Oncology nursing forum最新文献

Objectives: To examine the feasibility and acceptability of Lift the Spirit, an enhanced online education communication intervention.

Sample & setting: A purposive sample of 17 oncology nurses.

Methods & variables: Participants in this concurrent mixed-methods pilot study viewed an educational module, role-played conducting spiritual histories using the Faith, Importance, Community, Address Tool for Spiritual Assessment, and completed debriefing interviews. Measures included pre- and postintervention spiritual history knowledge and self-efficacy assessments. Qualitative debriefing interview data were analyzed to determine acceptability.

Results: There were significant positive differences between pre- and postintervention knowledge and self-efficacy scores. Nurses identified the Faith, Importance, Community, Address Tool for Spiritual Assessment and role-playing exercise as the most helpful components of the intervention.

Implications for nursing: Preliminary findings suggested that Lift the Spirit was feasible, acceptable, and positively affected knowledge, skills, and self-efficacy. Equipping nurses through an intervention like Lift the Spirit is crucial to nurses providing spiritual care and relieving patient suffering.

Problem identification: The use of a decision aid (DA) for women facing the decision of contralateral prophylactic mastectomy (CPM) is limited. This article aimed to examine the literature for studies testing a DA for patients diagnosed with unilateral breast cancer considering CPM.

Literature search: A comprehensive search was conducted in CINAHL®, Ovid MEDLINE®, PubMed®, Web of Science, PsycINFO®, and Cochrane Library databases from 2017 to 2024.

Data evaluation: The studies were assessed for relevance in testing a patient DA for CPM in patients diagnosed with unilateral breast cancer. Studies were evaluated using the Mixed Methods Appraisal Tool, version 2018.

Synthesis: Five studies met inclusion criteria. These studies included one pre-/postassessment cohort pilot study, one randomized controlled trial, two mixed-methods studies, and one qualitative study. Studies included 370 patients and 50 clinicians in the breast oncology setting.

Implications for practice: Oncology nurses can play a key role in advocating for shared decision-making for patients considering CPM. Additional testing of a DA for patients diagnosed with unilateral breast cancer considering CPM should be considered.

Objectives: To test the feasibility of sleep hygiene education and longitudinal wrist actigraph sleep metrics measurement alone versus in combination with telehealth-delivered cognitive behavioral therapy for insomnia (teleCBT-I) for people with prostate cancer (PC) receiving androgen deprivation therapy (ADT).

Sample & setting: 45 men with PC receiving ADT were recruited from a midwestern comprehensive cancer center.

Methods & variables: Participants were provided with wrist actigraphs, their individual sleep metrics data, and sleep hygiene education. Half the sample was randomized to a four-week teleCBT-I intervention. Outcomes were collected at baseline, one month, and two months. Exit interviews were conducted to glean participants' feedback about the study.

Results: Feasibility was demonstrated. Physical function, sleep efficiency, fatigue, and health-related quality of life improved for participants receiving teleCBT-I.

Implications for nursing: Assessment of sleep disturbance, access to sleep hygiene education, and teleCBT-I may benefit people with PC receiving ADT.

Each abstract has been indexed according to first author. Abstracts appear as they were submitted and have not undergone editing or the Oncology Nursing Forum's review process. Only abstracts that will be presented appear h.

Each abstract has been indexed according to first author. Abstracts appear as they were submitted and have not undergone editing or the Oncology Nursing Forum's review process. Only abstracts that will be presented appear h.

Problem statement: The aims of this study were to characterize patients' distress, psychological symptoms, and resilience during the COVID-19 pandemic, and to evaluate differences in the experiences, resilience, and psychological symptoms of patients with and without distress.

Design: Convergent parallel mixed-methods.

Data sources: Semistructured interviews and structured questionnaires.

Analysis: Interview transcripts were analyzed using content analysis. Differences in demographic and clinical characteristics, depression, anxiety, and resilience were identified using chi-square, Fisher's exact, and independent sample t tests. Joint displays facilitated data integration and meta-inferences.

Findings: Of 54 patients, 25 patients who were distressed were more likely to have low resilience, exhibit symptoms of anxiety and depression, report difficulty paying their bills, and identify as Hispanic.

Implications for practice: A patient-centered approach to cancer care in which clinicians assess psychological, social, and economic resources and make referrals to supportive care services is warranted.

Each abstract has been indexed according to first author. Abstracts appear as they were submitted and have not undergone editing or the Oncology Nursing Forum's review process. Only abstracts that will be presented appear h.

Objectives: To investigate the need for return-to-work (RTW) support among young adult cancer survivors and identify influencing factors.

Sample & setting: This cross-sectional study included 134 Korean young adult cancer survivors, recruited in two days in April 2022 through an online survey.

Methods & variables: The study measured the need for RTW support, cancer stigma, cancer fatigue, and social support. Analyses included descriptive statistics, Pearson's correlation, and stepwise multiple linear regression.

Results: The factors significantly influencing the need for RTW support were cancer type (p < 0.001), occurrence of metastasis or recurrence (p = 0.004), number of cancer treatment types being received (p = 0.007), and cancer fatigue (p = 0.012). These variables explained about 26% of the variance.

Implications for nursing: This study offers important need-oriented information and highlights the need for proactive management of cancer-related fatigue to provide RTW support for young adult cancer survivors.

Objectives: To explore and describe the health outcomes and levels of environmental enrichment (EE) in participants with brain tumors after radiation therapy (RT).

Sample & setting: 39 participants with glioma (grades 2-3) treated with RT were recruited within five years of original diagnosis from a neuro-oncology clinic.

Methods & variables: A cross-sectional design was employed. EE measures included social connectedness, physical activity, employment, and financial stability. Health outcome measures included the Montreal Cognitive Assessment, Symbol Digit Modalities Test, global cortical atrophy rate scale, Karnofsky Performance Status Scale, and MD Anderson Symptom Inventory-Brain Tumor Module. Descriptive statistics characterized the health outcomes between participants who received photon RT and proton beam RT.

Results: Participants who received photon RT with high EE showed higher scores on the Montreal Cognitive Assessment, Symbol Digit Modalities Test, and Karnofsky Performance Status Scale, and lower scores on the global cortical atrophy rate scale and MD Anderson Symptom Inventory-Brain Tumor Module.

Implications for nursing: EE may reduce symptom burden, promote healthy brain aging, and improve cognitive and functional status in glioma survivors receiving photon RT.

Problem identification: Poorly controlled cancer pain leads to increased morbidity and decreased quality of life. This integrative review aims to strengthen cancer pain management practices by identifying the effectiveness of multimodal interprofessional pain management (MIPM) in treating cancer pain, current MIPM practices, and barriers and facilitators to implementation.

Methods: The following three databases were searched for literature exploring MIPM in the oncologic setting: PubMed®, CINAHL®, and Embase®.

Data evaluation: This integrative review included 16 articles published from 2013 to 2023 that explored the use of MIPM in adult patients with cancer.

Synthesis: Adult patients with cancer receiving MIPM reported reduced pain intensity or interference. With MIPM, the number of patients reporting moderate to severe pain or undertreated pain decreased, and the number of patients reporting adequate pain management increased. In addition, patients receiving MIPM reported improvements in physical and psychosocial cancer-related symptoms.

Implications for nursing: The components of MIPM are recommended to be used in conjunction with each other for optimal patient outcomes. To optimize the use of MIPM, improving provider knowledge and interprofessional care coordination and communication is warranted.