Seminars in Oncology Nursing最新文献_第5页

Effectiveness of Simulation-Based Interventions in Improving Clinical Competencies of Pediatric Oncology Nursing: A Systematic Review 基于模拟的干预措施在提高儿科肿瘤护理临床能力方面的有效性：一项系统综述。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-01 DOI: 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。

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引用次数: 0

Refining Electronic Patient-Reported Outcomes in Immuno-Oncology: Reflections on the IePRO Model of Care 改进免疫肿瘤学患者报告的电子结果：对IePRO护理模式的反思。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.soncn.2025.152059

Parth Aphale, Shashank Dokania, Himanshu Shekhar

引用次数: 0

Health Literacy, Self-Management and Patient-Reported Outcomes in Prostate Cancer Survivors: A Mixed Methods Systematic Review 前列腺癌幸存者的健康素养、自我管理和患者报告的结果：一项混合方法的系统评价。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-11-28 DOI: 10.1016/j.soncn.2025.152056

Sarah Sheehan , Leticia Bernués-Caudillo , Aoife de Brún , Amanda Drury

Objectives

To systematically review the literature to identify the influence of health literacy on self-management behaviours and patient-reported outcomes of individuals with prostate cancer.

Methods

A mixed methods systematic was review was conducted in accordance with the Joanna Briggs Institute methodology for systematic reviews. This review is reported according to PRISMA 2020 statement. Six electronic databases (Medline, CINAHL, PsycInfo, Web of Science, Embase, Scopus) were searched in December 2023 using the key terms “prostate cancer” and “health literacy.”

Results

Ten articles describing nine studies were included. The findings indicate that, among those living with a prostate cancer diagnosis, there is a significant association between low health literacy and poorer self-management behaviours and patient-reported outcomes, including poorer quality of life, greater fear of progression and treatment regret. Among the included studies, there was high variability in how low health literacy was measured, evaluated and reported, limiting the ability to draw robust comparisons between the levels of health literacy across the included studies.

Conclusions

This review establishes a relationship between low health literacy and a range of health outcomes for prostate cancer survivors. Further research is needed to consolidate this evidence using validated, comprehensive health literacy measures consistently across studies.

Implications for Nursing Practice

Cancer nurses have a critical role in supporting access, interpretation and utilisation of health information in the self-management of cancer-related effects. Cancer nurses should use universal precautions when communicating with those living with prostate cancer, assuming that anyone may have health literacy difficulties and adjust communication accordingly. Additionally, cancer nurses should also aim to embed information regarding self-management behaviours in routine care for this population.

目的：系统地回顾文献，以确定健康素养对前列腺癌患者自我管理行为和患者报告结果的影响。方法：按照Joanna Briggs研究所的系统评价方法，采用混合方法进行系统评价。本综述根据PRISMA 2020声明进行报告。6个电子数据库（Medline， CINAHL, PsycInfo, Web of Science, Embase, Scopus）于2023年12月以“前列腺癌”和“健康素养”为关键词进行检索。结果：纳入了10篇文章，描述了9项研究。研究结果表明，在诊断为前列腺癌的患者中，低健康素养与较差的自我管理行为和患者报告的结果（包括较差的生活质量、更大的进展恐惧和治疗后悔）之间存在显著关联。在纳入的研究中，衡量、评估和报告低卫生素养的方式存在很大差异，限制了在纳入的研究中对卫生素养水平进行有力比较的能力。结论：本综述建立了低健康素养与前列腺癌幸存者一系列健康结果之间的关系。需要进一步的研究来巩固这一证据，在所有研究中始终如一地使用经过验证的全面卫生素养措施。对护理实践的影响：癌症护士在癌症相关影响的自我管理中支持获取、解释和利用健康信息方面发挥着关键作用。癌症护士在与前列腺癌患者交流时应采取普遍预防措施，假设任何人都可能有健康知识障碍，并相应地调整沟通。此外，癌症护士还应致力于将有关自我管理行为的信息嵌入到对这一人群的日常护理中。

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引用次数: 0

The Influence of Illness Perception on Dyadic Coping in Patients with Cancer and Their Spouses: A Cross-Sectional Study 疾病知觉对癌症患者及其配偶二元应对的影响：一项横断面研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-11-26 DOI: 10.1016/j.soncn.2025.152058

Peng Liu , Zihan Li , Ankang Liu , Yishang Zhuo , Qinyang Wu , Yingying Cheng , Qiaohong Yang

Objectives

Positive dyadic coping helps cancer couples address health challenges, and illness perception is closely linked to coping strategy choices. Prior research predominantly examined individual-level associations. Our study aims to explore the interactive associations between illness perception, its dissimilarities, and dyadic coping in cancer couples.

