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PEOPLE@HES-SO - Verzeichnis der Mitarbeitenden und Kompetenzen
PEOPLE@HES-SO - Verzeichnis der Mitarbeitenden und Kompetenzen

PEOPLE@HES-SO
Verzeichnis der Mitarbeitenden und Kompetenzen

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Bana Marika

Bana Marika

Assoziierte Professorin FH

Hauptkompetenzen

Selbstmanagement Förderung

Pflegekonsultationen

Survivorship

Pflegeforschung

Klinisches Leadership

Qualitätsentwicklung

Onkologische Pflegepraxis

  • Kontakt

  • Lehre

  • Forschung

  • Publikationen

  • Konferenzen

  • Portfolio

Hauptvertrag

Assoziierte Professorin FH

Büro: 5.51

Haute école de santé - Fribourg
Route des Arsenaux 16a, 1700 Fribourg, CH
HEdS-FR
BSc HES-SO en Soins infirmiers - Haute école de santé - Fribourg
  • Symptommanagement
  • Problem Based Learning
  • Qualitative Pflegeforschung
  • Implementierungsforschung
  • Klinische Pflegeexpertise
MSc HES-SO en Ostéopathie - Haute école de santé - Fribourg
  • Begleitung Abschlussarbeiten
Master of Advanced Studies in Onkologischer Pflege - Zürcher Hochschule für Angewandte Wissenschaften ZHAW
  • Symptom Management
  • Selbstmanagement von Symptomen
Höhere Fachprüfung Onkologische Pflege - HFP Onkologiepflege St. Gallen
  • Selbstmanagement Förderung
  • Genetik
  • Prävention

Laufend

Access to Cancer Self-Management support with the Symptom Navi website (ACASEM study)

Rolle: Hauptgesuchsteller/in

Financement: HES-SO domaine santé

Description du projet :

The Symptom Navi Programme (SNP) supports people living with cancer to self-manage symptoms and problems related to their illness. Currently, 14 centres in Switzerland use printed SNP leaflets and support self-management with educational conversations, with the option to use digital leaflets via a paid login. This project aims to open access to digital leaflets for people living with cancer – known as cancer survivors – and their informal caregivers, to evaluate the www.symptomnavi.ch website’s usability, and to improve user experience with the website. The ACASEM study explores users’ website experiences and digital skills, and self-efficacy and self-management behaviour in cancer survivors. The study has a prospective, sequential, explanatory multi-method design, including a survey and focus group discussions. The project will end with adapting and improving the website based on the users’ feedback.

Forschungsteam innerhalb von HES-SO: Bana Marika , Sperisen Nicolas

Partenaires académiques: Ribi Karin, Careum Hochschule in Zürich; Afzali Minou, Swiss Center for Design and Health; Blankart Rudolf, sitem-insel und Universität Bern

Durée du projet: 01.05.2025 - 30.04.2027

Montant global du projet: 112'960 CHF

Archivage des données: Redcap https://redcap.hes-so.ch/

Statut: Laufend

Cancer Survivorship Survey - Fribourg (CSS-Fri)

Rolle: Hauptgesuchsteller/in

Financement: HFR and Fondation fribourgeoise pour la recherche et la formaiton sur le cancer

Description du projet :

Lay Summary:

Background and study aim: Cancer diagnose and its treatments can cause long-term effects and impact daily living even years after treatment stopped. Persons diagnosed with cancer and living beyond cancer treatments are called cancer survivors. Our study explores cancer survivors’ symptoms and problems up to ten years after their diagnosis. Our aim is to describe self-reported symptoms and problems cancer survivors experience between five- and ten-years post-diagnosis. Further, we will explore cancer related factors that might predict long-term problems. To achieve our aims, we use a survey to gather data.

Who can participate: Cancer survivors who have been treated in the canton Fribourg at one of the hospital sites linked to the cantonal hospital in Fribourg. Participants must have a diagnose of breast, colorectal, lung or prostate cancer, or a lymphoma or a myeloma. And the date of their diagnose must lie between one to ten years ago. Study participants need to understand written French or German to complete the questionnaires. In this study we will apply no intervention to participants. Eligible study participants will receive study information and questionnaires by postal mail. If they agree to participate, they complete the questionnaires online or in paper format once, no follow-up assessment will be asked for.

What measures do we take: We use the National Comprehensive Cancer Network patient assessment questionnaire to assess long-term problems and the Self-Administered Comorbidity questionnaire. Overall, participants will answer 52 questions taking about 20 minutes to complete. Questions are related to physical symptoms (as for example breathing, skin alterations, pain, fatigue), emotional symptoms (as for example stress, depressive mood), financial challenges, return to work, and healthy behaviour. Comorbidities are for example cardiovascular diseases, high blood pressure, diabetes, arthritis, or other common chronic conditions. Study collaborators will collect 18 items in order to know details related to cancer diagnose, complications during initial treatment, and further participants characteristics from medical records. The study results will show how frequently cancer related long-term symptoms are, and how severe they are between one to five and five to ten years after the diagnose. Further we will perform calculations with treatment and diagnose related information which are related to later problems and symptoms. This might inform in the future earlier tailored interventions and support for cancer survivors who are expected to live with long-term effects caused by their cancer.

