Canadian Oncology Nursing Journal最新文献

As the world struggled with the COVID-19 pandemic, the provision of cancer care, along with all health services, moved more intentionally toward using virtual strategies. The implementation of virtual care had to happen quickly in an effort to provide safe care for individuals and avoid prolonged delays in patient care. Since then, the practice of virtual care and the involvement of oncology nurses in its delivery has evolved. However, there remains little evidence to guide oncology nurses in virtual care and establish best practices. A virtual workshop was held as part of the 2021 Annual Conference of the Canadian Association of Nurses in Oncology to explore the types of involvement oncology nurses have with virtual care, the barriers and facilitators of virtual care, and suggestions for the design of practice standards to guide oncology nurses in this arena of practice. This paper reports the findings of the workshop and shared implications for future priorities.

Walking is one form of physical activity (PA) individuals affected by cancer have indicated strong preference for and interest in, regardless of disease or treatment status. We developed a community-based, outdoor, peer-led walking program for adults affected by cancer called Walk it Out (WIO). Over the span of six months, we were unable to meet targets for peer-leaders (to lead the walking groups; n = 5 self-identified) or participants (n = 0 self-identified; n = 3 recruited via peer-leaders). This inability to recruit meant that we were not able to offer the WIO program. In this paper, we reflect upon the lack of coherence between what has been shown in the literature regarding preferences for walking and the lack of interest in the present program. We describe challenges at both the interpersonal and individual level. Adults affected by cancer can benefit immensely from PA, and desire outdoor walking programs, but the question remains: how do we best launch and promote this type of physical activity program?

With the number of cancer diagnoses and cancer-related deaths on the rise, palliative care is becoming a more important consideration for helping to improve the quality of life of patients and families and the support they receive during their healthcare journey. Accordingly, the early integration of palliative care into standard oncology care would appear to be an underutilized and novel approach that could be used to address the specific needs of palliative oncology patients. Oncology nurses play a central role in this process, delivering care throughout the health continuum, including palliative care. The purpose of this rapid review is to outline the benefits of early palliative care interventions and describe their characteristics. A literature search on CINAHL and PubMed returned five randomized trials conducted between 2010 and 2018. An analysis of these papers showed that the majority of the selected studies concluded that the early integration of palliative care into standard oncology care, which includes such treatments as chemotherapy and radiation therapy, can lead to improvements in quality of life, symptoms of anxiety and depression, and overall survival rate.

Hospital administrators have a great interest in obtaining a valid and reliable nursing workload measurement to help determine the hours of care needed per patient; one such method available is the GRASP Workload Measurement System. At Sunnybrook Health Sciences Centre, nurses' GRASP compliance and accuracy varies and often does not meet the target of 90%. The target assists the organization in estimating ongoing nursing workload and patients' care needs, while ensuring the provision of safe and appropriate care that is fiscally responsible. The objective of the quality initiative reported in this paper was to identify the facilitators and barriers that influence nurses' completion of GRASP. The quality improvement project was conducted using a mixed-method design with a sample of 28 nurses working in oncology acute care and palliative care inpatient units. The Theoretical Domain Framework (TDF), often used in behaviour change studies, was used in designing the questionnaire survey and interview questions that listed pertinent and measurable factors that may influence nurses' GRASP completion. Facilitators included: nurses' knowledge about the role GRASP has in funding and staffing levels, job responsibility, and perception of GRASP as a potential tool to organize work. Barriers identified by nurses included insufficient GRASP knowledge, limited access to workstations and computers, GRASP tool elements not capturing the complexity of the nursing work, time constraints, increased patients' acuity, and care demands. In addition to the Theoretical Domain Framework, the Normalization Process Theory was used to guide the implementation and evaluation of the recommendations to enhance nurses' GRASP compliance and adherence practice.

Telepractice in oncology is an evolving practice for nurses and cancer patients. Understanding the needs of our patients led the nursing leaders of a large academic teaching centre to undertake the challenge of creating a measurable and sustainable Telephone Readiness Assessment and Orientation Program. The experiences of patients and families regarding telephone interactions triggered the launch of Live Voice Answer, a centre-wide telepractice change. To support the transition from clinic practice to telepractice with the introduction of Live Voice Answer, an orientation program was created to lay the foundation for nurses to provide excellent standardized telepractice care. A Practice Training Process map was designed to depict three stages required to successfully complete the orientation: Telephone Readiness Assessment, Telephone Practice Training session, and Practical Application. The frameworks used to support the Practice Training Process includes COSTaRS, College of Nurses of Ontario Practice Guideline: Telepractice, Cancer Care Ontario: Oncology Nursing Telepractice Standard, Cancer Care Ontario - Symptom Management Guides as well as our organizational policies. Benner's Novice to Expert Theory is also embedded to guide the skill/competency development. The purpose of this manuscript is to describe the telephone practice orientation program and share lessons learned that have contributed to its current evolution.

Background and objectives: Despite the availability of healthcare and community services dedicated to cancer survivors, these remain underutilized by young adults living with cancer (YAC; aged 18-39). A workshop was organized in Montréal, Canada, to identify the needs of YAC during their post-treatment transition period and explore existing services dedicated to YAC.

Methods: We recruited seventeen stakeholders (N = 17), including seven YAC, to participate in a one-day workshop to consult about best approaches and practices to meet the needs of YAC, post-treatment. All discussions were transcribed, and a thematic qualitative analysis was performed.

Results: Two main findings were identified: differences and similarities among stakeholders about perceptions of post-treatment needs; and suggestions to meet YAC needs following treatment.

Conclusions: Results demonstrate the importance of collaboration among multiple stakeholders, including YAC, when designing services for YAC. Results include suggestions to improve services available through community or healthcare centres.

Advances in genome sequencing technologies and biomarker discoveries now inform individual risk assessments and treatment decision-making within cancer care. These advances have contributed to the emergence of precision healthcare where disease prevention and treatment recommendations are based upon individual genetic variability, as well as environmental and lifestyle considerations. To actively participate in precision healthcare and support patients, oncology nurses require specific knowledge and skills in cancer genomics. Nurses are poised to contribute to the safe and equitable delivery of precision healthcare and further education and engagement will support this endeavour. The Canadian Nursing and Genomics (CNG) promotes collaboration between nurses from the five domains of practice, from different healthcare sectors and educational backgrounds, as a key strategy to prepare nurses for the genomics era. This article provides a case study to illustrate genomics informed nursing practice across clinical settings and provides leadership strategies across the domains of nursing practice to support genomic literacy within nursing practice.