Clinical journal of oncology nursing最新文献

In a time of shifting language, policy constraints, and organizational discomfort with terminology, many nurses and other healthcare professionals remain uncertain about how to name, measure, and sustain a focus on healthcare.

Background: Anxiety is an undermanaged mental health symptom in women with breast cancer. It is frequently reported prior to treatment and may be seen to nearly double during chemotherapy treatment. Snoezelen® Multi-Sensory Environments, which use methods of sensory engagement including light projection, are described as relaxing spaces that can help reduce agitation and anxiety.

Objectives: This study examined whether starlight therapy (light projection of stars and clouds) is feasible and acceptable and whether it can help reduce anxiety in women with breast cancer receiving cycle 1, day 1 treatment in the ambulatory setting.

Methods: The study team conducted a single-group pre-/post-test pilot (N = 30) with data collection at four time points on the day of chemotherapy/immunotherapy treatment.

Findings: Starlight therapy is feasible and acceptable. Participating women with breast cancer experienced a reduction in anxiety levels on cycle 1, day 1 of chemotherapy/immunotherapy treatment. No patient scored positive for clinical anxiety after receiving starlight therapy and after infusion.

Like the tough bark of a tree, cancer felt like the rough exterior of my life. It was all I saw when I looked at myself. How long had I been struggling to adopt the ill-fitting identity of "cancer survivor"? Hijacked by t.

A large healthcare system launched a quality improvement initiative to reduce pump alarms and minimize residual volume by implementing customized tubing solutions. Early results have shown clinically significant reductions in.

Background: Collaboration between DNP and PhD nurses in pediatric hematology-oncology care can improve patient outcomes, enhance healthcare delivery, and advance the nursing profession.

Objectives: This article describes the collaborative alliance between nurses with DNPs and PhDs to advance practice and enhance outcomes within pediatric hematology-oncology nursing.

Methods: Focusing on nursing-led quality improvement projects, evidence-based practice initiatives, education, and research, a targeted review of the literature was conducted to identify the following: (a) the role of the PhD nurse, (b) the role of the DNP nurse, and (c) examples of DNP-PhD collaborations to support the described partnership.

Findings: Achievements in quality improvement, evidence-based practice, and enhanced nursing education within pediatric hematology-oncology exemplify the role and necessity of DNP-PhD partnerships.

Background: The infusion of air from IV tubing can adversely affect the vascular system and potentially result in a venous air embolism. Infusion pumps are designed to alarm when air in the IV line (AIL) reaches a set threshold and can result in disruptions in drug delivery and decreased nursing productivity. Depending on the method employed, removal of AIL can also pose a risk to healthcare workers and patients.

Objectives: This article discusses how AIL occurs, methods used for manual removal, devices currently available to reduce the occurrence, and new technology that may eliminate AIL.

Methods: In addition to a nonscoping literature review, authors conducted surveys of nursing attitudes about AIL at three nursing conferences.

Findings: Although the literature discusses the dangers associated with venous air embolisms in animal models and human case studies, little has been published on practical remedies for AIL. Surveys from 426 nurses revealed that AIL continues to be a ubiquitous problem, with the most common method for AIL removal involving disconnecting IV tubing or manual aspiration (77%). Clinicians have used back-check or antisiphon valves and air-eliminating filters with limited success. Companies are developing newer technology that does not require manual nursing intervention.

Background: A diagnosis of breast carcinoma or atypia is stressful and often life-altering for patients. Institutional goals for all cancer centers include rapid access to oncology care and optimal patient experience. Collaboration among doctorally prepared advanced practice clinicians (APCs) may contribute to enhanced clinical operations and affect patient satisfaction.

Objectives: The objective was to decrease time between breast biopsy and initial clinician visit by implementing an expedited APC-led visit within days of diagnosis.

Methods: PhD- and DNP-prepared leaders designed a pilot project in response to delays in scheduling new patient appointments, which was implemented from September 2024 to February 2025. Patients were scheduled with breast oncology APCs prior to seeing oncology surgeons.

Findings: Patient access metrics highlighted earlier appointment availability with increased uptake in APC visits, breast magnetic resonance imaging, and genetic services. Monthly patient satisfaction scores improved, and qualitative patient feedback noted reduced anxiety as well as gratitude for immediate access to care and navigation.

Background: Doctorally prepared nurses bring different experiences and expertise depending on whether they have a PhD or DNP. The Institute of Medicine report The Future of Nursing: Leading Change, Advancing Health called for greater collaboration between the two.

Objectives: This article describes a collaborative effort using DNP and PhD nurse leaders at a comprehensive cancer center.

Methods: The organization intentionally combined leaders from two strong departments-research and evidence-based practice-to support a professional governance council. With this change in structure, DNP and PhD professionals were able to collaboratively conduct a research study, drawing on their respective areas of expertise.

Findings: The collaboration between the DNP and PhD professionals enhanced the knowledge and understanding of the research and evidence-based practice processes in the professional governance council.

Nurse practitioners (NPs) provide evidence-based symptom management to people with cancer and concern for substance use disorder. Limited literature exists on this population, as well as the role of the NPs caring for them. I.

Oncology nurses provide specialized, holistic care that optimizes clinical and quality-of-life outcomes in patients with cancer. Patients with cancer are at increased risk for falls because of the effects of the disease and i.