Seminars in Oncology Nursing最新文献

{"title":"Toward Scalable Electromyography in Oncology: A Narrative Review of Normalization Challenges and Machine Learning Innovations.","authors":"Tania Karina Garcia-Vite, Achilleas Pavlou, Marios Avraamides, Christos I Ioannou","doi":"10.1016/j.soncn.2025.152064","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.152064","url":null,"abstract":"<p><strong>Objectives: </strong>Electromyography (EMG) is increasingly applied in oncology to monitor neuromuscular impairment, treatment toxicities, and rehabilitation outcomes. However, reliance on maximal voluntary contraction (MVC) normalization limits scalability, as many patients cannot perform safe and reliable MVCs due to fatigue, pain, or treatment-induced impairments. This narrative review evaluates the feasibility and clinical utility of machine learning (ML)-predicted MVCs as an alternative normalization method in oncology care.</p><p><strong>Methods: </strong>Peer-reviewed articles published between 2015 and 2025 were retrieved from PubMed, IEEE Xplore, ScienceDirect, SpringerLink, and open-access repositories. Search terms included electromyography, oncology, maximum voluntary contraction, machine learning, sarcopenia, cachexia, and rehabilitation.</p><p><strong>Results: </strong>Thirty-eight studies were included. Findings highlight that traditional MVC-based normalization is frequently infeasible in cancer populations due to neuromuscular compromise, variability in body composition, and safety risks. ML approaches, leveraging demographic, anthropometric, and submaximal EMG data, show promise for estimating MVC indirectly. Predictive models such as artificial neural networks and ensemble learners demonstrate potential to improve accuracy, reduce patient burden, and enable broader EMG integration into rehabilitation and survivorship monitoring. Clinical applications include safer exercise prescription, individualized progress tracking, and remote continuous monitoring through wearable sensors.</p><p><strong>Conclusions: </strong>ML-predicted MVCs may overcome longstanding barriers to EMG standardization in oncology. By reducing dependence on direct maximal efforts, these approaches can improve functional assessment accuracy, optimize rehabilitation strategies, and enhance patient-centered care.</p><p><strong>Implications for nursing practice: </strong>Oncology nurses and rehabilitation specialists could incorporate ML-supported EMG assessments into clinical and home-based programs, supporting adaptive, real-time interventions that promote safety, engagement, and quality of life for individuals with cancer.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152064"},"PeriodicalIF":2.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145696324","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":"Associations Between Potassium Channel Genes and the Occurrence of Palpitations in Women Prior to Breast Cancer Surgery","authors":"Ying Sheng ,&nbsp;Matthew R. Fleming ,&nbsp;Carolyn J. Harris ,&nbsp;Jon D. Levine ,&nbsp;Steven M. Paul ,&nbsp;Janet S. Carpenter ,&nbsp;Yvette P. Conley ,&nbsp;Joosun Shin ,&nbsp;Kate Oppegaard ,&nbsp;Marilyn J. Hammer ,&nbsp;Christine Miaskowski","doi":"10.1016/j.soncn.2025.152039","DOIUrl":"10.1016/j.soncn.2025.152039","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of the study was to evaluate for associations between the occurrence of palpitations in women prior to breast cancer surgery and single nucleotide polymorphisms (SNPs) for potassium channel genes.</div></div><div><h3>Methods</h3><div>A total of 398 women were recruited prior to breast cancer surgery and provided detailed information on demographic and clinical characteristics. The occurrence of palpitations was assessed using a single item (ie, did you experience your “heart race/pounds” in the past week – yes or no). Blood samples were collected for genomic analyses and genotyping of single nucleotide polymorphisms (SNPs) was done using a custom array. Multiple logistic regression analyses were used to identify associations between the occurrence of palpitations and variations in potassium channel genes.</div></div><div><h3>Results</h3><div>After controlling for functional status and the occurrence of back pain, significant associations were found between the occurrence of palpitations and six SNPs among five candidate genes, including potassium voltage-gated channels (ie, potassium voltage gated channel modifier subfamily S member 1 (<em>KCNS1</em>) rs4499491), potassium inwardly rectifying channels (ie, potassium inwardly rectifying channel subfamily J member 3 (<em>KCNJ3</em>) rs717175, <em>KCNJ</em> subfamily J member 5 (<em>KCNJ5</em>) rs11221510, <em>KCNJ</em> subfamily J member 6 (<em>KCNJ6</em>) rs13049947 and <em>KCNJ6</em> rs1399596), and potassium two pore domain channels (ie, potassium two pore domain channel subfamily K member 2 (<em>KCNK2</em>) rs12757222).