Seminars in Oncology Nursing最新文献

Exploring Core Symptoms and Intersymptom Interrelationships in Patients Undergoing Postoperative Chemotherapy for Colorectal Cancer: A Network Analysis 探讨结直肠癌术后化疗患者的核心症状和症状间相互关系：网络分析。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2026-01-08 DOI: 10.1016/j.soncn.2025.152121

Xiaonan Wu, Biyao Wei, Xiaoxuan Chen, Xiuyan Tao, Limin Xia (Chief Nurse)

Objectives

This study is a cross-sectional one, aimed at identifying the core and bridge symptoms and exploring the interconnections among common symptoms in postoperative colorectal cancer patients undergoing chemotherapy, using a network analysis approach.

Methods

From July 2024 to December 2024, 288 patients who underwent postoperative chemotherapy for colorectal cancer at a tertiary care hospital in China were selected as study subjects. The Chinese version of the Anderson Symptom Assessment Scale—Gastrointestinal Module was utilized to investigate the symptomatology. Network analysis of 18 symptoms was conducted via R software. Core symptoms were identified through network centrality indicators, and the interrelationships between symptoms were delineated.

Results

Network analysis indicated that distress exhibited the highest strength, closeness, and betweenness centrality within the symptom network. The pairs of symptoms nausea-vomiting, sadness-distress, and anorexia-altered taste had the strongest intersymptom correlations. Three symptom clusters were extracted: Sensory abnormalities, metabolic disorders, digestive, and neuropsychiatric.

Conclusions

“Distress” constitutes the core symptom, with digestive and neuropsychiatric symptoms forming the core symptom clusters. Nausea-vomiting exhibited the strongest correlation within the network.

Implications for Nursing Practice

Healthcare professionals are advised to devise interventions that target these core symptoms and their interrelationships to facilitate precise symptom management and enhance the efficacy of clinical symptom management.

目的：本研究是一项横断面研究，旨在通过网络分析方法，识别结直肠癌术后化疗患者的核心症状和桥梁症状，探索常见症状之间的相互联系。方法：选取2024年7月至2024年12月在国内某三级医院行结直肠癌术后化疗的患者288例作为研究对象。采用中文版《安德森症状评估量表-胃肠模块》进行症状学调查。通过R软件对18个症状进行网络分析。通过网络中心性指标确定核心症状，并描绘症状之间的相互关系。结果：网络分析表明，在症状网络中，痛苦表现出最高的强度、亲密度和中间中心性。恶心-呕吐、悲伤-痛苦和厌食症-味觉改变的症状对具有最强的症状间相关性。三个症状群被提取：感觉异常，代谢紊乱，消化和神经精神。结论：“苦恼”是核心症状，消化症状和神经精神症状构成核心症状群。恶心呕吐在神经网络中表现出最强的相关性。对护理实践的启示：建议医疗保健专业人员设计针对这些核心症状及其相互关系的干预措施，以促进精确的症状管理，提高临床症状管理的疗效。

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引用次数: 0

Financial Hardship Among Newly Diagnosed Patients with Lung Cancer and Their Caregivers: A Dyadic Analysis 新诊断肺癌患者及其照顾者的经济困难：二元分析。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2026-01-08 DOI: 10.1016/j.soncn.2025.152119

Shumin Jia , Yongchun Cui , Denise Shuk Ting Cheung , Pui Hing Chau , Chia-Chin Lin

Objective

To assess the prevalence of financial hardship (FH) and examine its relationships with quality of life (QoL) and distress in newly diagnosed lung cancer patient–caregiver dyads.

Methods

This cross-sectional study included 218 lung cancer patient–caregiver dyads. FH outcomes were measured as general financial distress (Personal Financial Wellbeing Scale, PFW), material FH (MFH), psychological FH (PFH, Comprehensive Score for Financial Toxicity, COST), and behavioral FH (BFH). QoL was assessed using the 12-item Short Form Health Survey (SF-12) and distress using the NCCN Distress Thermometer (NCCN DT). Dyadic associations between FH, QoL, and distress were analyzed using Actor–Partner Interdependence Modeling (APIM).

