Telenursing practice in the care of patients with surgical cancer: a scoping review

Objectives Surgical oncology patients often experience doubts and uncertainties in the preoperative and postoperative periods, which can be addressed remotely through telenursing. Expanding telenursing services could contribute to more comprehensive perioperative care. We conducted a scoping review...

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Main Authors: Carla Aparecida do Nascimento Mozer, Juliana do Carmo Gonçalves, Lorena Barros Furieri, Mirian Fioresi, Cindy Medici Toscano Rozetti, Rachel de Carvalho, Bruno Henrique Fiorin
Format: Article
Language:English
Published: BMJ Publishing Group 2025-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/7/e094399.full
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author Carla Aparecida do Nascimento Mozer
Juliana do Carmo Gonçalves
Lorena Barros Furieri
Mirian Fioresi
Cindy Medici Toscano Rozetti
Rachel de Carvalho
Bruno Henrique Fiorin
author_facet Carla Aparecida do Nascimento Mozer
Juliana do Carmo Gonçalves
Lorena Barros Furieri
Mirian Fioresi
Cindy Medici Toscano Rozetti
Rachel de Carvalho
Bruno Henrique Fiorin
author_sort Carla Aparecida do Nascimento Mozer
collection DOAJ
description Objectives Surgical oncology patients often experience doubts and uncertainties in the preoperative and postoperative periods, which can be addressed remotely through telenursing. Expanding telenursing services could contribute to more comprehensive perioperative care. We conducted a scoping review to characterise these telenursing services, identify their outcome indicators and examine the content of the care delivered.Design A scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) recommendations.Data sources MEDLINE (PubMed), EMBASE, CINAHL, SCOPUS, Web of Science and Virtual Health Library (VHL), with searches performed up to 5 May 2025.Eligibility criteria for selecting studies We included studies that implemented telenursing interventions in the preoperative or postoperative period in adult oncology patients.Data extraction and synthesis Two independent reviewers used a standardised search to select and extract data from the included studies. Study characteristics were presented descriptively using absolute and relative frequencies, and the content of telenursing interventions was organised into a circular thematic matrix.Results A total of 37 studies were included, published between 1996 and 2024, conducted in 12 countries and primarily focused on postoperative telenursing via telephone or video calls. Preoperative care focused on psychosocial support and guidance related to surgical preparation. Postoperative topics included surgical wound care; handling of devices such as drains, ostomy bags and catheters; instructions for returning to work and support groups for financial and social assistance. Outcome indicators were primarily related to care, including levels of anxiety, stress, depression and quality of life.Conclusions Oncologic surgical telenursing remains primarily focused on postoperative care and the delivery of personalised support. Reporting on the protocols used, frequency and duration of sessions, nurse training and profiles, integration with in-person care workflows and operational cost data could strengthen the knowledge base for perioperative telenursing in oncology.
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spelling doaj-art-6da27ff7887a42449a368a2bda9a94de2025-08-20T03:16:57ZengBMJ Publishing GroupBMJ Open2044-60552025-07-0115710.1136/bmjopen-2024-094399Telenursing practice in the care of patients with surgical cancer: a scoping reviewCarla Aparecida do Nascimento Mozer0Juliana do Carmo Gonçalves1Lorena Barros Furieri2Mirian Fioresi3Cindy Medici Toscano Rozetti4Rachel de Carvalho5Bruno Henrique Fiorin6Postgraduate Program in Nursing, Federal University of Espirito Santo, Vitoria, BrazilHospital Evangélico de Cachoeiro do Itapemirim, Cachoeiro do Itapemirim, BrazilPostgraduate Program in Nursing, Federal University of Espirito Santo, Vitoria, BrazilPostgraduate Program in Nursing, Federal University of Espirito Santo, Vitoria, BrazilFAESA, Vitória, BrazilNursing, Albert Einstein Israeli Institute of Education and Research, Sao Paulo, BrazilPostgraduate Program in Nursing, Federal University of Espirito Santo, Vitoria, BrazilObjectives Surgical oncology patients often experience doubts and uncertainties in the preoperative and postoperative periods, which can be addressed remotely through telenursing. Expanding telenursing services could contribute to more comprehensive perioperative care. We conducted a scoping review to characterise these telenursing services, identify their outcome indicators and examine the content of the care delivered.Design A scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) recommendations.Data sources MEDLINE (PubMed), EMBASE, CINAHL, SCOPUS, Web of Science and Virtual Health Library (VHL), with searches performed up to 5 May 2025.Eligibility criteria for selecting studies We included studies that implemented telenursing interventions in the preoperative or postoperative period in adult oncology patients.Data extraction and synthesis Two independent reviewers used a standardised search to select and extract data from the included studies. Study characteristics were presented descriptively using absolute and relative frequencies, and the content of telenursing interventions was organised into a circular thematic matrix.Results A total of 37 studies were included, published between 1996 and 2024, conducted in 12 countries and primarily focused on postoperative telenursing via telephone or video calls. Preoperative care focused on psychosocial support and guidance related to surgical preparation. Postoperative topics included surgical wound care; handling of devices such as drains, ostomy bags and catheters; instructions for returning to work and support groups for financial and social assistance. Outcome indicators were primarily related to care, including levels of anxiety, stress, depression and quality of life.Conclusions Oncologic surgical telenursing remains primarily focused on postoperative care and the delivery of personalised support. Reporting on the protocols used, frequency and duration of sessions, nurse training and profiles, integration with in-person care workflows and operational cost data could strengthen the knowledge base for perioperative telenursing in oncology.https://bmjopen.bmj.com/content/15/7/e094399.full
spellingShingle Carla Aparecida do Nascimento Mozer
Juliana do Carmo Gonçalves
Lorena Barros Furieri
Mirian Fioresi
Cindy Medici Toscano Rozetti
Rachel de Carvalho
Bruno Henrique Fiorin
Telenursing practice in the care of patients with surgical cancer: a scoping review
BMJ Open
title Telenursing practice in the care of patients with surgical cancer: a scoping review
title_full Telenursing practice in the care of patients with surgical cancer: a scoping review
title_fullStr Telenursing practice in the care of patients with surgical cancer: a scoping review
title_full_unstemmed Telenursing practice in the care of patients with surgical cancer: a scoping review
title_short Telenursing practice in the care of patients with surgical cancer: a scoping review
title_sort telenursing practice in the care of patients with surgical cancer a scoping review
url https://bmjopen.bmj.com/content/15/7/e094399.full
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