</div></div><div><h3>Conclusions</h3><div>Variations in potassium channel genes are associated with the occurrence of palpitations in women prior to breast cancer surgery.</div></div><div><h3>Implications for Nursing Practice</h3><div>While direct clinical implications cannot be made, these findings provide preliminary evidence of potential therapeutic targets.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152039"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309886","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":"Caring Under Challenges: Exploring the Experiences of Oncology Nurses in a Tertiary Hospital in Northern Iran","authors":"Somayeh Shirkosh ,&nbsp;Gholamreza Mahmoodi-Shan ,&nbsp;Leila Jouybari","doi":"10.1016/j.soncn.2025.152044","DOIUrl":"10.1016/j.soncn.2025.152044","url":null,"abstract":"<div><h3>Objectives</h3><div>Oncology nursing, as one of the most challenging areas of healthcare, requires special attention to nurses’ caregiving experiences. This study was conducted to explore the care challenges of oncology nurses in northern Iran.</div></div><div><h3>Methods</h3><div>This qualitative descriptive study, with a conventional content analysis approach, was conducted with the participation of 12 nurses working in oncology wards in northern Iran from August to December 2024. Data were collected through in-depth semi-structured interviews and analyzed using Graneheim and Lundman’s (2004) method. Sampling was purposive and continued until data saturation was reached.</div></div><div><h3>Results</h3><div>Data analysis revealed four main themes with twelve subthemes of oncology nurses’ care challenges: Supportive Care Paradox (conflict between the therapeutic communication standard and reality: mismatch between patient expectations and system capabilities, and patients’ informational conflicts), Educational Paradox in the Healthcare System (inadequate specialized training, lack of clinical skills, and educational system limitations), Multilayered Occupational Burnout (adverse effects of cytotoxic exposure, emotional-cultural burnout, and ethical-systemic burnout), and Organizational Incongruence in the Healthcare System (imbalanced resource distribution, imbalanced responsibility distribution, and insufficient systemic support). These findings show deep-rooted systemic and cultural barriers affecting care quality.</div></div><div><h3>Conclusion</h3><div>This study reveals systemic and emotional challenges of oncology nurses that impede the provision of sustainable care. The pressure to compensate for shortcomings exacerbates nurses’ burnout. The health system must strengthen the sustainable care and professional health of nurses through specialized training, human resource optimization, psychological support, and equitable allocation of resources.</div></div><div><h3>Implications for Practice</h3><div>Implementing targeted educational programs and systemic reforms can enhance care quality and nurses’ well-being, providing implications for policy and practice in similar resource-limited settings.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152044"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330911","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":"Managing Lymphedema and Fibrosis in Head and Neck Cancer Survivors: A Data Analysis on Self-Care Behaviors","authors":"Jessica Abene ,&nbsp;Liming Huang ,&nbsp;Barbara A. Murphy ,&nbsp;Jie Deng","doi":"10.1016/j.soncn.2025.152016","DOIUrl":"10.1016/j.soncn.2025.152016","url":null,"abstract":"<div><h3>Objectives</h3><div>Head and neck cancer survivors (HNCS) often face lymphedema and fibrosis (LEF) post-treatment, which require long-term self-management to minimize LEF progression and its negative impact on quality of life. This secondary data analysis aims to evaluate self-care, LEF status, and symptom burden among HNCS, and to examine the associations among self-care status, LEF status, and symptom burden in HNCS.</div></div><div><h3>Methods</h3><div>Descriptive statistics summarized the sample and variable distributions. Bivariate analysis assessed associations between variables. Multiple linear regression tested for associations, incorporating moderators including health literacy, self-efficacy, anxiety, and depression.</div></div><div><h3>Results</h3><div>Most participants (<em>N</em> = 59) were non-Hispanic (98.3%), White (89.8%), and males (83.1%). On average, participants had 2.68 anatomical sites affected by LEF in the head and neck region and spent 20.29 minutes daily on self-care. Participants spent more time (minutes per day) on self-care when their LEF was more severe (<em>P</em> &lt; .05). Participants with worse symptom burden spent more time (minutes per day) conducting self-care activities (<em>P</em> &lt; .05). Self-efficacy moderated the relationship between time spent on self-care and the number of sites involved with LEF. Furthermore, anxiety and depression moderated the relationship between time spent on self-care and symptom burden.