Seminars in Oncology Nursing最新文献

{"title":"Different Level and Difficulties with Financial Burden in Multiple Myeloma Patients and Caregivers: A Dyadic Qualitative Study","authors":"YoungJu Park ,&nbsp;Sooyeon Kim ,&nbsp;Nayeon Kim ,&nbsp;Jeong Hyun Park ,&nbsp;Garam Bang ,&nbsp;Danbee Kang ,&nbsp;Sang Eun Yoon ,&nbsp;Kihyun Kim ,&nbsp;Juhee Cho ,&nbsp;Seok Jin Kim","doi":"10.1016/j.soncn.2025.151848","DOIUrl":"10.1016/j.soncn.2025.151848","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the multifaceted financial burden experienced by patients with multiple myeloma (MM) and their caregivers, focusing on direct and indirect costs, as well as variability and discordance in perceived financial burdens.</div></div><div><h3>Methods</h3><div>A dyadic qualitative study was conducted with 40 patient-caregiver pairs recruited from a tertiary hospital in Seoul, Korea. Semistructured interviews were used to explore participants' experiences with financial burden, and thematic analysis was performed to identify key themes. Quantitative analyses were also conducted to examine clinical and sociodemographic data.</div></div><div><h3>Results</h3><div>A total of 80 participants (41 patients and 39 caregivers) were enrolled. Patients had a median age of 70 years, with a median time since diagnosis of 24 months. Financial burdens were categorized into direct medical and nonmedical costs, as well as indirect costs such as income loss. Variability in financial burden was influenced by factors such as patient age, disease state, and financial stability. Caregivers, particularly adult children, reported a broader perspective on the long-term financial impact, while patients focused on immediate costs. Discordance in perceived burden was evident in over 75% of dyads, with caregivers often perceiving a heavier burden than patients.</div></div><div><h3>Conclusions</h3><div>The financial burden of MM is complex and evolves over time, with notable differences between patient and caregiver perceptions. Caregivers bear significant nonmedical and indirect costs, while patients emphasize immediate financial concerns. These findings highlight the need for family-wide financial counseling and support to address the evolving nature of financial toxicity throughout the disease journey.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses play a vital role in addressing the financial burdens of MM patients and caregivers. They should facilitate open communication to align expectations, provide financial counseling, and advocate for family-centered care. By supporting tailored interventions and resource access, nurses can help reduce financial burden, improving the overall well-being of patients and their families.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151848"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability of an Electronic Patient-Reported Outcomes-Based Model of Care to Monitor Symptoms Related to Cancer Treatment with Immune Checkpoint Inhibitors: Results from the IePRO Randomized Controlled Trial","authors":"André Manuel da Silva Lopes ,&nbsp;Stellio Giacomini ,&nbsp;Ambily Ulahannan ,&nbsp;Celia Darnac ,&nbsp;Sebastien Bugeia ,&nbsp;Garance Gutknecht ,&nbsp;Sara Colomer-Lahiguera ,&nbsp;Gilliosa Spurrier-Bernard ,&nbsp;Sofiya Latifyan ,&nbsp;Alfredo Addeo ,&nbsp;Olivier Michielin ,&nbsp;Manuela Eicher","doi":"10.1016/j.soncn.2025.151903","DOIUrl":"10.1016/j.soncn.2025.151903","url":null,"abstract":"<div><h3>Objectives</h3><div>This study analyzed the acceptability of an electronic patient-reported outcomes measures-based model of care (IePRO MoC) and the usability of its complementary ePROM mobile app to monitor and manage symptoms related to immune checkpoint inhibitors. In this MoC, symptoms reported by patients treated at an outpatient clinic were reviewed by oncology triage nurses who provided symptom management interventions by telephone.</div></div><div><h3>Methods</h3><div>As part of a larger intervention trial (ClinicalTrials.gov.NCT05530187) we conducted an abductive, semantic thematic analysis through semistructured interviews of patients participating in the intervention arm. Acceptability was deduced from Sekhon et al’s (2017) Theoretical Framework of Acceptability completed with inductively generated themes. Usability analysis was guided by the mHealth App Usability Questionnaire’s domains by Zhoul et al (2019).