The Perceived Effectiveness of the Clinical Nurse Specialist in Supporting Self-Management of Patients With Cancer: A Systematic Review of Qualitative Data.

Aim: As cancer care and outcomes improve, self-management becomes a critical aspect of care. Clinical Nurse Specialists roles empower, educate and support individuals with cancer to manage their health confidently.

Design: A systematic review following Joanna Briggs Institute guidance and reported in accordance with the PRISMA statement.

Methods: This qualitative systematic review explored the impact of the Clinical Nurse Specialists role in supporting self-management, confidence and capability in people with cancer. Meta-aggregation was used to synthesise the heterogeneous findings.

Data Sources: Five databases (Medline, CINAHL, PsycINFO, EmBase and EmCare) were searched for studies involving individuals with cancer in secondary care settings.

Results: Seven studies were included, generating 31 themes synthesised into four categories. All studies highlighted the positive impact of the Clinical Nurse Specialists role on individuals' knowledge, skills and abilities to self-manage.

Conclusion: Clinical nurse specialists role in supporting self-management for individuals with cancer. Their holistic approach fosters confidence and empowers patients to effectively manage their health. Findings highlight the value of nurse-led follow-up services empowering patients with cancer to manage their condition, improving overall well-being.

Impact: Cancer care is moving to a chronic care model.The review demonstrates CNS's positive impact on individuals care and how CNS are well placed to support patients in managing their care from a holistic perspective. This review highlights how qualitative research supports the value of the CNS role in an individual's experience and ability to self-manage their care.

Public Or Patient Contribution: This systematic review did not have any public or patient contribution.

Relevance To Clinical Practice: Cancer care is moving to a chronic care, self-management model. Clinical nurse specialists are well placed to innovate interventions that assist people with cancer to self-manage. PROSPERO Registration Number: CRD42024494021.