European Journal of Oncology Nursing最新文献

Lessons learned through childhood cancer: An AI- enhanced PhotoArt-based qualitative study of parental growth and meaning-making 从儿童癌症中吸取的教训：基于人工智能增强的photoart的父母成长和意义形成的定性研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-01-10 DOI: 10.1016/j.ejon.2026.103098

Ebru Kılıçarslan , Ebru Akgün Çıtak , Sibel Dağlıyar , Sonay İncesoy Özdemi̇r

Purpose

This qualitative phenomenological study explores how parents of children diagnosed with cancer construct meaning from their caregiving experiences, the lessons they derive, and how these experiences contribute to their growth. Using a descriptive phenomenological design, the study employed AI-generated PhotoArt to elicit and enrich parents’ narratives, facilitating metaphorical expression and deepening narrative insight. By shifting the focus from distress to meaning, the study highlights caregiving as a site of personal growth, value reorientation, and life learning."

Method

Sixteen parents from a pediatric oncology unit participated in two in-depth individual interviews. In the first, they described an image that symbolized their learning; the second focused on emotional and cognitive transformation. Data were analyzed using Braun and Clarke's six-phase thematic analysis. Personalized AI-generated visuals were created to represent each parent's core theme.

Results

Three main themes emerged: (1) Initial experiences of Crisis, marked by emotional collapse, family disruption, and spiritual coping; (2) Lessons Acquired Through the Illness Journey, including resilience, life reprioritization, and empathy through connection; and (3) Constrained Learning Over Time, involving emotional suppression, avoidance, social withdrawal, and mistrust. Visual metaphors like a “broken-winged angel” enriched the emotional depth of verbal narratives.

Conclusion

The integration of visual and narrative techniques shows promise in supporting caregiver insight and resilience. Creative, meaning-centered approaches may enhance psycho-oncological support by validating both suffering and growth in the caregiving experience.

目的：本质性现象学研究探讨癌症儿童的父母如何从他们的照顾经历中构建意义，他们从中得到的教训，以及这些经验如何促进他们的成长。该研究采用描述性现象学设计，利用人工智能生成的PhotoArt来引出和丰富父母的叙事，促进隐喻表达，深化叙事洞察力。通过将关注焦点从痛苦转移到意义上，该研究强调了护理作为个人成长、价值重新定位和生活学习的场所。方法来自儿科肿瘤科的16位家长参与了两次深入的个人访谈。在第一组中，他们描述了一个象征他们学习的图像；第二个研究重点是情感和认知的转变。数据分析采用Braun和Clarke的六阶段主题分析。个性化的人工智能生成的视觉效果代表了每个家长的核心主题。结果：(1)危机的初始经历，表现为情绪崩溃、家庭破裂和精神应对；(2)从疾病旅程中获得的经验教训，包括恢复力，重新确定生活的优先顺序，以及通过联系获得的同理心；(3)随时间的约束学习，包括情绪抑制、回避、社会退缩和不信任。像“折翼天使”这样的视觉隐喻丰富了言语叙事的情感深度。结论视觉与叙事相结合的技巧有助于提高护理者的洞察力和复原力。创造性的，以意义为中心的方法可以通过验证护理经验中的痛苦和成长来增强心理肿瘤支持。

{"title":"Lessons learned through childhood cancer: An AI- enhanced PhotoArt-based qualitative study of parental growth and meaning-making","authors":"Ebru Kılıçarslan , Ebru Akgün Çıtak , Sibel Dağlıyar , Sonay İncesoy Özdemi̇r","doi":"10.1016/j.ejon.2026.103098","DOIUrl":"10.1016/j.ejon.2026.103098","url":null,"abstract":"<div><h3>Purpose</h3><div>This qualitative phenomenological study explores how parents of children diagnosed with cancer construct meaning from their caregiving experiences, the lessons they derive, and how these experiences contribute to their growth. Using a descriptive phenomenological design, the study employed AI-generated PhotoArt to elicit and enrich parents’ narratives, facilitating metaphorical expression and deepening narrative insight. By shifting the focus from distress to meaning, the study highlights caregiving as a site of personal growth, value reorientation, and life learning.\"</div></div><div><h3>Method</h3><div>Sixteen parents from a pediatric oncology unit participated in two in-depth individual interviews. In the first, they described an image that symbolized their learning; the second focused on emotional and cognitive transformation. Data were analyzed using Braun and Clarke's six-phase thematic analysis. Personalized AI-generated visuals were created to represent each parent's core theme.</div></div><div><h3>Results</h3><div>Three main themes emerged: (1) Initial experiences of Crisis, marked by emotional collapse, family disruption, and spiritual coping; (2) Lessons Acquired Through the Illness Journey, including resilience, life reprioritization, and empathy through connection; and (3) Constrained Learning Over Time, involving emotional suppression, avoidance, social withdrawal, and mistrust. Visual metaphors like a “broken-winged angel” enriched the emotional depth of verbal narratives.</div></div><div><h3>Conclusion</h3><div>The integration of visual and narrative techniques shows promise in supporting caregiver insight and resilience. Creative, meaning-centered approaches may enhance psycho-oncological support by validating both suffering and growth in the caregiving experience.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103098"},"PeriodicalIF":2.7,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions and attitudes of healthcare professionals on discussing sexuality with cancer patients, including sexual minority groups - a mixed-methods study 医疗保健专业人员对与癌症患者（包括性少数群体）讨论性行为的看法和态度——一项混合方法研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-01-10 DOI: 10.1016/j.ejon.2026.103100

Eva Pape , Cato Beyts , Justine Verhelle , Liesbet Delforge , Andreas Denys , Gabrielle H. van Ramshorst

Purpose

This study examined the attitudes and perceptions of healthcare professionals in Flanders towards discussing sexuality and sexual problems in cancer patients and in cancer patients from LGBTQI + backgrounds.

Methods

A mixed-methods research using a convergent parallel design was conducted. Quantitative data were collected through a cross-sectional online survey of healthcare professionals working in cancer care across Flanders (n = 259). The qualitative study used an exploratory design. healthcare professionals of one expert centre were purposefully recruited for focus group interviews (n = 3). Thematic analysis with investigator triangulation was used during data analysis.

