Pub Date : 2025-12-01DOI: 10.1016/j.soncn.2025.152042
Allison Kitson , Catherine Paterson
{"title":"Reframing and Redefining Care and Cancer Survivorship Through the Caring Life-Course Theory","authors":"Allison Kitson , 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}
Pub Date : 2025-12-01DOI: 10.1016/j.soncn.2025.152053
Catherine Paterson , Juliana Christina , Shannon Brown , Justin Hargreaves , Gillian Blanchard , Rebecca Kimberley , Nicole Loft , Elise Button , Raymond Chan , Patsy Yates , Mia Krishnasamy , Carla Thamm
<div><h3>Objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Findings</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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
{"title":"A Systematic Review of the Characteristics and Outcomes of Cancer Nurse Practitioner Roles in Australia","authors":"Catherine Paterson , Juliana Christina , Shannon Brown , Justin Hargreaves , Gillian Blanchard , Rebecca Kimberley , Nicole Loft , Elise Button , Raymond Chan , Patsy Yates , Mia Krishnasamy , Carla Thamm","doi":"10.1016/j.soncn.2025.152053","DOIUrl":"10.1016/j.soncn.2025.152053","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Findings</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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}
Pub Date : 2025-12-01DOI: 10.1016/j.soncn.2025.152041
Catherine Paterson , Minh Chau , Murray R. Turner , Charlotte Primeau
Objectives
This qualitative systematic review aimed to explore the lived experiences of people affected by cancer, their families, and health care professionals involved in patient-initiated follow-up (PIFU). It sought to understand how PIFU is experienced in practice and what factors support or hinder its use.
Methods
A qualitative systematic review was conducted using the Joanna Briggs Institute meta-aggregation approach. Six databases were searched in July 2025. Studies were included if they reported qualitative data on the experiences of PIFU in cancer care. The findings were synthesized into overall findings and reviewed by multiple authors. The review followed PRISMA guidelines and was registered with PROSPERO (CRD420251103470).
Results
Eight studies (all UK-based) were included, involving 120 cancer survivors, 63 health care professionals, and 3 family members. Four synthesized findings emerged: (1) PIFU empowers patients but requires risk-based and personalized implementation; (2) PIFU supports self-management, but disparities in education, support, and communication exist; (3) PIFU is valued for cost-efficiency, convenience, and emotional relief; and (4) some patients still require face-to-face reassurance. PIFU was considered more suitable after a period of adjustment post-treatment and less suited for patients with high anxiety, limited health literacy, culturally and linguistically diverse, or psychosocial vulnerabilities.
Conclusions
PIFU can be a valuable follow-up option when aligned with individual capability and support needs. Implementation must consider psychosocial readiness, access to care, and preferences for reassurance.
Implications for Nursing Practice
Cancer nurses play a key role in preparing patients for PIFU by providing tailored education, supporting self-management, assessing readiness, and offering ongoing support. A nurse-led, flexible approach can ensure that follow-up care is both safe and person-centered.
{"title":"What is the Lived Experience of People Affected by Cancer, Family Members, and Their Treatment Team Engaged in Patient Initiated Follow-Up and Preferences in Cancer Care: A Qualitative Systematic Review","authors":"Catherine Paterson , Minh Chau , Murray R. Turner , Charlotte Primeau","doi":"10.1016/j.soncn.2025.152041","DOIUrl":"10.1016/j.soncn.2025.152041","url":null,"abstract":"<div><h3>Objectives</h3><div>This qualitative systematic review aimed to explore the lived experiences of people affected by cancer, their families, and health care professionals involved in patient-initiated follow-up (PIFU). It sought to understand how PIFU is experienced in practice and what factors support or hinder its use.</div></div><div><h3>Methods</h3><div>A qualitative systematic review was conducted using the Joanna Briggs Institute meta-aggregation approach. Six databases were searched in July 2025. Studies were included if they reported qualitative data on the experiences of PIFU in cancer care. The findings were synthesized into overall findings and reviewed by multiple authors. The review followed PRISMA guidelines and was registered with PROSPERO (CRD420251103470).</div></div><div><h3>Results</h3><div>Eight studies (all UK-based) were included, involving 120 cancer survivors, 63 health care professionals, and 3 family members. Four synthesized findings emerged: (1) PIFU empowers patients but requires risk-based and personalized implementation; (2) PIFU supports self-management, but disparities in education, support, and communication exist; (3) PIFU is valued for cost-efficiency, convenience, and emotional relief; and (4) some patients still require face-to-face reassurance. PIFU was considered more suitable after a period of adjustment post-treatment and less suited for patients with high anxiety, limited health literacy, culturally and linguistically diverse, or psychosocial vulnerabilities.</div></div><div><h3>Conclusions</h3><div>PIFU can be a valuable follow-up option when aligned with individual capability and support needs. Implementation must consider psychosocial readiness, access to care, and preferences for reassurance.</div></div><div><h3>Implications for Nursing Practice</h3><div>Cancer nurses play a key role in preparing patients for PIFU by providing tailored education, supporting self-management, assessing readiness, and offering ongoing support. A nurse-led, flexible approach can ensure that follow-up care is both safe and person-centered.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152041"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349961","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}
