Pub Date : 2026-02-01DOI: 10.1016/j.ejon.2025.103071
M. Dornan, I. Rodriguez-Matesanz, D. Protogiros, H. Ozdemir Koyu, C. Barnardo, H. McCallig, N. Aguado-Machancoses, N. Politis
Purpose
This study explores how early-career cancer nurses across Europe conceptualise and deliver survivorship care, a growing priority in oncology nursing.
Methods
An exploratory qualitative design was used, involving a written reflection and focus group with seven early-career nurses from the European Oncology Nursing Society. Reflexive thematic analysis was applied to identify patterns in perceptions and practice.
Findings
Three themes were identified: (1) Reframing Survivorship, where nurses challenged traditional definitions and advocated for a continuum-based approach; (2) Managing the Emotional Dimensions, highlighting the emotional needs of patients, caregivers, and nurses themselves; and (3) Empowering the Workforce, revealing gaps in education, autonomy, and access to resources. Participants called for tiered competencies, interprofessional learning, and better integration of survivorship care across settings.
Conclusion
The findings point to the need for clearer definitions, emotional support structures, and investment in nursing education and leadership. Early-career perspectives offer valuable insights for shaping future survivorship care models and workforce development.
{"title":"Reflections and experiences of early career cancer nurses on cancer survivorship in Europe: A qualitative study","authors":"M. Dornan, I. Rodriguez-Matesanz, D. Protogiros, H. Ozdemir Koyu, C. Barnardo, H. McCallig, N. Aguado-Machancoses, N. Politis","doi":"10.1016/j.ejon.2025.103071","DOIUrl":"10.1016/j.ejon.2025.103071","url":null,"abstract":"<div><h3>Purpose</h3><div>This study explores how early-career cancer nurses across Europe conceptualise and deliver survivorship care, a growing priority in oncology nursing.</div></div><div><h3>Methods</h3><div>An exploratory qualitative design was used, involving a written reflection and focus group with seven early-career nurses from the European Oncology Nursing Society. Reflexive thematic analysis was applied to identify patterns in perceptions and practice.</div></div><div><h3>Findings</h3><div>Three themes were identified: (1) Reframing Survivorship, where nurses challenged traditional definitions and advocated for a continuum-based approach; (2) Managing the Emotional Dimensions, highlighting the emotional needs of patients, caregivers, and nurses themselves; and (3) Empowering the Workforce, revealing gaps in education, autonomy, and access to resources. Participants called for tiered competencies, interprofessional learning, and better integration of survivorship care across settings.</div></div><div><h3>Conclusion</h3><div>The findings point to the need for clearer definitions, emotional support structures, and investment in nursing education and leadership. Early-career perspectives offer valuable insights for shaping future survivorship care models and workforce development.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103071"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077072","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}
Pub Date : 2026-02-01DOI: 10.1016/j.ejon.2025.103045
M.L. Martino , A. Nerini , E. Quarata , G. Facchini , C. Barraco , A. D'Arienzo , A. Nicastro , M. Cesaro , M.F. Freda , I. Bolognini
Purpose
The present study, filling a gap in the literature, aims at systematic review of studies with writing interventions addressed to cancer survivorship, examining the different writing paradigms used and related obtained effects.
Methods
This study was a systematic review. A literature search in MEDLINE/PubMed and PsycInfo from 2015 to 2025 was performed.
Results
Data extraction, researchers' full agreement and the inclusion criteria produced 11 eligible studies. They show six different paradigms of writing used in cancer survivorship capable of addressing three different trajectories of effects: Psychopathological Symptoms: Expressive Writing (EW), Self-Regulation Writing; Bio-psycho-social well-being promotion: EW, Prosocial/Peer Help Writing, Gratitude Journaling, Written Guides. Body Image and Side Effects of Self-Management: EW; Focused Reflective Writing, Self-Compassion EW. Writing, in its plurality of paradigms and methods, appears a key tool used in cancer survivorship, mainly with breast cancer survivors; other types of cancer are underestimated. Cultural and demographic diversity is limited and most interventions are self-managed, online, or postal, with minimal clinical feedback.
Conclusions
Efforts are needed to clarify issues related to sample selection time from diagnosis -survisvorship vs long survivorship; stratification of age sample groups - under fifty vs over 50; to focus on other types of cancer in addition to breast cancer; to enrich the use of other writing paradigms like autobiographical writing, autopathography, and memory-based writing and to implement hybrid delivery formats.