Possible benefits and risks: Study participants will have no personal benefit and no risks are expected. Eligible participants are free to decide to answer the questions or not. At the other hand, study participants will give insights in survivorship experience in a Swiss canton. This information can help to improve cancer survivorship care in this region. A fact that might be of benefit later for the participants. Following survey data analysis, we will evaluate current supportive care in the canton Fribourg for cancer survivors and initiate additional support if this is needed.

Study start and end: Participant recruitment started by 27 February 2024 and will be closed by end of Mai 2024. Study end is planned for 31 December 2024.

Where is the study run: The HFR Fribourg – cantonal Hospital is the study sponsor. The principal investigator works the School of Health Science Fribourg/Freiburg, HES-SO University of Applied Science and Arts Western Switzerland.

The study is funded by the HFR Fribourg and the Fondation fribourgeoise pour la recherche et la formation sur le cancer.

Main contact: Prof. Marika Bana, PhD, marika.bana@hefr.ch

Forschungsteam innerhalb von HES-SO: Bana Marika

Partenaires professionnels: Küng Marc, Dr. med., hôpital fribourgeoise HFR

Durée du projet: 27.02.2024 - 31.12.2024

Montant global du projet: 60'000 CHF

Archivage des données: Redcap

Statut: Laufend

Abgeschlossen

ProAct-HNC- Physical activity promotion in patients with head and neck cancer - a qualitative study to explore context factors and a delphi process to make recommendations for intervention development
AGP

Rolle: Hauptgesuchsteller/in

Financement: Kantonsspital Winterthur

Description du projet : ProAct-HNC- Physical activity promotion in patients with head and neck cancer - a qualitative study to explore context factors and a delphi process to make recommendations for intervention development

Forschungsteam innerhalb von HES-SO: Bana Marika

Partenaires académiques: FR-HEDS-mandats Ra&D

Durée du projet: 01.01.2024 - 31.12.2024

Montant global du projet: 3'279 CHF

Statut: Abgeschlossen

ALLONHS - SQoL Survivre au cancer: qualité de vie et estimation des besoins des survivant·e·s

Rolle: Mitarbeiter

Requérant(e)s: Dr. mèd. Rebmann Ekaterina, Inselspital Berne

Financement: Fondation suisse pour la recherche sur le cancer - Krebsforschung Schweiz

Description du projet :

La recherche ALLONHS (SQoL) vise à étudier la qualité de vie des survivant·e·s à un type spécifique de cancer (le lymphome non hodgkinien) après avoir reçu une greffe allogénique. La littérature montre que ces patient·e·s rencontrent plusieurs effets taridifs lorsqu'ils survivent. Cette recherche vise à produire une estimation des besoins en matière d'accompagnement psychosocial dans le but de considerer la santé globale. Il s'agit d'une recherche interdisciplinaire, qui allie un volet clinique porté par  l’Inselspital de Berne et un volet psychosocial porté par la HETS-FR en collaboration avec la HEdS-FR et la HETS-FR. La recherche ALLOHNS bénéficie d'un financement dans le cadre des programmes de la Ligue Suisse pour la Recherche sur le cancer. 

Forschungsteam innerhalb von HES-SO: Villani Michela , Bana Marika

Partenaires académiques: Dr. mèd. Rebmann Ekaterina, Inselspital Berne

Partenaires professionnels: Pr. Dr. mèd. Chalandon Yves, Service d'hématologie - Hôpitaux Universitaires Genève (HUG); Pr. Dr. mèd. Medinger Michael, Service d'hématologie - Hôpital Universitaire Bâle; Dr. mèd. Wolfensberger Nathan, Service d'hématologie - Hôpital Universitaire Zürich

Durée du projet: 15.06.2022 - 30.04.2024

Url des Projektstandortes: https://www.hets-fr.ch/fr/recherche-et-prestations-de-services/projets-de-recherche/allonhs-sqol/

Statut: Abgeschlossen

Weiterentwicklung des Symptom Navi © Programms (SN©P)
AGP

Rolle: Hauptgesuchsteller/in

Financement: HES-SO Rectorat

Description du projet : Weiterentwicklung des Symptom Navi © Programms (SN©P)

Forschungsteam innerhalb von HES-SO: Bana Marika

Partenaires académiques: FR-HEDS-recherche

Durée du projet: 01.01.2019 - 30.06.2021

Montant global du projet: 11'000 CHF

Statut: Abgeschlossen

2025

Self-Management Support for Cancer Survivors: A Descriptive Evaluation of the Symptom Navi Training from the Perspective of Health Care Professionals
Wissenschaftlicher Artikel

Bana Marika, Riedo Selma, Karin Ribi

Current Oncology, 2025 , vol.  32, no  326, pp.  1-14

Link zur Publikation

Zusammenfassung:

The Symptom Navi Program (SNP) is a self-management support (SMS) intervention for people with cancer. It consists of self-management supportive leaflets, educational conversations, and two standardized training sessions. A descriptive quality evaluation method was used to evaluate SNP implementation across 14 cancer services from 2021 to 2024. We evaluated training content, methods, and participants’ confidence to use SMS in their clinical routine. Nurses, social workers, and psychologists completed ad hoc closed and open-ended questions after each training. The Work Sense of Coherence (Work-SoC) scale was used to elicit participants’ self-reported perceptions of their work context at cancer services. A series of descriptive analyses were conducted on the Work-SoC scale, the training content, and the methods. In addition, training-specific questions and predefined hypotheses were correlated. Thematic analysis was employed to examine open-ended questions. The SNP training content and methods largely met participants’ needs. Participants’ confidence in applying educational conversations decreased over time. The findings suggest a robust correlation between the application of educational conversations in daily routines and the participants’ perceptions regarding the comprehensibility and manageability of their work situations. Future research focusing on the implementation of SMS in clinical practice should examine the work context.

