Oncology nursing forum最新文献

Objectives: To identify social risks and unmet needs in individuals with cancer and to compare differences between those living in metropolitan and nonmetropolitan areas.

Sample & setting: 900 individuals with cancer who completed the Health Information National Trends Survey.

Methods & variables: Data from the Health Information National Trends Survey were used. Descriptive statistics, t tests, and chi-square analyses were conducted.

Results: Of 900 individuals with cancer, 16% resided in nonmetropolitan areas. In the past year, 9% experienced food insecurity, 9% experienced housing instability, and 8% lacked transportation, and more than 30% felt uncomfortable sharing these issues with healthcare providers. Nonmetropolitan residents had lower health literacy, income, and education.

Implications for nursing: Nonmetropolitan residents had higher social risks, but their unmet needs did not differ from metropolitan residents. Building open communication and trust between individuals and healthcare providers is crucial for ensuring effective support and personalized care.

Background: The inaugural "Cancer Symptom Science Expert Meeting," held in Lausanne, Switzerland, on October 11-12, 2023, brought together 40 nurse scientists from seven countries. The event aimed to enhance collaboration across the global symptom science community; identify common research interests, gaps in knowledge, and opportunities for research; and develop strategies to address challenges and accelerate symptom science research internationally.

Objective: The aim of this white paper is to summarize the discussions and recommendations deliberated during the meeting and introduce the Global Research Alliance in Symptom Science (GRASS).

Methods: This two-day meeting featured presentations that highlighted critical issues and unanswered questions in cancer symptom science and other chronic conditions. Attendees identified four core topic areas based on the knowledge gaps reflected throughout the presentations. Of note, the co-occurrence of cancer with other chronic conditions (e.g., cardiovascular disease, diabetes) that may share similar contributors and underlying mechanisms were included in broader context. Four working groups (WGs) were formed to identify gaps and opportunities associated with each topic and to outline strategic directions and essential actions to advance symptom science.

Results: The WGs developed recommendations on four core topic areas. WG1 explored optimal approaches to collect, analyze, and use symptom data for research and clinical purposes. WG2 addressed the development of a minimum dataset or common data model for symptom science research. WG3 focused on enhancement of best practices in implementation science strategies to improve uptake of evidence-based symptom management strategies in routine clinical care. WG4 addressed the questions of capacity building and infrastructure for the creation of a global alliance in symptom science (GRASS).

Discussion: WGs' recommendations underscore the commitment of an international coalition of scientists to advance symptom science. The symposium established the groundwork for the group to constitute GRASS, a global research alliance dedicated to symptom science in cancer and other chronic conditions. Future directions include establishing regular scientific meetings, fostering interprofessional collaboration, and engaging with symptom scientists.

To commemorate ONS's 50th anniversary in 2025, throughout the year, we will be reprinting seminal editorials written by former editors of the Oncology Nursing Forum and the Clinical Journal of Oncology Nursing that have had.

The implications of AI-generated peer reviews are concerning, particularly when not disclosed. If students are already turning to AI to complete academic tasks, it is not hard to imagine researchers are doing the same.

Purpose: To examine the roles and experiences of mothers diagnosed with breast cancer.

Participants and setting: The study was conducted from June to September 2024 with 19 patients being treated for breast cancer in Türkiye.

Methodologic approach: Data were collected through individual, in-depth interviews and analyzed using Colaizzi's descriptive phenomenologic approach.

Findings: Data analysis revealed four main themes and six subthemes. The four main themes were (a) Beyond Diagnosis: A Mother's Resilience Through Cancer, (b) Between Mother and Patient: The Challenge of Maintaining Motherhood Amid Illness, (c) Between Truth and Protection: The Child's Emotional Response to Parental Cancer, and (d) Family as Lifeline: Support Systems in the Face of Cancer.

Implications for nursing: Breast cancer diagnosis and treatment processes negatively affect women's ability to fulfill the role of motherhood, and women experience several psychosocial problems related to their role. Oncology nurses should monitor the difficulties, feelings, and thoughts that mothers with breast cancer experience and support patients in developing individual coping methods.