{"title":"Writing interventions with cancer survivors: which paradigms for which effects? A systematic review","authors":"M.L. Martino , A. Nerini , E. Quarata , G. Facchini , C. Barraco , A. D'Arienzo , A. Nicastro , M. Cesaro , M.F. Freda , I. Bolognini","doi":"10.1016/j.ejon.2025.103045","DOIUrl":"10.1016/j.ejon.2025.103045","url":null,"abstract":"<div><h3>Purpose</h3><div>The present study, filling a gap in the literature, aims at systematic review of studies with writing interventions addressed to cancer survivorship, examining the different writing paradigms used and related obtained effects.</div></div><div><h3>Methods</h3><div>This study was a systematic review. A literature search in MEDLINE/PubMed and PsycInfo from 2015 to 2025 was performed.</div></div><div><h3>Results</h3><div>Data extraction, researchers' full agreement and the inclusion criteria produced 11 eligible studies. They show six different paradigms of writing used in cancer survivorship capable of addressing three different trajectories of effects: <em>Psychopathological Symptoms</em>: Expressive Writing (EW), Self-Regulation Writing; <em>Bio-psycho-social well-being promotion</em>: EW, Prosocial/Peer Help Writing, Gratitude Journaling, Written Guides. <em>Body Image and Side Effects of Self-Management:</em> EW; Focused Reflective Writing, Self-Compassion EW. Writing, in its plurality of paradigms and methods, appears a key tool used in cancer survivorship, mainly with breast cancer survivors; other types of cancer are underestimated. Cultural and demographic diversity is limited and most interventions are self-managed, online, or postal, with minimal clinical feedback.</div></div><div><h3>Conclusions</h3><div>Efforts are needed to clarify issues related to sample selection time from diagnosis -survisvorship vs long survivorship; stratification of age sample groups - under fifty vs over 50; to focus on other types of cancer in addition to breast cancer; to enrich the use of other writing paradigms like autobiographical writing, autopathography, and memory-based writing and to implement hybrid delivery formats.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103045"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077074","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}
Pub Date : 2026-01-30DOI: 10.1016/j.ejon.2026.103116
Muhammad Taufan Umasugi, Endah Fitriasari, Syahfitrah Umamity
{"title":"Equity-by-design and trajectory-sensitive ePROMs in breast cancer follow-up: methodological clarifications on \"dual impact\".","authors":"Muhammad Taufan Umasugi, Endah Fitriasari, Syahfitrah Umamity","doi":"10.1016/j.ejon.2026.103116","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103116","url":null,"abstract":"","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":" ","pages":"103116"},"PeriodicalIF":2.7,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127341","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}
Pub Date : 2026-01-29DOI: 10.1016/j.ejon.2026.103115
Tuğba Pehlivan Sarıbudak , Besti Üstün , Servet Cihan , Berna Yıldırım
Purpose
Suicide probability is higher in cancer patients than in the general population, yet evidence remains limited, especially in Türkiye. This study examined suicide risk and influencing factors using a mixed-methods approach for a comprehensive understanding.
Methods
This sequential explanatory mixed-methods design was conducted between October 2024–August 2025. 383 patients receiving chemotherapy for breast, lung, or colon cancer at a city hospital in İstanbul participated. Quantitative data were collected using a Personal Information Form and the Suicide Probability Scale, and analyzed using multistage linear regression. For the qualitative phase, patients with the highest and lowest scores were purposively sampled, and data were analyzed using Colaizzi's method.
Results
The mean Suicide Probability Scale score was 63.13. Regression analysis identified lower social support, longer cancer duration, lack of health insurance, and psychiatric comorbidities as predictors of higher risk. Qualitative analysis yielded five themes. The dominant themes—‘Traces of the Disease’ and ‘Risk and Protective Factors’—showed how cancer's physical, psychological, and social consequences, together with individual risk and protective mechanisms, shaped patients' suicidal thoughts, behavior, overall distress, and resilience levels.