Results

Linear regression analyses indicated that professional role (B = 3.108; p ≤ 0.001) and age (B = 1.761; p = 0.004) significantly predicted healthcare professionals' attitudes related to addressing sexuality in cancer care. Both current professional role (B = 0.729; p ≤ 0.001) and age (B = 0.463; p = 0.022) were significant for healthcare professionals' knowledge. Training (B = −0.511; p = 0.027) was additionally predictive of knowledge. Five themes emerged from the focus group interviews: (1) knowledge and preparedness of HCPs, (2) attitudes, beliefs, and professional culture, (3) contextual and structural barriers to communication, (4) patient relationships and communication dynamics, and (5) inclusivity and diversity with LGBTQI + patients.

Conclusion

Although most HCPs reported positive attitudes toward discussing sexuality, gaps in knowledge, confidence, and inclusive communication persist. Strengthening healthcare professionals’ competencies in sexual health communication is essential to better address the needs of all cancer patients better.

目的本研究调查了佛兰德斯省医疗保健专业人员对癌症患者和LGBTQI +背景的癌症患者讨论性行为和性问题的态度和看法。方法采用收敛并行设计进行混合方法研究。定量数据通过横断面在线调查收集，调查对象为在法兰德斯从事癌症护理的医疗保健专业人员（n = 259）。定性研究采用探索性设计。有目的地招募一个专家中心的医疗保健专业人员进行焦点小组访谈（n = 3）。在数据分析中使用了专题分析和调查员三角测量。结果线性回归分析显示，职业角色（B = 3.108, p≤0.001）和年龄（B = 1.761, p = 0.004）显著预测了医护人员在癌症护理中处理性行为的态度。当前职业角色（B = 0.729; p≤0.001）和年龄（B = 0.463; p = 0.022）对卫生保健专业人员的知识有显著影响。训练（B =−0.511;p = 0.027）对知识有额外的预测作用。焦点小组访谈产生了五个主题：(1)HCPs的知识和准备；(2)态度、信仰和专业文化；(3)沟通的语境和结构障碍；(4)患者关系和沟通动态；(5)LGBTQI +患者的包容性和多样性。结论：尽管大多数医护人员对讨论性行为持积极态度，但在知识、信心和包容性沟通方面仍然存在差距。加强保健专业人员在性健康沟通方面的能力，对于更好地满足所有癌症患者的需求至关重要。

{"title":"Perceptions and attitudes of healthcare professionals on discussing sexuality with cancer patients, including sexual minority groups - a mixed-methods study","authors":"Eva Pape , Cato Beyts , Justine Verhelle , Liesbet Delforge , Andreas Denys , Gabrielle H. van Ramshorst","doi":"10.1016/j.ejon.2026.103100","DOIUrl":"10.1016/j.ejon.2026.103100","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examined the attitudes and perceptions of healthcare professionals in Flanders towards discussing sexuality and sexual problems in cancer patients and in cancer patients from LGBTQI + backgrounds.</div></div><div><h3>Methods</h3><div>A mixed-methods research using a convergent parallel design was conducted. Quantitative data were collected through a cross-sectional online survey of healthcare professionals working in cancer care across Flanders (n = 259). The qualitative study used an exploratory design. healthcare professionals of one expert centre were purposefully recruited for focus group interviews (n = 3). Thematic analysis with investigator triangulation was used during data analysis.</div></div><div><h3>Results</h3><div>Linear regression analyses indicated that professional role (B = 3.108; <em>p</em> ≤ 0.001) and age (B = 1.761; <em>p</em> = 0.004) significantly predicted healthcare professionals' attitudes related to addressing sexuality in cancer care. Both current professional role (B = 0.729; <em>p</em> ≤ 0.001) and age (B = 0.463; <em>p</em> = 0.022) were significant for healthcare professionals' knowledge. Training (B = −0.511; <em>p</em> = 0.027) was additionally predictive of knowledge. Five themes emerged from the focus group interviews: (1) knowledge and preparedness of HCPs, (2) attitudes, beliefs, and professional culture, (3) contextual and structural barriers to communication, (4) patient relationships and communication dynamics, and (5) inclusivity and diversity with LGBTQI + patients.</div></div><div><h3>Conclusion</h3><div>Although most HCPs reported positive attitudes toward discussing sexuality, gaps in knowledge, confidence, and inclusive communication persist. Strengthening healthcare professionals’ competencies in sexual health communication is essential to better address the needs of all cancer patients better.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103100"},"PeriodicalIF":2.7,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of emotional intelligence in the relationship between burnout and perceived quality of care among oncology nurses 情绪智力在肿瘤护士职业倦怠与感知护理质量关系中的作用

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-01-09 DOI: 10.1016/j.ejon.2026.103105

Tuğba Sarı , Behice Belkıs Çalışkan , Hatice Pars , Perihan Güner

Purpose

This study aimed to examine the relationships between burnout, emotional intelligence, and perceived caring behaviours among oncology nurses and to assess the predictive and mediating roles of these variables in explaining caring behaviours.

Methods

A descriptive, cross-sectional study was conducted with 202 oncology nurses in Türkiye. Data were collected using validated instruments measuring burnout, emotional intelligence, and caring behaviors. Data analysis employed descriptive statistics, Pearson correlation analyses, multiple linear regression, and structural equation modeling.

Results

Emotional intelligence was positively associated with caring behaviours (r = .359, p < .001) and negatively associated with burnout subdimensions. Caring behaviours were inversely related to emotional exhaustion (r = −.258, p < .001), depersonalisation (r = −.397, p < .001), and reduced personal accomplishment (r = −.214, p = .002). In the regression model (R² = .214, p < .001), emotional intelligence significantly predicted caring behaviours positively (β = .218, p = .002), while depersonalisation was a significant negative predictor (β = −.288, p < .001). However, emotional intelligence did not mediate the relationship between burnout and caring behaviours (Sobel test p = .332).

Conclusion

While emotional intelligence was positively associated with caring behaviours and buffered the impact of burnout—particularly depersonalisation—it did not mediate the relationship between burnout and caring. These findings support the value of enhancing emotional intelligence to improve care quality and nurse well-being, though contextual factors may influence its mediating role.