Results

Mean (SD) PFW scores for patients and caregivers were 4.63 (2.08) and 5.13 (1.97), respectively. 10.1% of patients and 16.5% of caregivers reported MFH, and 46.3% of patients and 81.7% of caregivers experienced work disruptions. Mean (SD) COST scores were 16.56 (10.18) for patients and 19.83 (9.14) for caregivers. Financial sacrifices were reported in 54.6% of patients and 61.0% of caregivers. Significant correlations existed between patients' and caregivers' FH outcomes, QoL, distress, and work-related variables. Actor effects indicated that each dyad member's FH was associated with their own QoL and distress, whereas partner effects revealed that patients’ FH was associated with caregivers’ distress.

Conclusions

FH is prevalent among newly diagnosed lung cancer families and linked to poorer QoL and greater distress within and across dyad members. Early financial screening and dyad or family-centered interventions are essential to mitigate FH and its psychosocial impact.

Implications for Nursing Practice

Oncology nurses should incorporate early FH screening into routine assessments for both patients and caregivers, recognizing the interconnected nature of their experiences. Dyad or family-focused interventions addressing work disruptions, financial sacrifices, and psychological burden may help mitigate FH's impact on psychological well-being and QoL.

目的：评估新诊断肺癌患者-照顾者对经济困难（FH）的患病率，并探讨其与生活质量（QoL）和痛苦的关系。方法：本横断面研究纳入218对肺癌患者-护理者。FH结果测量为一般财务困境（个人财务健康量表，PFW），物质FH (MFH)，心理FH （PFH，财务毒性综合评分，COST）和行为FH （BFH）。生活质量采用12项简短健康调查（SF-12）评估，痛苦程度采用NCCN痛苦温度计（NCCN DT）评估。使用行动者-伙伴相互依赖模型（APIM）分析FH、QoL和痛苦之间的二元关联。结果：患者和护理人员的PFW平均（SD）评分分别为4.63（2.08）和5.13（1.97）。10.1%的患者和16.5%的护理人员报告了MFH， 46.3%的患者和81.7%的护理人员经历了工作中断。患者的平均（SD） COST评分为16.56分（10.18分），护理人员的平均（SD） COST评分为19.83分（9.14分）。54.6%的患者和61.0%的护理人员报告了经济上的牺牲。患者和护理者的FH结果、生活质量、痛苦和工作相关变量之间存在显著相关性。行动者效应表明，每一组成员的FH与他们自己的生活质量和痛苦有关，而伴侣效应表明，患者的FH与照顾者的痛苦有关。结论：FH在新诊断的肺癌家庭中普遍存在，并与较差的生活质量和更大的痛苦有关。早期财务筛查和以家庭为中心的干预措施对于减轻FH及其社会心理影响至关重要。对护理实践的启示：肿瘤科护士应将早期FH筛查纳入患者和护理人员的常规评估中，认识到他们经历的相互联系的本质。针对工作中断、经济牺牲和心理负担的夫妻或家庭干预措施可能有助于减轻FH对心理健康和生活质量的影响。

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引用次数: 0

An Exploration of Nursing Roles in Hereditary Colorectal Cancer- A Narrative Literature Review. 探讨护理在遗传性结直肠癌中的作用——叙述性文献综述。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2026-01-08 DOI: 10.1016/j.soncn.2025.152120

Mechelle Loughrey, Mary Forry, Roberta Horgan, Aisling Hegarty

Objectives: Hereditary colorectal cancer (CRC) syndromes, including Lynch syndrome and the adenomatous and hamartomatous polyposis conditions, account for up to 10% of CRC cases. Advances in molecular diagnostics and tumor-based testing have improved identification, yet access to genetic testing and lifelong surveillance remains inconsistent worldwide. This narrative review examines the evolving role of nurses in identifying, managing, and supporting individuals and families affected by hereditary CRC.

Methods: A narrative synthesis of international literature, clinical guidelines, and examples of nurse-led models of care from Europe, the United Kingdom, Canada, the United States, Australia, and other health systems was conducted. Articles were included if they addressed hereditary CRC epidemiology, genomic workforce issues, nursing roles, service delivery, or patient experience. A narrative approach was selected to integrate policy documents, and practice models not suited to systematic review methods.

