Research ArticleResearchPatient Education

A Roy-model nursing program improved adjustment and resilience after a breast cancer diagnosis

Seminars in oncology nursing (PubMed)Jul 6, 2026

AI-summarized from the linked source. Educational brief, not medical advice.

Brief summary

In an assessor-blinded randomized trial, a six-session Roy Adaptation Model nursing program improved psychosocial adjustment and resilience through three months among women newly diagnosed with breast cancer who completed follow-up.

What NurseJet pulled from the source

This single-center oncology outpatient trial randomized 51 women newly diagnosed with breast cancer to standard psycho-oncology care alone or the same care plus six weekly nursing sessions based on the Roy Adaptation Model. Forty-four participants completed the study and were included in the per-protocol analysis. Psychosocial adjustment and resilience improved more in the intervention group over time, with significant group-by-time interactions through the three-month follow-up. The findings support further use and evaluation of structured nursing support early after diagnosis, while the small per-protocol analysis limits certainty about effectiveness for all patients who begin the program.

Why this matters for nurses

Oncology nurses help patients navigate the psychological and practical disruption that begins at diagnosis. This trial matters because it tested a structured nursing intervention alongside standard psycho-oncology care rather than treating adjustment as outside the oncology workflow.

Bedside takeaway

Worth knowing that six Roy-model nursing sessions improved adjustment and resilience through three months in a small breast-cancer outpatient trial.

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Key takeaways

The trial randomized 51 women newly diagnosed with breast cancer, and 44 completed follow-up.
The intervention added six weekly Roy-model nursing sessions to standard psycho-oncology care.
Psychosocial adjustment improved more in the intervention group over time.
Resilience also improved, with outcomes followed for three months.

Practice implications

Oncology services may consider a structured, theory-guided nursing pathway for early adjustment support while preserving standard psycho-oncology care. The study does not establish one universal session format or demonstrate effects on treatment adherence, symptoms, or longer-term outcomes.

Limitations & cautions

This was a single-center trial with 51 randomized participants and a per-protocol analysis of 44 completers. Outcomes were self-reported, follow-up lasted three months, and the results do not establish effects on cancer treatment, physical symptoms, adherence, or longer-term mental health.
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Citations

Exact source links

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Seminars in oncology nursing (PubMed)

Seminars in oncology nursing (PubMed). Effect of a Roy Adaptation Model-Based Nursing Intervention on Psychosocial Adjustment and Psychological Resilience in Women Newly Diagnosed with Breast Cancer: A Randomized Controlled Trial.

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https://pubmed.ncbi.nlm.nih.gov/42409704/

Professional education only

This summary does not replace clinical judgment, facility policy, provider orders, or official guidelines. Verify practice changes against the original source and local protocol.

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More updates for this clinical area

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BMC nursing (PubMed)Jul 15, 2026Research Article

In a single-center randomized trial of 60 hospitalized adults with major depressive disorder, five Orem-based supportive-educative nursing sessions improved self-esteem and resilience versus routine care, with differences maintained at one month.

PsychAI summaryReview source

Research ArticleResearchPatient EducationAI summary · original source linked below

This randomized trial enrolled 60 hospitalized adults with major depressive disorder at one Iranian psychiatric ward and assigned 30 to routine care plus five tailored sessions based on Orem's supportive-educative system and 30 to routine care alone. Self-esteem and resilience were measured at baseline, immediately after the intervention, and one month later. Time-by-group interactions favored the nursing intervention for both self-esteem and resilience, and group differences remained at one-month follow-up. The findings support further evaluation of structured self-care nursing support, but the small, single-center convenience sample and short follow-up limit conclusions about broader or sustained clinical benefit.

Key takeaways

The trial randomized 60 hospitalized adults with major depressive disorder to the nursing program or routine care.
The intervention used five tailored sessions based on Orem's supportive-educative system.
Self-esteem and resilience outcomes improved more with the intervention than with routine care.
The differences remained at the study's one-month follow-up.

Why this matters on shift

Psychiatric nurses support self-care capacity as patients move from acute stabilization toward recovery. This trial matters because it tested a defined nursing framework and followed patient-reported outcomes beyond the final session.

Bedside takeaway

Worth knowing that five Orem-based nursing sessions improved self-esteem and resilience through one month in a small inpatient depression trial.

Nursing implications

A structured self-care framework may help inpatient psychiatric teams organize supportive education and assess progress in autonomy-related outcomes. The study does not justify substituting these sessions for the broader depression treatment plan or adopting its exact format without local review.

Limitations & cautions

This was a single-center trial with 60 convenience-sampled patients, self-reported outcomes, and only one month of follow-up. The abstract does not describe blinding, and the results do not establish effects on depressive symptoms, readmission, safety events, or longer-term recovery.
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Citations · exact source links

BMC nursing (PubMed). The effect of Orem's self-care model on self-esteem and resilience among hospitalized patients with major depressive disorder: a randomized controlled trial.

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JAMA Network Open (PubMed)Jul 7, 2026Research Article

In a six-hospital randomized trial of 314 adults with major depression and current suicidal ideation or a recent attempt, six months of assertive case management added to usual care produced a greater reduction in suicidal-thought and behavior severity and psychological distress, but did not significantly reduce suicide attempts.

