Evidence summary and nurse-led algorithm development of clinical guidance documents on sexual health for female breast cancer survivors: A systematic review.
To develop a nurse-led clinical algorithm based on recommendations from high- and average-quality clinical guidance documents (CGDs), using the nursing process as a framework, to standardize sexual healthcare for female breast cancer survivors (FBCS) and clarify core nursing roles in multidisciplina...
| Publicado en: | Applied Nursing Research Vol. 90 |
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| Autores principales: | , , , |
| Formato: | research systematic review Journal Article |
| Publicado: |
Elsevier B.V.
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195865697&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195865697 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08971897 44Z jtl: Applied Nursing Research issn: 08971897 maglogo: N pubinfo: dt: Aug2026 vid: 90 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 195865697 195865697 195865697 10.1016/j.apnr.2026.152116 195865697 ppct: 1 formats: tig: atl: Evidence summary and nurse-led algorithm development of clinical guidance documents on sexual health for female breast cancer survivors: A systematic review. aug: au: Yao, Nannan Fu, Jie Tian, Yingying Jiang, Jianan affil: Women's Hospital of Nanjing Medical University sug: subj: Breast Neoplasms Nursing Cancer Survivors Psychosocial Factors Nurses Psychosocial Factors Nursing Role Evaluation Nursing Process Utilization Sexual Health Standards Algorithms Practice Guidelines Multidisciplinary Care Team Program Development Human Female Systematic Review Descriptive Statistics Conceptual Framework Breast Neoplasms Psychosocial Factors Nursing Models, Theoretical Nurse Attitudes Evaluation Nursing Assessment Nursing Diagnosis Nursing Care Plans Nursing Interventions Survivorship Interprofessional Relations Female ab: To develop a nurse-led clinical algorithm based on recommendations from high- and average-quality clinical guidance documents (CGDs), using the nursing process as a framework, to standardize sexual healthcare for female breast cancer survivors (FBCS) and clarify core nursing roles in multidisciplinary care. Sexual health is a prevalent yet frequently neglected concern among FBCS, significantly impacting their quality of life. Current evidence-summary literature synthesizes recommendations from CGDs, yet often fails to translate them into executable clinical pathways due to thematic fragmentation, definitional inconsistency and unclear leadership. A systematic review was conducted for CGDs published from May 1, 2015, to May 1, 2025, following systematic review reporting guidelines. A structured problem-establishment model was applied. Methodological quality was assessed using a guideline-appraisal instrument. Recommendations for managing sexual health in FBCS were summarized from a nursing perspective to develop a nurse-led algorithm. Out of 2110 identified records, 13 CGDs were included. Thirty-five recommendations were synthesized into a framework comprising five categories: Fundamental Principles, Nursing Assessment, Nursing Diagnosis, Nursing Planning & Intervention, and Nursing Evaluation & Follow-up. This framework informed the development of a nurse-led clinical algorithm. By translating high-quality evidence into a structured nursing process framework, this algorithm operationalizes CGD recommendations into actionable interventions and standardizes survivorship care, potentially enhancing team coordination and clarifying nursing roles. In the future, we should focus on continuously refining the algorithm by incorporating emerging evidence. Additionally, researchers could further explore the integration of adjacent themes within the nursing process framework. Not registered. • A nurse-led clinical algorithm was developed for sexual health care in female breast cancer survivors. • Clinical guidance document recommendations were synthesized using the nursing process framework. • The algorithm clarifies nurses' roles as Autonomous Practitioner, Clinical Implementer, and Navigator. pubtype: Academic Journal doctype: research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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