目的本研究旨在探讨肿瘤护士职业倦怠、情绪智力和感知关怀行为之间的关系，并评估这些变量在解释关怀行为中的预测和中介作用。方法对云南省202名肿瘤科护士进行描述性、横断面研究。数据收集使用有效的仪器测量倦怠，情绪智力和关怀行为。数据分析采用描述性统计、Pearson相关分析、多元线性回归和结构方程模型。结果情绪智力与关怀行为呈正相关（r = .359, p < .001），与倦怠子维度呈负相关。关怀行为与情绪耗竭呈负相关（r =−）。258, p < .001)，人格解体(r = -。397, p < .001)，降低了个人成就感(r = -。214, p = .002)。在回归模型中（R2 = .214, p < .001），情绪智力显著正向预测关爱行为（β = .218, p = .002），而去人格化显著负向预测（β = -）。288, p < .001)。然而，情绪智力并没有中介倦怠和关怀行为之间的关系（Sobel检验p = .332）。结论情绪智力与关怀行为呈正相关，并能缓冲倦怠（尤其是去人格化）的影响，但情商在倦怠与关怀之间没有中介作用。这些发现支持了提高情绪智力对提高护理质量和护士幸福感的价值，尽管环境因素可能会影响其中介作用。

{"title":"The role of emotional intelligence in the relationship between burnout and perceived quality of care among oncology nurses","authors":"Tuğba Sarı , Behice Belkıs Çalışkan , Hatice Pars , Perihan Güner","doi":"10.1016/j.ejon.2026.103105","DOIUrl":"10.1016/j.ejon.2026.103105","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to examine the relationships between burnout, emotional intelligence, and perceived caring behaviours among oncology nurses and to assess the predictive and mediating roles of these variables in explaining caring behaviours.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional study was conducted with 202 oncology nurses in Türkiye. Data were collected using validated instruments measuring burnout, emotional intelligence, and caring behaviors. Data analysis employed descriptive statistics, Pearson correlation analyses, multiple linear regression, and structural equation modeling.</div></div><div><h3>Results</h3><div>Emotional intelligence was positively associated with caring behaviours (r = .359, p < .001) and negatively associated with burnout subdimensions. Caring behaviours were inversely related to emotional exhaustion (r = −.258, p < .001), depersonalisation (r = −.397, p < .001), and reduced personal accomplishment (r = −.214, p = .002). In the regression model (R<sup>2</sup> = .214, p < .001), emotional intelligence significantly predicted caring behaviours positively (β = .218, p = .002), while depersonalisation was a significant negative predictor (β = −.288, p < .001). However, emotional intelligence did not mediate the relationship between burnout and caring behaviours (Sobel test p = .332).</div></div><div><h3>Conclusion</h3><div>While emotional intelligence was positively associated with caring behaviours and buffered the impact of burnout—particularly depersonalisation—it did not mediate the relationship between burnout and caring. These findings support the value of enhancing emotional intelligence to improve care quality and nurse well-being, though contextual factors may influence its mediating role.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103105"},"PeriodicalIF":2.7,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Latent transition analysis of perceived social support and associations with caregiver burden, illness cognition, and family resilience in pediatric cancer caregivers: A longitudinal study 儿童癌症照护者感知社会支持及其与照护者负担、疾病认知和家庭复原力的关联的潜在转变分析：一项纵向研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-01-05 DOI: 10.1016/j.ejon.2026.103097

Yingying Huang , Yuxin Wang , Shimeng Dai , Xinnan Mao , Jing Lin , Hailu Song , Yan Ji , Chaoqun Dong

Purpose

To identify latent transition patterns of perceived social support among family caregivers of children with cancer and examine their associations with caregiver burden, illness cognition, and family resilience.

Methods

This is a longitudinal study. A total of 240 caregivers of children with cancer from three pediatric hospitals in China were recruited via convenience sampling from June to December 2022. Participants were assessed at baseline (T1, n = 240), 3-month (T2, n = 204), and 6-month (T3, n = 193). Caregivers completed the Medical Outcomes Study Social Support Survey, Family Resilience Assessment Scale, Caregiver Burden Inventory, and Illness Cognition Questionnaire-Parent. Latent profile analysis was employed to identify distinct social support profiles at each time point. Latent transition analysis was then used to examine the longitudinal transition between these profiles over the six-month period. One-way ANCOVA with post-hoc tests was used to compare caregiver burden, illness cognition, and family resilience across these transition patterns.

Results

Four social support profiles were identified: high, moderate-high, moderate-low, and low. Over the six-month period, six transition patterns emerged: stable-high, stable-moderate-high, stable-moderate-low, improved, deteriorated, and fluctuated. One-way ANCOVA indicated significant differences in family resilience, caregiver burden, and the subdimensions of illness cognition (helplessness, acceptance, and disease benefits) across these patterns.

Conclusion

Social support among caregivers demonstrates heterogeneous and dynamic transition patterns, which generally stabilize approximately three months after baseline. To enhance caregiver well-being, healthcare providers must move beyond a one-size-fits-all approach. They should identify distinct support transition patterns and provide personalized interventions that strengthen social support systems, thereby effectively facilitating family adaptation.

目的探讨癌症儿童家庭照顾者感知社会支持的潜在转变模式，并探讨其与照顾者负担、疾病认知和家庭弹性的关系。方法本研究为纵向研究。通过便利抽样的方式，于2022年6月至12月从中国三家儿科医院招募了240名癌症儿童的护理人员。参与者在基线（T1, n = 240）、3个月（T2, n = 204）和6个月（T3, n = 193）时进行评估。照顾者完成医疗结果研究、社会支持调查、家庭弹性评估量表、照顾者负担量表和疾病认知问卷-家长。潜在特征分析用于识别每个时间点不同的社会支持特征。然后使用潜在过渡分析来检查这些剖面在六个月期间的纵向过渡。采用单因素方差分析和事后检验来比较这些过渡模式中的照顾者负担、疾病认知和家庭恢复力。结果确定了高、中高、中低、低4种社会支持特征。在6个月的时间里，出现了稳高、稳中高、稳中低、改善、恶化和波动6种过渡模式。单向ANCOVA显示，在这些模式中，家庭弹性、照顾者负担和疾病认知的子维度（无助感、接受度和疾病益处）存在显著差异。结论护理人员的社会支持表现出异质性和动态的转变模式，在基线后约3个月稳定下来。为了提高护理人员的福祉，医疗保健提供者必须超越一刀切的方法。它们应确定不同的支助过渡模式，并提供个性化的干预措施，加强社会支助系统，从而有效地促进家庭适应。