Pub Date : 2025-12-01DOI: 10.1016/j.soncn.2025.152019
Rebecca Feo , Alison Kitson , Catherine Paterson
{"title":"How the Caring Life-Course Theory Can Enhance the Central Role of Communication Across the Cancer Care Continuum","authors":"Rebecca Feo , Alison Kitson , Catherine Paterson","doi":"10.1016/j.soncn.2025.152019","DOIUrl":"10.1016/j.soncn.2025.152019","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152019"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139407","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}
Post-traumatic growth (PTG) refers to the positive changes experienced after a serious life crisis or traumatic event. However, studies on PTG in patients with head and neck cancer in Japan remain limited. Therefore, this study aimed to elucidate the characteristics of PTG and its influencing factors in Japanese patients with head and neck cancer who underwent surgery.
Methods
This study was conducted using a cross-sectional research design with self-administered questionnaires. The study included 76 adult patients with head and neck cancer who were being treated at a university hospital in a regional city in Japan, and who had undergone surgery between 6 months and 10 years previously. The questionnaire included the Japanese version of the PTGI-J, degree of psychological shock, coping strategies, and level of social support. Data analysis involved univariate and multivariate analyses, with PTGI-J scores as dependent variables.
Results
The average total score on the PTGI-J among patients with postoperative head and neck cancer was 50.2 (standard deviation = 17.2). Multiple regression analysis indicated that living with children and emotion-focused coping were significant predictors of increased PTGI-J scores. Emotion-focused coping showed the strongest positive correlation with the PTGI-J total score and all subscales.
Conclusions
Among Japanese patients following head and neck cancer surgery, emotion-focused coping and living with family members, particularly children, were suggested to play a significant role in promoting PTG.
Implications for Nursing Practice
As an intervention to promote PTG, it is important for nurses and other healthcare staff to provide supportive engagement that helps patients express and control their emotions. Furthermore, while providing appropriate information, it is necessary to strengthen relationships with the child-centered family and primary support system.
{"title":"Post-Traumatic Growth Characteristics and Influencing Factors in Japanese Patients with Postoperative Head and Neck Cancer: A Cross-Sectional Study","authors":"Hiroko Kokufu , Manami Miyauchi , Mami Fukushige , Yorihisa Orita , Hideki Nakayama","doi":"10.1016/j.soncn.2025.152055","DOIUrl":"10.1016/j.soncn.2025.152055","url":null,"abstract":"<div><h3>Purpose</h3><div>Post-traumatic growth (PTG) refers to the positive changes experienced after a serious life crisis or traumatic event. However, studies on PTG in patients with head and neck cancer in Japan remain limited. Therefore, this study aimed to elucidate the characteristics of PTG and its influencing factors in Japanese patients with head and neck cancer who underwent surgery.</div></div><div><h3>Methods</h3><div>This study was conducted using a cross-sectional research design with self-administered questionnaires. The study included 76 adult patients with head and neck cancer who were being treated at a university hospital in a regional city in Japan, and who had undergone surgery between 6 months and 10 years previously. The questionnaire included the Japanese version of the PTGI-J, degree of psychological shock, coping strategies, and level of social support. Data analysis involved univariate and multivariate analyses, with PTGI-J scores as dependent variables.</div></div><div><h3>Results</h3><div>The average total score on the PTGI-J among patients with postoperative head and neck cancer was 50.2 (standard deviation = 17.2). Multiple regression analysis indicated that living with children and emotion-focused coping were significant predictors of increased PTGI-J scores. Emotion-focused coping showed the strongest positive correlation with the PTGI-J total score and all subscales.</div></div><div><h3>Conclusions</h3><div>Among Japanese patients following head and neck cancer surgery, emotion-focused coping and living with family members, particularly children, were suggested to play a significant role in promoting PTG.</div></div><div><h3>Implications for Nursing Practice</h3><div>As an intervention to promote PTG, it is important for nurses and other healthcare staff to provide supportive engagement that helps patients express and control their emotions. Furthermore, while providing appropriate information, it is necessary to strengthen relationships with the child-centered family and primary support system.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152055"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145422202","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}
Pub Date : 2025-12-01DOI: 10.1016/j.soncn.2025.152017
Michael T. Lawless , Maria Alejandra Pinero de Plaza , Carla Thamm , Alison Kitson , Catherine Paterson
Objectives
This study applied the Caring Life-Course Theory to explore how men treated for localized prostate cancer with radical prostatectomy experience, interpret, and respond to their care needs pre- and postsurgery. The study aimed to examine how their self-care behaviors are shaped over time by individual, relational, and systemic factors.
