NURS FPX 6011 Assessment 3: Evidence-Based Practice to Promote Exercise Among Cancer Survivors
Introduction
With low survival rates, cancer is a prevalent and deadly disease that poses serious problems for our society. As stressed in NURS FPX 6011 Assessment 3, cancer is frequently discovered in its advanced stages, and its survival is contingent upon the application of treatments like chemotherapy and radiation. According to a recent American Cancer Society report on cancer incidence and mortality rates in the US, the number of cancer-related fatalities in the US decreased by 29% between 1991 and 2017 (Siegel et al., 2019). According to estimates, there were 19.3 million new instances of cancer (excluding non-melanoma skin cancer) and roughly 10.0 million cancer-related deaths globally in 2020 (Hanahan, 2022). This underscores the significance of evidence-based practices for cancer care.
Background
According to NURS FPX 6011 Assessment 3, cancer is a general term for a number of diseases with distinct symptoms, approaches to therapy, and outcomes. Beginning with the diagnosis and continuing through treatment and survival, it has a significant impact on the affected people’s physical, mental, and social lives. Through evidence-based practice oncology, the most recent advancements in cancer research, prevention, diagnosis, and therapy have significantly improved the prognosis for cancer patients.
Action Plan
For cancer survivors, changing their lifestyle is essential to living a cancer-free life. The PICOT question being examined in NURS FPX 6011 Assessment 3 is whether or not, during a
6-month period, exercise programs have any impact on cancer survivors’ quality of life in comparison to either conventional care or non-exercise programs.
- Need Assessment: This process, which includes focus groups, questionnaires, and expert interviews, will help identify the particular exercise requirements and preferences of cancer survivors.
• Review the Evidence: To understand the best practices that will support the integration of exercise in the care of cancer survivors, especially in connection to nursing interventions for cancer patients, a thorough literature review is required. - Adopt the Change Suggestion: Guidelines, protocols, frequency, intensity, duration, and exercise type are among the specific person-oriented practice modifications that are produced based on the needs assessment.
- Creating a timeframe: In order to specify milestones and due dates for each stage, it is crucial to develop an intervention plan with an approximate timeframe.
- Determine Practice changes: With the aid of the resources and tools identified for improving the quality of cancer care, one should execute practice adjustments in accordance with the schedule.
• Locate Resources and Equipment: These include instructional materials, fitness gear, and funding for the creation and execution of programs. - Impact Assessment: Assess how cancer survivors’ health and quality of life have changed, as well as how practices have changed; gather information on physical function, exercise participation, and results as part of patient-centered oncology care.
Stakeholders and Potential Barriers
Survivors, medical experts, hospitals, trained professionals, and researchers are the stakeholders. As stated in NURS FPX 6011 Assessment 3, the potential barriers include a lack of information, restricted access, financial limits, and physical limitations.
Outcome Assessment,
Participation rates, physical functioning, quality of life, and cancer-related outcomes were measured in accordance with oncology nursing best practices.
Relevance and Value
NURS FPX 6011 Assessment 3 highlights the numerous benefits of exercise for physical functioning, quality of life, and cancer outcomes, as well as the evidence-based requirement of its usage in the care of cancer survivors.
Conclusion
According to NURS FPX 6011 Assessment 3, cancer survivors who exercise regularly have better health and results. An evidence-based practice project must include a needs assessment, literature review, practice change recommendations, and evaluation. For evidence-based nursing interventions to be implemented effectively, a variety of stakeholders may be involved, and challenges need to be addressed.
References
Cormie, P., Zopf, E. M., Zhang, X., & Schmitz, K. H. (2017). The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiologic reviews, 39(1), 71–92. https://doi.org/10.1093/epirev/mxx007
Campbell, K. L., Winters-Stone, K., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., … & Schmitz, K. H. (2019). Exercise guidelines for cancer survivors: Consensus statement from international multidisciplinary roundtable. Medicine and science in sports and exercise, 51(11), 2375.
Czosnek, L., Richards, J., Zopf, E., Cormie, P., Rosenbaum, S., & Rankin, N. M. (2021). Exercise interventions for people diagnosed with cancer: A systematic review of implementation outcomes. BMC cancer, 21(1), 1-25.
Ferioli, M., Zauli, G., Martelli, A. M., Vitale, M., McCubrey, J. A., Ultimo, S., Capitani, S., & Neri, L. M. (2018). Impact of physical exercise in cancer survivors during and after antineoplastic treatments. Oncotarget, 9(17), 14005–14034. https://doi.org/10.18632/oncotarget.24456
Siegel, R. L., Miller, K. D., Fuchs, H. E., & Jemal, A. (2022). Cancer statistics, 2022. CA: A cancer journal for clinicians, 72(1), 7-33.
Hanahan, D. (2022). Hallmarks of cancer: New dimensions. Cancer discovery, 12(1), 31-46.
Stout, N. L., Baima, J., Swisher, A. K., Winters-Stone, K. M., & Welsh, J. (2017). A systematic review of exercise systematic reviews in the cancer literature (2005-2017). PM & R: The journal of injury, function, and rehabilitation, 9(9S2), S347–S384. https://doi.org/10.1016/j.pmrj.2017.07.074