</div></div><div><h3>Results</h3><div>A total of 17 interviews were performed. The IePRO MoC was reported to be an acceptable intervention. Patients expressed feeling safe and empowered due to continuous monitoring and timely support from nurses. Personalized support motivated patients to use the MoC throughout treatment. Some questioned the predefined response options of the app, and the standardized approach regarding notifications and monitoring requirements. Despite high app usability, some expressed discomfort from being frequently reminded of their illness and being confronted with questions about their sexuality and other intimate themes.</div></div><div><h3>Conclusions</h3><div>The feedback loop between patients and nurses facilitated the acceptability of the IePRO MoC. The app’s usability further facilitated adherence to the MoC. A more personalized approach regarding the frequency of assessments and the way symptoms are conveyed is recommended to decrease discomfort and support the implementation of similar MoCs in the future.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151903"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Taste Alterations in Pediatric Oncology Patients Undergoing Hematopoietic Stem Cell Transplantation: A Systematic Review and Meta-Analysis","authors":"Eyşan Hanzade Savaş ,&nbsp;Aylin Akça Sümengen ,&nbsp;Ayşe Ay ,&nbsp;Münevver Erkul ,&nbsp;İlçim Ercan Koyuncu ,&nbsp;Gökçe Naz Çakır ,&nbsp;Remziye Semerci","doi":"10.1016/j.soncn.2025.151909","DOIUrl":"10.1016/j.soncn.2025.151909","url":null,"abstract":"<div><h3>Background and Aim</h3><div><span>Taste alterations are common yet often overlooked side effects<span> in pediatric oncology patients undergoing </span></span>hematopoietic stem cell transplantation<span><span> (HSCT), impacting nutrition and quality of life. This </span>systematic review<span> and meta-analysis aimed to synthesize evidence on the prevalence, characteristics, and treatment phase-specific changes in taste perception among these patients.</span></span></div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted across 6 academic databases—PubMed, Cochrane Library, MEDLINE (via Ovid), Scopus, Web of Science, and CINAHL—covering publications up to February 13, 2025. Data extraction and quality appraisal were independently performed by 2 reviewers using the QualSyst tool (The Standardized Quality Assessment Criteria for Evaluating Primary Research Articles from Various Fields) for quantitative studies. This systematic review was registered in PROSPERO (ID: CRD42025646761) and conducted by the PRISMA guidelines.</div></div><div><h3>Results</h3><div><span><span>The included studies involved 1,403 pediatric patients aged 0.4-29.9 years. Taste alterations were prevalent, particularly during the early post-transplant phases, with symptoms including dysgeusia, changes in </span>taste thresholds, and reduced sensitivity to sweet and salty tastes. The meta-analysis revealed an event rate of 0.457 (95% CI: 0.330-0.590), which was not statistically significant (</span><em>P = .</em>529).</div></div><div><h3>Conclusion</h3><div>Taste alterations are frequent in pediatric HSCT patients, varying by treatment phase and assessment method. Early identification and management strategies are essential to mitigate their impact on nutrition and quality of life. Further research is needed to standardize assessment tools and intervention strategies.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151909"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“It Is Kind of Invisible Work”: Lived Experiences of Informal Caregivers of People with a Brain Tumor","authors":"Anna Zanotto ,&nbsp;Chris McVittie ,&nbsp;Karen Goodall ,&nbsp;Marion Ellison","doi":"10.1016/j.soncn.2025.151938","DOIUrl":"10.1016/j.soncn.2025.151938","url":null,"abstract":"<div><h3>Objectives</h3><div>Primary brain tumor presents symptoms related to both cancer and neurological condition. Due to unique characteristics and related care demands, neuro-oncology family caregivers experience different challenges compared to family members of other cancer survivors. The purpose of this study was to understand the informal caregivers’ lived experiences of coping, support needs, and changes in relationships while caring for family member or friend with a brain tumor.</div></div><div><h3>Methods</h3><div>In-depth interviews were conducted with 10 informal caregivers of people diagnosed with a primary brain tumor. The mean age of participants was 45 years (range 19-68 years), and 90% of participants were female (<em>n</em> = 9). Time since diagnosis of the family member ranged from 1 month to 13 years (mean = 4 years). Interviews were transcribed verbatim and analyzed using Interpretative Phenomenological Analysis.