Clinical journal of oncology nursing最新文献

Background: Combining the research expertise of PhD-prepared nurses with the clinical insights of DNP-prepared nurses creates a collaboration to translate research into actionable practice. Despite the potential benefits, there are barriers to this collaboration.

Objectives: The purpose of this article was to explore the "why" and "how" regarding inconsistent collaboration between PhD- and DNP-prepared individuals within cancer care organizations and to develop strategies for improved PhD-DNP collaboration in oncology nursing.

Methods: The Oncology Nursing Society (ONS) held a think tank at ONS Congress® for PhD and DNP participants. An abstraction laddering exercise explored a challenge statement regarding inconsistent collaboration between PhD- and DNP-prepared individuals within cancer care organizations.

Findings: The findings from the PhD-DNP Think Tank highlight the barriers and opportunities for collaboration between PhD- and DNP-prepared nurses in oncology care. The strategies developed provide a road map for individuals and organizations to foster a culture of collaboration, ultimately enhancing patient care, education, and research in oncology nursing.

Acute myeloid leukemia is a blood cancer caused by changes to stem cells. It is an aggressive malignancy that requires intensive management, and allogeneic hematopoietic stem cell transplantation provides a potentially curati.

This quality improvement project determined the frequency of epinephrine use as a rescue medication for hypersensitivity reactions (HSRs) in patients with thoracic cancer on an ambulatory unit and evaluated adherence in compl.

Background: Interventional oncology (IO) has become a key oncology subspecialty, emphasizing patient-centered care (PCC) to prioritize individual patient needs, preferences, and values throughout treatment.

Objectives: In radiation oncology, PCC aims to enhance patient satisfaction and quality of life by tailoring treatments to individual needs.

Methods: This article explores the implementation and outcomes of PCC in IO, and reviews case studies and research on PCC strategies, such as person-centered nursing, shared decision-making, and communication.

Findings: PCC in IO improves patient satisfaction, emotional well-being, and quality of life. Effective communication, shared decision-making, and the involvement of patient care teams support these outcomes. However, challenges remain in uniformly applying PCC, with some studies having mixed results in patient experiences and hospital use, suggesting that additional tailored interventions are necessary for widespread implementation.

Background: Radioligand therapy (RLT), particularly lutetium 177 [177Lu]Lu-prostate-specific membrane antigen (PSMA)-617 is an approved targeted treatment for metastatic castration-resistant prostate cancer.

Objectives: This article aims to equip oncology nurses with essential knowledge about and strategies for managing patients with prostate cancer undergoing [177Lu]Lu-PSMA-617 RLT.

Methods: RLT is associated with low-grade and self-limited toxicities, such as fatigue, xerostomia, and nausea. Reviewing the literature and real-world clinical experience, nurses can learn to support patients in the outpatient setting.

Findings: Nurses should focus on patient selection, management of preexisting conditions, and supportive care strategies to mitigate common side effects. Nurses should monitor blood counts, prostate-specific antigen levels, and renal function throughout treatment cycles. Patient education about post-therapy radiation safety and waste disposal ensures safe home environments.

Background: Early palliative care prompted by serious illness conversation (SIC) increases the likelihood that care aligns with patients' goals along the illness trajectory. Having sound and well-documented SIC is a cornerstone of timely palliative care. The Dana-Farber Cancer Institute has created an advance care planning (ACP) module to document and store SIC, but it is not consistently used among care team members.

Objectives: This project evaluated the effectiveness of education and nudges to improve the use of the ACP module to document SIC.

Methods: ACP dashboard data measured the use of the ACP module during a three-month period after education and nudges were implemented. Thematic analysis identified reasoning for lack of engagement in SIC and how education and awareness could create a shift in this paradigm.

Findings: On review of the ACP dashboard, use of the ACP module increased across all disciplines. Survey results revealed favorable impressions about using nudges to prompt SIC.

This article examines perspectives of people experiencing homelessness related to perceived challenges with obtaining breast cancer screenings, education, and health care, as well as how these perspectives contribute to medic.

Background: Phase 1 clinical trials are the initial phase in advancing cancer treatment and testing a new drug for the first time in humans. No studies have investigated combined nurse knowledge, attitudes, and skills when administering phase 1 drugs.

Objectives: This study examined oncology nurses' knowledge, attitudes, and skills; communication; and workflows regarding safe administration of phase 1 drugs.

Methods: A team at a large cancer organization in the southwestern United States conducted an exploratory, cross-sectional survey. The sample included acute and ambulatory care nurses who administer investigational drugs and clinical research nurses who oversee clinical trials.

Findings: Nurses scored highest in knowing the goal of a phase 1 drug and lowest in knowing which phase of investigational drug they were administering. For attitudes, confidence in administering and perceived safety when administering were the lowest mean scores. More than half had administered a phase 1 drug in the past five years. More oncology nursing experience correlated with understanding the nurse's role and negatively correlated with fear. About half of the nurses identified challenges in clinical trials workflows.

Background: Direct and indirect consequences of climate change pose significant challenges to people with cancer and the healthcare systems that support them. Healthcare providers are increasingly observing the ramifications of climate change across the cancer care continuum. Climate-related health challenges faced by people with cancer are expected to intensify without substantial intervention.

Objectives: This study aimed to assess the awareness, concerns, motivations, and behaviors of oncology nurses regarding climate change and its impact on health.

Methods: This cross-sectional, exploratory study used convenience sampling and an open-access, anonymous online survey. Data were captured through the Climate and Health Tool.

Findings: Among the 135 participants, most were aware that climate change is caused by human activity, but fewer were aware of the healthcare sector's contribution. Most were concerned about the effects of climate change on health and were motivated to respond but need additional knowledge and skills to act.

Tumor lysis syndrome (TLS) is a life-threatening oncologic emergency marked by severe metabolic abnormalities, including hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia. Although commonly associated with hema.