European Journal of Oncology Nursing最新文献

{"title":"Implementation of an eHealth-facilitated Integrated Care Model in Allogeneic Stem Cell Transplantation: The SMILe-ICM Project Belgium Context Analysis","authors":"Kristina Arnahoutova ,&nbsp;Kathy Goris ,&nbsp;Sabina De Geest ,&nbsp;Juliane Mielke ,&nbsp;Marielle Beckers ,&nbsp;Alexandra Teynor ,&nbsp;Lynn Leppla ,&nbsp;Sabine Valenta ,&nbsp;Hélène Schoemans","doi":"10.1016/j.ejon.2025.103033","DOIUrl":"10.1016/j.ejon.2025.103033","url":null,"abstract":"<div><h3>Purpose</h3><div>Allogeneic hematopoietic stem cell transplantation (AlloHSCT) survivors have complex needs and can benefit from eHealth-facilitated integrated care models (ICM), such as the SMILe-ICM (<strong><u>S</u></strong>te<strong><u>M</u></strong> cell transplantation faci<strong><u>L</u></strong>itated by <strong><u>e</u></strong>Health) which combines eHealth monitoring and support from an advanced practice nurse (APN). Originally developed in a Swiss/German context, it showed promising outcomes regarding mortality, rehospitalization and cost-effectiveness. Implementing the SMILe-ICM into a new setting with an existing electronic patient health record and APN support requires adaptations and selection of appropriate implementation strategies to fit the local practice. We aimed to perform a context analysis to identify barriers and facilitators to implementation and inform the effective transition of the SMILe-ICM to a different setting.</div></div><div><h3>Methods</h3><div>We performed a context analysis using the Basel Approach for coNtextual ANAlysis (BANANA). Based on implementation science principles, we took a mixed-methods multi-stakeholder approach to understand our local practice patterns, stakeholder expectations and needs regarding eHealth-based and nurse-led integrated post-alloHSCT care.</div></div><div><h3>Results</h3><div>The majority of alloHSCT patients were open to eHealth technologies and remote data-collection but patients struggled with issues related to shared-decision making, coping with daily life issues, self-management and health literacy. Healthcare providers emphasized the importance of providing appropriate training to both patients and healthcare staff regarding the SMILe-ICM, leveraging existing eHealth infrastructure, and ensuring cost-effective, sustainable implementation. The supplemental burden of eHealth data for both HCPs and patients was a key concern.</div></div><div><h3>Conclusion</h3><div>Our rigorous context-based approach proposes a blueprint highlighting key context insights to facilitate the implementation of eHealth ICMs in alloHSCT care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103033"},"PeriodicalIF":2.7,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524889","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}

{"title":"Strategies for improving healthcare provider communication with cancer patients about fertility preservation: a scoping review","authors":"Ying-Xiang Chen ,&nbsp;You Zhou ,&nbsp;Fu-Ying Ye,&nbsp;Xiao-Lan Zhang,&nbsp;Min Xu","doi":"10.1016/j.ejon.2025.103034","DOIUrl":"10.1016/j.ejon.2025.103034","url":null,"abstract":"<div><h3>Purpose</h3><div>This study seeks to consolidate practices that improve healthcare practitioners' communication about fertility preservation with cancer patients. Through a scoping review, we seek to inform the development and implementation of effective strategies moving forward.</div></div><div><h3>Methods</h3><div>Nine databases were searched, including PubMed, CINAHL, Web of Science, ProQuest, Cochrane Library, Embase, China National Knowledge Infrastructure, Wanfang Data, and VIP Database. The most recent search occurred on September 13, 2024. The inclusion criteria were established based on the PCC (Participants, Concept, Context) framework. The protocol for this scope review was unregistered.</div></div><div><h3>Results</h3><div>A total of 22 studies were included in this study, using 19 strategies to improve fertility preservation communication. These strategies were categorized into three main areas: educational tools, communication tools, and educational training. Educational tools comprised clinician instruction manuals, patient and family brochures, fertility risk assessment tools, fertility preservation option grids, educational videos, international guideline lists, checklists, and referral checklists. Communication tools included discussion scripts, stress eggs, automated reminder and recording systems, and the Frank narrative method. Educational training methods encompassed presentations, case studies, role play, video instruction, feedback and coaching, professional lectures, educational group meetings, and hands-on exercises.</div></div><div><h3>Conclusion</h3><div>Strategies for communicating fertility preservation enhanced healthcare practitioners' knowledge, communication abilities, satisfaction, and self-efficacy, while also improving the quality and frequency of communication. The results of this study hold considerable significance for healthcare practitioners in delivering oncologic reproductive support, enhancing patient quality of life and the quality of fertility preservation choices.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103034"},"PeriodicalIF":2.7,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145528822","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}