</div></div><div><h3>Conclusions</h3><div>HNCS with more severe LEF and worse symptom burden spent more time on self-care. Self-efficacy, anxiety, and depression may moderate self-care behaviors. Findings highlight the importance of self-care management strategies to address self-efficacy and psychological factors to maximize engagement and LEF outcomes. Further investigation is warranted.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses play a critical role in supporting HNCS with LEF. This study highlights the importance of assessing both the physical and psychological aspects of survivorship care. Nurses should routinely evaluate LEF severity, symptom burden, and psychological well-being (anxiety, depression, and self-efficacy) to personalize self-care guidance.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152016"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139430","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 Role of General Practitioners Across the Cancer Continuum Using the Caring Life-Course Theory","authors":"Carolyn Ee ,&nbsp;Betty Kandagor ,&nbsp;Catherine Paterson ,&nbsp;Kylie Vuong","doi":"10.1016/j.soncn.2025.152022","DOIUrl":"10.1016/j.soncn.2025.152022","url":null,"abstract":"<div><h3>Purpose</h3><div>General Practitioners (GPs) play a crucial role across the cancer continuum, from prevention and early detection to end-of-life care. GPs provide comprehensive care that addresses a broad spectrum of health issues rather than a specific disease. Elements such as person-centeredness, continuity of care and whole-person care define the specialty of general practice. Other characteristics, such as expertise in managing uncertainty, undifferentiated illness and complexity, care coordination and teamwork, facilitate its evolution as a specialty.</div></div><div><h3>Procedures</h3><div>This paper uses the Caring Life-Course Theory as a theoretical framework to discuss the role of GPs in cancer care. We explore the barriers and enablers of providing optimal care in general practice for people diagnosed with cancer on an micro-, meso- and macro-level using the Caring Life-Course Theory.</div></div><div><h3>Findings</h3><div>The fundamentals of care framework aligns with the key characteristics of general practice namely first contact care, comprehensive care, continuity of care, person-centeredness and whole-person care. General practice is underpinned by a long-term therapeutic partnership with the patient, the ability to meet a range of care needs simultaneously, and an understanding of the context in which care is taking place. GPs provide care across the life course, facilitate self-care, care from others and care for others, assess care needs at transitions during the cancer continuum, and maintain a detailed care biography of the patient.</div></div><div><h3>Conclusions</h3><div>Adequate funding of longer consultations to facilitate the delivery of complex care, and expansion of multidisciplinary primary care teams, is required to sustain the delivery of quality cancer care in general practice.</div></div><div><h3>Implications for Nursing Practice</h3><div>There is significant opportunity to enhance the role of primary care nursing in delivery of cancer care in general practice, but this must be supported by enablers across all levels of care delivery.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152022"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182332","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":"Self-Care Bra Considerations after Breast Cancer: Consumer-Led International Advocacy","authors":"Gillian Horton ,&nbsp;Catherine Paterson","doi":"10.1016/j.soncn.2025.152038","DOIUrl":"10.1016/j.soncn.2025.152038","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152038"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304456","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":"Consumer-Led Design and Implementation of the Care Connect Notebook","authors":"Thomas Binns ,&nbsp;Tereena Cocks ,&nbsp;Morgan Atkinson ,&nbsp;Catherine Paterson","doi":"10.1016/j.soncn.2025.152023","DOIUrl":"10.1016/j.soncn.2025.152023","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;A “consumer” is a person, receiving or having received targeted health care, who provides a consumer perspective, contributes consumer experiences, and can advocate for the interests of current and potential health service users. Developing meaningful partnerships with Cancer Consumers has never been so important as evidence continues to underscore significant unmet supportive care needs despite routine clinical follow-up with healthcare professionals. This consumer-led project used the theoretical underpinnings of the care biographies of the Caring Life Course Theory to develop a comprehensive &lt;em&gt;Care Connect Notebook&lt;/em&gt; (a care biography) created by consumers for consumers (across the lifespan of age) in partnership with the multidisciplinary cancer team to use as a support resource to consumers in preparing for medical, nursing, and allied health cancer appointments across the entire cancer care continuum.