{"title":"Latent transition analysis of perceived social support and associations with caregiver burden, illness cognition, and family resilience in pediatric cancer caregivers: A longitudinal study","authors":"Yingying Huang , Yuxin Wang , Shimeng Dai , Xinnan Mao , Jing Lin , Hailu Song , Yan Ji , Chaoqun Dong","doi":"10.1016/j.ejon.2026.103097","DOIUrl":"10.1016/j.ejon.2026.103097","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify latent transition patterns of perceived social support among family caregivers of children with cancer and examine their associations with caregiver burden, illness cognition, and family resilience.</div></div><div><h3>Methods</h3><div>This is a longitudinal study. A total of 240 caregivers of children with cancer from three pediatric hospitals in China were recruited via convenience sampling from June to December 2022. Participants were assessed at baseline (T1, n = 240), 3-month (T2, n = 204), and 6-month (T3, n = 193). Caregivers completed the Medical Outcomes Study Social Support Survey, Family Resilience Assessment Scale, Caregiver Burden Inventory, and Illness Cognition Questionnaire-Parent. Latent profile analysis was employed to identify distinct social support profiles at each time point. Latent transition analysis was then used to examine the longitudinal transition between these profiles over the six-month period. One-way ANCOVA with post-hoc tests was used to compare caregiver burden, illness cognition, and family resilience across these transition patterns.</div></div><div><h3>Results</h3><div>Four social support profiles were identified: high, moderate-high, moderate-low, and low. Over the six-month period, six transition patterns emerged: stable-high, stable-moderate-high, stable-moderate-low, improved, deteriorated, and fluctuated. One-way ANCOVA indicated significant differences in family resilience, caregiver burden, and the subdimensions of illness cognition (helplessness, acceptance, and disease benefits) across these patterns.</div></div><div><h3>Conclusion</h3><div>Social support among caregivers demonstrates heterogeneous and dynamic transition patterns, which generally stabilize approximately three months after baseline. To enhance caregiver well-being, healthcare providers must move beyond a one-size-fits-all approach. They should identify distinct support transition patterns and provide personalized interventions that strengthen social support systems, thereby effectively facilitating family adaptation.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103097"},"PeriodicalIF":2.7,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chewing gum versus heat therapy for postoperative recovery in patients undergoing gynecologic oncology surgery: A randomized controlled trial 嚼口香糖与热疗法对妇科肿瘤手术患者术后恢复的影响：一项随机对照试验

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-01-02 DOI: 10.1016/j.ejon.2025.103095

Merve Tuncer , Merve Beke , Eda Polat , Sedef Karabela

Purpose

To investigate the effects of chewing gum and heat therapy on postoperative pain, bowel function, and patient comfort following gynecological oncological surgery.

Methods

A single-blinded, randomized controlled trial was conducted with 84 women assigned to three groups: chewing gum, heat therapy, and control. The chewing gum group chewed sugar-free gum three times daily postoperatively, while the heat therapy group received a 10 min warm compress twice daily. Primary outcomes were time to first bowel movement and passage of flatus. Secondary outcomes included postoperative pain, measured by the Visual Analog Scale (VAS), and patient comfort, assessed using the General Comfort Questionnaire (GCQ). Data were analyzed using the Kruskal–Wallis H test with Bonferroni-adjusted post-hoc comparisons and the Mann Whitney U test, and statistical significance was set at p < 0.05.

Results

Chewing gum significantly shortened the time to first bowel movement and passage of flatus, and was also associated with shorter discharge time and higher comfort scores (p < 0.05). However, it did not significantly affect postoperative pain. Heat therapy showed no statistically significant effect on bowel function, pain, or comfort compared with standard care (p > 0.05).

Conclusion

In this single-center randomized controlled trial, chewing gum appears to be an effective, low-cost, and well-tolerated nursing intervention that promotes gastrointestinal recovery and enhances comfort in postoperative gynecologic oncology patients. In contrast, heat therapy applied to the lumbar region did not demonstrate a benefit over standard care.

目的探讨热疗和嚼口香糖对妇科肿瘤术后疼痛、肠功能和患者舒适度的影响。方法采用单盲、随机对照试验，将84名女性分为三组：口香糖组、热疗组和对照组。口香糖组术后每日咀嚼无糖口香糖3次，热疗组术后每日热敷2次，每次10 min。主要观察指标为首次排便时间和排气量。次要结局包括术后疼痛（用视觉模拟量表（VAS）测量）和患者舒适度（用一般舒适度问卷（GCQ）评估）。数据分析采用Kruskal-Wallis H检验，经bonferroni校正后事后比较，Mann Whitney U检验，p <； 0.05为统计学显著性。结果嚼口香糖可显著缩短患者第一次排便时间和排气时间，并可缩短出院时间和提高舒适评分（p < 0.05）。但对术后疼痛无明显影响。与标准治疗相比，热疗法对肠功能、疼痛或舒适度没有统计学意义（p > 0.05）。结论在这项单中心随机对照试验中，嚼口香糖似乎是一种有效、低成本、耐受性良好的护理干预，可促进妇科肿瘤术后患者胃肠道恢复，提高舒适度。相反，热疗法应用于腰椎区域并没有表现出优于标准治疗的益处。

{"title":"Chewing gum versus heat therapy for postoperative recovery in patients undergoing gynecologic oncology surgery: A randomized controlled trial","authors":"Merve Tuncer , Merve Beke , Eda Polat , Sedef Karabela","doi":"10.1016/j.ejon.2025.103095","DOIUrl":"10.1016/j.ejon.2025.103095","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the effects of chewing gum and heat therapy on postoperative pain, bowel function, and patient comfort following gynecological oncological surgery.</div></div><div><h3>Methods</h3><div>A single-blinded, randomized controlled trial was conducted with 84 women assigned to three groups: chewing gum, heat therapy, and control. The chewing gum group chewed sugar-free gum three times daily postoperatively, while the heat therapy group received a 10 min warm compress twice daily. Primary outcomes were time to first bowel movement and passage of flatus. Secondary outcomes included postoperative pain, measured by the Visual Analog Scale (VAS), and patient comfort, assessed using the General Comfort Questionnaire (GCQ). Data were analyzed using the Kruskal–Wallis H test with Bonferroni-adjusted post-hoc comparisons and the Mann Whitney <em>U</em> test, and statistical significance was set at p < 0.05.</div></div><div><h3>Results</h3><div>Chewing gum significantly shortened the time to first bowel movement and passage of flatus, and was also associated with shorter discharge time and higher comfort scores (p < 0.05). However, it did not significantly affect postoperative pain. Heat therapy showed no statistically significant effect on bowel function, pain, or comfort compared with standard care (p > 0.05).</div></div><div><h3>Conclusion</h3><div>In this single-center randomized controlled trial, chewing gum appears to be an effective, low-cost, and well-tolerated nursing intervention that promotes gastrointestinal recovery and enhances comfort in postoperative gynecologic oncology patients. In contrast, heat therapy applied to the lumbar region did not demonstrate a benefit over standard care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103095"},"PeriodicalIF":2.7,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of mindful self-care in enhancing professional quality of life among hospice medical staff in Poland 正念自我护理在提高波兰临终关怀医务人员专业生活质量方面的作用

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-30 DOI: 10.1016/j.ejon.2025.103094

Zuzanna Gurzyńska, Aniela Brzezińska, Maciej Walkiewicz

Purpose

Given the emotionally demanding nature of hospice care, identifying protective factors is essential for promoting caregiver well-being. This study examines compassion fatigue and compassion satisfaction among Polish hospice medical workers, focusing on mindful self-care practices and perceived work support. It also explores whether professional quality of life differs between those who engage in after-work rituals and those who do not.