2024

Factors influencing physical activity in individuals with head and neck cancer: a scoping review
Wissenschaftlicher Artikel

Martina Schmocker, Ramona Engst, Markus Wirz, Bana Marika

BMJ Open, 2024 , vol.  14, no  7

Link zur Publikation

Zusammenfassung:

Objectives Higher physical activity (PA) levels are associated with better quality of life in people with head and neck cancer (HNC). Despite this positive association, most individuals with these cancer types have a sedentary or low-activity lifestyle. Limited knowledge exists regarding the factors that influence PA in this group. Therefore, we reviewed and mapped the available literature on factors that may influence PA in people with HNC.

Design We conducted a scoping review based on the framework of Arksey and O'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline extension for scoping reviews.

Data sources CINHAL, the Cochrane Library, EMBASE, PsycINFO, MEDLINE and Scopus were searched from inception to July 2023.

Eligibility criteria We included qualitative and quantitative studies that stated factors such as barriers, facilitators, beliefs, perceptions and views influencing PA in individuals with HNC. Furthermore, views and recommendations of healthcare professionals involved in the care of people affected by HNC and researchers in this domain were eligible for data extraction.

Data extraction and synthesis Data were extracted and synthesised by one reviewer according to the predefined items including characteristics, barriers, facilitators, beliefs, perceptions and views of people being affected and views and recommendations of experts. Quantitative data were charted descriptively, and qualitative data were analysed and summarised using a basic content analysis approach.

Results Of the 1351 publications, we included 19 in our review. Publications mainly focused on barriers to PA, with some studies reporting facilitators and collecting data on patients’ and healthcare professionals’ views on PA. Most research teams made recommendations for promoting PA in people with HNC.

Characteristics associated with activity levels included age, cancer type and stage, morbidity level and attitude towards being active. Prevalent barriers consisted of health-related factors, including fatigue, pain and nutritional issues, alongside personal and environmental impediments such as time constraints, lack of interest or motivation. Facilitating factors for PA included perceived or experienced mental and health-related benefits. Consensus among patients, healthcare professionals and researchers highlighted the necessity for enhanced information and education, emphasising individualised approaches to promote PA throughout the cancer continuum.

Conclusions Numerous factors affect PA in individuals with HNC. Future research should concentrate on screening and addressing risk factors for sedentary behaviour and activity barriers and on optimal design and delivery of interventions to incorporate PA promotion into the care pathway.

Pflegerische Begleitung und Unterstützung bei Krebserkrankungen
Buchkapitel

Bana Marika,

,  Onkologische Krankenpflege. 2024,  Heidelberg : Springer Verlag

Link zur Publikation

Zusammenfassung:

Die Unterstützung zum Management und Selbstmanagement von Symptomen gewinnt für die onkologische Pflege kontinuierlich an Bedeutung. In diesem Kapitel beschreiben wir die Grundlagen zum Management von Symptomen bei Krebserkrankungen und deren Therapien, stellen eine Auswahl von Screening und Assessment-Instrumenten vor und zeigen auf, wie die Unterstützung zum Selbstmanagement von Symptomen durch Pflegefachpersonen gestaltet werden sollte. Abschließend stellen wir ein Programm vor, welches die zentralen Elemente integriert und erfolgreich in die Praxis eingeführt wurde.

Onkologische Krankenpflege
Buch

Patrick Jahn, Andrea Gaisser, Bana Marika, Christoph Renner

2024,  Deutschland : Springer Verlag,  952  p.

Link zur Publikation

Zusammenfassung:

100% Onkologische Pflege!
Dieses Buch bietet allen Pflegenden und Teilnehmenden der Fachweiterbildung zur
onkologischen Pflegefachperson umfassendes, aktuelles Fachwissen für die spezielle
Betreuung ihrer Patienten. Lernen Sie solide Grundlagen, z.B. wie maligne Tumoren
entstehen und wachsen, wie man sie erkennt und welche Probleme bei der Behandlung
auftreten können, sowie spezielle Kompetenzen, um pflegerisch angemessen zu handeln.
Das Standardwerk ist der ideale Begleiter für die Weiterbildung und zum Nachschlagen
für die tägliche Praxis.
Empfohlen von der Konferenz Onkologischer Kranken- und Kinderkrankenpflege
(KOK), der Onkologie Pflege Schweiz (OPS) und der Arbeitsgemeinschaft hämatologischer
und onkologischer Pflegepersonen in Österreich (AHOP).
Der Inhalt
• Spezielle onkologische Pflege: Schmerzen, Atemnot, Fatigue, Ernährung,
Haarausfall, Hautveränderungen, Sexualität, onkologische Notfälle,
Kommunikation mit Krebskranken, u.a.
• Grundlagen der Onkologie, Prinzipien und Methoden der Tumordiagnostik
und -therapie
• Besondere Bereiche: Psychoonkologie, Sexualität, onkologische Pflege bei
älteren Menschen und Kindern, Komplementär- und Alternativmedizin bei
Krebs,
• Plus: Tumor-Checklisten, weiterführende Literatur
Neue Themen in dieser komplett überarbeiteten und aktualisierten 7. Auflage: Einführung
zum Symptommanagement durch pflegerische Unterstützung und Begleitung bei
Krebserkrankungen, Sport und Bewegung, Rehabilitation und Nachsorge, Survivorship,
Pflege in der Palliativsituation
Die Herausgebenden
Prof. Dr. rer. medic. Patrick Jahn, Krankenpfleger und Universitätsprofessor für Versorgungsforschung
mit Schwerpunkt Pflege im Krankenhaus, Department für Innere
Medizin, Universitätsklinikum Halle (Saale)
Andrea Gaisser, Ärztin, Deutsches Krebsforschungszentrum, Krebsinformationsdienst,
Heidelberg
Prof. Dr. Marika Bana, Onkologiepflegefachfrau und assoziierte Professorin FH an der
Hochschule für Gesundheit in Freiburg, Schweiz
Prof. Dr. med. Christoph Renner, Facharzt für Hämatologie, Allgemeine Innere Medizin,
Medizinische Onkologie, Klinik für Hämatologie & Onkologie Hirslanden, Zürich und
Department Biomedizin, Universität Base