</div></div><div><h3>Results</h3><div>Five interrelated themes were identified following the analysis: (1) Exhaustion and all-consuming role, (2) experiencing rupture and loss, (3) togetherness and isolation, (4) navigating healthcare and lack of support, and (5) anticipating grief. There was an overarching sense of loneliness, loss on multiple levels, and feeling invisible in their caregiving role.</div></div><div><h3>Conclusion</h3><div>Neuro-oncology caregiving was described as an extremely challenging and lonely experience. The current findings support calls for healthcare services redesign which would provide family-based cancer care.</div></div><div><h3>Implications for Nursing Practice</h3><div>Findings highlight the importance of involving informal caregivers of persons with a brain tumor in the treatment process and their important role be acknowledged.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151938"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring and Responding to What Matters in Patient Reported Outcomes: The What and the Why","authors":"Doris Howell","doi":"10.1016/j.soncn.2025.151942","DOIUrl":"10.1016/j.soncn.2025.151942","url":null,"abstract":"<div><h3>Objectives</h3><div>To discuss challenges in Patient Reported Outcome Symptom Screening in routine cancer care and the importance of personalized symptom management and patient involvement in care.</div></div><div><h3>Methods</h3><div>In this paper, the extant literature on routine symptom screening and monitoring in cancer care using Patient-Reported Outcome Measures is examined. This paper expands on ideas from a presentation given at the inaugural meeting of the Global Alliance for Symptom Science in Lausanne Switzerland, 2023. Ongoing challenges in measuring and responding effectively to “what matters” in routine screening to reduce symptom burden and quality of life is discussed.</div></div><div><h3>Results</h3><div>This paper provides a discussion based on key literature to identify key challenges that must be addressed for symptom screening to reduce symptom burden and improve quality of life and potential solutions as follows: (1) measuring what matters from the perspective of the person, (2) responding effectively to screening data from the lens of person-centered care, (3) measuring meaningful symptom improvement and health outcomes from the perspective of patients, and (4) engaging patients (and families) in self-management as co-contributors of symptom and health outcomes.</div></div><div><h3>Conclusion</h3><div>Patient reported outcomes can improve personalized symptom care, however a quality response to symptom data is essential.</div></div><div><h3>Implications for Nurses</h3><div>Nurses have long been identified as the cornerstone to effective symptom management; and they play a vital role in promoting a person-centered approach to PROs data and responding to ‘what matters’ to the person in the context of their daily life. Upskilling of nurses in self-management health coaching will be critical to building patient capacity as co-contributors to health outcomes.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151942"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancer Care for Refugees in Türkiye: Challenges and Achievements","authors":"Seda Güney ,&nbsp;Özlem Çiçek Doğan ,&nbsp;Gülcan Bağçivan","doi":"10.1016/j.soncn.2025.151879","DOIUrl":"10.1016/j.soncn.2025.151879","url":null,"abstract":"<div><h3>Objectives</h3><div>In Türkiye, which hosts over 3.6 million Syrian refugees seeking safety and stability, reducing inequalities in access to adequate cancer care is pivotal and multifaceted. This study aims to critically discuss cancer care provided for refugees in Türkiye, focusing on the barriers they face, and the progress in addressing these challenges.</div></div><div><h3>Method</h3><div>This discussion paper employs an environmental scan approach. Literature searches in both English and Turkish were conducted using databases Web of Science, PubMed, TR Dizin, and MEDLINE, focusing on keywords such as “refugees,” “cancer care,” and “immigrants.” Policy documents and regulations related to refugee health in Türkiye were also reviewed. The analysis incorporated information from official websites and online resources, including the Turkish Ministry of Health (MoH), Directorate General of Migration Management (DGMM), World Health Organization (WHO)United Nations High Commissioner for Refugees (UNHCR), United Nations Development Program (UNDP), and reports from the EU-funded SIHHAT Project. The Conceptual Framework for Health Service Use was utilized to structure the reporting and analysis of the literature, ensuring a comprehensive assessment of access to cancer care among refugees.