Methods
Longitudinal semi-structured interviews were conducted with six participants at two time points: one week before and 12 weeks postsurgery. Secondary thematic analysis was conducted using the Caring Life-Course Theory as a guiding framework, with a focus on identifying care needs, care trajectories, and self-care behaviors across pre- and post-treatment periods.
Results
Participants engaged in self-care largely out of necessity, often without structured guidance or follow-up. Care needs were biographical and relational as well as physical, but these dimensions were rarely addressed in formal care planning. Masculine norms influenced help-seeking while access to informal support networks were critical in framing recovery experiences.
Conclusions
The Caring Life-Course Theory provides a valuable lens for understanding how self-care behaviors and care trajectories unfold over time in men with prostate cancer. Survivorship care should more intentionally and consistently assess self-care capability and capacity, elicit biographical information, and engage informal support networks.
Implications for Nursing Practice
Nurses are well-positioned to lead biographically and relationally informed survivorship care planning. Expanding access to specialist cancer nurses or patient navigators, integrating structured self-care assessments, biographical inquiry, and social network mapping, as well as fostering multidisciplinary coordination, can improve the delivery and personalization of survivorship care.
{"title":"Applying the Caring Life-Course Theory to Explore Prostate Cancer Survivors’ Care Needs, Care Trajectories, And Self-Care Behaviors: A Qualitative Study","authors":"Michael T. Lawless , Maria Alejandra Pinero de Plaza , Carla Thamm , Alison Kitson , Catherine Paterson","doi":"10.1016/j.soncn.2025.152017","DOIUrl":"10.1016/j.soncn.2025.152017","url":null,"abstract":"<div><h3>Objectives</h3><div>This study applied the Caring Life-Course Theory to explore how men treated for localized prostate cancer with radical prostatectomy experience, interpret, and respond to their care needs pre- and postsurgery. The study aimed to examine how their self-care behaviors are shaped over time by individual, relational, and systemic factors.</div></div><div><h3>Methods</h3><div>Longitudinal semi-structured interviews were conducted with six participants at two time points: one week before and 12 weeks postsurgery. Secondary thematic analysis was conducted using the Caring Life-Course Theory as a guiding framework, with a focus on identifying care needs, care trajectories, and self-care behaviors across pre- and post-treatment periods.</div></div><div><h3>Results</h3><div>Participants engaged in self-care largely out of necessity, often without structured guidance or follow-up. Care needs were biographical and relational as well as physical, but these dimensions were rarely addressed in formal care planning. Masculine norms influenced help-seeking while access to informal support networks were critical in framing recovery experiences.</div></div><div><h3>Conclusions</h3><div>The Caring Life-Course Theory provides a valuable lens for understanding how self-care behaviors and care trajectories unfold over time in men with prostate cancer. Survivorship care should more intentionally and consistently assess self-care capability and capacity, elicit biographical information, and engage informal support networks.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses are well-positioned to lead biographically and relationally informed survivorship care planning. Expanding access to specialist cancer nurses or patient navigators, integrating structured self-care assessments, biographical inquiry, and social network mapping, as well as fostering multidisciplinary coordination, can improve the delivery and personalization of survivorship care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152017"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082292","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}
Pub Date : 2025-12-01DOI: 10.1016/j.soncn.2025.152020
Elise Button , Angela Rong Yang Zhang , Carla Thamm , Raymond J. Chan , Andreas Charalambous , Carolyn Ee , Greg Merlo , Gemma McErlean , Benjamin O. Anderson , Alison L. Kitson
Objective
We propose the Caring Life Course Theory (CLCT) as a lens that can inform and enrich national cancer policy and clinical practice. The purpose of this discussion paper is to highlight how a CLCT lens can inform the implementation of a national cancer control plan, using sections of the Australian Cancer Plan as examples—Optimal Care Pathways and the Australian Comprehensive Cancer Network.