Survivorship
Buchkapitel

Sperisen Nicolas, Sarah Stoll, Bana Marika

,  Onkologische Krankenpflege. 2024,  Heidelberg : Springer Verlag

Link zur Publikation

Zusammenfassung:

Frühzeitige Diagnostik und verbesserte Therapieoptionen bei Krebserkrankungen führen zu einem längeren Leben mit und Überleben von Krebs. Viele an Krebs erkrankte Menschen erfahren verschiedene Nebenwirkungen und Langzeitfolgen der Krankheit und/oder der Behandlung. Die Heterogenität dieser Auswirkungen erfordert eine individuelle, ganzheitliche und integrierte Betreuung. Pflegefachpersonen können dabei eine zentrale Rolle in der Betreuung und Begleitung übernehmen.

2020

Development and implementation strategies of a nurse-led symptom selfmanagement program in outpatient cancer centres: The Symptom Navi© Programme
Wissenschaftlicher Artikel

Bana Marika, Karin Ribi, Susanne Kropf-Staub, Ernst Näf, Monique Sailer Schramm, Sabin Zürcher-Florin, Solange Peters, Manuela Eicher

European Journal of Oncology Nursing, 2020 , vol.  44

Link zur Publikation

Zusammenfassung:

Purpose: The Symptom Navi© Programme (SN©P) is a structured nurse-led intervention supporting symptom self-management in cancer patients. We describe the development and evaluation of the intervention, implementation strategy, and the evaluation of nurse training for the Symptom Navi© Pilot Study.
Methods: The intervention was developed using multiple methods (e.g. literature synthesis, focus groups) to produce SN©P information leaflets (SN©Flyers in French and German) and standardised training for nurses to deliver semi-structured consultations. We evaluated the SN©P using online surveys, focus groups, interviews, and the Item-Content Validity Index (I-CVI). Nurse training was evaluated in relation to content, acceptability, and confidence in implementing the SN©P. We examined the association between scored on the Work-related Sense of Coherence (Work-SoC) scale and nurses’ confidence in implementing the SN©P. Thematic analysis was used to analyse qualitative data. Quantitative data was descriptively analysed and the Kendall Tau test was employed for correlations.
Results: Patients and health care professionals confirmed that SN©Flyers and semi-structured consultations facilitated symptom self-management. Nurses considered training content/format acceptable and appropriate and felt confident in implementing the SN©P. Overall Work-SoC scores were correlated with nurses’ confidence in implementing the SN©P (rπ = .47, p = .04).

Conclusions: Health care professionals and cancer patients perceived the SN©P as a useful support. Successful implementation of the SN©P depends on centre-specific factors including time, resources and workflow.
Clinical trial registry: NCT03649984 and SNCTP000002381.

2019

Implementation of the Symptom Navi © Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi© Pilot Study)
Wissenschaftlicher Artikel

Bana Marika, Karin Ribi, Susanne Kropf-Staub, Sabin Zürcher-Florin, Ernst Näf, Tanja Manser, Lukas Bütikofer, Felix Rintelen, Solange Peters, Manuela Eicher

BMJ Open, 2019

Link zur Publikation

Zusammenfassung:

Introduction Self-management interventions show promising results on symptom outcomes and selfmanagement behaviours. The Symptom Navi© Programme (SN©P) is a nurse-led intervention supporting patients’ symptom self-management during anticancer treatment. It consists of written patient information (Symptom Navi© Flyers (SN©Flyers)), semistructured consultations and a training manual for nurses.
Methods and analysis This pilot study will evaluate the implementation of the SN©P based on the Reach Effectiveness—Adoption Implementation Maintenance framework at Swiss outpatient cancer centres. We will use a cluster-randomised design and randomise the nine participating centres to the intervention or usual care group. We expect to include 140 adult cancer patients receiving first-line systemic anticancer treatment. Trained nurses at the
intervention clusters will provide at least two semistructured consultations with the involvement of SN©Flyers. Outcomes include patients’ accrual and retention rates, patient-reported interference of symptoms with daily functions, symptom burden, perceived self-efficacy, quality of nursing care, nurse-reported facilitators and barriers of adopting the programme, nurses’ fidelity of providing the intervention as intended, and patients’ safety (patients timely reporting of severe symptoms). We will use validated questionnaires for patient-reported outcomes, focus group interviews with nurses and individual interviews with oncologists. Linear mixed models will be used to analyse patient-reported outcomes. Focus group and individual interviews will be
analysed by thematic analysis.
Ethics and dissemination The Symptom Navi© Pilot Study has been reviewed and approved by Swiss Ethic Committee Bern (KEK-BE: 2017–00020). Results of the study will be disseminated in peer-reviewed journal and at scientific conferences.
Trial registration number NCT03649984; Pre-results.

