Clinical journal of oncology nursing最新文献

U.S. veterans have low human papillomavirus (HPV) vaccination rates, putting them at high risk for HPV infection and HPV-associated cancer. This DNP project engaged male veterans aged 27-45 years to improve HPV vaccination.

Background: In the increasing population of patients with lung cancer, interventional pulmonology addresses airway emergencies, such as central airway obstruction caused by tumor growth and life-threatening hemoptysis.

Objectives: The purpose of these case studies was to understand the role of interventional pulmonology procedures, such as bronchial artery embolization and stent placement, in patients with lung cancer, as well as nurses' responsibility for ensuring patient quality of life and safety.

Methods: This article provides descriptions based on case studies. It also provides information from the literature on interventional pulmonology and interventional oncology procedures along with the nurse's role, skills, and responsibilities.

Findings: Integrating minimally invasive diagnostic and therapeutic interventions in oncology can enhance patient safety and improve quality of life throughout the cancer continuum. Procedures like airway stenting and bronchial artery embolization can relieve symptoms, reduce pain, and shorten hospital stays. Oncology nurses may be able to support accurate monitoring, early detection, and timely intervention to improve patient outcomes.

PATHS (Post-Acute Transition to Home With Supportive Care) is a novel nurse practitioner (NP)-led telehealth intervention that addresses a gap for patients with advanced cancer at the end of life who were discharged from th.

Background: Oncology care is shifting toward value-based care (VBC) payment models that emphasize efficiency, outcomes, and cost control. Patient-centered care, although widely endorsed, remains difficult to operationalize in VBC systems.

Objectives: This article explores the tensions between VBC and patient-centered care across key oncology stakeholders, and highlights how nurses can help bridge the gap by integrating patient values in care delivery.

Methods: A narrative review of policy developments, oncology-specific VBC frameworks, and stakeholder priorities was conducted. Definitions of value, quality, and cost were compared across stakeholders, and nursing roles were analyzed in relation to current clinical workflow challenges, framework limitations, and payment models.

Findings: Although VBC frameworks aim to standardize oncology practice and control costs, they often overlook patient-defined goals, lived experiences, and the nuanced trade-offs of cancer treatment. Oncology nurses are equipped to keep care anchored in what matters most to patients by eliciting and translating patient values, integrating them into care plans and workflows, and engaging with payers and policymakers to align quality measures and shape future VBC models.

Adolescent and young adult (AYA) patients with cancer are individuals diagnosed between the ages of 15 and 39 years. A cancer diagnosis often necessitates life-changing decisions about fertility preservation, family building.

The opportunity has arrived for nursing pioneers to expand the scope of oncology nursing to align with innovative technologies and emerging therapies in cancer care, welcoming the future of interventional oncology nursing.

Background: Head and neck cancer and its treatments often lead to symptoms that affect patients' and family members' quality of life (QOL). To meet their needs, an advanced nursing practice program was implemented in a Swiss hospital.

Objectives: The impacts of the program on QOL, anxiety, depression, and satisfaction with outpatient care were evaluated in patients undergoing complex oncologic head and neck surgery. Anxiety, depression, and satisfaction with outpatient care were evaluated in family members.

Methods: Sequential retrospective surveys of patients and family members in control and intervention groups were conducted in a single-center tertiary hospital.

Findings: The control group had 29 patients and 20 family members, and the intervention group had 30 patients and 17 family members. Although QOL did not differ significantly between patient groups, patients in the intervention group indicated less anxiety and greater satisfaction with outpatient care. Anxiety, depression, and satisfaction with outpatient care did not differ significantly in family members.

Background: Young adults (YAs) with cancer aged 18-39 years often experience financial stressors and search for alternative solutions, such as crowdfunding, to make ends meet. YAs experience financial stressors that may be more severe than those of middle-aged or older adult patients.

Objectives: This article explores how YAs use GoFundMe® to financially support themselves during cancer treatment.

Methods: For this retrospective descriptive mixed-methods study, 50 campaigns met inclusion criteria. The research team extracted data manually and by using Python. Team members conducted descriptive analyses and qualitative coding.

Findings: GoFundMe recipients were mostly female, aged in their late 20s, and diagnosed with breast, brain, colorectal, or other cancer or leukemia. Campaign goals ranged from $2,488 to $1,243,900, and about half met or exceeded their goal (n = 23). Campaigns requested money to cover direct and indirect costs of treatment as well as daily expenses, experimental care, complementary and alternative medicine, scientifically unproven treatments, travel experiences for the patient/family to make memories, and end-of-life or funeral expenses.

When people learn that I became a nurse in my 50s, most respond with admiration and some variation of "wow, that's really cool!" I am also quite sure that some reactions include a measure of "wow, that's really hard.

As professionals grounded in evidence, we have a spurring opportunity to align our personal and professional lives with what we now know: There is no safe level of alcohol when it comes to cancer risk. We can lead by reassess.