Methods
This discussion paper presents novel suggestions by drawing on CLCT concepts—care biographies, care networks, and self-care. Contrasting “current state” and “future state” vignettes are described to demonstrate how CLCT can help cancer policy move from cancer to care. Based on a robust theoretical lens, recommendations for policy and practice have been made at the micro, meso, and macro levels, with reflection on the nurses’ role, and application to other national cancer control plans.
Results
Optimal care pathways should include holistic assessments that incorporate broader histories at key clinical time points. The Australian Comprehensive Care Network should consider the holistic needs of people affected by cancer, and harness innovative approaches for how these needs can be met in a networked approach. In addition to clinical considerations, understanding of an individual’s care biography, care network, and self-care can inform the delivery of high-quality cancer care. Implementation of these aspects of care will be led by nurses, supported by a multidisciplinary team.
Conclusions
A CLCT lens can help support implementation of the aspirational person-centered objectives described in the ACP. The potential exists for application of the CLCT approach to other national cancer control plans, including those in low-resource settings.
Implications for Nursing Practice
Nurses play a vital role in leading the implementation of person-centered dimensions of cancer control plans and core aspects of the CLCT approach.
{"title":"The Australian Cancer Plan through a Caring Life Course Lens: Moving from Cancer to Care by Placing the Person at the Center of Care","authors":"Elise Button , Angela Rong Yang Zhang , Carla Thamm , Raymond J. Chan , Andreas Charalambous , Carolyn Ee , Greg Merlo , Gemma McErlean , Benjamin O. Anderson , Alison L. Kitson","doi":"10.1016/j.soncn.2025.152020","DOIUrl":"10.1016/j.soncn.2025.152020","url":null,"abstract":"<div><h3>Objective</h3><div>We propose the Caring Life Course Theory (CLCT) as a lens that can inform and enrich national cancer policy and clinical practice. The purpose of this discussion paper is to highlight how a CLCT lens can inform the implementation of a national cancer control plan, using sections of the Australian Cancer Plan as examples—Optimal Care Pathways and the Australian Comprehensive Cancer Network.</div></div><div><h3>Methods</h3><div>This discussion paper presents novel suggestions by drawing on CLCT concepts—care biographies, care networks, and self-care. Contrasting “current state” and “future state” vignettes are described to demonstrate how CLCT can help cancer policy move from <em>cancer</em> to <em>care</em>. Based on a robust theoretical lens, recommendations for policy and practice have been made at the micro, meso, and macro levels, with reflection on the nurses’ role, and application to other national cancer control plans.</div></div><div><h3>Results</h3><div>Optimal care pathways should include holistic assessments that incorporate broader histories at key clinical time points. The Australian Comprehensive Care Network should consider the holistic needs of people affected by cancer, and harness innovative approaches for how these needs can be met in a networked approach. In addition to clinical considerations, understanding of an individual’s care biography, care network, and self-care can inform the delivery of high-quality cancer care. Implementation of these aspects of care will be led by nurses, supported by a multidisciplinary team.</div></div><div><h3>Conclusions</h3><div>A CLCT lens can help support implementation of the aspirational person-centered objectives described in the ACP. The potential exists for application of the CLCT approach to other national cancer control plans, including those in low-resource settings.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses play a vital role in leading the implementation of person-centered dimensions of cancer control plans and core aspects of the CLCT approach.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152020"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180332","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}
Pub Date : 2025-12-01DOI: 10.1016/j.soncn.2025.152021
Carla Thamm , Oluwaseyifunmi Andi Agbejule , Elise Button , Michael T. Lawless , Catherine Paterson , Candice Oster , Svetlana Bogomolova , Jacqueline L. Bender , Imogen Ramsey , Fiona Crawford-Williams , Carolyn Ee , Raymond J. Chan
Objectives
Evidence suggests that patient navigation can help address ongoing barriers to accessing timely, appropriate, and quality cancer care. Patient navigation interventions include education, logistical, social, and emotional support, facilitating referrals, care coordination, patient advocacy, and enabling self-management. We propose that a person-centered approach to cancer patient navigation could be strengthened by the Caring Life-Course Theory (CLCT).
Methods
This discussion paper draws on relevant evidence, policy, and theory to propose a way of considering patient navigation service provision reflective of personal biographies, lived experiences, social networks, and broader structural, community, and healthcare contexts.