Results: Five themes emerged: previvorship and living with inherited risk, genomics workforce capacity, evolving nursing roles, lifelong surveillance, and genomics education. Across health systems, nurses, particularly advanced nurse practitioners (ANPs), clinical nurse specialists (CNSs), and oncology nurses, play an increasingly significant role in hereditary CRC pathways. Their contributions include family history assessment, mainstreaming genetic testing, surveillance coordination, psychosocial support, and patient navigation. Nurse-led models improve access to testing, reduce diagnostic delays, and enhance surveillance adherence. However, roles remain inconsistent across jurisdictions, and challenges persist, including workforce shortages, variable genomics education, limited funding, and an uneven evidence base across the full spectrum of hereditary CRC syndromes.

Conclusions: Nurses act as coordinators across gastroenterology, surgery, oncology, genetics, and primary care- supporting equitable access and continuity throughout the hereditary CRC care trajectory. Despite their growing impact, nursing roles remain under-recognized in guidelines and under-evaluated in research. Systematic investment in genomics education, structured role development, and nurse-led models is required to deliver consistent, patient-centered hereditary CRC care.

Implications for nursing practice: Embedding genomics in nursing education, strengthening structured roles, and supporting nurse-led services within multidisciplinary frameworks are essential to improving equitable access and outcomes.

目的：遗传性结直肠癌（CRC）综合征，包括Lynch综合征、腺瘤和错构瘤性息肉病，占CRC病例的10%。分子诊断和基于肿瘤的检测的进步改善了识别，但在世界范围内获得基因检测和终身监测的机会仍然不一致。本文回顾了护士在识别、管理和支持受遗传性结直肠癌影响的个人和家庭方面不断发展的作用。方法：对来自欧洲、英国、加拿大、美国、澳大利亚和其他卫生系统的国际文献、临床指南和护士主导的护理模式进行叙事综合。涉及遗传性结直肠癌流行病学、基因组劳动力问题、护理角色、服务提供或患者体验的文章均被纳入。选择叙述方法来整合政策文件和不适合系统审查方法的实践模型。结果：出现了五个主题：遗传风险的前兆和生活，基因组学劳动力能力，不断发展的护理角色，终身监测和基因组学教育。在整个卫生系统中，护士，特别是高级执业护士（ANPs）、临床护理专家（CNSs）和肿瘤学护士，在遗传性结直肠癌的途径中发挥着越来越重要的作用。他们的贡献包括家族史评估、基因检测主流化、监测协调、社会心理支持和患者导航。护士主导的模式改善了获得检测的机会，减少了诊断延误，并加强了监测依从性。然而，各个司法管辖区的角色仍然不一致，挑战仍然存在，包括劳动力短缺、基因组学教育不稳定、资金有限以及遗传性CRC综合征全谱证据基础不平衡。结论：护士作为胃肠病学、外科、肿瘤学、遗传学和初级保健的协调者，支持在整个遗传性结直肠癌护理轨迹中公平获取和连续性。尽管护理的影响越来越大，但在指导方针和研究中，护理的作用仍未得到充分认识。需要对基因组学教育、结构化角色发展和护士主导模式进行系统投资，以提供一致的、以患者为中心的遗传性结直肠癌护理。对护理实践的影响：将基因组学纳入护理教育，加强结构化角色，并在多学科框架内支持护士主导的服务，对于改善公平获取和结果至关重要。

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引用次数: 0

Evaluation of the INCISIVE Services in Cancer Imaging: A Feasibility Study 肿瘤影像中精进服务的评估：可行性研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2026-01-07 DOI: 10.1016/j.soncn.2025.152088

Lithin Zacharias , Iman Hesso , Reem Kayyali , Andreas Charalambous , Elizabeth Katherine Anna Triumbari , Ioanna Chouvarda , Tatjana Loncar-Turukalo , Stavros Sykiotis , Chrysostomos Symvoulidis , Alberto Gutierrez-Torre , Dimitrios K. Nasikas , Magdalena Kogut–Czarkowska , Yiannis Roussakis , Christodoulou Maria , Liontou Maria , Susanna Ausso Trias , Didier Domínguez Herrera , Olga Tsave , Antonio Alcaraz , Dimitris Fotopoulos , Shereen Nabhani-Gebara

Objectives

To assess the acceptability, usability, trust, and satisfaction of the INCISIVE AI toolbox (a tool to diagnose and facilitate decisions in cancer care) and to understand implementation challenges and opportunities.

