A Concept Analysis of Oral Anticancer Agent Self-management.
Madilyn Mason, Marcelline R Harris, Joseph A Greer and 1 others
PMID 33654013WHAT IT FOUND
Oral anticancer agent self-management is not just taking pills.
It includes adherence, side-effect self-management, communication with clinicians, and safe storage, handling, and administration. Nurses can use these areas to guide education and follow-up.
Key findings
01The analysis identifies four defining attributes of oral anticancer agent self-management: adherence, side-effect self-management, patient-provider communication, and safe storage, handling, and administration.
02Better self-management is associated in the reviewed literature with optimized treatment efficacy, survival, quality of life, satisfaction, and fewer healthcare costs.
03Patient education before treatment should include dose, frequency, administration, side effects and management strategies, drug interactions, storage and handling, and when to seek informational and medical support.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a concept analysis, not a clinical trial or patient study, so it does not show that any self-management intervention improves outcomes. The authors searched only PubMed, CINAHL and Cochrane Library, and they note this may limit sources. The analysis is based on repeated elements in the literature and team consensus, not on measured patient effects. The authors say the model needs prospective validation and that no existing measure of self-management was identified.
Declared interests
The authors report no conflicts of interest to disclose.
The easy way to misread this
Do not read this as evidence that nurse education improves oral anticancer agent outcomes. The paper analyses literature to define a concept, and it does not test an intervention or report patient results.