Purpose: To describe intrinsic factors influencing role retention of oncology advanced practice providers (APPs).

Participants and setting: The current study examined 66 advanced practice RNs and three physician assistants completing a palliative care course for oncology providers offered by the End-of-Life Nursing Education Consortium through a grant from the National Cancer Institute.

Methodologic approach: Participants were asked "Why do you stay?" on the final course evaluation. Deidentified qualitative responses were sorted using thematic content analysis to identify key themes affecting oncology APP retention.

Findings: Five themes emerged from the analysis: calling/passion, personal or family history, people with cancer, challenging work/making a difference, and relationships with the oncology team.

Implications for practice: Despite the essential role of oncology APPs, little is known about what is important to them and what keeps them in the profession, particularly in the current healthcare environment. Stakeholders concerned about delivering quality cancer care must recognize the values and meaning that oncology APPs ascribe to their roles to support and retain this essential workforce. Understanding these factors will inform leaders of the issues that affect and cultivate the work of oncology APPs.

Objectives: To examine the cervical cancer screening beliefs and practices of Black immigrant women from sub-Saharan African or Caribbean countries living in Massachusetts.

Sample & setting: 19 women who self-identified as being sub-Saharan African or Caribbean, spoke English, were foreign-born, were aged 25-65 years, and had been living in the United States for at least six months were included.

Methods & variables: A qualitative descriptive design and thematic analysis were used. A semistructured interview guide was developed based on the PEN-3 cultural model.

Results: Facilitators of cervical cancer screening included a sense of personal responsibility to maintain one's health, cultivating trust within the healthcare system, and cultivating community support. Barriers included pain and fear, navigating a new identity as a Black immigrant, a lack of formal education on sexual health, and challenges accessing the healthcare system.

Implications for nursing: Culturally tailored resources and community partnerships may be useful in promoting cervical cancer screening in Black immigrant women.

Objectives: To evaluate how reproductive decision-making in women with a known BRCA pathogenic variant is influenced by emotional states and individual factors.

Sample & setting: 85 women with a BRCA pathogenic variant from a familial cancer registry at a local university hospital system in Pennsylvania.

Methods & variables: This exploratory, descriptive study used the validated Appraisal of Life Events Scale to measure emotional states. Binary logistic regression was used to analyze the relationships among emotional states, BRCA pathogenic variant status, and individual factors in reproductive decision-making.

Results: Age at genetic testing and number of children significantly predicted decisions about having more children. Among women with family history of ovarian cancer, perceived loss/benefit was significantly associated with reproductive decision-making. Loss/benefit was significantly related to reproductive decision-making among women with family history of ovarian cancer.

Implications for nursing: Recognizing the emotional impact of reproductive decision-making in women at risk for hereditary cancer could aid in improving their overall health and psychosocial outcomes.

Remaining relevant means staying informed about technological advances and teaching innovations that shape how we educate future professionals. I believe the responsible use of artificial intelligence may be the resource that.

Objectives: To assess the National Comprehensive Cancer Network (NCCN) guidelines for the care of patients with malignancies and capture the expected number of patients with pathogenic variants (PVs) linked to hereditary cancers. This research assessed how well the NCCN Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic, version 3.2023, and Genetic/Familial High-Risk Assessment: Colorectal, version 2.2022, guidelines identify patients with cancer-related PVs.

Sample & setting: 116 health records of patients aged 18 years or older who completed an 84-multigene cancer panel study in a hospital in the midwestern United States were reviewed.

Methods & variables: The hospital system's cancer risk assessment clinical database was used to acquire patient information and test results from patients with PVs. These data were evaluated against NCCN guidelines to determine whether testing guidelines were met.

Results: There were 38 participants who met NCCN testing guidelines for hereditary breast cancer, 24 who met Lynch syndrome criteria, and 17 who had a single PV but did not meet any of the testing criteria.

Implications for nursing: This retrospective chart review verifies the need for multigene panel testing. There were 17 patients with PVs who did not meet NCCN guidelines for testing.