Methods

The user experience of the INCISIVE toolbox was evaluated based on 1,205 cases through a mixed-methods approach. The clinical team consisted of 24 healthcare professionals from 5 countries. Standardized tools were administered to assess the usability, acceptance, explanation, satisfaction, and trust of the INCISIVE toolbox. Face-to-face interviews were conducted to explore the secondary objectives of the study.

Results

The overall system usability was evaluated as moderate, with positive user experience and satisfaction. System usefulness and information quality were perceived as moderate, and healthcare professionals (HCPs) also believed INCISIVE enhanced their job performance. Satisfaction with the clarity of the system’s outputs was perceived as moderate. Overall, trust in the system remained stable throughout the study. Qualitative analysis revealed that the INCISIVE toolbox provides numerous benefits, such as reduced workload for HCPs, improved diagnostic accuracy, and enhanced patient trust.

Conclusion

Results demonstrated the comprehensive usability of the INCISIVE AI toolbox. This developed prototype needs to undergo further refinement before being fully deployed in a clinical setting, to achieve improved accuracy and gain the trust of HCPs and the public.

Implications for Nursing Practice

Nurses who are directly involved in oncology care, diagnostic coordination, or patient education can leverage AI-generated data such as the ones provided by INCISIVE to improve clinical decision-making and personalize patient care.

目的：评估INCISIVE人工智能工具箱（一种诊断和促进癌症治疗决策的工具）的可接受性、可用性、信任度和满意度，并了解实施的挑战和机遇。方法：采用混合方法对1205例INCISIVE工具箱的用户体验进行评估。临床小组由来自5个国家的24名保健专业人员组成。使用标准化的工具来评估INCISIVE工具箱的可用性、接受度、解释、满意度和信任度。面对面访谈是为了探讨研究的次要目标。结果：系统总体可用性评价为中等，用户体验和满意度为正。系统有用性和信息质量被认为是中等的，医疗保健专业人员（HCPs）也认为INCISIVE提高了他们的工作绩效。对系统产出明确性的满意程度一般。总体而言，在整个研究过程中，对该系统的信任保持稳定。定性分析表明，INCISIVE工具箱提供了许多好处，例如减少了HCPs的工作量，提高了诊断准确性，增强了患者的信任。结论：结果显示了INCISIVE AI工具箱的全面可用性。这一开发的原型需要进一步完善，才能在临床环境中全面部署，以提高准确性，并获得HCPs和公众的信任。对护理实践的影响：直接参与肿瘤护理、诊断协调或患者教育的护士可以利用人工智能生成的数据（如INCISIVE提供的数据）来改进临床决策和个性化患者护理。

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引用次数: 0

Shared Decision-Making in Curative Uro-Oncology: A Systematic Review 泌尿肿瘤治疗中的共同决策：系统综述。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2026-01-02 DOI: 10.1016/j.soncn.2025.152116

Line Bentsen , Trine Lund-Jacobsen , Christina Bøgh Jakobsen , Frida Marie Larsen , Ulla Nordström Joensen , Karin Piil , Anders Thyge Larsen , Helle Pappot

Objectives

To synthesize current evidence on shared decision-making (SDM) processes that guide the choice of curative-intent treatment among patients with prostate or bladder cancer.

Methods

Following PRISMA 2020 guidelines, we searched seven databases from inception to November 2024 for randomised, observational, and qualitative studies evaluating SDM in treatment selection for localized prostate or bladder cancer. Two reviewers independently screened, extracted data, and appraised quality using the Mixed-Methods Appraisal Tool.