Conclusions
Suicide risk in cancer patients is multidimensional and individualized, shaped by social, clinical, and psychological factors. Holistic support addressing both risk and protective factors is critical. Oncology nurses are pivotal in early risk detection and psychosocial support. Empathetic, patient-centered care, reinforcing protective factors, and integrating structured psychological interventions enhance resilience, reduce suicide risk, and improve quality of life. System-level measures, including accessible psychological services and social support, are also essential.
{"title":"Suicide risk and influencing factors among cancer patients: A mixed-methods study","authors":"Tuğba Pehlivan Sarıbudak , Besti Üstün , Servet Cihan , Berna Yıldırım","doi":"10.1016/j.ejon.2026.103115","DOIUrl":"10.1016/j.ejon.2026.103115","url":null,"abstract":"<div><h3>Purpose</h3><div>Suicide probability is higher in cancer patients than in the general population, yet evidence remains limited, especially in Türkiye. This study examined suicide risk and influencing factors using a mixed-methods approach for a comprehensive understanding.</div></div><div><h3>Methods</h3><div>This sequential explanatory mixed-methods design was conducted between October 2024–August 2025. 383 patients receiving chemotherapy for breast, lung, or colon cancer at a city hospital in İstanbul participated. Quantitative data were collected using a Personal Information Form and the Suicide Probability Scale, and analyzed using multistage linear regression. For the qualitative phase, patients with the highest and lowest scores were purposively sampled, and data were analyzed using Colaizzi's method.</div></div><div><h3>Results</h3><div>The mean Suicide Probability Scale score was 63.13. Regression analysis identified lower social support, longer cancer duration, lack of health insurance, and psychiatric comorbidities as predictors of higher risk. Qualitative analysis yielded five themes. The dominant themes—‘Traces of the Disease’ and ‘Risk and Protective Factors’—showed how cancer's physical, psychological, and social consequences, together with individual risk and protective mechanisms, shaped patients' suicidal thoughts, behavior, overall distress, and resilience levels.</div></div><div><h3>Conclusions</h3><div>Suicide risk in cancer patients is multidimensional and individualized, shaped by social, clinical, and psychological factors. Holistic support addressing both risk and protective factors is critical. Oncology nurses are pivotal in early risk detection and psychosocial support. Empathetic, patient-centered care, reinforcing protective factors, and integrating structured psychological interventions enhance resilience, reduce suicide risk, and improve quality of life. System-level measures, including accessible psychological services and social support, are also essential.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"81 ","pages":"Article 103115"},"PeriodicalIF":2.7,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146116770","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}
Pub Date : 2026-01-29DOI: 10.1016/j.ejon.2026.103117
Debbie Anglade, Caterine Diaz, Roberto Roman Laporte, Karina Gattamorta, Sameena F Sheikh-Wu, Yhenifer Diaz Granados, Hoyan Ng-Chen, Junet Alvarez, Lisa F Rosen, Joseph Pizzolato
Purpose: This study aimed to determine whether aromatherapy inhalation would reduce chemotherapy-induced nausea and vomiting (CINV) among cancer patients receiving moderate to high emetogenic chemotherapy (HEC) regimen.
Methods: One hundred participants (control = 48; intervention = 52) receiving moderate to HEC treatment were enrolled in a two-arm control trial design. Participants in the control group followed physician-prescribed antiemetic treatment. Participants in the intervention group followed physician-prescribed antiemetic treatment and received an aromatherapy inhaler intervention for use at the first sign of CINV and as needed. Consented study participants were seen by a study team member over four time points during which the participants would complete the established instruments with scoring procedures and validity evidence.
Results: The use of the aromatherapy inhaler resulted in a reduction in CINV and antiemetic medication in the intervention group. The control group reported 522 instances of medication usage at visit one; 417 instances of medication usage at visit two; and 409 instances of medication usage at visit three. The intervention group reported 136 instances of medication use at visit one; 145 instances of medication use at visit two; and 142 instances of medication use at visit three. Similar to the patterns observed for pharmacological interventions, the control group also reported higher rates of the use of non-pharmacological interventions including tea, water/electrolytes, soup, and food compared to the intervention group.
Conclusion: The findings from this randomized clinical trial highlight the potential benefits of aromatherapy inhalation as a complementary therapy for managing CINV.
