Background: Women with breast cancer (BC) experience symptoms related to fatigue, sleep quality, and quality of life (QOL) in the post- treatment period. Oncology nurses need to plan interventions such as physical activity (PA) aimed at reducing the symptoms experienced by patients.
Objectives: The aim of this article is to determine the efficacy of a home-based, unsupervised PA program on fatigue, sleep quality, and QOL in survivors of BC.
Methods: This study was an experimental study with a prospective control group. Female survivors of BC were randomly assigned to either the home-based, unsupervised PA intervention group or the control group for 12 weeks. Fatigue, sleep quality, and QOL were assessed with questionnaires at baseline and the 12th week.
Findings: The home-based, unsupervised PA program yielded positive effects on fatigue and QOL among participants. The program did not affect sleep quality.
背景:患有乳腺癌(BC)的妇女在治疗后会出现与疲劳、睡眠质量和生活质量(QOL)相关的症状。肿瘤科护士需要计划干预措施,如旨在减轻患者症状的体育活动(PA):本文旨在确定一项基于家庭、无人监督的体力活动计划对 BC 幸存者的疲劳、睡眠质量和生活质量的影响:本研究是一项前瞻性对照组实验研究。女性 BC 幸存者被随机分配到基于家庭、无监督的 PA 干预组或对照组,为期 12 周。在基线和第12周时,通过问卷对疲劳、睡眠质量和QOL进行评估:研究结果:基于家庭、无人监督的 PA 计划对参与者的疲劳和 QOL 产生了积极影响。该计划对睡眠质量没有影响。
{"title":"Efficacy of a Home-Based, Unsupervised Physical Activity Program on Fatigue, Sleep Quality, and Quality of Life in Survivors of Breast Cancer.","authors":"Kübra Erturhan Türk, Meryem Yılmaz","doi":"10.1188/24.CJON.63-70","DOIUrl":"10.1188/24.CJON.63-70","url":null,"abstract":"<p><strong>Background: </strong>Women with breast cancer (BC) experience symptoms related to fatigue, sleep quality, and quality of life (QOL) in the post- treatment period. Oncology nurses need to plan interventions such as physical activity (PA) aimed at reducing the symptoms experienced by patients.</p><p><strong>Objectives: </strong>The aim of this article is to determine the efficacy of a home-based, unsupervised PA program on fatigue, sleep quality, and QOL in survivors of BC.</p><p><strong>Methods: </strong>This study was an experimental study with a prospective control group. Female survivors of BC were randomly assigned to either the home-based, unsupervised PA intervention group or the control group for 12 weeks. Fatigue, sleep quality, and QOL were assessed with questionnaires at baseline and the 12th week.</p><p><strong>Findings: </strong>The home-based, unsupervised PA program yielded positive effects on fatigue and QOL among participants. The program did not affect sleep quality.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"28 1","pages":"63-70"},"PeriodicalIF":1.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gretchen A McNally, Megan Roy, Caroline Etland, Ellen Carr
Background: Health-related stigma can contribute to health inequities and poor outcomes. To address stigma-related issues in clinical oncology care, healthcare providers can identify stigma in clinical practice and apply strategies that reduce stigma.
Objectives: The aim is to identify stigma-related issues experienced by patients with cancer and to present strategies that address stigma-associated barriers to quality clinical oncology care.
Methods: This article presents three case studies that illustrate stigma-associated issues and strategies to address those issues in clinical oncology care.
Findings: Identifying intersectional stigmas in clinical care, each case study includes the patient's background information, a social assessment, and a clinical update, as well as an example of dialogue between the nurse and patient. Each case study ends with commentary and questions to further illustrate stigma-related issues in clinical oncology care. Finally, supporting the case studies, the toolbox includes inclusive language; principles of universal precautions to apply to stigma in clinical oncology care; and communication components, strategies, and resources to reduce stigma in clinical oncology care.
{"title":"Stigma, Communication, and Clinical Oncology Care: Three Case Studies.","authors":"Gretchen A McNally, Megan Roy, Caroline Etland, Ellen Carr","doi":"10.1188/24.CJON.52-62","DOIUrl":"10.1188/24.CJON.52-62","url":null,"abstract":"<p><strong>Background: </strong>Health-related stigma can contribute to health inequities and poor outcomes. To address stigma-related issues in clinical oncology care, healthcare providers can identify stigma in clinical practice and apply strategies that reduce stigma.</p><p><strong>Objectives: </strong>The aim is to identify stigma-related issues experienced by patients with cancer and to present strategies that address stigma-associated barriers to quality clinical oncology care.</p><p><strong>Methods: </strong>This article presents three case studies that illustrate stigma-associated issues and strategies to address those issues in clinical oncology care.</p><p><strong>Findings: </strong>Identifying intersectional stigmas in clinical care, each case study includes the patient's background information, a social assessment, and a clinical update, as well as an example of dialogue between the nurse and patient. Each case study ends with commentary and questions to further illustrate stigma-related issues in clinical oncology care. Finally, supporting the case studies, the toolbox includes inclusive language; principles of universal precautions to apply to stigma in clinical oncology care; and communication components, strategies, and resources to reduce stigma in clinical oncology care.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"28 1","pages":"52-62"},"PeriodicalIF":1.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer cachexia is characterized by metabolic dysregulation, inflammation, and reduced food intake, and it results in loss of skeletal muscle. Although cachexia is pervasive in patients with advanced cancer, comprehensive cac.