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A codesign-thinking approach was used to provide a person-centered approach to the development and implementation of the &lt;em&gt;Care Connect Notebook&lt;/em&gt;, which was conducted in two phases: (1) discover and define, and (2) develop and deliver. A series of workshops, consumer engagement with Cancer Safety and Quality Meetings, corridor conversations, and electronic surveys were used among consumers affected by cancer and multidisciplinary cancer healthcare professionals. Consumers also led the clinical staff training on how to use the &lt;em&gt;Care Connect Notebook&lt;/em&gt; with people with cancer. Data were analyzed using descriptive statistics and content analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The consumer-led and initiated project, through conceptualization and ongoing advocacy, led to the development of the first Cancer Care Biography, the &lt;em&gt;Care Connect Notebook&lt;/em&gt;. The results from the real-world evaluation, led by consumers for consumers, identified that this bespoke resource formed a living document that people with cancer used before, during, and after their appointments with their cancer healthcare professionals (nursing, allied health, medicine, including General Practitioners). Consumers reported that the &lt;em&gt;Care Connect Notebook&lt;/em&gt; empowered them to develop more trusting relationships with their healthcare professional team, to identify what matters most to them to actively engage and receive care according to their own idiosyncratic (needs, preferences, goals, values, cultural and social cultural contexts), and captured their “shared-care plan” while having their care network contacts available to them, all in one place.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The development of the &lt;em&gt;Care Connect Notebook&lt;/em&gt; has provided valuable insights into the perspectives of consumer representatives in an Australian context and how they proactively partnered with their healthcare professionals in cancer services.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications for Nursing Pract","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152023"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145658709","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":"Integrating the Caring Life Course Theory and Artificial Intelligence Applications to Enhance Cancer Care Across the Continuum","authors":"Juliana Christina ,&nbsp;Kelly Ford ,&nbsp;Bradly Menz ,&nbsp;Michael Sorich ,&nbsp;Ashley Hopkins ,&nbsp;Imogen Ramsey ,&nbsp;Maree Duddle ,&nbsp;Alison Kitson ,&nbsp;Catherine Paterson","doi":"10.1016/j.soncn.2025.152040","DOIUrl":"10.1016/j.soncn.2025.152040","url":null,"abstract":"<div><h3>Objectives</h3><div>With the escalating global burden of cancer, there is an increasing imperative to adopt holistic, person-centered approaches that address the complex and evolving care needs of individuals across the cancer continuum. Integrating advanced technologies such as artificial intelligence (AI) into conventional cancer care models offers significant potential to enhance the responsiveness, inclusivity, and sustainability of cancer care delivery. This paper aimed to explore how the Caring Life Course Theory (CLCT), a comprehensive multidisciplinary framework of care, can inform and enhance the integration of AI into cancer care delivery.</div></div><div><h3>Methods</h3><div>A conceptual synthesis and narrative synthesis were employed to explore and understand how CLCT constructs can inform AI applications across different levels of cancer care (individual, relational/network and structural).</div></div><div><h3>Results</h3><div>AI technologies are being used to support personalized care planning, real-time symptom monitoring, survivorship management, and coordinated service delivery. Guided by the CLCT, these technologies offer a structured and contextually grounded approach to delivering longitudinal, life-course-informed care. Nonetheless, significant challenges remain, including ethical concerns, algorithmic bias, and implementation barriers.