{"title":"Effects of aromatherapy inhalation on chemotherapy-induced nausea and vomiting: A control trial.","authors":"Debbie Anglade, Caterine Diaz, Roberto Roman Laporte, Karina Gattamorta, Sameena F Sheikh-Wu, Yhenifer Diaz Granados, Hoyan Ng-Chen, Junet Alvarez, Lisa F Rosen, Joseph Pizzolato","doi":"10.1016/j.ejon.2026.103117","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103117","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine whether aromatherapy inhalation would reduce chemotherapy-induced nausea and vomiting (CINV) among cancer patients receiving moderate to high emetogenic chemotherapy (HEC) regimen.</p><p><strong>Methods: </strong>One hundred participants (control = 48; intervention = 52) receiving moderate to HEC treatment were enrolled in a two-arm control trial design. Participants in the control group followed physician-prescribed antiemetic treatment. Participants in the intervention group followed physician-prescribed antiemetic treatment and received an aromatherapy inhaler intervention for use at the first sign of CINV and as needed. Consented study participants were seen by a study team member over four time points during which the participants would complete the established instruments with scoring procedures and validity evidence.</p><p><strong>Results: </strong>The use of the aromatherapy inhaler resulted in a reduction in CINV and antiemetic medication in the intervention group. The control group reported 522 instances of medication usage at visit one; 417 instances of medication usage at visit two; and 409 instances of medication usage at visit three. The intervention group reported 136 instances of medication use at visit one; 145 instances of medication use at visit two; and 142 instances of medication use at visit three. Similar to the patterns observed for pharmacological interventions, the control group also reported higher rates of the use of non-pharmacological interventions including tea, water/electrolytes, soup, and food compared to the intervention group.</p><p><strong>Conclusion: </strong>The findings from this randomized clinical trial highlight the potential benefits of aromatherapy inhalation as a complementary therapy for managing CINV.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"81 ","pages":"103117"},"PeriodicalIF":2.7,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167213","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}
Pub Date : 2026-01-27DOI: 10.1016/j.ejon.2026.103114
E Borges, Sandrina Sá, R Silva
Purpose: Compassion fatigue (CF) and happiness at work (HW) are crucial determinants of well-being and performance among oncology professionals, who face high emotional demands. This study aimed to identify sociodemographic and professional predictors of CF and HW among oncology nurses and healthcare support workers.
Method: A cross-sectional observational study was conducted in the oncology inpatient departments of a hospital in northern Portugal. A total of 285 professionals participated by completing a self-administered questionnaire that included the Professional Quality of Life Scale and the Shortened Happiness at Work Scale. Multiple linear regression analyses were performed to identify predictors of CF and HW dimensions.
Results: Leisure activities and older age were found to be protective factors against CF. Working in emotionally demanding departments, such as Bone Marrow Transplant and Paediatrics, was associated with higher levels of burnout and secondary traumatic stress. Fixed work schedules and participation in leisure activities predicted greater job satisfaction and organisational commitment. The regression models accounted for 11 %-16 % of the variance in CF and HW dimensions.
Conclusions: Both individual and workplace factors significantly influence oncology professionals' well-being. Interventions that encourage leisure activities, promote balanced work schedules, and foster supportive work environments can help reduce CF and enhance HW. These strategies may contribute to healthier, more resilient, and sustainable oncology care teams.