Results
A CLCT-informed, personalized, needs-based patient navigation program in cancer care would facilitate a wider range of patient-centered choices and optimize self-management and self-care by integrating biographical inquiry and care networks, thus improving the delivery and personalization of navigation services. Enhanced technology should be used to support a dynamic approach to patient navigation and develop biographically informed assessment tools and care plans that triage patients to different levels of navigation according to patient needs, self-care abilities, and capacity.
Conclusions
We propose that a person-centered, needs-based approach to patient navigation can be informed by the CLCT, taking into consideration the holistic needs of people affected by cancer and developing approaches to optimize self-management and self-care in relation to these needs.
Implications for Nursing Practice
Cancer nurses, as holistic care providers, are well-positioned to lead the development and delivery of biographically and social network-informed navigation needs, assessments, and structured patient navigation services.
{"title":"Enabling Personalized Needs-Based Cancer Patient Navigation Using a Caring Life-Course Approach","authors":"Carla Thamm , Oluwaseyifunmi Andi Agbejule , Elise Button , Michael T. Lawless , Catherine Paterson , Candice Oster , Svetlana Bogomolova , Jacqueline L. Bender , Imogen Ramsey , Fiona Crawford-Williams , Carolyn Ee , Raymond J. Chan","doi":"10.1016/j.soncn.2025.152021","DOIUrl":"10.1016/j.soncn.2025.152021","url":null,"abstract":"<div><h3>Objectives</h3><div>Evidence suggests that patient navigation can help address ongoing barriers to accessing timely, appropriate, and quality cancer care. Patient navigation interventions include education, logistical, social, and emotional support, facilitating referrals, care coordination, patient advocacy, and enabling self-management. We propose that a person-centered approach to cancer patient navigation could be strengthened by the Caring Life-Course Theory (CLCT).</div></div><div><h3>Methods</h3><div>This discussion paper draws on relevant evidence, policy, and theory to propose a way of considering patient navigation service provision reflective of personal biographies, lived experiences, social networks, and broader structural, community, and healthcare contexts.</div></div><div><h3>Results</h3><div>A CLCT-informed, personalized, needs-based patient navigation program in cancer care would facilitate a wider range of patient-centered choices and optimize self-management and self-care by integrating biographical inquiry and care networks, thus improving the delivery and personalization of navigation services. Enhanced technology should be used to support a dynamic approach to patient navigation and develop biographically informed assessment tools and care plans that triage patients to different levels of navigation according to patient needs, self-care abilities, and capacity.</div></div><div><h3>Conclusions</h3><div>We propose that a person-centered, needs-based approach to patient navigation can be informed by the CLCT, taking into consideration the holistic needs of people affected by cancer and developing approaches to optimize self-management and self-care in relation to these needs.</div></div><div><h3>Implications for Nursing Practice</h3><div>Cancer nurses, as holistic care providers, are well-positioned to lead the development and delivery of biographically and social network-informed navigation needs, assessments, and structured patient navigation services.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152021"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139459","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}
Pub Date : 2025-12-01DOI: 10.1016/j.soncn.2025.152052
Eyşan Hanzade Savaş , Aslı Akdeniz Kudubeş , Remziye Semerci , Münevver Erkul , Sevil Özkan , Fatma Taş Arslan
Background
Pediatric oncology nursing involves complex clinical and emotional care, yet many nurses feel unprepared for its demands. Simulation-based education offers experiential training to enhance clinical skills and emotional readiness. This systematic review aims to evaluate the effectiveness of simulation-based educational interventions in enhancing the clinical competencies of pediatric oncology nurses.
Methods
A comprehensive search was conducted in six databases: PubMed, Web of Science, Cochrane, MEDLINE, CINAHL, and Scopus. The inclusion criteria comprised empirical studies involving simulation-based training targeting pediatric oncology care competencies. The study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Methodological quality was assessed using the Standardized Quality Assessment Criteria.
Results
Eight studies published between 2007 and 2024 were included in the review. Simulation-based interventions improved nurses’ confidence, self-efficacy, communication, and adherence to chemotherapy safety protocols. High-fidelity simulations were the most frequently used method. Hybrid simulations incorporating storytelling and video feedback promoted team-based learning and empathy. Most studies demonstrated moderate to high methodological quality.
Conclusion
Simulation-based education enhances clinical competencies in pediatric oncology nursing, particularly in preparing nurses for oncologic emergencies, procedural pain, and end-of-life care. Despite promising results, methodological heterogeneity and the predominance of short-term outcome evaluations limit the generalizability of findings. Standardized simulation frameworks and long-term assessments are recommended to strengthen evidence-based nursing education.