{"title":"Cancer Cachexia.","authors":"Amanda French","doi":"10.1188/24.CJON.95-100","DOIUrl":"10.1188/24.CJON.95-100","url":null,"abstract":"<p><p>Cancer cachexia is characterized by metabolic dysregulation, inflammation, and reduced food intake, and it results in loss of skeletal muscle. Although cachexia is pervasive in patients with advanced cancer, comprehensive cac.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"28 1","pages":"95-100"},"PeriodicalIF":1.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erica Fischer-Cartlidge, Caroline Clark, Sarah B Kibbee, Kerri Moriarty
In response to the nursing shortage and the emergence of telehealth opportunities, the Oncology Nursing Society used an evidence-based approach to examine current literature and trends for the two-person independent double ch.
{"title":"An Evidence-Based Review of the Safety and Efficacy of Remote Chemotherapy Verification.","authors":"Erica Fischer-Cartlidge, Caroline Clark, Sarah B Kibbee, Kerri Moriarty","doi":"10.1188/24.CJON.1-5.AP","DOIUrl":"10.1188/24.CJON.1-5.AP","url":null,"abstract":"<p><p>In response to the nursing shortage and the emergence of telehealth opportunities, the Oncology Nursing Society used an evidence-based approach to examine current literature and trends for the two-person independent double ch.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"28 1","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muriel Moyo, Jennifer Cook, Maurice Espinoza, Jennifer Hoff
Chemotherapy desensitization (CD) enables patients with allergic reactions to receive chemotherapy safely. However, ineffective workflows, delays, and communication gaps between the oncology unit and the intensive care unit c.
{"title":"Applying the SEIPS Framework to Redesign Chemotherapy Desensitization Within the Intensive Care Unit.","authors":"Muriel Moyo, Jennifer Cook, Maurice Espinoza, Jennifer Hoff","doi":"10.1188/24.CJON.89-93","DOIUrl":"10.1188/24.CJON.89-93","url":null,"abstract":"<p><p>Chemotherapy desensitization (CD) enables patients with allergic reactions to receive chemotherapy safely. However, ineffective workflows, delays, and communication gaps between the oncology unit and the intensive care unit c.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"28 1","pages":"89-93"},"PeriodicalIF":1.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Over the years, I have embraced various roles ascending the ladder of healthcare leadership, shouldering immense responsibilities and persistently seeking opportunities for professional development. This drive for continuous.
{"title":"How Can Gaps in Oncology Sexual Health Care Be Addressed With the Independent Practice of Nurses?","authors":"Traci A Owen","doi":"10.1188/24.CJON.112","DOIUrl":"10.1188/24.CJON.112","url":null,"abstract":"<p><p>Over the years, I have embraced various roles ascending the ladder of healthcare leadership, shouldering immense responsibilities and persistently seeking opportunities for professional development. This drive for continuous.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"28 1","pages":"112"},"PeriodicalIF":1.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Comprehensive care prior to allogeneic hematopoietic stem cell transplantation (alloHSCT) can improve patient outcomes, yet psychological assessment prior to transplantation has been overlooked as a standard of care.
Objectives: This review summarizes the evidence on psychological assessment for patients undergoing alloHSCT and explores the impact of psychological distress and/or psychological disorders on clinical outcomes and overall survival.
Methods: A literature search was conducted using PubMed®, CINAHL®, Embase®, and PsycINFO® for studies focused on psychological screening of patients in the alloHSCT population.
Findings: alloHSCT is associated with patient psychological distress and disorders, which can result in negative outcomes such as poorer quality of life and overall survival. Future studies implementing a validated instrument for psychological assessment may allow for early identification of vulnerable patients undergoing alloHSCT and interventions, which may improve overall outcomes.