Results

Ten studies (n = 11,506) met inclusion criteria: eight on prostate cancer, one on muscle-invasive bladder cancer, and one mixed cohort. Designs included three randomized controlled trials, five quantitative observational, and two qualitative studies. Structured interventions, decision aids, and joint consultations consistently reduced decisional conflict, improved satisfaction, and sometimes shifted choices toward preference-sensitive options. Nonetheless, reported “involvement” often masked gaps, including limited discussion of long-term side-effects and insufficient clarification of patient preference. Seven studies were rated minimal risk of bias, though many had small samples, restricted blinding, or lacked real-time quality-of-life data. Evidence for bladder cancer was limited to one exploratory study.

Conclusions

Structured SDM interventions and multidisciplinary counselling generally improve decision quality in curative-intended prostate or bladder cancer treatment. Yet, critical elements remain underutilized despite being highly valued by patients. Future work should extend to bladder cancer, incorporate patient-reported outcomes, and test scalable multidisciplinary SDM models to ensure informed, value-concordant care.

Implications for Nursing Practice

Oncology nurses are central to SDM by clarifying patient preferences, addressing side effects, and supporting decision aid use. Their sustained patient relationships foster trust and communication, while nurse-led roles—such as preference elicitation clinics, toxicity prehabilitation counselling, and survivorship navigation—offer structured opportunities to embed SDM. Scripts, checklists, and well-timed consultations can make these approaches consistent and sustainable in everyday practice.

目的：综合目前关于共同决策（SDM）过程的证据，指导前列腺癌或膀胱癌患者选择治疗目的治疗。方法：根据PRISMA 2020指南，我们检索了从成立到2024年11月的7个数据库，以评估SDM在局限性前列腺癌或膀胱癌治疗选择中的随机、观察和定性研究。两名审稿人独立筛选、提取数据，并使用混合方法评估工具评估质量。结果：10项研究（n = 11,506）符合纳入标准：8项前列腺癌，1项肌肉浸润性膀胱癌，1项混合队列。设计包括三个随机对照试验，五个定量观察研究和两个定性研究。有组织的干预、决策辅助和联合协商一致地减少了决策冲突，提高了满意度，有时还将选择转向偏好敏感选项。然而，报道的“受累”往往掩盖了差距，包括对长期副作用的有限讨论和对患者偏好的不充分澄清。7项研究被评为最小偏倚风险，尽管许多研究样本小，盲法受限，或缺乏实时生活质量数据。膀胱癌的证据仅限于一项探索性研究。结论：结构化SDM干预和多学科咨询通常可以提高前列腺癌或膀胱癌治疗的决策质量。然而，尽管受到患者的高度重视，但关键因素仍未得到充分利用。未来的工作应扩展到膀胱癌，纳入患者报告的结果，并测试可扩展的多学科SDM模型，以确保知情，价值一致的护理。对护理实践的启示：肿瘤护士是SDM的核心，通过澄清患者的偏好，解决副作用，并支持决策辅助的使用。他们持续的病人关系促进了信任和沟通，而护士主导的角色——如偏好诱导诊所、毒性康复咨询和幸存者导航——为嵌入SDM提供了结构化的机会。脚本、检查表和适时的咨询可以使这些方法在日常实践中保持一致和可持续。

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引用次数: 0

Missed Nursing Care in Cancer Units and Its Relationship with Cancer Nurses' Compassion Fatigue, Burnout, and Compassion Satisfaction: A Correlational Descriptive Study. 癌症病房护理缺失及其与癌症护士同情疲劳、倦怠和同情满意度的关系：一项相关描述性研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-30 DOI: 10.1016/j.soncn.2025.152117

Tuğba Pehlivan Sarıbudak, Begüm Yalçın

Objectives: Cancer nurses face heavy workloads and emotional strain, making missed nursing care (MNC)-the omission or delay of necessary care-a growing concern, particularly in oncology settings in which patient vulnerability is high. While professional quality of life (ProQOL), including compassion fatigue (CF), burnout (BO), and compassion satisfaction (CS), is known to affect care quality, its link to MNC in cancer units remains underexplored. This study aimed to examine the extent of missed nursing care in cancer clinics, as well as how CF, BO, and CS influence MNC.

