Seminars in Oncology Nursing最新文献

{"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}

{"title":"The Interplay of Psycho-Social Determinants on Quality of Life and Health Behaviors Among Hispanic, Non-Hispanic Black Cancer Survivors","authors":"Memnun Seven ,&nbsp;Ann Marie Moraitis ,&nbsp;Jessica Pearlman ,&nbsp;Allecia E. Reid ,&nbsp;Susan Sturgeon ,&nbsp;Jennifer Wenzel ,&nbsp;Marilyn J. Hammer","doi":"10.1016/j.soncn.2024.151698","DOIUrl":"10.1016/j.soncn.2024.151698","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore psycho-social factors (i.e., socio-demographics, health insurance, stress) associated with Quality of life (QOL) and the degree to which self-reported access to healthcare and health behaviors (i.e., fruit and vegetable consumption, physical activity) mediate the effects of psycho-social factors on QOL among Hispanic, non-Hispanic Black (NHB), and other non-White cancer survivors.</div></div><div><h3>Methods</h3><div>The descriptive cross-sectional study enrolled a total of 74 Hispanic (<em>n</em> = 26), NHB (<em>n</em> = 42), and other non-White (<em>n</em> = 6) people affected by cancer. QOL, physical activity, diet, stress, and survivorship care data were collected prospectively between June 2022-September 2023.</div></div><div><h3>Results</h3><div>The mean scores of QOL were moderate for global health (59.4 ± 21.4) and functional status (64.8 ± 22.2) and low for symptom experience (33.6 ± 19.4). Of the participants, 35.1% (<em>n</em> = 24) reported at least one challenge in accessing healthcare. The average daily consumption of fruits and vegetables was 2.44 ± 0.61 cup equivalents. Most participants had insufficient (37.8%) or minimal (47.3%) engagement in physical activity. Men and those with higher stress levels reported lower global health status. Higher stress level was associated with an increased likelihood of lower physical activity. Private insurance and some college education were associated with an increased likelihood of consuming more fruit and vegetables. Self-reported access to healthcare did not mediate the association between any of the variables and the global health score of QOL.</div></div><div><h3>Conclusions</h3><div>Hispanic, NHB and other non-White cancer survivors had moderate global health and functional status with lower symptom burden. Further research with a large sample is needed to explore the associations between health behaviors, access to care challenges, and other factors that may better explain determinants of QOL among non-White cancer survivors.</div></div><div><h3>Implications for Nursing Practice</h3><div>Findings suggest that tailored interventions should consider the interplay of psychosocial determinants to optimize health behaviors and QOL.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151698"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918058","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":"Fatigue Scale for Children With Cancer: A Systematic Review and Reliability Generalization Meta-analysis","authors":"Hyejung Lee ,&nbsp;Yoojin Kim ,&nbsp;Sumi Oh ,&nbsp;Chang-gi Park ,&nbsp;Hyunsoo Kim","doi":"10.1016/j.soncn.2025.151885","DOIUrl":"10.1016/j.soncn.2025.151885","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate the overall reliability of the Fatigue Scale, the most widely used instrument for assessing fatigue severity in paediatric oncology patients, and to identify factors influencing the magnitude of reliability estimates.</div></div><div><h3>Methods</h3><div>PubMed, CINAHL, PsycINFO, Medline, Scopus, Embase, and Google Scholar were systematically searched. From an initial 492 articles identified, 21 were selected for the final analysis. Reliability generalization meta-analyses were performed using Cronbach's alpha extracted from individual studies. A random-effects model was applied for the analysis.</div></div><div><h3>Results</h3><div>Most studies employed a cross-sectional design to assess fatigue symptoms in children and adolescents with various types of cancer. The mean weighted effect size for the total sample (n = 3,750) was 0.915 (95% CI = [0.888, 0.934]). A diagnosis of leukaemia/lymphoma was a significant moderator in the parent sample (effect estimate = 0.003, <em>P</em> &lt; .01), while the use of a language other than English significantly moderated reliability in both the parent (effect estimate = 0.301, <em>P</em> &lt; .01) and staff (effect estimate = –0.306, <em>P</em> &lt; .01) samples.</div></div><div><h3>Conclusions</h3><div>The Fatigue Scale is a highly reliable tool for assessing fatigue symptoms across different paediatric oncology populations. However, the reliability of the scale may be influenced by a diagnosis of leukaemia/lymphoma in children and language translation when used by parents and staff, requiring careful consideration when comparing and interpreting results.</div></div><div><h3>Implications for Nursing Practice</h3><div>A reliable tool, the Fatigue Scale, is crucial for guiding clinical nurses and researchers. They can adopt the scale to assess the effects of an intervention aimed at relieving fatigue in paediatric oncology patients.