</div></div><div><h3>Conclusions</h3><div>Aligning AI technologies with the CLCT framework can promote more personalized, equitable, and relationally responsive cancer care. Future research must prioritize ethical co-design, accountability, and sustained implementation.</div></div><div><h3>Implications for Nursing Practice</h3><div><em>:</em> The integration of CLCT and AI can support nurses in identifying care needs, facilitating remote monitoring, and coordinating personalized care. However, the integration of AI must be approached with critical attention to ethics, equity, and the preservation of fundamental nursing values.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152040"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309872","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":"Reframing and Redefining Care and Cancer Survivorship Through the Caring Life-Course Theory","authors":"Allison Kitson ,&nbsp;Catherine Paterson","doi":"10.1016/j.soncn.2025.152042","DOIUrl":"10.1016/j.soncn.2025.152042","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152042"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395143","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":"A Systematic Review of the Characteristics and Outcomes of Cancer Nurse Practitioner Roles in Australia","authors":"Catherine Paterson ,&nbsp;Juliana Christina ,&nbsp;Shannon Brown ,&nbsp;Justin Hargreaves ,&nbsp;Gillian Blanchard ,&nbsp;Rebecca Kimberley ,&nbsp;Nicole Loft ,&nbsp;Elise Button ,&nbsp;Raymond Chan ,&nbsp;Patsy Yates ,&nbsp;Mia Krishnasamy ,&nbsp;Carla Thamm","doi":"10.1016/j.soncn.2025.152053","DOIUrl":"10.1016/j.soncn.2025.152053","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;The Australian cancer health care system remains slow in realizing the benefit of nurse practitioner (NP) roles. The aim of this systematic review was to identify and report the characteristics of NP roles in Australian cancer services, with a focus on summarizing, where available, on their impacts on patient, service, and system-level outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;An integrative systematic review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. All types of studies were included irrespective of design. Electronic databases Medline, Emcare, CINAHL Scopus, and Informit Medline were searched using the key search concepts “Nurse Practitioner,” “Cancer,” and “Australia” adjusted for each platform. A preselection eligibility criterion was applied to all records. Data extraction and methodological quality assessment were conducted independently by two reviewers, and a narrative synthesis was conducted.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;A total of 95 records were screened, and eight publications (qualitative [n = 1], quantitative [n = 4], mixed methods [n = 3]) were included. Australian cancer NPs impacted most of the cancer care continuum from health promotion, cancer screening, advanced cancer diagnostic clinical procedures, and managing life-threatening oncological emergencies during cancer treatment to supporting cancer survivorship care delivery. Emergent evidence has shown that Cancer NPs in Australia provide benefits to patients, can reduce costs to healthcare organizations, and deliver care that is noninferior, with outcomes comparable to physician/medically led care. The methodological quality of the included publications was varied, largely reflective of the underdeveloped qualitative and quantitative methods used to evaluate cancer NP roles.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;This review adds to the wider knowledge of the work of NPs in Australia and more broadly. Cancer NPs in Australia can form a robust part of the solution to the ever-increasing demand for cancer services. Effective implementation of these roles will require educational preparation to be more transparent to health system managers, with a focus on aligning NP capabilities to national cancer policy requirements and core capabilities required to deliver optimal outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Cancer NPs in Australia are a critical part of the solution to the ever-demanding needs for cancer services, but widespread implementation of the role requires appropriate support to enable NPs to work at full scope by enabling clinical privileges (eg, admitting rights, radiological test requests, full prescribing rights) and administrative assistance (eg secretarial and administrative support). Given the unique system and political challenges encountered by Australian NPs it is essential to overcome barriers to NP care delivery at patient, service, and sys","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152053"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524804","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}