Methods: A cross-sectional study was conducted with 147 nurses working in inpatient and outpatient oncology units in Türkiye. Data were collected via an online survey using the Professional Quality of Life Scale (ProQOL IV) and the Missed Nursing Care Survey. Analyses included descriptive statistics, nonparametric tests, correlation, and multiple linear regression.

Results: Nurses reported moderate-to-high CF and BO, and low-to-moderate CS. The most frequently missed care practice was emotional support for patients and their families. Key reasons for MNC included staffing shortages and limited resources. No significant relationship was found between CF or BO and MNC. However, lower CS was significantly associated with higher MNC. Regression analysis showed that working in public hospitals and low perceived social support significantly predicted MNC.

Conclusions: Missed nursing care is influenced by low CS, inadequate support, and challenging work environments, particularly in public hospitals.

Implications for nursing practice: Enhancing compassion satisfaction and institutional support may reduce missed care and improve cancer care quality.

目的：癌症护士面临着繁重的工作量和情绪压力，使得遗漏护理（MNC）——必要护理的遗漏或延迟——日益受到关注，特别是在肿瘤环境中，患者的脆弱性很高。虽然已知职业生活质量（ProQOL），包括同情疲劳（CF）、倦怠（BO）和同情满意度（CS）会影响护理质量，但其与癌症单位跨国公司的联系仍未得到充分探讨。本研究旨在探讨癌症诊所护理缺失的程度，以及CF、BO和CS如何影响MNC。方法：采用横断面研究方法对云南省肿瘤住院和门诊147名护士进行调查。数据通过使用专业生活质量量表（ProQOL IV）和错过护理调查的在线调查收集。分析包括描述性统计、非参数检验、相关性和多元线性回归。结果：护士报告中至高CF和BO，低至中度CS。最常被忽略的护理实践是对患者及其家属的情感支持。跨国公司的主要原因包括人员短缺和资源有限。CF或BO与MNC之间无显著关系。然而，较低的CS与较高的MNC显著相关。回归分析显示，在公立医院工作和低感知社会支持显著预测跨国公司。结论：护理缺失受低CS、支持不足和具有挑战性的工作环境的影响，特别是在公立医院。对护理实践的启示：提高同情满意度和机构支持可以减少遗漏护理和提高癌症护理质量。

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引用次数: 0

“How Could the Procedure be Done to Care for Them?”: An Interpretive Description Study of Procedural Care in a Pediatric Oncology Setting “怎么做才能照顾他们？”一项关于儿科肿瘤学环境程序性护理的解释性描述研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-28 DOI: 10.1016/j.soncn.2025.152118

Emma Kerr , Ruth Tan , Leisha Parkinson , Merrill Turpin , Amanda Carter , Natalie Bradford , Megan Simons

Objectives

This study addressed the research question "What are the components of Procedural Care in oncology that contribute to the best possible experience of medical procedures?"

Method

Using an interpretative description approach, semi-structured interviews were conducted to explore lived experiences of procedural care within their cancer journey or a supportive role.

Results

Seventeen interviews were completed with five health professionals (nursing and allied health), four young persons and eight carers, and transcribed verbatim. Three central organizing concepts were applicable across the three cohorts to describe the best possible "procedural care" experience: "Giving Us Choice," "Teaching Us" and "Supporting Us." Young people value having autonomy over decisions regarding procedures, with control across a continuum.

Conclusions

Young people and their carers felt empowered through supportive "procedural care" which was underpinned by principles of person-centred care, including collaboratively creating treatment plans and education on language use that was applicable regardless of the environment (eg, home vs hospital).

Implications for Nursing Practice

Nursing confidence in delivering "procedural care" may shape a child's lifelong engagement with healthcare and increase nursing workforce wellbeing.