Methods

We recruited 263 cancer couples from hospitals (November 2022 and December 2023) using convenience sampling. Participants completed the Dyadic Coping Inventory and the Brief Illness Perception Questionnaire. We applied the Actor-Partner Interdependence Model and constructed the Dyadic Dissimilarity Model using AMOS 24.0.

Results

Patients with cancer and their spouses exhibited a moderate degree of dyadic coping. Patients’ dyadic coping showed actor effects with cognitive representations (β = −0.194, P = .016) and partner effects with emotional representations (β = 0.173, P = .023), as well as with illness comprehensibility (β = −0.264, P = .001). Spouses’ dyadic coping exhibited actor effects with cognitive representations (β = −0.198, P = .007) and illness comprehensibility (β = −0.287, P = .001), and a partner effect with emotional representations (β = 0.206, P = .01). Dyadic coping correlated significantly with dissimilarities in cognitive representations and illness comprehensibility.

Conclusions

Dyadic coping correlates with both individuals’ and their partners’ illness perceptions, and couples’ dissimilarity in illness perception also impacts dyadic coping.

Implications for Nursing Practice

Healthcare professionals should adopt dyadic assessments to identify dissimilarities in illness perceptions between cancer patients and their spouses. Developing targeted interventions to align cognitive representations and facilitate shared illness comprehensibility is crucial, which can enhances dyadic coping.

目的：积极的二元应对有助于癌症夫妇应对健康挑战，疾病感知与应对策略选择密切相关。先前的研究主要考察个人水平的关联。本研究旨在探讨癌症夫妇的疾病感知、疾病感知差异与二元应对之间的互动关系。方法：采用方便抽样的方法，于2022年11月至2023年12月从医院抽取263对癌症夫妇。参与者完成了二元应对量表和简短疾病感知问卷。运用行动者-合作伙伴相互依赖模型，利用AMOS 24.0构建二元不相似性模型。结果：癌症患者及其配偶表现出中等程度的二元应对。患者二元应对表现为认知表征的行为人效应（β = -0.194, P = 0.016）、情绪表征的伴侣效应（β = 0.173, P = 0.023）和疾病可理解性效应（β = -0.264, P = 0.001）。配偶二元应对表现出认知表征的行为人效应（β = -0.198, P = .007）和疾病可理解性（β = -0.287, P = .001）和情绪表征的伴侣效应（β = 0.206, P = .01）。二元应对与认知表征和疾病可理解性差异显著相关。结论：二元应对与个体及其伴侣的疾病知觉相关，夫妻疾病知觉差异对二元应对也有影响。对护理实践的启示：医疗保健专业人员应该采用二元评估来识别癌症患者及其配偶之间疾病认知的差异。制定有针对性的干预措施以协调认知表征并促进共同疾病的可理解性至关重要，这可以增强二元应对。

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引用次数: 0

A Cross-Sectional Study of How Cancer Nurses Document the Nursing Processes Using Digital Health Record (DHR) 癌症护士如何使用数字健康记录（DHR）记录护理过程的横断面研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-11-24 DOI: 10.1016/j.soncn.2025.152045

Delilah Shelley , Phillip S. Kavanagh , Deborah Davis , Catherine Paterson , Rebecca Heland

Study Aim

The aim of the study is to explore how nurses document the nursing processes within a cancer care setting using digital health record (DHR).

Research Question

How do nurses document the nursing processes within a cancer care setting using DHR?

Study Design

A cross-sectional study.

Methodology

Twenty clinical care records were randomly selected from a large metropolitan hospital in a single medical oncology inpatient ward in Australia. The audit was conducted using the D-Catch instrument to assess the completeness and quality of nursing record using the five elements of the nursing process. Data analysis was conducted in IBM SPSS Statistics version 29.

Findings

The findings from the study showed evidence of high scores across all aspects of the nursing process, both in the completeness of record and an overall positive outcome for the quality of nursing documentation. However, documentation relating to assessment of patients’ holistic care needs showed low to zero evidence of any documented record.

Implications on Care

This study provided important insight into the documentation of the nursing processes within DHR. The concerns around limited documentation in capturing holistic care needs require attention. The application of D-Catch tool in assessing the nursing process remains useful, as shown in this study; however, its usability within a digital context needs further investigation.