{"title":"Predictors of compassion fatigue and Happiness at Work: Insights from oncology professionals using multivariate regression analysis.","authors":"E Borges, Sandrina Sá, R Silva","doi":"10.1016/j.ejon.2026.103114","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103114","url":null,"abstract":"<p><strong>Purpose: </strong>Compassion fatigue (CF) and happiness at work (HW) are crucial determinants of well-being and performance among oncology professionals, who face high emotional demands. This study aimed to identify sociodemographic and professional predictors of CF and HW among oncology nurses and healthcare support workers.</p><p><strong>Method: </strong>A cross-sectional observational study was conducted in the oncology inpatient departments of a hospital in northern Portugal. A total of 285 professionals participated by completing a self-administered questionnaire that included the Professional Quality of Life Scale and the Shortened Happiness at Work Scale. Multiple linear regression analyses were performed to identify predictors of CF and HW dimensions.</p><p><strong>Results: </strong>Leisure activities and older age were found to be protective factors against CF. Working in emotionally demanding departments, such as Bone Marrow Transplant and Paediatrics, was associated with higher levels of burnout and secondary traumatic stress. Fixed work schedules and participation in leisure activities predicted greater job satisfaction and organisational commitment. The regression models accounted for 11 %-16 % of the variance in CF and HW dimensions.</p><p><strong>Conclusions: </strong>Both individual and workplace factors significantly influence oncology professionals' well-being. Interventions that encourage leisure activities, promote balanced work schedules, and foster supportive work environments can help reduce CF and enhance HW. These strategies may contribute to healthier, more resilient, and sustainable oncology care teams.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"81 ","pages":"103114"},"PeriodicalIF":2.7,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345735","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}
Pub Date : 2026-01-22DOI: 10.1016/j.ejon.2026.103109
Mengjiao Zhong , Xiaodan Wu , Xinxin Li , Jingyue Xie , Xiaoxuan Wang , Qianqian Du , Chen Yuan , Meifen Zhang
Purpose
Social isolation can affect frailty in elderly colorectal cancer patients. Despite previous research indicating significant correlations between social isolation, depression, health-promoting lifestyles, and frailty, the mechanisms of interaction remain unclear. The purpose of this study is to investigate the multiple sequential mediating effects of depression and health-promoting lifestyles on the relationship between social isolation and frailty among elderly patients with colorectal cancer.
Methods
A cross-sectional survey was conducted with 280 colorectal cancer patients from a tertiary hospital. Participants completed questionnaires assessing general characteristics, frailty (Tilburg Frailty Scale), social isolation (Lubben Social Network Scale-6), depression (Hospital Depression Scale), and health-promoting lifestyles (Health-Promoting Lifestyle Profile II). Descriptive analysis, correlation, hierarchical multiple regression, and mediation analysis with the PROCESS macro were used.
Results
The results showed that 46.8 % of patients were frail. Depression and health-promoting lifestyles accounted for 31.43 % and 13.63 %, respectively, of the total effect of social isolation on frailty. Additionally, the chain mediation effects of depression and health-promoting lifestyles (4.61 %) were also significant.
Conclusion
This study found that social isolation can directly predict frailty in elderly patients and indirectly predict frailty through the mediating effects of depression and health-promoting lifestyles, as well as the chain mediation effects of depression and health-promoting lifestyles. Therefore, reducing social isolation and improving depression and health-promoting lifestyles in elderly colorectal cancer patients may help prevent the onset of frailty.
{"title":"Mediation effect of depression and health-promoting lifestyle between social isolation and frailty in elderly patients with colorectal cancer in China: A cross-sectional study","authors":"Mengjiao Zhong , Xiaodan Wu , Xinxin Li , Jingyue Xie , Xiaoxuan Wang , Qianqian Du , Chen Yuan , Meifen Zhang","doi":"10.1016/j.ejon.2026.103109","DOIUrl":"10.1016/j.ejon.2026.103109","url":null,"abstract":"<div><h3>Purpose</h3><div>Social isolation can affect frailty in elderly colorectal cancer patients. Despite previous research indicating significant correlations between social isolation, depression, health-promoting lifestyles, and frailty, the mechanisms of interaction remain unclear. The purpose of this study is to investigate the multiple sequential mediating effects of depression and health-promoting lifestyles on the relationship between social isolation and frailty among elderly patients with colorectal cancer.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted with 280 colorectal cancer patients from a tertiary hospital. Participants completed questionnaires assessing general characteristics, frailty (Tilburg Frailty Scale), social isolation (Lubben Social Network Scale-6), depression (Hospital Depression Scale), and health-promoting lifestyles (Health-Promoting Lifestyle Profile II). Descriptive analysis, correlation, hierarchical multiple regression, and mediation analysis with the PROCESS macro were used.</div></div><div><h3>Results</h3><div>The results showed that 46.8 % of patients were frail. Depression and health-promoting lifestyles accounted for 31.43 % and 13.63 %, respectively, of the total effect of social isolation on frailty. Additionally, the chain mediation effects of depression and health-promoting lifestyles (4.61 %) were also significant.</div></div><div><h3>Conclusion</h3><div>This study found that social isolation can directly predict frailty in elderly patients and indirectly predict frailty through the mediating effects of depression and health-promoting lifestyles, as well as the chain mediation effects of depression and health-promoting lifestyles. Therefore, reducing social isolation and improving depression and health-promoting lifestyles in elderly colorectal cancer patients may help prevent the onset of frailty.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"81 ","pages":"Article 103109"},"PeriodicalIF":2.7,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146116771","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}
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.