目的：本研究解决了研究问题“肿瘤学程序护理的哪些组成部分有助于获得最佳的医疗程序体验？”方法：采用解释性描述方法，进行半结构化访谈，以探索他们在癌症旅程中程序性护理的生活经历或支持角色。结果：对5名卫生专业人员（护理和相关卫生）、4名年轻人和8名护理人员进行了17次访谈，并逐字记录。三个中心组织概念适用于三个队列，以描述可能的最佳“程序护理”体验：“给我们选择”，“教我们”和“支持我们”。年轻人重视在程序决策方面的自主权，并对整个过程进行控制。结论：年轻人和他们的照顾者通过支持性的“程序性照顾”感到有了能力，这种照顾是以人为本的照顾原则为基础的，包括合作制定治疗计划和语言使用教育，无论环境如何（例如，家庭还是医院）都适用。对护理实践的影响：提供“程序性护理”的护理信心可能会影响儿童对医疗保健的终身参与，并增加护理人员的福祉。

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引用次数: 0

Artificial Intelligence in Adolescent and Young Adult Cancer Care: A Discussion Paper 人工智能在青少年和青年癌症护理：讨论文件。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-27 DOI: 10.1016/j.soncn.2025.152091

Wendy McInally , Hannah R. Marston

Purpose

The number of adolescents and young adults (AYAs) with cancer has increased over the past 30 years. Fundamental to this process has been the combined contribution from nursing and other health care professionals.

Methods

The authors discuss artificial intelligence (AI) and digital technologies to support the care of AYAs with cancer in the United Kingdom. Two innovative projects are highlighted: (1) the development of a living lab and (2) a virtual clinical placement for undergraduate nursing students, currently being undertaken through higher education institutions and a cancer association in the United Kingdom that will embrace AI and digital technologies for the care delivery for young people with cancer.

Results

Evidence suggests AYAs with cancer face specific vulnerability in the social domain; fragile employment, finance, delayed education, and lost personal relationships remain a substantial problem. To combat these social inequalities, case 1 specifically focuses on these social aspects to build a community and combat the challenges and barriers experienced. Case 2 addresses the challenges of ensuring undergraduate nurses have exposure to AYAs with cancer to encourage more qualified nurses to have an interest in this area of care and seek a professional career within this specialty moving forward.

Conclusions

The discourse presented here sets the foundations for future (applied) research, ensuring that future practitioners and educators are equipped with the skills and knowledge pertaining to the integration and use of AI and eHealth technologies in the clinical environment.

Implications for Nursing Practice: This discussion paper presents two examples of the use of AI and technologies in AYA cancer care for nurses and other health care professionals. These examples are from work that is currently being developed and rolled out throughout the United Kingdom.

目的：在过去的30年里，青少年和青壮年（AYAs）患癌症的人数有所增加。这一过程的基础是护理和其他卫生保健专业人员的共同贡献。方法：作者讨论了人工智能（AI）和数字技术，以支持英国的aya癌症护理。重点介绍了两个创新项目：(1)开发一个生活实验室；(2)为本科护理学生提供虚拟临床实习，目前正在通过英国的高等教育机构和癌症协会进行，该协会将采用人工智能和数字技术为患有癌症的年轻人提供护理。结果：有证据表明，患有癌症的青少年在社会领域面临特殊的脆弱性；脆弱的就业、金融、延迟的教育和失去的人际关系仍然是一个严重的问题。为了对抗这些社会不平等，案例1特别关注这些社会方面，以建立一个社区，并对抗所经历的挑战和障碍。案例2解决了确保本科护士接触癌症患者的挑战，以鼓励更多合格的护士对这一护理领域产生兴趣，并在这一专业领域寻求职业生涯。结论：本文提出的论述为未来（应用）研究奠定了基础，确保未来的从业者和教育工作者具备在临床环境中整合和使用人工智能和电子卫生技术的技能和知识。对护理实践的影响：这篇讨论论文介绍了人工智能和技术在护士和其他卫生保健专业人员的AYA癌症护理中的两个例子。这些例子来自目前正在开发并在整个英国推广的工作。

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引用次数: 0

Service Delivery Models of Respite Care for Adults with Cancer: A Scoping Review 成人癌症暂息护理的服务提供模式：范围综述。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-26 DOI: 10.1016/j.soncn.2025.152089

Nasrin Kheibar , Azad Rahmani , Vahid Pakpour , Maryam Rassouli , Fatemeh Sadeghi-Ghyassi

Objective

To identify, describe, and compare existing gray literature and scientific evidence concerning delivery models of respite care for adults with cancer using the Donabedian Structure–Process–Outcome (SPO) framework.