PsychAI summaryReview source

Research ArticleResearchWorkflowAI summary · original source linked below

This randomized trial enrolled 314 South Korean outpatients with major depressive disorder who had current suicidal ideation or a suicide attempt within the prior two months. Participants received usual psychiatric care alone or usual care plus six months of structured assertive case management. Columbia-Suicide Severity Rating Scale scores fell in both groups, with a greater adjusted reduction in the case-management group (mean difference -1.99, 95% CI -3.37 to -0.61). Depression, suicidal ideation, and anxiety scores also improved more with case management. Suicide attempts did not differ significantly between groups, and one suicide death occurred in the control group. The study supports a sustained adjunctive psychosocial follow-up model but does not establish that it prevents attempts or deaths.

Key takeaways

The six-hospital trial randomized 314 adults with major depression and current suicidal ideation or a recent suicide attempt.
Assertive case management was delivered for six months in addition to usual psychiatric care.
Suicidal-thought and behavior severity, depression, suicidal ideation, and anxiety improved more with case management.
Suicide attempts did not differ significantly between groups, and one suicide death occurred in the usual-care group.

Why this matters on shift

Mental-health nurses and care coordinators help maintain contact, assess changing risk, and connect high-risk patients with ongoing treatment after a crisis. This trial matters because it evaluated a sustained hospital-based model while keeping symptom-score improvement distinct from harder outcomes such as attempts and death.

Bedside takeaway

Worth knowing that six months of assertive case management improved suicidal-thought severity and distress in high-risk depression, but did not significantly reduce suicide attempts.

Nursing implications

Behavioral-health services can consider the findings when evaluating structured case management as an adjunct to standard treatment for high-risk adults with major depression. The program should not replace immediate suicide-risk assessment, emergency escalation, safety procedures, or the treatment plan required by local policy.

Limitations & cautions

The trial was conducted at six hospitals in South Korea, 245 of 314 participants completed six-month follow-up, and the primary outcome was a rating-scale change. It was not powered to show a difference in suicide deaths, and no significant difference in suicide attempts was observed.
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Citations · exact source links

JAMA Network Open (PubMed). Hospital-Based Psychosocial Case Management and Suicide Prevention in South Korea: A Randomized Clinical Trial.

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JAMA Network Open (PubMed)Jun 1, 2026Research ArticlePractice applicable

In a six-clinic randomized trial of 1,214 adults with advanced solid cancer, weekly app-based symptom monitoring with automated guidance and nurse follow-up better maintained quality of life and self-efficacy; fewer participants had worsening unplanned-hospitalization episodes, and inpatient days were lower than with usual care over 18 weeks.

OncologyAI summaryReview source

Research ArticleResearchWorkflowPatient EducationPractice applicableAI summary · original source linked below

This multicenter randomized trial enrolled 1,214 community-dwelling adults with advanced solid cancer at six palliative care clinics in Hong Kong. Participants were no longer receiving systemic anticancer treatment and received either usual care or weekly app symptom reporting, automated self-management guidance, and nurse follow-up for severe symptom alerts. At 18 weeks, health-related quality of life and self-efficacy were better maintained with digital monitoring. Among participants included in the hospitalization analysis, fewer had worsening unplanned hospitalization episodes (17.2% versus 28.5%), and mean inpatient days were 3.4 versus 7.3. Emergency-department use and deterioration in performance status did not differ significantly. The findings support the combined monitoring-and-response pathway studied, rather than an app acting alone.

Key takeaways

The six-clinic trial randomized 1,214 adults with advanced solid cancer to digital symptom monitoring plus usual care or usual care alone.
The intervention combined weekly symptom reports, automated self-management guidance, and nurse follow-up for severe alerts.
Quality of life and self-efficacy were better maintained over 18 weeks with digital monitoring.
Fewer analyzed participants had worsening unplanned hospitalization episodes, and mean inpatient days were lower, while emergency-department use was not significantly different.

Why this matters on shift

Oncology and palliative-care nurses often coordinate symptom surveillance between visits and decide which reports need timely follow-up. This trial matters because it tested a defined response pathway in a large randomized sample and separated improvements in quality of life and hospitalization from outcomes that did not significantly change.

Bedside takeaway

Worth knowing that weekly digital symptom reporting paired with nurse follow-up better maintained quality of life and reduced inpatient days in a 1,214-person advanced-cancer trial.

Nursing implications

For oncology services considering remote monitoring, the intervention should be understood as weekly reporting plus automated guidance plus a staffed nurse-response workflow. The results do not show that passive symptom collection alone is effective, and they should not be generalized beyond the studied advanced-cancer population without local evaluation.

Limitations & cautions

The trial was conducted in six Hong Kong palliative clinics among community-dwelling adults with advanced solid cancer who were no longer receiving systemic therapy. Follow-up was 18 weeks, caregivers used the app for many participants, and hospitalization and performance-status results in the abstract were reported for smaller analyzed groups than the 1,214 people randomized.
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Citations · exact source links

JAMA Network Open (PubMed). Digital Self-Management of Symptoms and Quality of Life for Patients With Advanced Cancer: A Randomized Clinical Trial.

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Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

Key takeaways

Practice implications

Limitations & cautions

Exact source links

More updates for this clinical area

An Orem-based nursing program improved self-esteem and resilience through one month in hospitalized adults with depression

Six months of assertive case management reduced suicidal-thought severity, but suicide attempts did not differ significantly

Digital symptom monitoring with nurse follow-up preserved quality of life and reduced inpatient days in advanced cancer