{"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}
Pub Date : 2026-01-10DOI: 10.1016/j.ejon.2025.103091
Suzanne J. Grant , Moe Thet Htaa , Maria Gonzalez , Kim Kerin-Ayres , Shelley Kay , Judith Lacey , Susannah Graham
Background
Neoadjuvant systemic therapy (NAST) for breast cancer can cause fatigue, neuropathy, and sleep disturbance, affecting treatment adherence and recovery. Early supportive care—including exercise, psychological support, and integrative therapies—may reduce side effects and improve outcomes. However, it remains unclear how best to deliver such care to optimise patient participation and effectiveness. This study explored the perspectives of women with breast cancer and healthcare professionals (HCPs) on the design and delivery of a multimodal supportive care program during NAST.
Methods
This descriptive qualitative study with conventional content analysis involved 24 participants: 12 women receiving neoadjuvant therapy, one receiving adjuvant therapy, and 11 HCPs across disciplines. Data were analysed thematically to identify key themes related to stakeholder knowledge, experiences, and perceived barriers and facilitators.
Results
Supportive care was viewed by both patients and healthcare professionals as critical to managing treatment-related side effects and maintaining quality of life. Stakeholders emphasised the need for early introduction, tailored delivery within a structured “program” format, and multidisciplinary coordination to support adherence and sustainability. Patients emphasised simplicity and the ability to ‘just sign up’ early in their treatment journey, ideally at diagnosis, with flexibility to adjust based on readiness.
Conclusions
Stakeholders viewed early, multimodal supportive care as a valuable strategy to manage treatment-related side effects and enhance recovery. Success depends on programs being flexible but structured (‘just sign up’), person-centered, and integrated into the oncology care pathway. Given emerging evidence that exercise during treatment may influence tumour biology and response, these insights can inform the design of interventions that can support both clinical and quality-of-life outcomes of cancer treatment.
{"title":"Stakeholder views on integrating prehabilitation in neoadjuvant therapy for breast cancer","authors":"Suzanne J. Grant , Moe Thet Htaa , Maria Gonzalez , Kim Kerin-Ayres , Shelley Kay , Judith Lacey , Susannah Graham","doi":"10.1016/j.ejon.2025.103091","DOIUrl":"10.1016/j.ejon.2025.103091","url":null,"abstract":"<div><h3>Background</h3><div>Neoadjuvant systemic therapy (NAST) for breast cancer can cause fatigue, neuropathy, and sleep disturbance, affecting treatment adherence and recovery. Early supportive care—including exercise, psychological support, and integrative therapies—may reduce side effects and improve outcomes. However, it remains unclear how best to deliver such care to optimise patient participation and effectiveness. This study explored the perspectives of women with breast cancer and healthcare professionals (HCPs) on the design and delivery of a multimodal supportive care program during NAST.</div></div><div><h3>Methods</h3><div>This descriptive qualitative study with conventional content analysis involved 24 participants: 12 women receiving neoadjuvant therapy, one receiving adjuvant therapy, and 11 HCPs across disciplines. Data were analysed thematically to identify key themes related to stakeholder knowledge, experiences, and perceived barriers and facilitators.</div></div><div><h3>Results</h3><div>Supportive care was viewed by both patients and healthcare professionals as critical to managing treatment-related side effects and maintaining quality of life. Stakeholders emphasised the need for early introduction, tailored delivery within a structured “program” format, and multidisciplinary coordination to support adherence and sustainability. Patients emphasised simplicity and the ability to ‘just sign up’ early in their treatment journey, ideally at diagnosis, with flexibility to adjust based on readiness.</div></div><div><h3>Conclusions</h3><div>Stakeholders viewed early, multimodal supportive care as a valuable strategy to manage treatment-related side effects and enhance recovery. Success depends on programs being flexible but structured (‘just sign up’), person-centered, and integrated into the oncology care pathway. Given emerging evidence that exercise during treatment may influence tumour biology and response, these insights can inform the design of interventions that can support both clinical and quality-of-life outcomes of cancer treatment.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103091"},"PeriodicalIF":2.7,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013200","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}
Pub Date : 2026-01-10DOI: 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.
{"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}
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