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151885"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058075","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":"How Does Family Function Affect the Activation Of patients With Cancer Anorexia Undergoing Chemotherapy? A Mixed Methods Study","authors":"Hongyue Zhong ,&nbsp;Fangyi Li ,&nbsp;Tian Xiao ,&nbsp;Chunmei Liu ,&nbsp;Qing Li ,&nbsp;Li Li ,&nbsp;Ruihan Xiao ,&nbsp;Linyu Zhou ,&nbsp;Xueqin Qiu ,&nbsp;Xiaoju Chen","doi":"10.1016/j.soncn.2025.151904","DOIUrl":"10.1016/j.soncn.2025.151904","url":null,"abstract":"<div><h3>Objective</h3><div>To understand the current status of patient activation among chemotherapy patients with Cancer-related Anorexia (CA) and explore the relationship between family function, negative emotions, and patient activation. Additionally, to clarify patients’ experiences in self-management and examine how family function influences their activation in disease management.</div></div><div><h3>Methods</h3><div>A total of 302 chemotherapy patients with CA participated in the questionnaire survey. The investigation utilized a general information questionnaire, the Patient Activation Measure, the Hospital Anxiety and Depression Scale, and the Family Care Index Questionnaire. Based on the quantitative research, qualitative research was conducted, involving semi-structured interviews with 16 chemotherapy patients with CA.</div></div><div><h3>Results</h3><div>The patient activation score for chemotherapy patients with CA was 66.08 ± 13.70, indicating a moderate level. Structural equation modeling analysis revealed that anxiety and depression acting as partial mediators between family function and patient activation. Interview results identified 3 main barriers to patient activation among chemotherapy patients with CA: (1) lack of self-management knowledge, (2) inadequate self-management behaviors, and (3) intrusion of negative emotions. Additionally, family function was found to promote patient activation through 2 key themes: (1) positive family adjustment and (2) a closer overall family atmosphere.</div></div><div><h3>Conclusions</h3><div>By integrating quantitative and qualitative evidence, this study uncovers the multifaceted processes shaping patient activation among individuals undergoing chemotherapy with CA. Family function emerges as a critical factor in both emotional regulation and the enhancement of patient activation.</div></div><div><h3>Implications for nursing practice</h3><div>The findings can guide healthcare professionals in helping chemotherapy patients with CA to identify the strengths and resources within family support, fully harnessing the role of family function to enhance patient activation.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151904"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095811","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":"Development of the TeLeo Pediatric Oncology Nurse Training Program to Address Latin American Nurse Specialization Inequity","authors":"Mariana Durañona ,&nbsp;Julia Challinor","doi":"10.1016/j.soncn.2025.151853","DOIUrl":"10.1016/j.soncn.2025.151853","url":null,"abstract":"<div><h3>Purpose</h3><div>Nurses caring for children/adolescents and families in Latin America are challenged to provide optimal care with minimal training. Educational resources are generally in English, and few facilities have sustainable, specialized nurse onboarding or continuing education programs. This project developed a free Spanish-language pediatric oncology nurse training program with three components, foundational onboarding course, continuing education monthly webinars, and specialty course on bone marrow transplant. All addressed inequities of pediatric oncology nursing specialization access required to provide the most effective nursing care across Latin America.</div></div><div><h3>Methodology</h3><div>The methodology for creating the TeLeo Pediatric Oncology Nurse Training Program followed Kern's six-steps for curriculum development. Two courses and one continuing education webinar series were developed. Curricula and webinar content were written and taught by regional expert pediatric oncology nurses. Participant satisfaction surveys served for evaluation data.</div></div><div><h3>Results</h3><div>Five onboarding course cohorts enrolled 3350 nurses, whose feedback informed curriculum modifications and additions. Another 1611 nurses attended the continuing education live webinars. Future content will consider care of underserved populations and challenging issues in the region, eg, migrants, sexual diversity and gender inequity. Much needed Portuguese programming for Brazilian nurses is under development.</div></div><div><h3>Significance</h3><div>TeLeo has responded to a significant inequity in access to regional-specific pediatric oncology nursing specialization. TeLeo's success demonstrates that nurse experts can support large numbers of nurses when governments, hospitals and nursing schools are not yet scaling up to meet the nursing workforce needs to care for this growing pediatric patient population requiring specialized care to survive.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 3","pages":"Article 151853"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009620","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}