{"title":"Identifying gender-specific treatment targets for depression in cancer survivors: Evidence from NHANES","authors":"Yiguo Deng ,&nbsp;Furong Chen ,&nbsp;Ying Xiong ,&nbsp;Siyu Li ,&nbsp;Qihan Zhang ,&nbsp;M. Tish Knobf ,&nbsp;Jiaying Li ,&nbsp;Zengjie Ye","doi":"10.1016/j.ejon.2025.103030","DOIUrl":"10.1016/j.ejon.2025.103030","url":null,"abstract":"<div><h3>Purpose</h3><div>Depression is a prevalent and heterogeneous symptom among cancer survivors, yet gender-specific differences in symptom patterns remain underexplored. This study aims to characterize gender-specific depressive-symptom networks in cancer survivors and identify optimal intervention targets via computer-simulated interventions.</div></div><div><h3>Methods</h3><div>In this cross-sectional study of 2141 cancer survivors from seven National Health and Nutrition Examination Survey (NHANES) cycles, we compared Patient Health Questionnaire-9 (PHQ-9) scores by gender. We used Gaussian graphical models to identify core symptoms, applied Bayesian network analysis to map symptom activation pathways, and conducted computer-simulated interventions to pinpoint gender-specific treatment targets.</div></div><div><h3>Results</h3><div>Overall, the average PHQ-9 scores were relatively low, suggesting very mild reported depressive symptoms. In men's networks, three central nodes, specifically “depressed mood”, “anhedonia”, and “psychomotor changes” emerged. “Worthlessness” was identified as the primary driver of “suicidal ideation”, with “worthlessness” and “fatigue” as the potential intervention targets. In women's networks, “depressed mood” served as the only core symptom driving “concentration difficulties”, with “depressed mood” and “psychomotor changes” as the potential intervention targets.</div></div><div><h3>Conclusion</h3><div>Distinct gender-specific differences in core depressive emerged in cancer survivors’ symptom networks. These findings provide direction for targeted psychosocial interventions in oncology care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103030"},"PeriodicalIF":2.7,"publicationDate":"2025-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145532985","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}

{"title":"Supporting women with adherence to adjuvant endocrine therapy (SWEET): feasibility study of the HT&Me intervention","authors":"Lucy McGeagh ,&nbsp;Sarah-Jane Stewart ,&nbsp;Ruth Norris ,&nbsp;Mary Wells ,&nbsp;Sue Thompson ,&nbsp;Phil Mawson ,&nbsp;Jo Brett ,&nbsp;Mark Turner ,&nbsp;Jane Wolstenholme ,&nbsp;Helen Dakin ,&nbsp;Peter Donnelly ,&nbsp;Henry Cain ,&nbsp;Farah Rehman ,&nbsp;Sally Kum ,&nbsp;Rob Horne ,&nbsp;Guy Taylor ,&nbsp;Lesley Turner ,&nbsp;Jan Rose ,&nbsp;Linda Sharp ,&nbsp;Eila Watson","doi":"10.1016/j.ejon.2025.103026","DOIUrl":"10.1016/j.ejon.2025.103026","url":null,"abstract":"<div><h3>Purpose</h3><div>Women with estrogen receptor-positive breast cancer are recommended daily oral adjuvant endocrine therapy for at least 5 years, but up to 50 % discontinue early. We assessed an evidence-based, theoretically-informed, patient-centred intervention (HT&amp;Me) to support adjuvant endocrine therapy adherence and improve quality-of-life, in terms of patient acceptability and feasibility to deliver within the UK National Health Service.</div></div><div><h3>Methods</h3><div>This single arm study aimed to recruit 45 women with stage I-III breast cancer within 14 weeks of first adjuvant endocrine therapy prescription. After completing baseline questionnaires, participants received the HT&amp;Me intervention comprising: (i) a short animation; (ii) two personalised nurse/practitioner consultations (in-person or online); (iii) an interactive web-app; and (iv) regular email reminders. Participants completed follow-up questionnaires at 8 weeks. A sub-sample of participants (n = 20) and health professionals (n = 14) participated in semi-structured interviews.</div></div><div><h3>Results</h3><div>We recruited 51 participants. Participants varied in digital confidence at recruitment (low/moderate, 28 % (n = 14); high, 61 % (n = 31)). HT&amp;Me was demonstrated as feasible to deliver. Overall, 69 % (n = 35) engaged with the web-app; 87 % (n = 40/46) found HT&amp;Me helpful; and 80 % (n = 36/45) reported it motivated them to keep taking endocrine therapy. Both consultation formats were considered acceptable. Completion of outcome measures was high. Health professionals considered HT&amp;Me addresses an important unmet need.</div></div><div><h3>Conclusions</h3><div>HT&amp;Me is feasible, acceptable and helpful to women. Findings provided valuable insights for design and delivery of the full-scale randomised controlled trial assessing effectiveness now underway (ISRCTN24852890). HT&amp;Me offers potential to improve adjuvant endocrine therapy adherence, thereby reducing recurrence risk for women with estrogen receptor positive breast cancer.</div></div><div><h3>Study registration ISRCTN number</h3><div>ISRCTN29401613</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103026"},"PeriodicalIF":2.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145796603","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}