</div></div><div><h3>Results</h3><div>Findings reveal multiple factors influence refugees' access to cancer care in Türkiye. Predisposing factors, such as language barriers, limited health literacy, and cultural beliefs about cancer, impact refugees’ willingness and ability to seek timely care. Enabling factors, including legal status, economic constraints, and availability of refugee-specific health services, significantly shape their access to diagnosis and treatment. Although policy reforms and community-based interventions aim to improve cancer care accessibility, need-based factors, such as delays in diagnosis and inadequate continuity of care, continue to hinder optimal healthcare utilization.</div></div><div><h3>Conclusion</h3><div>To ensure more inclusive cancer care, future strategies should focus on improving healthcare system navigation, strengthening financial and structural support, and enhancing the cultural competence of healthcare professionals. A comprehensive and sustainable approach is needed to bridge gaps and promote equitable cancer care access for all refugee populations.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses are crucial in improving cancer care for refugees by providing culturally sensitive education, enhancing communication between patients and healthcare providers, and advocating for health policies that address refugees’ specific needs. Strengthening the role of nurses in multidisciplinary teams will further enhance the delivery of holistic and patient-centered cancer care for refugees.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151879"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences in Recruitment for Hispanic, Non-Hispanic Black, and Other Non-White Cancer Survivors Through Community Outreach and Other Targeted Approaches","authors":"Memnun Seven ,&nbsp;Emefa Awo Adawudu ,&nbsp;Ann Marie Moraitis ,&nbsp;Brenda D Evans ,&nbsp;Susan Sturgeon ,&nbsp;Jennifer Wenzel ,&nbsp;Marilyn J. Hammer","doi":"10.1016/j.soncn.2024.151719","DOIUrl":"10.1016/j.soncn.2024.151719","url":null,"abstract":"<div><h3>Objectives</h3><div>Recruitment of racial/ethnic underserved populations in oncology research is essential to address health disparities. This article presents strategies and lessons learned from community outreach and other approaches for recruiting non-Hispanic Black, Hispanic, and other non-White survivors of cancer into a pilot study that investigated biopsychosocial determinants of health behaviors.</div></div><div><h3>Methods</h3><div>We critically examined the participant recruitment approaches to explore challenges and successful strategies and develop recommendations for future studies. Direct recruitment strategies included engaging with research staff members’ personal community contacts/liaisons and participating in community outreach events (eg, farmers’ markets, block parties, library events, cancer awareness events). Indirect recruitment strategies included posting and distribution of study flyers in community centers (eg, LIVESTRONG® at the YMCA, churches, libraries), online platforms (eg, FORCE, Survivor Journey website), and invitation letters sent to individuals identified as eligible through a single state cancer registry.</div></div><div><h3>Results</h3><div>Between April 2022 and May 2023, among the 64 individuals recruited, 36 were non-Hispanic Black, 25 were Hispanic, and three were American Indian/Alaska Native people. The use of a state cancer registry (64.1%), snowballing/word of mouth (7.8%), and advertisement through an established cancer support organization (ie, FORCE) website (7.8%) were the most effective strategies in this study.</div></div><div><h3>Conclusion</h3><div>Recruitment of non-Hispanic Black, Hispanic, and other non-White people into biobehavioral studies through community-engaged research is challenging and requires long-term commitment and engagement with partners from target communities and affiliated organizations.</div></div><div><h3>Implication for Nursing Practice</h3><div>Registries and community outreach events can build trust for successful enrollment. Using multiple strategies can provide the best opportunities to reach diverse populations and enroll them in cancer-related research studies.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151719"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Cold Therapy on the Prevention of Chemotherapy-Induced Peripheral Neuropathy in Oncology Patients: A Systematic Review Study","authors":"Zeliha Genç ,&nbsp;Ayda Kebapçı ,&nbsp;Gülbeyaz Can","doi":"10.1016/j.soncn.2025.151849","DOIUrl":"10.1016/j.soncn.2025.151849","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to investigate the effect of cold therapy on the prevention of chemotherapy-induced peripheral neuropathy in oncology patients.