Methods

Following Joanna Briggs Institute methodology, we systematically searched MEDLINE, PubMed, EMBASE, CINAHL, Cochrane Library, Scopus, Web of Science, Google Scholar, and gray literature. The search cutoff date was February 2025. Rayyan facilitated efficient screening. Data were coded and organized by SPO components.

Results

Sixty-one studies met inclusion criteria. Respite care in cancer and palliative contexts emerged as a primary concept with four subcategories: delivery models, definitions, needs, and goals. Delivery models identified included in-home, day-care, inpatient, informal, family-centered, bereavement, virtual reality–based, and caregiver café models. Using the SPO framework, model elements were organized into three categories. Structure encompassed financing, human resources, service scheduling, barriers, and facilitators. Process covered admission criteria, admission procedures, and services provided. Outcome comprised experiences and related consequences. Despite diversity among models, common features appeared frequently. Innovative models emphasize psychosocial needs alongside common general and specialized services for patients and caregivers. However, evidence on their effectiveness and comparative outcomes remains limited, with most studies conducted in high-income countries.

Conclusion

Despite variations, the similarities among delivery models suggest potential for general development. Given the predominance of studies from developed contexts, further research is necessary to evaluate the effectiveness and generalizability across cultures and to expand the measurement of clinical, organizational, and economic outcomes.

Implications for Nursing Practice

These outcomes can inform development and standardization of respite care protocols within the SPO framework. Nurses can establish guidelines and clinical pathways across care settings, such as in-home, day-care, inpatient, bereavement, and virtual models. Addressing barriers and facilitators will improve accessibility and use by patients and caregivers. Preparing nurses for diverse respite care roles may enhance caregiver trust and engagement.

目的：利用Donabedian结构-过程-结果（SPO）框架识别、描述和比较现有的关于成人癌症患者暂息护理交付模式的灰色文献和科学证据。方法：采用Joanna Briggs研究所的方法，系统检索MEDLINE、PubMed、EMBASE、CINAHL、Cochrane Library、Scopus、Web of Science、谷歌Scholar和灰色文献。搜索截止日期是2025年2月。Rayyan促进了有效的筛查。数据由SPO组件编码和组织。结果：61项研究符合纳入标准。癌症和姑息治疗背景下的临时护理作为一个主要概念出现，有四个子类：交付模式、定义、需求和目标。所确定的交付模式包括家庭、日托、住院、非正式、以家庭为中心、丧亲、基于虚拟现实和护理人员咖啡模式。使用SPO框架，模型元素被组织成三种类型。结构包括融资、人力资源、服务安排、障碍和促进因素。流程包括录取标准、录取程序和提供的服务。结果包括经验和相关后果。尽管模型之间存在差异，但经常出现共同的特征。创新模式强调心理社会需求以及为患者和护理人员提供的普通和专业服务。然而，关于其有效性和比较结果的证据仍然有限，大多数研究都是在高收入国家进行的。结论：尽管存在差异，但交付模式之间的相似性表明了普遍发展的潜力。鉴于来自发达国家的研究占主导地位，有必要进一步研究以评估跨文化的有效性和普遍性，并扩大临床、组织和经济结果的测量。对护理实践的影响：这些结果可以为SPO框架内的临时护理方案的发展和标准化提供信息。护士可以在家庭、日托、住院、丧亲之痛和虚拟模型等护理环境中建立指南和临床路径。解决障碍和促进因素将改善患者和护理人员的可及性和使用情况。为护士准备不同的临时护理角色可以提高护理人员的信任和参与。

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引用次数: 0

Artificial Intelligence in Cancer Care 癌症治疗中的人工智能。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-25 DOI: 10.1016/j.soncn.2025.152094

Andreas Charalambous , Nikolina Dodlek

引用次数: 0