2025

Integrating Self-Management Support for Cancer Survivors
Konferenz
Challenges and Lessons learned

Bana Marika

Swiss Oncology and Hematology Congress SOHC, 19.11.2025 - 21.11.2025, Basel

Link zur Konferenz

A prospective cross-sectional study of cancer survivors' self-reported long-term experiences in Canton Fribourg
Konferenz
Over a ten-year post-diagnosis period

Bana Marika, Daniel Betticher, Kris Denhaerynk, Marc Küng

Swiss Oncology and Hematology Congress SOHC, 19.11.2025 - 21.11.2025, Basel

Link zur Konferenz

Zusammenfassung:

Background and Objective

Cancer survivors may experience long-term effects alongside with chronic conditions. This study explores the long-term effects of cancer and its treatments, including the impact on work, and self-reported comorbidities.

Methods

We conducted a retrospective cross-sectional survey based on the NCCN survivorship questionnaire for patients and the Self-Administered Comorbidity Questionnaire, next to questions related to sick leave and time until return to work. Initial cancer treatment related factors potentially causing long-term effects were gathered from medical records. We included individuals diagnosed 1 to 5 and 5 to 10 years ago with breast, colorectal, lung, prostate cancer, or diagnosed with a lymphoma or myeloma and excluded those not treated at the Hôpital fribourgeois, or not understanding German or French. Used variables were Likert-like scales (from never to always), numeric scales (0 =none to 10 = extreme), and dichotomous yes/no answers. All scales were dichotomized for group comparisons. Regression analyses predicted the different symptoms by the time since diagnosis, adjusted for confounders.

Results

335 participants (41.55% return rate) completed the survey online or on paper between February and June 2024. The mean age was 61.5 years (SD 11.75), 56 % were female, and 14% German speaking. All participants had undergone multiple therapies (mean 2.52, SD 0.94): systemic therapy (85%), surgery (73 %), radiotherapy (54%), and/or anti-hormonal therapy (39%). The prevalence of long-term effects did not differ between the two groups except for hormone-related symptoms, sexual health, and concerns about weight, which were more prevalent in the group 5 to 10 years post-diagnosis (p = 0.0212, 0.0148, and 0.0325 respectively). The most frequently reported comorbidities were high blood pressure and back pain (40% & 42% respectively). 37% of participants reduced their working hours by 56% (SD 29.68) for about 27.21 weeks (SD 43.81); 23% did so due to symptoms. Having multiple comorbidities and being of younger age were significantly associated with long-term effects such as depression/anxiety, impaired cognitive function, lymphedema, pain, hormone-related symptoms, sexual health, or sleep disturbances.

Conclusion

Cancer survivors in Canton Fribourg experience multiple long-term effects up to ten years after their diagnosis. Our results could inform tailored cancer survivorship care.

Unerfüllte Bedürfnisse von Cancer Survivors
Konferenz

Bana Marika

Cancer Survivors Day 2025, 28.06.2025 - 28.06.2025, Zürich, Schweiz

Link zur Konferenz

Zusammenfassung:

Inhalt der Präsentation:

  • Was ist Cancer Survivorship
  • Welche Bedürfnisse haben Menschen mit Krebs
  • Unterstützung von Menschen mit Krebs
  • Entwicklung von einem nationalen Krebsplan in der Schweiz
  • Aktueller Stand vom nationalen Krebsplan

Nouveau horizons en oncologie
Konferenz
Les ADC (conjugués anticorps-médicaments) et la gestion des effets secondaires

Bana Marika, Monika Heger

Onkologiepflege Kongress 2025, 27.03.2025 - 27.03.2025, Bern

Link zur Konferenz

Zusammenfassung:

Est-ce que les ADCs vous parlent ? Découvrez ce nouveau groupe de médicaments prometteurs et leur gestion des effets secondaires spécifiques. Focus sur les problématiques oculaires, avec conseils pratiques pour la prise en charge et l'autogestion. Séminaire interactif alliant présentation et discussions. Un atelier dédié à approfondir vos connaissances en oncologie.

Neue Horizonte in der Onkologie
Konferenz
ADCs und das Management von Nebenwirkungen

Monika Heger, Bana Marika

Onkologiepflege Kongress 2025, 27.03.2025 - 27.03.2025, Bern

Link zur Konferenz

Zusammenfassung:

Antibody-drug conjugates (ADCs) sind eine neue Medikamentengruppe in der Onkologie. Wir stellen die Wirkungsweise der ADCs und deren Nebenwirkungsprofil vor. Augenprobleme können bei dieser Medikamentengruppe vermehrt auftreten. Wir besprechen dazu mögliche Selbstmanagement-Interventionen.