</div></div><div><h3>Methods</h3><div>This review was prepared based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes. The Medline, CINAHL, Embase, Cochrane Library, PubMed, Scopus and Web of Science databases were searched for studies published between January 1997 and June 2024. Two reviewers independently evaluated study suitability and extracted data. The Jadad critical appraisal scale and Methodological Index for Non-Randomized Studies (MINORS) risk of bias tool was used for quality assessment. The findings of this review are presented using a narrative synthesis.</div></div><div><h3>Results</h3><div>Overall, cold therapy was effective in preventing CIPN in more than half of the studies. Cold therapy methods such as cold hilotherapy, frozen gloves and socks, cold mitts and slippers, and cooling gloves/socks were found to be the most effective in six studies. In contrast, three studies that applied interventions like frozen gloves and socks, crushed ice, and various cooling methods did not show a significant effect.</div></div><div><h3>Conclusion</h3><div>Cold therapy was found to be a reasonable option for preventing CIPN in patients receiving taxane-based chemotherapy, as it does not result in serious side effects. Due to the heterogeneity of studies with different methods, sample sizes and measurement procedures for CIPN, it is difficult to make a clear statement about the duration and temperature of cold application that the patient can tolerate.</div></div><div><h3>Implications for Nursing Practice</h3><div>Cold therapy can provide a useful option for the prevention of CIPN in patients receiving taxane-based chemotherapy. Nurses should increase patient and provider awareness of the benefits of cold therapy for CIPN.</div></div><div><h3>PROSPERO registration ID</h3><div>CRD42024619942</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151849"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Equity in Cancer Care: A Nursing Priority for Overcoming Barriers","authors":"Ashleigh Ward,&nbsp;Memnun Seven,&nbsp;Gülcan Bagçivan,&nbsp;Amanda Drury","doi":"10.1016/j.soncn.2025.151900","DOIUrl":"10.1016/j.soncn.2025.151900","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151900"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening Cancer Nursing Workforce to Overcome Inequities in Cancer Care for People Living in Remote, Border, and Outer Island Areas of Indonesia","authors":"Ariesta Milanti ,&nbsp;Arisda Oktalia ,&nbsp;Retno Purwanti ,&nbsp;Fialisa Asriwhardhani","doi":"10.1016/j.soncn.2025.151888","DOIUrl":"10.1016/j.soncn.2025.151888","url":null,"abstract":"<div><h3>Objectives</h3><div>Promoting equitable cancer care is a tremendous challenge in Indonesia. This report highlights the Indonesian government’s efforts to establish equitable cancer care service for people living in remote, border, and outer island areas in Indonesia and the aspects of cancer nursing workforce that support the agenda.</div></div><div><h3>Methods</h3><div>This opinion paper integrates the critical aspects of cancer nurses' strengthening into the Indonesian government’s policy on equitable cancer care. Insights were drawn from the situational analysis of the cancer nursing workforce and 1-year evaluation of the national cancer care referral network program. The program will enable every regency/city, including those in the remote areas of Indonesia, to deliver specialist cancer care.</div></div><div><h3>Results</h3><div>A significant expansion of cancer care services that also cover remote areas requires strengthening the local cancer nursing workforce. Nurses should be equipped with extra capacities in terms of clinical competencies, professional competencies, communication skills, cultural awareness, and community engagement skills to effectively serve people in remote areas.</div></div><div><h3>Conclusions</h3><div>Overcoming inequities in cancer care requires comprehensive policies and programs, with strengthening the nursing workforce as one of the foundational pillars.</div></div><div><h3>Implications for Nursing Practice</h3><div>Cancer nurses working in remote areas should seize the educational opportunities coming from the national cancer care program. On the other hand, cancer nurses from more developed regions in Indonesia should also play an active role as preceptors to those in the least developed regions.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151888"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}