{"title":"Standard of Care for Psychological Assessment of Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplantation.","authors":"Brooke E Trigiani, Carolee Polek","doi":"10.1188/24.CJON.71-78","DOIUrl":"10.1188/24.CJON.71-78","url":null,"abstract":"<p><strong>Background: </strong>Comprehensive care prior to allogeneic hematopoietic stem cell transplantation (alloHSCT) can improve patient outcomes, yet psychological assessment prior to transplantation has been overlooked as a standard of care.</p><p><strong>Objectives: </strong>This review summarizes the evidence on psychological assessment for patients undergoing alloHSCT and explores the impact of psychological distress and/or psychological disorders on clinical outcomes and overall survival.</p><p><strong>Methods: </strong>A literature search was conducted using PubMed®, CINAHL®, Embase®, and PsycINFO® for studies focused on psychological screening of patients in the alloHSCT population.</p><p><strong>Findings: </strong>alloHSCT is associated with patient psychological distress and disorders, which can result in negative outcomes such as poorer quality of life and overall survival. Future studies implementing a validated instrument for psychological assessment may allow for early identification of vulnerable patients undergoing alloHSCT and interventions, which may improve overall outcomes.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"28 1","pages":"71-78"},"PeriodicalIF":1.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Gastroenteropancreatic neuroendocrine tumors (GEP-NETs) are a diverse family of cancers that occur within the gastrointestinal tract and pancreas. Peptide receptor radionuclide therapy (PRRT) via 177Lu-DOTATATE is a newer therapeutic option for certain patients with somatostatin receptor-positive GEP-NETs.
Objectives: This review informs on how oncology nurses treating patients with GEP-NETs receiving PRRT using 177Lu-DOTATATE can facilitate care.
Methods: Guidance on the monitoring, management, and care of patients undergoing PRRT for GEP-NETs was developed based on published literature and the nursing experience of the authors. A case study is summarized to highlight key concepts.
Findings: Oncology nurses provide assessment, education, direct care, and emotional support when caring for patients with GEP-NETs receiving PRRT with 177Lu-DOTATATE. As the treatment landscape evolves, so too will these roles and responsibilities.
{"title":"Peptide Receptor Radionuclide Therapy Using 177Lu-DOTATATE: Nursing Roles in Managing Patients With Gastroenteropancreatic Neuroendocrine Tumors.","authors":"Bonita Bennett, Linda Gardner, Pamela Ryan","doi":"10.1188/24.CJON.79-87","DOIUrl":"10.1188/24.CJON.79-87","url":null,"abstract":"<p><strong>Background: </strong>Gastroenteropancreatic neuroendocrine tumors (GEP-NETs) are a diverse family of cancers that occur within the gastrointestinal tract and pancreas. Peptide receptor radionuclide therapy (PRRT) via 177Lu-DOTATATE is a newer therapeutic option for certain patients with somatostatin receptor-positive GEP-NETs.</p><p><strong>Objectives: </strong>This review informs on how oncology nurses treating patients with GEP-NETs receiving PRRT using 177Lu-DOTATATE can facilitate care.</p><p><strong>Methods: </strong>Guidance on the monitoring, management, and care of patients undergoing PRRT for GEP-NETs was developed based on published literature and the nursing experience of the authors. A case study is summarized to highlight key concepts.</p><p><strong>Findings: </strong>Oncology nurses provide assessment, education, direct care, and emotional support when caring for patients with GEP-NETs receiving PRRT with 177Lu-DOTATATE. As the treatment landscape evolves, so too will these roles and responsibilities.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"28 1","pages":"79-87"},"PeriodicalIF":1.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Smoking is the single most preventable cause of death and illness worldwide. Although smoking causes about one-third of cancers and accounts for 30% of cancer deaths, there are no specific, required competencies for smoking c.
{"title":"Pioneers of Prevention: Implementation of a Nurse Practitioner-Led Smoking Cessation Program.","authors":"Rochelle J Lonn","doi":"10.1188/24.CJON.15-19","DOIUrl":"10.1188/24.CJON.15-19","url":null,"abstract":"<p><p>Smoking is the single most preventable cause of death and illness worldwide. Although smoking causes about one-third of cancers and accounts for 30% of cancer deaths, there are no specific, required competencies for smoking c.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"28 1","pages":"15-19"},"PeriodicalIF":1.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Although the nursing profession has seen significant changes, the core of nursing has never changed. It has always been and will always be about serving all people with holistic care in whatever ways they need at the time.
{"title":"For the (Rigorous) Love of Oncology Nursing.","authors":"Joni L Watson","doi":"10.1188/24.CJON.4-5","DOIUrl":"10.1188/24.CJON.4-5","url":null,"abstract":"<p><p>Although the nursing profession has seen significant changes, the core of nursing has never changed. It has always been and will always be about serving all people with holistic care in whatever ways they need at the time.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"28 1","pages":"4-5"},"PeriodicalIF":1.1,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139519851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}