Aims
As survivorship care becomes increasingly personalized, safe integration of culturally derived exercise requires more than evidence of efficacy: it requires an implementation model responsive to patient context and nursing capability. This study aims to co-develop a nurse-led Baduanjin programme for cancer survivors by identifying nurses’ knowledge, attitudes, implementation readiness and cultural competence across Taiwan and Australia, and translating cross-cultural findings into a clinically feasible protocol.
Methods
For this protocol, a sequential explanatory mixed-methods design is being conducted in three phases. Phase 1 comprises a cross-sectional nurse needs assessment in Taiwan using culturally adapted measures. Quantitative analyses will include scale reliability, descriptive statistics, between-group comparisons and multivariable regression to identify factors independently associated with implementation readiness. Phase 2 integrates semi-structured interviews, expert consultation and structured clinical observation with oncology nursing, exercise, Traditional Chinese Medicine and survivorship-care stakeholders in Taiwan and Queensland. Qualitative data will undergo framework analysis with dual coding and an audit trail. Quantitative and qualitative findings will be integrated using joint displays to identify convergence, divergence and context-specific implementation requirements. Phase 3 will use these findings to refine intervention content, safety criteria, movement adaptations, nurse training and implementation procedures into a standardized yet adaptable clinical handbook.
Current Status
The protocol and consultation guides are finalized, and a two-month Queensland field investigation is scheduled. Recruitment and data collection are in progress/planned; no outcome data are reported at this stage.
Conclusions
This study transforms Baduanjin from a culturally specific exercise towards a reproducible, nurse-led model of personalized supportive cancer care. By explicitly integrating cultural competence, implementation readiness and cross-country clinical learning, the project may provide a transferable framework for safely adapting culturally derived supportive-care interventions across diverse survivorship settings.
Keywords: cancer survivorship; Baduanjin; personalized supportive care; nurse-led intervention; implementation readiness