Background 

Individualized supportive care is recommended to manage the debilitating effects of advanced prostate cancer and its treatments. Yet, the implementation of supportive care in practice remains inconsistent.

Objective 

The aim of this study was to synthesize the barriers and facilitators to implementing supportive care interventions after identifying supportive care interventions for advanced prostate cancer survivors.

Methods 

PubMed, SCOPUS, CINAHL Complete, ProQuest, and PsycINFO were searched for relevant studies published between 2011 and 2020. Studies were included if they reported on a supportive care intervention and included a description of implementation barriers and/or facilitators. The Theoretical Domains Framework was used to characterize implementation barriers and facilitators.

Results 

Of the 620 articles identified, 13 met all prespecified inclusion criteria. Primary barriers were related to the domains of environmental context and resources (eg, limited resources), knowledge (eg, insufficient knowledge on efficacy of supportive care), and beliefs about capabilities (eg, lack of confidence in materials). Facilitators fell under environmental context and resources (partnerships with local services), reinforcement (eg, partners inclusion), and skills (eg, delivery by professionals).

Conclusions 

This scoping review highlights barriers and facilitators that affect supportive care implementation. Future research that focuses on overcoming barriers and maximizing facilitators is needed to improve, modify, or supplement existing supportive care implementation practices.

Implications for Practice 

As the number of advanced prostate cancer survivors continues to increase, supportive care must become the standard of care. Future interventions must incorporate increased knowledge and funding, alternative delivery models, and consistent use of specialty nurses.

中文翻译：

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在晚期疾病前列腺癌幸存者中实施支持性护理的障碍和促进因素：基于理论的范围界定审查

背景 

推荐个体化的支持性护理来管理晚期前列腺癌及其治疗的衰弱影响。然而，在实践中实施支持性护理仍然不一致。

客观的 

本研究的目的是在确定晚期前列腺癌幸存者的支持性护理干预措施后综合实施支持性护理干预措施的障碍和促进因素。

方法 

搜索了 PubMed、SCOPUS、CINAHL Complete、ProQuest 和 PsycINFO 以查找 2011 年至 2020 年间发表的相关研究。如果研究报告了支持性护理干预并包括对实施障碍和/或促进因素的描述，则纳入研究。理论领域框架被用来描述实施障碍和促进者。

结果 

在确定的 620 篇文章中，13 篇符合所有预先指定的纳入标准。主要障碍与环境背景和资源（例如，有限的资源）、知识（例如，对支持性护理效果的知识不足）和对能力的信念（例如，对材料缺乏信心）等领域有关。促进者属于环境背景和资源（与当地服务机构的合作）、强化（例如，合作伙伴的包容）和技能（例如，由专业人员提供）。

结论 

该范围审查突出了影响支持性护理实施的障碍和促进因素。未来的研究需要侧重于克服障碍和最大化促进者，以改进、修改或补充现有的支持性护理实施实践。

对实践的启示 

随着晚期前列腺癌幸存者人数的不断增加，支持性护理必须成为护理标准。未来的干预措施必须包括增加知识和资金、替代交付模式以及持续使用专业护士。