2024

Social quality of life experience after allogeneic stem cell transplantation for Swiss Non-Hodgkin Lymphoma long-term survivors
Konferenz
SQoL ALLOHNS study

Bana Marika

SOHC 24, 20.11.2024 - 22.11.2024, Basel

Link zur Konferenz

Zusammenfassung:

Background: Non-Hodgkin Lymphoma (NHL) standardized relative survival 5-years after diagnosis is 74.9% (95% CI 73.7-76.1%). Allogeneic stem cell transplantation (alloHSCT) is the only potentially curative treatment for relapse/refractory NHL (rrNHL), a subgroup facing health and social problems. We explored rrNHL post alloHSCT psychosocial quality of life (SQoL) as part of the ALLOHNS study (Swiss Cancer Research grant HSR-5223-11-2020).

Methods: We invited 97 rrNHL survivors at least 2 years post alloHSCT treated in a Swiss University Hospital (Zurich, Basel, or Geneva) to an online survey. Participants completed the WHOQoL-BREF questionnaire in German or French. Survey data were descriptively analysed. Hypotheses testing was not possible due to the small cohort size. In-depths interviews on subjective health and psychosocial needs were added to complement survey results.

Results: 41 rrNHL, (42%) completed the survey between December 2023 and August 2024, with a median of 8 years (4-23) post alloHSCT. The median age was 64 (53,69) years and most participants were men (76%). The level of education in 22% was university, and 29% tertiary education level, 59% were married and 17% lived with a partner. Overall QoL satisfaction was mostly “very good” (46%) or “good” (39%). Most participants were very satisfied or satisfied with their work capacity (74%), social relationships (83%) and social support (90%). 39% of participants were retired and 12% self-employed. Sexuality concerns were frequently reported (67.5%). 11 patients participated in-depth interviews where they confirmed overall good SQoL but altered sexuality life, and reported furthermore fatigue affecting daily routines and work activities demanding modifications. Important support resources were the HSCT care team and a sustainable social network. Main issues reported were financial and insurance matters, reduced work capacity, dismissals, unemployment and the lack of support to solve them. Supportive peer meetings to facilitate after alloHSCT reintegration arised as a relevant unmet need.

Conclusions: Well-educated Swiss post alloHSCT rrNHL survivors report overall good SQoL and seem to be satisfied with their general situation, work capacity, and social network. In-depth interviews revealed support needs related to finances and professional integration post alloHSCT. The results should be interpreted with caution due to the small cohort size.

Cancer Survivorship
Konferenz
Massnahmen zur Überwindung von 'Lost in Transition'

Bana Marika

SOHC 24, 20.11.2024 - 22.11.2024, Basel

Link zur Konferenz

Zusammenfassung:

Vorstellung des Masterplans von Oncosuisse zum Thema Survivorship und die vorgeschlagenen Ziele, welche in einen nationalen Krebsplan einfliessen sollen.

Massnahmen zur Unterstützung des Selbstmanagements
Konferenz

Bana Marika

Jahrestagung 24 DGHO, 12.10.2024 - 12.10.2024, Basel

Link zur Konferenz

Zusammenfassung:

Introduction
Cancer and its treatments can lead to physical and psychological symptoms, financial challenges and worries about recurrence. To support selfmanagement of such challenges early in the disease course can make an important difference for persons living with cancer and beyond. Coaching people affected by cancer to improve their symptom self-management requires a behaviour change in health care professionals (HCP).
Methods
We developed the Symptom Navi Programme (SNP) a standardised programme in cooperation with cancer patients and HCPs. The SNP comprises 3
components: 1) semi-structured consultations to facilitate self-efficacy, 2) evidence-based recommendations on leaflets in written and digital format to
support self-management, and 3) a standardised training for HCPs applying the SNP. Semi-structured consultations are based on self-management and self-efficacy theories. The SNP implementation at different cancer centres has been evaluated with mixed methods using questionnaires with responses based on Likert scales, written narrative feedback, and telephone interviews. Data were analysed descriptively.
Results
We implemented the SNP in 13 Swiss cancer teams: at 7 cancer centres, at 3 medical cancer practices, at 2 cancer leagues, and at 1 outpatient palliative
care team. Overall, we trained 100 HCPs to support self-management with the SNP (duration: M 3.48 h, SD = 0.31), and 47 HCPs attended a follow-up
training to enlarge self-management skills (duration: M 1.8 h, SD = 0.25). HCPs reported that self-management recommendations on leaflets were of high
quality and very useful. They further confirmed that the trained semi-structured consultation approach was very important (m = 5.7 on a 6-point Likert
scale). Narrative feedback revealed that HCPs are motivated to apply semi-structured consultations and they found supporting self-management as
important and feasible. However, HCPs emphasized that contextual factors as time and staff shortage are relevant barriers to implement the SNP in their
daily praxis.
Conclusions
Trained HCPs confirmed the significance for supporting self-management in the cancer setting. To implement self-management interventions, it is key to
support HCPs motivation to coach patients and families even in a challenging practice context facing staff shortage.

2023

Selbstmanagement bei Krebserkrankungen unterstützen
Konferenz

Bana Marika

Summer School in Palliative Nursing, 07.09.2023 - 07.09.2023, Zürich

2022

Evaluation of the implementation of the Symptom Navi Programme
Konferenz
A nurse-led intervention supporting cancer outpatient self-management

Bana Marika, Karin Ribi, Sabin Zürcher, Manuela Eicher

Swiss Oncology and Hematology Congress, 16.11.2022 - 18.11.2022, Basel

Link zur Konferenz

Zusammenfassung:

Background & objectives

The Symptom Navi Programme (SNP) is a standardised self-management support (SMS) intervention employing patient coaching and facilitating self-efficacy aiming at reducing patients’ burden of symptoms. As part of an implementation study, we included the analysis of the nurses’ behaviour before and after SNP implementation.

