American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline is to provide recommendations to assist primary care and other clinicians in the care of female adult survivors of breast cancer. A systematic review of the literature was conducted using PubMed through April 2015. A multidisciplinary expert workgroup with expertise in primary care, gynecology, surgical oncology, medical oncology, radiation oncology, and nursing was formed and tasked with drafting the Breast Cancer Survivorship Care Guideline. A total of 1073 articles met inclusion criteria; and, after full text review, 237 were included as the evidence base. Patients should undergo regular surveillance for breast cancer recurrence, including evaluation with a cancer‐related history and physical examination, and should be screened for new primary breast cancer. Data do not support performing routine laboratory tests or imaging tests in asymptomatic patients to evaluate for breast cancer recurrence. Primary care clinicians should counsel patients about the importance of maintaining a healthy lifestyle, monitor for post‐treatment symptoms that can adversely affect quality of life, and monitor for adherence to endocrine therapy. Recommendations provided in this guideline are based on current evidence in the literature and expert consensus opinion. Most of the evidence is not sufficient to warrant a strong evidence‐based recommendation. Recommendations on surveillance for breast cancer recurrence, screening for second primary cancers, assessment and management of physical and psychosocial long‐term and late effects of breast cancer and its treatment, health promotion, and care coordination/practice implications are made. CA Cancer J Clin 2016;43–73. © 2015 American Cancer Society.     

Do Hookups Hurt? Exploring College Students’ Experiences and Perceptions

Introduction: Hookups refer to a range of sexual or physically intimate behaviors characterized by a lack of any expectation of a relationship or emotional intimacy. This study was designed to assess college students’ experiences and perceptions about hookups as related to mental/emotional and physical health issues. Methods: Students at a 2‐year liberal arts college in the southeastern United States participated. A survey was created using current evidence on hookups and health issues. Random sampling invited 300 students to take the anonymous online survey. Responses to open‐ended questions were analyzed quantitatively; content analysis was used to assess responses to 2 open‐ended questions. Results: Participants (N = 210) reported their own or their friends’ experiences as a result of a hookup. Feelings included sexual regret (reported by 62%), relationship/interpersonal conflict (48%), negative emotional reactions (47%), negative social repercussions (41%), learning to “shut down” emotionally (33%), psychological distress (31%), loss of friend(s) or peer group (28%), anxiety (28%), depression (21%), and sexually transmitted infections (19%). Most students (60%) had at least one hookup experience; more than half (55%) had mixed feelings/ambivalence about these experiences. Qualitative analysis identified 6 themes regarding reasons for sexual regret: regret over choice of partner, negative social repercussions, hopes for relationship did not materialize, moral issues, too much/too fast/too drunk, and suboptimal sexual performance/experience. Discussion: The findings indicate that a significant level of negative health issues is experienced in conjunction with hookups, and health care providers should be aware and educate patients appropriately.