{"title":"Investigation of the effect of active cycle of breathing techniques on respiratory distress symptom cluster in patients with lung cancer: A randomised controlled trial","authors":"Doga Ulcay ,&nbsp;Semiha Akin Eroglu","doi":"10.1016/j.ejon.2025.103029","DOIUrl":"10.1016/j.ejon.2025.103029","url":null,"abstract":"<div><h3>Purpose</h3><div>This two-centre, randomised controlled, pre-test–post-test design study aimed to evaluate the effect of Active Cycle of Breathing Techniques (ACBT) on dyspnoea, cough, and fatigue, which comprise the Respiratory Distress Symptom Cluster (RDSC) in patients with lung cancer.</div></div><div><h3>Methods</h3><div>The sample included 73 patients with non-small cell lung cancer (NSCLC) undergoing their first cycle of chemotherapy (36 intervention, 37 control). Data were collected using the Cancer Dyspnoea Scale (CDS), Leicester Cough Questionnaire (LCQ), and Hirai Cancer Fatigue Scale (HCFS). The intervention group received ACBT training and performed exercises twice daily with the support of a video. Follow-up calls were made weekly (days 7, 14, 21). Pre-test assessments were conducted on the first day of chemotherapy; post-tests were completed on day 28.</div></div><div><h3>Results</h3><div>Demographic and clinical characteristics did not differ significantly between the two groups. In the intervention group, significant improvements were observed in dyspnoea and fatigue, as indicated by decreased CDS and HCFS scores, and in cough-related quality of life, as reflected by increased LCQ scores (p = 0.000). Additionally, strong and significant correlations were found among the total and subscale scores of the CDS, LCQ, and HCFS within the intervention group (p = 0.000), supporting the pre.</div><div>sence of a RDSC.</div></div><div><h3>Conclusions</h3><div>ACBT demonstrated a positive impact on dyspnoea, cough, and fatigue in lung cancer patients. Integrating ACBT into routine nursing care is recommended to support the management of the RDSC in patients with lung cancer.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103029"},"PeriodicalIF":2.7,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514874","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}