Methods

We conducted semi-structured focus group interviews with nurses at Swiss (German-speaking) outpatient cancer centres. Participants completed study-specific fidelity questionnaires after each SNP intervention and study team members conducted structured observations of the interventions. Thematic analysis and descriptive statistics were performed. The Howell et al. (2017) self-management education framework informed data interpretation.

Results

We conducted 4 focus group interviews with 14 oncology nurses before SNP training and 3 interviews with 9 nurses at study end. Before the training, nurses emphasised that they had established a solid partnership with their patients, and had informed them carefully about cancer therapy and its expected side-effects. Their SMS intervention was mainly based on Cancer League brochures and pharmaceutical information material complemented with inhouse leaflets. At study end, nurses referred mainly to SNP leaflets to guide patients, structure SMS interventions, and tailor information to patient needs. The nurses estimated that patients’ communication regarding symptoms had improved and that patients showed more self-management behaviour than before the intervention. Employing SNP within daily nursing routine was considered feasible and nurses reported high fidelity rates to the SNP training with on average 92% of all items applied (95% CI: 87-95%). However, proactive coaching and facilitating patient self-efficacy did not appear in the focus groups nor in the observations. Nurses stated that they would require regularly updated SNP leaflets for long-term SNP implementation.

Conclusion

Although nurses self-reported high fidelity to the SNP training, their actual SMS behaviour was only partly in keeping with the intended intervention. In particular, coaching and the facilitation of patient self-efficacy was poorly reported and rarely observed. Nurse training would need to be enhanced to facilitate effective behaviour change to help improve SMS within daily routines.

Insights from Swiss Symptom Navi Programme: evaluation of a nurse-led self-management support intervention
Konferenz

Bana Marika, Carl Rudolf Blankart, Karin Ribi, Susanne Kropf-Staub, Manuela Eicher

COMPAR-EU final Conference, 26.10.2022 - 27.10.2022, Palma de Mallorca

Link zur Konferenz

Zusammenfassung:

Background

Cancer can cause early and long-term consequences that ask for tailored self-management support (SMS) during and beyond cancer treatments. The Symptom Navi Programme (SNP) is a SMS intervention based on coaching and facilitating patients’ self-efficacy. It consists of leaflets providing evidence-based self-management recommendations, semi-structured SMS interventions, and a standardised implementation training.

Methods

The SNP was developed in collaboration with patients, family members and health care professionals (HCP). Patients and family members’ SNP experience have been explored by semi-structured interviews. Subsequently, a cluster-randomised pilot study using multiple methods was conducted to evaluate the SNP implementation process in nine outpatient cancer centres. We used validated patient-reported outcome measurements (PROMs), focus group interviews, fidelity assessments and observations. Statistical analysis included descriptive analyses, correlations, and linear logistic mixed effect models. Qualitative data were analysed thematically. [1]

Findings

Patients and their families confirmed leaflets content as helpful and SMS interventions as supportive. In the SNP pilot study, nurses reported high satisfaction rates with 92% of all items applied as trained (95% CI: 87-95%) and 88% of patients received SMS interventions as planned (range 75-100%). Nurses confidence to use the SNP in daily routines was positively correlated with working conditions (r π =.47, p = .04). Focus group interviews and observations revealed rather poor implementation regarding coaching behaviour and facilitating self-efficacy. The SNP showed no impact on any PROMs compared to the control group and over sixteen weeks. We observed no adverse events.

Discussion

The SNP is a safe SMS intervention that will be further evaluated. Fourteen institutions use the SNP in Switzerland, among them cancer centres, home care nurses, and Swiss Cancer Leagues. We improved HCP training regarding coaching, self-efficacy support, improved SNP adaptation support to centre context, added online training modules, and created a website.

Selbstmanagement fördern bei Krebserkrankungen
Konferenz
Eine qualitative Evaluation der Anwendung des Symptom Navi Programms

Bana Marika

Swiss Congress for Health Professions 2022, 01.09.2022 - 02.09.2022, Neuchâtel

Link zur Konferenz

Zusammenfassung:

Einleitung: Das Symptom Navi Programm (SNP) zielt auf die Förderung des Selbstmanagements von Symptomen bei Krebserkrankungen ab. Es umfasst evidenzbasierte SM-Informationen (SN-Flyer), halbstrukturierte Edukationsgespräche und eine standardisierte Schulung für Pflegende. Im Rahmen der Symptom Navi Pilotstudie wurde die Implementierung und Anwendung des SNP mittels Fokusgruppen-Interviews mit Pflegefachpersonen vor Einführung und am Studienende evaluiert. Methode: Die Einführung des SNP umfasste 6 Stunden Schulung und integrierte Wissensvermittlung zur SM-Unterstützung, Motivation der Pflegenden für eine Coaching-Rolle und SNP Kontextanpassungen. Notizen, Zusammenfassungen und Transkripte der Interviews wurden thematisch analysiert basierend auf 8 Kernelementen von SM-Edukationen. Zur Analyse wurde atlas.ti verwendet. Resultate: 3 von 4 onkologischen Ambulatorien implementierten das SNP. Wir führten 4 Gruppeninterviews vor Einführung des SNP und 3 am Studienende mit jeweils 3 bis 4 Pflegenden durch (Dauer 30 - 50 Minuten). Vor Einführung des SNP nutzten die Pflegenden hausinterne Flyer und Broschüren zur Patient:innen Information und Wissensvermittlung bei Therapiestart, wünschten sich standardisierte interprofessionelle Abläufe und eine verbesserte Dokumentation. Am Ende der Symptom Navi Pilotstudie betonten die Pflegenden den Nutzen der SN-Flyer für a) die Unterstützung von Handlungs- und Kommunikationskompetenzen der Patient:innen, b) die Symptomeinschätzung und Wahl von SM-Interventionen sowie c) die Strukturierung der Beratungsgespräche mit Patient:innen. Als hindernde Faktoren zur Anwendung des SNP beschrieben die Pflegenden insbesondere organisatorische Barrieren für Verlaufsgespräche und bei der interprofessionellen Zusammenarbeit, sowie Herausforderungen in Verbindung mit Lese- und Sprachkompetenzen der Patient:innen. Auch am Studienende und nach mehrmonatiger Anwendung des SNP wendeten Pflegefachpersonen kaum Coaching-Strategien zur SM-Förderung an, und priorisierten weiterhin die Informationsgabe zu Therapien und Nebenwirkungen. Diskussion: Trotz einem erkennbaren Nutzen des SNP beschreiben Pflegende kaum eine Veränderung ihres Verhaltens im Hinblick auf die Förderung des SM von Patient:innen mit Krebs. Die Schulung scheint nicht auszureichen, um Coaching Strategien zur gezielten SM-Unterstützung nachhaltig zu implementieren. Die Integration des SNP in den lokalen Kontext muss daher in der Implementierung berücksichtig werden.

Soutenir l'autogestion
Konferenz
Prendre du temps pour aider les patient·e·s à s’aider eux-mêmes

Bana Marika

Schweizer Onkologiepflegekongress 2022, 31.03.2022 - 31.03.2022, Bern

Link zur Konferenz

Zusammenfassung:

L’autogestion des symptômes est synonyme d'autonomie et d'indépendance pour les personnes touchées par le cancer. Le personnel infirmier peut jouer un rôle central dans le soutien à l'autogestion s’il arrive à y consacrer le temps nécessaire. Au cours de l'atelier, nous discutons des éléments importants liés au soutien à l'autogestion des symptômes, ainsi que de la manière dont nous pouvons les intégrer dans nos vies professionnelles chargées. L'atelier comporte des présentations, des discussions de groupe et des discussions plénières.

Errungenschaften

2025

Principles of Health Economics

 2025 ; Course certificate, 2 ECTS

Collaborateurs: Bana Marika

Link zur Errungenschaft

The 5 days course will consist of three main parts: The first part (3 days) offers an introduction to the nuts and bolts of economics and health economics. It familiarizes students with economic models of healthcare provision, health insurance, government, and patient behaviour, methods of cost-effectiveness analysis, and key empirical methods used. Across these topics, there will be an emphasis on practically relevant applications and on the interplay between these actors. In the second part (2 days), the course details concrete research applications and offers additional insights into the toolbox of health economists, among others, by offering a glance at topics such as ‘inequality in health and healthcare provision’ ‘field, experiments in global health’, and ‘machine learning’. The content of this part is based on current faculty research and new developments in health economics. A research afternoon during which faculty and postdocs present ongoing projects in health economics concludes the course.

Systematic Reviews and Evidence Synthesis

 2025 ; Course certificate, 2 ECTS credits

Collaborateurs: Bana Marika

Link zur Errungenschaft

  • Understand what is EBM&PH and why it matters for healthcare provision and public health decision making 
  • Recognize the different types of review and know their strengths and limitations for decision making 
  • Describe the key steps in undertaking a SR and evidence synthesis, including development of a review protocol 
  • Formulate a clear research question that can be addressed by a SR 
  • Identify the relevant literature 
  • Appraise the methodological quality of studies included in a SR 
  • Conduct basic MA and interpret the results 
  • Assess the confidence in the evidence from MA using the GRADE framework

2020

PhD in Nursing Science

 2020 ; Faculty of Biology and Medicine, University of Lausanne

Collaborateurs: Bana Marika

Link zur Errungenschaft

Supervisor: Prof Dre rer. medic. Manuela Eicher, IUFRS, University of Lausanne

Co-Supervisor: Prof Dre med Solange Peters, PhD, CHUV, Lausanne

2014

Master of Science ZFH in Nursing

 2014 ; University of Applied Science Zurich ZHAW

Collaborateurs: Bana Marika

Supervisor: Prof Dr Lorenz Imhof

Publication of the Master Thesis:

Bana, M. & Imhof, L. Alltag nach allogener Stammzelltransplantation, Die Sicht der Patientinnen und Patienten im Familienumfeld. Pflegewissenschaft 2015 (1/2), 51-60. doi: 10.3936/1329

2012

CAS Hochschuldidaktik

 2012 ; Pädagogische Hochschule Zürich PHZH

Collaborateurs: Bana Marika

post-graduate education for teaching at university level

Master of Advanced Studies in Oncological Nursing

 2012 ; Kaleidos Hochschule Zürich

Collaborateurs: Bana Marika

post-graduate education, specialisation for oncology nursing

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