Methods

In a cross-sectional study, 97 hospice medical workers (nurses, physicians, physiotherapists, psychologists, and medical caregivers) completed the Professional Quality of Life Scale (ProQOL), the Mindful Self-Care Scale (MSCS), and an author-developed survey assessing perceived work support and after-work rituals. Participants were recruited from four hospice centres in northern Poland between July 1 and October 31, 2024.

Results

Participants reported high levels of MSCS (M = 106.55, SD = 19.60), elevated compassion satisfaction (M = 39.86, SD = 5.94), and normative levels of burnout (M = 21.46, SD = 5.02) and secondary traumatic stress (M = 24.96, SD = 6.20). Mindful self-care was positively associated with compassion satisfaction (r = 0.32, p < 0.001) and negatively associated with burnout (r = −0.49, p < 0.001) and secondary traumatic stress (r = −0.22, p < 0.05). Higher perceived work support correlated with more favorable ProQOL outcomes, as did engaging in after-work rituals.

Conclusions

Mindful self-care methods, alongside work support, should be considered potential protective factors against compassion fatigue among hospice staff. It highlights the opportunity for employers to foster supportive work environments and encourage self-care practices tailored to staff needs.

目的考虑到临终关怀的情感需求，确定保护因素对于促进照顾者的福祉至关重要。本研究检视波兰安宁疗护医护人员的慈悲疲劳与慈悲满意度，重点关注正念自我照护实务与感知工作支持。它还探讨了从事下班后仪式的人和不从事下班后仪式的人之间的职业生活质量是否不同。方法采用横断面研究方法，选取97名安宁疗护医务人员（护士、医师、物理治疗师、心理学家和医疗照护者）完成职业生活品质量表（ProQOL）、正念自我照护量表（MSCS），并自行编制工作支持感和工作后仪式感问卷。2024年7月1日至10月31日期间，参与者从波兰北部的四个临终关怀中心招募。结果被试的MSCS水平高（M = 106.55, SD = 19.60），同情满意度高（M = 39.86, SD = 5.94），倦怠（M = 21.46, SD = 5.02）和继发性创伤应激（M = 24.96, SD = 6.20）。正念自我照顾与同情满意度呈正相关（r = 0.32, p < 0.001），与倦怠（r = - 0.49, p < 0.001）和继发性创伤应激（r = - 0.22, p < 0.05）呈负相关。更高的感知工作支持与更有利的ProQOL结果相关，参与下班后的仪式也是如此。结论在工作支持的同时，正念自我护理方法应被视为预防临终关怀人员同情疲劳的潜在保护因素。它强调雇主有机会营造支持性的工作环境，并鼓励根据员工需求量身定制的自我护理做法。

{"title":"The role of mindful self-care in enhancing professional quality of life among hospice medical staff in Poland","authors":"Zuzanna Gurzyńska, Aniela Brzezińska, Maciej Walkiewicz","doi":"10.1016/j.ejon.2025.103094","DOIUrl":"10.1016/j.ejon.2025.103094","url":null,"abstract":"<div><h3>Purpose</h3><div>Given the emotionally demanding nature of hospice care, identifying protective factors is essential for promoting caregiver well-being. This study examines compassion fatigue and compassion satisfaction among Polish hospice medical workers, focusing on mindful self-care practices and perceived work support. It also explores whether professional quality of life differs between those who engage in after-work rituals and those who do not.</div></div><div><h3>Methods</h3><div>In a cross-sectional study, 97 hospice medical workers (nurses, physicians, physiotherapists, psychologists, and medical caregivers) completed the Professional Quality of Life Scale (ProQOL), the Mindful Self-Care Scale (MSCS), and an author-developed survey assessing perceived work support and after-work rituals. Participants were recruited from four hospice centres in northern Poland between July 1 and October 31, 2024.</div></div><div><h3>Results</h3><div>Participants reported high levels of MSCS (M = 106.55, SD = 19.60), elevated compassion satisfaction (M = 39.86, SD = 5.94), and normative levels of burnout (M = 21.46, SD = 5.02) and secondary traumatic stress (M = 24.96, SD = 6.20). Mindful self-care was positively associated with compassion satisfaction (r = 0.32, p < 0.001) and negatively associated with burnout (r = −0.49, p < 0.001) and secondary traumatic stress (r = −0.22, p < 0.05). Higher perceived work support correlated with more favorable ProQOL outcomes, as did engaging in after-work rituals.</div></div><div><h3>Conclusions</h3><div>Mindful self-care methods, alongside work support, should be considered potential protective factors against compassion fatigue among hospice staff. It highlights the opportunity for employers to foster supportive work environments and encourage self-care practices tailored to staff needs.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103094"},"PeriodicalIF":2.7,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Belief-based family support intervention to strengthen family resilience among breast cancer caregivers: A quasi-experimental study in Indonesia 基于信念的家庭支持干预以加强乳腺癌护理者的家庭复原力：印度尼西亚的一项准实验研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-30 DOI: 10.1016/j.ejon.2025.103092

Dwi Retnaningsih , Nursalam , Ferry Efendi , Hanik Endang Nihayati , Kristiawati , Mira Triharini

Purpose

To evaluate the effectiveness of a belief-based family support intervention in improving family resilience among caregivers of breast cancer patients undergoing chemotherapy.

Methods

A 12-week belief-based family support program was developed by integrating the Health Belief Model with family resilience principles. The intervention consisted of four structured modules: (1) belief-oriented family support, (2) cancer and chemotherapy education, (3) coping and role adaptation, and (4) communication and reflection. Sessions were delivered through blended learning formats combining in-person meetings and online follow-ups. Family resilience was measured using the validated Family Resilience Assessment Scale (FRAS). Data were analysed using paired and independent t-tests with a significance level of p < 0.05.