{"title":"Post-embolisation syndrome trajectories and predictors in patients with hepatocellular carcinoma undergoing transarterial chemoembolisation: A retrospective study","authors":"Myoung Soo Kim","doi":"10.1016/j.ejon.2025.103031","DOIUrl":"10.1016/j.ejon.2025.103031","url":null,"abstract":"<div><h3>Purpose</h3><div>Although post-embolisation syndrome (PES) is a well-known adverse effect, little is known about its trajectory across repeated transarterial chemoembolization (TACE) sessions. This study aimed to examine longitudinal changes in PES occurrence across repeated TACE sessions and to explore whether the predictors of PES vary depending on the treatment session.</div></div><div><h3>Methods</h3><div>This study comprised a retrospective review of 1491 records of TACE from a single tertiary hospital. Clinical data including tumour characteristics, procedural details, and laboratory parameters were extracted. Descriptive statistics, chi-square tests, analysis of variance (ANOVA) with Scheffé post-hoc tests, and Pearson correlations analyses were performed. A generalised linear mixed model with random intercepts was applied and sensitivity analyses were conducted to test the robustness of the model.</div></div><div><h3>Results</h3><div>PES occurrence remained stable up to the eighth session but showed greater variability and a resurgence in frequency after the 14th TACE. Elevated post-TACE alanine aminotransferase (ALT) levels were consistently associated with increased odds of PES across all treatment phases, with a five-fold higher risk observed after the 14th session (OR = 5.17, p = .27). Overall, liver enzyme and immune-inflammatory markers such as ALT and C-reactive protein (CRP)-to-lymphocyte ratio were the primary determinants influencing PES trajectory.</div></div><div><h3>Conclusions</h3><div>This study identified the longitudinal trajectory and predictors of PES across repeated TACE sessions, showing increased incidence after the 14th session and consistent associations with hepatic and immune-inflammatory markers. These findings highlight the need for phase-specific, nurse-led monitoring and hepatoprotective care to manage evolving PES risks throughout the TACE trajectory.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103031"},"PeriodicalIF":2.7,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551484","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}

{"title":"Family-based belief interventions to enhance resilience in breast cancer patients undergoing chemotherapy: A qualitative study","authors":"Dwi Retnaningsih ,&nbsp;Nursalam ,&nbsp;Hanik Endang Nihayati ,&nbsp;Ferry Efendi ,&nbsp;Mira Triharini","doi":"10.1016/j.ejon.2025.103025","DOIUrl":"10.1016/j.ejon.2025.103025","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to explore the mechanisms and perceived impact of faith-based family interventions on psychological resilience among breast cancer patients undergoing chemotherapy.</div></div><div><h3>Methods</h3><div>This study employed a qualitative methodology with a phenomenological design to investigate how relatives of patients with breast cancer have dealt with offering faith-based support throughout chemotherapy. Twenty family members of patients, purposefully chosen, participated in semi-structured interviews to gather the data. Field notes, an interview guide, and a demographic data questionnaire are among the study tools. Face-to-face interviews were conducted, videotaped with consent, and subjected to thematic analysis using NVivo software. Peer debriefing, member verification, triangulation, and audit trail recording all help preserve the authenticity of the data.</div></div><div><h3>Results</h3><div>In this study, 20 family members of patients with breast cancer receiving chemotherapy participated. Four major themes emerged from the data analysis: information requirements, family resilience, caregiving obstacles, and types of family support (emotional, informational, instrumental, esteem, and spiritual). These themes highlight the importance of families playing an active role in supporting patients with their treatment.</div></div><div><h3>Conclusions</h3><div>Interventions based on family beliefs are crucial for enhancing breast cancer patients' quality of life and resilience during chemotherapy. Integrating faith-based family support into oncology nursing practice is crucial for improving the quality of life and resilience of patients with breast cancer by including their families in their treatment.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103025"},"PeriodicalIF":2.7,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524887","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}

{"title":"Stratified linear regression analysis of factors associated with chemotherapy-induced taste alterations in gastrointestinal cancer patients: A cross-sectional study in China","authors":"Shi Yin ,&nbsp;Dongjing Xie ,&nbsp;Rongya Wang ,&nbsp;Jiao Qian ,&nbsp;Xiaofen Shi ,&nbsp;Honghong Wang","doi":"10.1016/j.ejon.2025.103027","DOIUrl":"10.1016/j.ejon.2025.103027","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the incidence, influencing factors, and clinical correlates of Chemotherapy-Induced Taste Alteration (CITA) in patients with gastrointestinal cancer.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted involving 170 gastrointestinal cancer patients from a tertiary hospital in China. Participants completed the Chemotherapy-Induced Taste Alteration Scale (CITAS), the Index of Nausea, Vomiting, and Retching (INVR), and the Patient-Generated Subjective Global Assessment (PG-SGA). Data were analyzed using descriptive statistics, univariate analyses, correlation, and hierarchical regression to identify key predictors and interaction effects.</div></div><div><h3>Results</h3><div>The incidence of CITA was 74.7 %. The most prevalent issues were overall taste change (71.8 %) and feeding disturbance (45.9 %). Female gender, age &lt;65, religious belief, plant alkaloid use, and higher chemotherapy cycles were significantly associated with worse CITA. Hierarchical regression revealed that retching (β = .80, p &lt; .001) and nutritional status (β = .36, p &lt; .001) were the strongest independent predictors, collectively explaining 47.0 % of the variance in CITAS scores. Interaction effects showed that the retching-CITA relationship was stronger in females but attenuated in patients receiving plant alkaloids.</div></div><div><h3>Conclusions</h3><div>CITA is highly prevalent in gastrointestinal cancer patients and is closely linked to retching and nutritional status. A stratified management approach is recommended, integrating standardized nutritional assessment with personalized antiemetic strategies, particularly for high-risk subgroups such as female patients. Future multicenter longitudinal studies are needed to elucidate causal pathways and optimize precision interventions for CITA.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103027"},"PeriodicalIF":2.7,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508045","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}