Implication to practice
Simulation-based education enhances core competencies in pediatric oncology nursing and should be integrated into education. Standardized frameworks and longitudinal evaluations can strengthen its evidence-based practice.
背景：小儿肿瘤护理涉及复杂的临床和情感护理，但许多护士对其需求感到措手不及。以模拟为基础的教育提供了经验培训，以提高临床技能和情感准备。本系统综述旨在评估基于模拟的教育干预在提高儿科肿瘤学护士临床能力方面的有效性。方法：综合检索PubMed、Web of Science、Cochrane、MEDLINE、CINAHL、Scopus 6个数据库。纳入标准包括实证研究，包括以儿童肿瘤护理能力为目标的基于模拟的培训。本研究遵循系统评价和元分析的首选报告项目。采用标准化质量评估标准评估方法学质量。结果：2007年至2024年间发表的8项研究被纳入综述。基于模拟的干预措施提高了护士的信心、自我效能、沟通和对化疗安全方案的依从性。高保真度模拟是最常用的方法。结合讲故事和视频反馈的混合模拟促进了基于团队的学习和同理心。大多数研究显示出中等到高的方法学质量。结论：以模拟为基础的教育提高了儿童肿瘤护理的临床能力，特别是在准备护士应对肿瘤急症、程序性疼痛和临终关怀方面。尽管结果令人鼓舞，但方法的异质性和短期结果评估的优势限制了研究结果的普遍性。建议采用标准化的模拟框架和长期评估来加强循证护理教育。对实践的启示：以模拟为基础的教育提高了儿童肿瘤护理的核心能力，应纳入教育。标准化框架和纵向评价可以加强其循证实践。
{"title":"Effectiveness of Simulation-Based Interventions in Improving Clinical Competencies of Pediatric Oncology Nursing: A Systematic Review","authors":"Eyşan Hanzade Savaş , Aslı Akdeniz Kudubeş , Remziye Semerci , Münevver Erkul , Sevil Özkan , Fatma Taş Arslan","doi":"10.1016/j.soncn.2025.152052","DOIUrl":"10.1016/j.soncn.2025.152052","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric oncology nursing involves complex clinical and emotional care, yet many nurses feel unprepared for its demands. Simulation-based education offers experiential training to enhance clinical skills and emotional readiness. This systematic review aims to evaluate the effectiveness of simulation-based educational interventions in enhancing the clinical competencies of pediatric oncology nurses.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in six databases: PubMed, Web of Science, Cochrane, MEDLINE, CINAHL, and Scopus. The inclusion criteria comprised empirical studies involving simulation-based training targeting pediatric oncology care competencies. The study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Methodological quality was assessed using the Standardized Quality Assessment Criteria.</div></div><div><h3>Results</h3><div>Eight studies published between 2007 and 2024 were included in the review. Simulation-based interventions improved nurses’ confidence, self-efficacy, communication, and adherence to chemotherapy safety protocols. High-fidelity simulations were the most frequently used method. Hybrid simulations incorporating storytelling and video feedback promoted team-based learning and empathy. Most studies demonstrated moderate to high methodological quality.</div></div><div><h3>Conclusion</h3><div>Simulation-based education enhances clinical competencies in pediatric oncology nursing, particularly in preparing nurses for oncologic emergencies, procedural pain, and end-of-life care. Despite promising results, methodological heterogeneity and the predominance of short-term outcome evaluations limit the generalizability of findings. Standardized simulation frameworks and long-term assessments are recommended to strengthen evidence-based nursing education.</div></div><div><h3>Implication to practice</h3><div>Simulation-based education enhances core competencies in pediatric oncology nursing and should be integrated into education. Standardized frameworks and longitudinal evaluations can strengthen its evidence-based practice.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 6","pages":"Article 152052"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446559","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}
Pub Date : 2025-12-01DOI: 10.1016/j.soncn.2025.152059
Parth Aphale, Shashank Dokania, Himanshu Shekhar
{"title":"Refining Electronic Patient-Reported Outcomes in Immuno-Oncology: Reflections on the IePRO Model of Care","authors":"Parth Aphale, Shashank Dokania, Himanshu Shekhar","doi":"10.1016/j.soncn.2025.152059","DOIUrl":"10.1016/j.soncn.2025.152059","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"42 1","pages":"Article 152059"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662625","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：