Results

After 12 weeks, the intervention group demonstrated a significant increase in total family resilience scores (pretest: 85.42 ± 9.87; posttest: 105.35 ± 8.76; p < 0.001), whereas the control group showed no significant change (p = 0.214). Improvements were observed across all FRAS domains, including belief system, organisational pattern, and communication process (all p < 0.001). Between-group comparisons confirmed significant differences in favour of the intervention group.

Conclusions

The belief-based family support intervention effectively enhanced family resilience among caregivers of breast cancer patients undergoing chemotherapy. Integrating belief systems, family communication, and adaptive role management into nursing interventions may enhance psychosocial resilience and wellbeing among cancer caregivers.

目的评价基于信念的家庭支持干预对提高乳腺癌化疗患者护理人员家庭韧性的效果。方法将健康信念模型与家庭弹性原则相结合，制定了为期12周的基于信念的家庭支持计划。干预包括四个结构化模块：(1)信念导向的家庭支持，(2)癌症与化疗教育，(3)应对与角色适应，(4)沟通与反思。会议通过结合面对面会议和在线跟进的混合学习形式进行。采用经验证的家庭弹性评估量表（FRAS）测量家庭弹性。数据分析采用配对和独立t检验，显著性水平为p <； 0.05。结果12周后，干预组家庭心理弹性总分显著提高（前测：85.42±9.87；后测：105.35±8.76;p < 0.001），对照组无显著变化（p = 0.214）。在所有FRAS领域中都观察到改进，包括信念系统、组织模式和沟通过程（均p <； 0.001）。组间比较证实干预组有显著差异。结论基于信念的家庭支持干预能有效增强乳腺癌化疗患者照顾者的家庭韧性。将信念系统、家庭沟通和适应性角色管理整合到护理干预措施中，可以增强癌症护理人员的心理社会复原力和福祉。

{"title":"Belief-based family support intervention to strengthen family resilience among breast cancer caregivers: A quasi-experimental study in Indonesia","authors":"Dwi Retnaningsih , Nursalam , Ferry Efendi , Hanik Endang Nihayati , Kristiawati , Mira Triharini","doi":"10.1016/j.ejon.2025.103092","DOIUrl":"10.1016/j.ejon.2025.103092","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the effectiveness of a belief-based family support intervention in improving family resilience among caregivers of breast cancer patients undergoing chemotherapy.</div></div><div><h3>Methods</h3><div>A 12-week belief-based family support program was developed by integrating the Health Belief Model with family resilience principles. The intervention consisted of four structured modules: (1) belief-oriented family support, (2) cancer and chemotherapy education, (3) coping and role adaptation, and (4) communication and reflection. Sessions were delivered through blended learning formats combining in-person meetings and online follow-ups. Family resilience was measured using the validated Family Resilience Assessment Scale (FRAS). Data were analysed using paired and independent t-tests with a significance level of <em>p</em> < 0.05.</div></div><div><h3>Results</h3><div>After 12 weeks, the intervention group demonstrated a significant increase in total family resilience scores (pretest: 85.42 ± 9.87; posttest: 105.35 ± 8.76; <em>p</em> < 0.001), whereas the control group showed no significant change (<em>p</em> = 0.214). Improvements were observed across all FRAS domains, including belief system, organisational pattern, and communication process (all <em>p</em> < 0.001). Between-group comparisons confirmed significant differences in favour of the intervention group.</div></div><div><h3>Conclusions</h3><div>The belief-based family support intervention effectively enhanced family resilience among caregivers of breast cancer patients undergoing chemotherapy. Integrating belief systems, family communication, and adaptive role management into nursing interventions may enhance psychosocial resilience and wellbeing among cancer caregivers.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103092"},"PeriodicalIF":2.7,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resilience mediating the effects of cancer-related fatigue on depression, sleep, and quality of life among prostate cancer survivors 恢复力介导前列腺癌幸存者癌症相关疲劳对抑郁、睡眠和生活质量的影响

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-29 DOI: 10.1016/j.ejon.2025.103093

Chun-I Chen , Hung-Yu Lin , Chiung-Yu Huang

Purpose

Cancer-related fatigue (CRF) is highly prevalent among prostate cancer survivors and is often accompanied by depression, poor sleep, and diminished quality of life. Resilience may help buffer these effects, but its mediating role remains insufficiently studied. This study aimed to determine whether resilience mediates the relationship between fatigue and health outcomes, including depression, sleep quality, and quality of life, in prostate cancer patients.

Methods

A cross-sectional study was conducted with 122 prostate cancer patients recruited from two regional hospitals in southern Taiwan. Validated instruments measured fatigue (BFI), erectile function (IIEF-5), resilience (RSA), depression (CES-D), sleep quality (PSQI), and quality of life (WHOQOL-BREF, EORTC QLQ-PR25). Structural equation modeling (SEM) was applied to examine the mediating role of resilience.

Results

Structural equation modeling demonstrated excellent fit (χ²/df = 1.16, GFI = .99, RMSEA = .019). Fatigue showed strong direct effects on depression (β = .69, p < .001), prostate-specific quality of life (β = −.32, p < .001), overall quality of life (β = −.25, p < .01), and sleep disturbances (β = .57, p < .001), and was negatively associated with resilience (β = −.61, p < .001). Resilience partially mediated these relationships, reducing the impact of fatigue on depression (to β = .31), prostate-specific quality of life (to β = −.09), overall quality of life (to β = .17), and sleep disturbances (to β = .37).

Conclusion

Resilience plays a protective role in reducing the negative impact of fatigue on psychological outcomes, sleep, and quality of life in prostate cancer patients. Incorporating resilience-building strategies into survivorship care may improve patient well-being and should be further evaluated in clinical trials.