{"title":"Experiences of exercise and its significance for the quality of life among patients with advanced cancer – A qualitative study","authors":"Essi Nikkinen ,&nbsp;Eeva Harju ,&nbsp;Annastiina Hakulinen ,&nbsp;Teemu J. Murtola ,&nbsp;Jorma Sormunen ,&nbsp;Elina Haavisto","doi":"10.1016/j.ejon.2025.103028","DOIUrl":"10.1016/j.ejon.2025.103028","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the experiences of patients with advanced cancer regarding exercise and its significance for their quality of life.</div></div><div><h3>Methods</h3><div>A total of 17 patients participated in the study and were individually interviewed using semi-structured thematic interviews between April 2023 and April 2025. The interview data were subjected to inductive content analysis.</div></div><div><h3>Results</h3><div>Most patients with advanced cancer exercised several times weekly, for several hours each week. Patients engaged actively in aerobic activities, but the number of muscle-strengthening activities and stretching was limited. Following the onset of advanced cancer, patients’ ability to exercise declined, while their perceived importance of exercise increased. According to the experiences of patients with advanced cancer, exercise facilitated the preservation of health and contributed to the preservation of overall well-being.</div></div><div><h3>Conclusion</h3><div>At the onset of advanced cancer, healthcare professionals should discuss patients’ exercise habits and ensure that both the quantity and type of exercise are appropriate. If necessary, patients should be offered informational and practical support for implementing healthier exercise habits. Moreover, based on the experiences of patients with advanced cancer, exercise is perceived to have exclusively beneficial consequences for quality of life.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103028"},"PeriodicalIF":2.7,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145528820","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}

{"title":"Breast cancer in the cycle of hope and hopelesness: A qualitative research","authors":"Behice Belkıs Çalışkan ,&nbsp;Figen Şengün İnan ,&nbsp;Reyhan Doğan ,&nbsp;Yasemin Nazlı","doi":"10.1016/j.ejon.2025.103024","DOIUrl":"10.1016/j.ejon.2025.103024","url":null,"abstract":"<div><h3>Purpose</h3><div>Hope is a crucial psychological resource that influences adaptation and coping during the cancer journey. This study aimed to explore the lived experiences of hope and hopelessness among breast cancer survivors.</div></div><div><h3>Methods</h3><div>A descriptive qualitative design was employed. Semi-structured, in-depth interviews were conducted with 19 women who had completed their hospital-based treatment for breast cancer within the past 3–5 years. Data were collected via Zoom and analyzed using inductive content analysis. The study was reported by the COREQ checklist.</div></div><div><h3>Results</h3><div>Four main themes emerged from the data: (1) The cycle of hope (fluctuations across diagnosis, treatment, and post-treatment); (2) Sources of hope (acceptance, positive appraisal of treatment, social and professional support); (3) Factors threatening hope (association with death, symptom burden, stigma, emotional isolation, caregiving responsibilities, and lack of professional support); and (4) Strategies to sustain hope (faith, remaining connected to life, cognitive reframing, treatment adherence, and redefining suffering as a shared human experience). Participants described hope as a shifting and vital internal force that helped them navigate uncertainty, while hopelessness was triggered by a lack of control, negative bodily changes, and unsupportive interactions with healthcare professionals.</div></div><div><h3>Conclusion</h3><div>Hope and hopelessness coexist as dynamic and fluctuating experiences in breast cancer survivors. These emotional responses are shaped by personal meaning-making, social context, and the quality of care interactions. Nurses should assess hope-related risks and offer targeted interventions. Hope-focused communication, emotional acknowledgment, and tailored psychosocial support can reduce hopelessness and improve survivors’ well-being.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103024"},"PeriodicalIF":2.7,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145535018","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}