癌症相关性疲劳（CRF）在前列腺癌幸存者中非常普遍，通常伴有抑郁、睡眠不足和生活质量下降。弹性可能有助于缓冲这些影响，但其中介作用仍未得到充分研究。本研究旨在确定恢复力是否介导前列腺癌患者疲劳与健康结果（包括抑郁、睡眠质量和生活质量）之间的关系。方法采用横断面研究方法，对台湾省南部两家地区医院的122例前列腺癌患者进行研究。经过验证的仪器测量了疲劳（BFI）、勃起功能（IIEF-5）、恢复力（RSA）、抑郁（CES-D）、睡眠质量（PSQI）和生活质量（WHOQOL-BREF、EORTC QLQ-PR25）。采用结构方程模型（SEM）检验弹性的中介作用。结果结构方程模型拟合良好（χ2/df = 1.16, GFI = 0.99, RMSEA = 0.019）。疲劳对抑郁有很强的直接影响（β = 0.69, p < .001），前列腺特异性生活质量(β =−。32, p < .001)，总体生活质量(β = -。25, p < .01)和睡眠障碍（β = .57, p < .001），并且与恢复力呈负相关(β = - 57, p <；61, p < .001)。恢复力部分介导了这些关系，降低了疲劳对抑郁的影响（至β = 0.31），前列腺特异性生活质量（至β =−）。09)，整体生活质量（β = 0.17）和睡眠障碍（β = 0.37）。结论恢复力在减轻疲劳对前列腺癌患者心理结局、睡眠和生活质量的负面影响中起保护作用。将恢复力建设策略纳入生存护理可能会改善患者的福祉，并应在临床试验中进一步评估。

{"title":"Resilience mediating the effects of cancer-related fatigue on depression, sleep, and quality of life among prostate cancer survivors","authors":"Chun-I Chen , Hung-Yu Lin , Chiung-Yu Huang","doi":"10.1016/j.ejon.2025.103093","DOIUrl":"10.1016/j.ejon.2025.103093","url":null,"abstract":"<div><h3>Purpose</h3><div>Cancer-related fatigue (CRF) is highly prevalent among prostate cancer survivors and is often accompanied by depression, poor sleep, and diminished quality of life. Resilience may help buffer these effects, but its mediating role remains insufficiently studied. This study aimed to determine whether resilience mediates the relationship between fatigue and health outcomes, including depression, sleep quality, and quality of life, in prostate cancer patients.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 122 prostate cancer patients recruited from two regional hospitals in southern Taiwan. Validated instruments measured fatigue (BFI), erectile function (IIEF-5), resilience (RSA), depression (CES-D), sleep quality (PSQI), and quality of life (WHOQOL-BREF, EORTC QLQ-PR25). Structural equation modeling (SEM) was applied to examine the mediating role of resilience.</div></div><div><h3>Results</h3><div>Structural equation modeling demonstrated excellent fit (χ<sup>2</sup>/df = 1.16, GFI = .99, RMSEA = .019). Fatigue showed strong direct effects on depression (β = .69, p < .001), prostate-specific quality of life (β = −.32, p < .001), overall quality of life (β = −.25, p < .01), and sleep disturbances (β = .57, p < .001), and was negatively associated with resilience (β = −.61, p < .001). Resilience partially mediated these relationships, reducing the impact of fatigue on depression (to β = .31), prostate-specific quality of life (to β = −.09), overall quality of life (to β = .17), and sleep disturbances (to β = .37).</div></div><div><h3>Conclusion</h3><div>Resilience plays a protective role in reducing the negative impact of fatigue on psychological outcomes, sleep, and quality of life in prostate cancer patients. Incorporating resilience-building strategies into survivorship care ma<strong>y</strong> improve patient well-being and should be further evaluated in clinical trials.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103093"},"PeriodicalIF":2.7,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How do healthcare providers adapt to AYA–parent dynamics when supporting adolescents and young adults (AYA) with cancer? A qualitative study 在支持患有癌症的青少年和年轻人（AYA）时，医疗保健提供者如何适应AYA -家长动态？定性研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-23 DOI: 10.1016/j.ejon.2025.103085

Cassandra Patinet , Isabelle Aujoulat , Karl-Léo Schwering , Manon Fontaine , Anne-Laure Sébert , Cécile Perrier , Nicolas Boissel , Elise Ricadat

Purpose

This paper aims to better understand the challenges faced by oncology teams in dedicated adolescent and young adult (AYA) units as they strive to involve both patients and their parents, seeking a balance between patient-centered and family-centered care. Specifically, it examines the dynamics between AYAs, their parents, and healthcare providers (HCPs) during prolonged hospitalizations.

Methods

Conducted between 2018 and 2021 in a dedicated AYA hematology unit in Paris, the study included 10 in-depth individual interviews, research observations, and focus groups. Data were analyzed inductively according to Grounded Theory principles.

Results

Rather than combining patient-centered and family-centered care, HCPs tend to adopt an “AYA-parent dyad-centric” model of care. These results highlight the importance of understanding and assessing the unique dyadic dynamics between AYAs and their parents to effectively support AYA's psychosocial needs, particularly in fostering their autonomy process.

Conclusion

Our findings suggest that a dyad-centered model of care, one that allows the involvement of AYAs and their parents as a dyad, enables a better understanding of and adaptation to the family dynamics at play, leading to more tailored and effective healthcare management.

目的：本文旨在更好地了解青少年和年轻人（AYA）专科肿瘤团队所面临的挑战，因为他们努力让患者和他们的父母都参与其中，寻求以患者为中心和以家庭为中心的护理之间的平衡。具体地说，它检查了长期住院期间AYAs，他们的父母和医疗保健提供者（HCPs）之间的动态。该研究于2018年至2021年在巴黎的一个专门的AYA血液学单位进行，包括10次深入的个人访谈、研究观察和焦点小组。根据扎根理论原理对数据进行归纳分析。结果HCPs倾向于采用“以患者为中心和以家庭为中心”的护理模式，而不是将以患者为中心和以家庭为中心相结合。这些结果强调了理解和评估青少年和父母之间独特的二元动态的重要性，以有效地支持青少年的社会心理需求，特别是在培养他们的自主过程中。结论：我们的研究结果表明，一个以双元为中心的护理模式，一个允许双元儿童及其父母参与的模式，可以更好地理解和适应家庭动态，从而实现更有针对性和更有效的医疗保健管理。

{"title":"How do healthcare providers adapt to AYA–parent dynamics when supporting adolescents and young adults (AYA) with cancer? A qualitative study","authors":"Cassandra Patinet , Isabelle Aujoulat , Karl-Léo Schwering , Manon Fontaine , Anne-Laure Sébert , Cécile Perrier , Nicolas Boissel , Elise Ricadat","doi":"10.1016/j.ejon.2025.103085","DOIUrl":"10.1016/j.ejon.2025.103085","url":null,"abstract":"<div><h3>Purpose</h3><div>This paper aims to better understand the challenges faced by oncology teams in dedicated adolescent and young adult (AYA) units as they strive to involve both patients and their parents, seeking a balance between patient-centered and family-centered care. Specifically, it examines the dynamics between AYAs, their parents, and healthcare providers (HCPs) during prolonged hospitalizations.</div></div><div><h3>Methods</h3><div>Conducted between 2018 and 2021 in a dedicated AYA hematology unit in Paris, the study included 10 in-depth individual interviews, research observations, and focus groups. Data were analyzed inductively according to Grounded Theory principles.</div></div><div><h3>Results</h3><div>Rather than combining patient-centered and family-centered care, HCPs tend to adopt an “AYA-parent dyad-centric” model of care. These results highlight the importance of understanding and assessing the unique dyadic dynamics between AYAs and their parents to effectively support AYA's psychosocial needs, particularly in fostering their autonomy process.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that a dyad-centered model of care, one that allows the involvement of AYAs and their parents as a dyad, enables a better understanding of and adaptation to the family dynamics at play, leading to more tailored and effective healthcare management.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103085"},"PeriodicalIF":2.7,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Seeing the self again: A phenomenological photo elicitation study of Italian laryngectomy survivors 再次看到自我：意大利喉切除术幸存者的现象学照片启发研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-22 DOI: 10.1016/j.ejon.2025.103087

Valentina Bressan , Elisabetta Losi , Gianluca Catania , Luca Ghirotto

Purpose

Total laryngectomy profoundly alters persons’ lives physiologically and psychosocially, with major consequences for communication, identity, and social participation. While qualitative studies have examined aspects of survivorship, few have employed visual methodologies to capture the embodied and existential experiences of individuals who have had total laryngectomy, particularly within the Italian context. This study explored how individuals who underwent total laryngectomy perceive themselves as cancer survivors and visually represent their illness experiences and self-redefinition after surgery.

Methods

As part of a broader qualitative project informed by phenomenology, we employed photo elicitation. Nineteen participants (15 men, four women; mean age 66.3 years) were purposively recruited from two Otorhinolaryngology departments in Northern Italy. Participants selected or produced photographs illustrating aspects of post-laryngectomy life and discussed them in individual, in-depth, semi-structured interviews. Visual and narrative data were analyzed using a four-step phenomenological approach: preview, review, cross-photograph comparison, and theorizing.

Results

Two interrelated themes emerged: (1) The challenges of illness and a rebirth, capturing the transformation of self and the symbolic tension between loss and renewal; and (2) Rooting hope and the thrust in a new future, highlighting the roles of family support, self-esteem, and meaningful environments in sustaining resilience. Photographs often revealed complex meanings and aspirations not fully conveyed through verbal narratives.

Conclusions

Photo elicitation allowed participants to express survivorship experiences beyond verbal communication, providing unique insights into identity reconstruction, resistance to stigma, and envisioning a future after life-altering surgery. Findings suggest visual methods can enhance psychosocial care and promote person-centered communication in oncology settings.

目的全喉切除术深刻地改变了人们的生理和社会心理生活，对沟通、身份和社会参与产生了重大影响。虽然定性研究已经检查了生存的各个方面，但很少有使用视觉方法来捕捉全喉切除术患者的具体和存在经验，特别是在意大利的背景下。本研究探讨了接受全喉切除术的个体如何将自己视为癌症幸存者，并在视觉上代表他们的疾病经历和手术后的自我重新定义。方法作为现象学定性研究的一部分，我们采用了照片启发法。19名参与者（15名男性，4名女性，平均年龄66.3岁）被有意从意大利北部的两个耳鼻喉科招募。参与者选择或制作说明喉切除术后生活各方面的照片，并在个人、深入、半结构化的访谈中讨论这些照片。使用四步现象学方法分析视觉和叙事数据：预览，回顾，交叉照片比较和理论化。结果出现了两个相互关联的主题：(1)疾病与重生的挑战，捕捉自我的转变以及失去与再生之间的象征张力；(2)为新的未来注入希望和动力，强调家庭支持、自尊和有意义的环境在维持韧性中的作用。照片往往揭示了复杂的意义和愿望，不能完全通过口头叙述来传达。结论：照片启发使参与者能够表达语言交流之外的生存经历，为改变生活的手术后的身份重建、抵抗耻辱和展望未来提供了独特的见解。研究结果表明，视觉方法可以增强肿瘤环境中的社会心理护理和促进以人为本的交流。

{"title":"Seeing the self again: A phenomenological photo elicitation study of Italian laryngectomy survivors","authors":"Valentina Bressan , Elisabetta Losi , Gianluca Catania , Luca Ghirotto","doi":"10.1016/j.ejon.2025.103087","DOIUrl":"10.1016/j.ejon.2025.103087","url":null,"abstract":"<div><h3>Purpose</h3><div>Total laryngectomy profoundly alters persons’ lives physiologically and psychosocially, with major consequences for communication, identity, and social participation. While qualitative studies have examined aspects of survivorship, few have employed visual methodologies to capture the embodied and existential experiences of individuals who have had total laryngectomy, particularly within the Italian context. This study explored how individuals who underwent total laryngectomy perceive themselves as cancer survivors and visually represent their illness experiences and self-redefinition after surgery.</div></div><div><h3>Methods</h3><div>As part of a broader qualitative project informed by phenomenology, we employed photo elicitation. Nineteen participants (15 men, four women; mean age 66.3 years) were purposively recruited from two Otorhinolaryngology departments in Northern Italy. Participants selected or produced photographs illustrating aspects of post-laryngectomy life and discussed them in individual, in-depth, semi-structured interviews. Visual and narrative data were analyzed using a four-step phenomenological approach: preview, review, cross-photograph comparison, and theorizing.</div></div><div><h3>Results</h3><div>Two interrelated themes emerged: (1) <em>The challenges of illness and a rebirth</em>, capturing the transformation of self and the symbolic tension between loss and renewal; and (2) <em>Rooting hope and the thrust in a new future</em>, highlighting the roles of family support, self-esteem, and meaningful environments in sustaining resilience. Photographs often revealed complex meanings and aspirations not fully conveyed through verbal narratives.</div></div><div><h3>Conclusions</h3><div>Photo elicitation allowed participants to express survivorship experiences beyond verbal communication, providing unique insights into identity reconstruction, resistance to stigma, and envisioning a future after life-altering surgery. Findings suggest visual methods can enhance psychosocial care and promote person-centered communication in oncology settings.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103087"},"PeriodicalIF":2.7,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0