研究目的：本研究的目的是探讨护士如何使用数字健康记录（DHR）记录癌症护理环境中的护理过程。研究问题：护士如何在癌症护理环境中使用DHR记录护理过程？研究设计：横断面研究。方法：随机选取澳大利亚某大城市医院单一内科肿瘤住院病房的20份临床护理记录。使用D-Catch工具进行审计，使用护理过程的五个要素评估护理记录的完整性和质量。在IBM SPSS Statistics version 29中进行数据分析。研究结果：研究结果显示，在护理过程的各个方面，无论是记录的完整性还是护理文件质量的总体积极结果，都有高分的证据。然而，与患者整体护理需求评估相关的文件显示，任何记录在案的证据很少甚至为零。对护理的启示：本研究为DHR内护理过程的文件提供了重要的见解。需要注意的是，在捕捉整体护理需求方面文件有限。如本研究所示，D-Catch工具在评估护理过程中的应用仍然有用；然而，它在数字环境中的可用性需要进一步研究。

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引用次数: 0

Meaning, Identity, and Practice in Nipple-Areola Complex Tattooing Among Breast Cancer Survivors: A Scoping Review With a Data Mining Approach 乳腺癌幸存者乳头-乳晕复合纹身的意义、身份和实践：数据挖掘方法的范围审查。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-11-20 DOI: 10.1016/j.soncn.2025.152057

Mattia Bozzetti , Alessio Lo Cascio , Daniele Napolitano , Daniele Generali , Ilaria Marcomini , Gianluca Franceschini , Stefano Magno , Roberta Pendoni , Monica Guberti

Background

Nipple–areola complex (NAC) tattooing is an increasingly important component of breast reconstruction after mastectomy, supporting both aesthetic restoration and psychosocial recovery. However, NAC tattooing practices remain heterogeneous, with limited evidence on standardized protocols, nursing roles, and patient-reported outcomes.

Objective

This scoping review aimed to examine the clinical, psychosocial, professional, and organizational aspects of NAC tattooing in post-mastectomy care.

Methods

Following Joanna Briggs Institute and PRISMA-ScR guidelines, we systematically searched PubMed, Scopus, CINAHL, and EMBASE, supplemented by grey literature. Eligible studies addressed NAC medical tattooing for women undergoing breast reconstruction in any clinical setting. Data were extracted on study characteristics, professional roles, care models, psychosocial outcomes, and use of validated assessment tools. Computational analyses, including topic modeling, sentiment analysis, and multiple correspondence analysis, were conducted to identify thematic clusters and geographic patterns.

Results

Sixty-nine studies met inclusion criteria. The literature predominantly emphasized technical and aesthetic aspects, with minimal standardization in psychosocial assessment. Nurses were primarily associated with patient support, counseling, and nurse-led services, while surgeons were linked to procedural roles. Marked geographic and organizational variability emerged, with inconsistent reimbursement practices and few economic evaluations. Validated patient-reported outcome measures, such as the BREAST-Q, were rarely employed.

Conclusions

NAC tattooing is a promising, minimally invasive intervention within survivorship care. To optimize patient-centred outcomes and equitable access, future efforts should focus on standardizing protocols, implementing validated psychosocial assessments, and expanding nurse-led integrative care models.

背景：乳头乳晕复合体（NAC）纹身是乳房切除术后乳房重建中越来越重要的组成部分，支持审美恢复和社会心理恢复。然而，NAC纹身实践仍然是异质性的，在标准化协议、护理角色和患者报告的结果方面的证据有限。目的：本综述旨在探讨NAC纹身在乳房切除术后护理中的临床、社会心理、专业和组织方面的作用。方法：遵循Joanna Briggs Institute和PRISMA-ScR指南，系统检索PubMed、Scopus、CINAHL和EMBASE，并辅以灰色文献。符合条件的研究涉及在任何临床环境中接受乳房重建的妇女的NAC医学纹身。提取研究特征、专业角色、护理模式、社会心理结果和使用经过验证的评估工具的数据。计算分析包括主题建模、情感分析和多重对应分析，以识别主题聚类和地理模式。结果：69项研究符合纳入标准。文献主要强调技术和美学方面，在社会心理评估方面标准化程度最低。护士主要与病人支持、咨询和护士主导的服务有关，而外科医生则与手术角色有关。出现了明显的地理和组织差异，不一致的报销做法和很少的经济评价。经过验证的患者报告的结果测量，如BREAST-Q，很少被采用。结论：NAC文身是一种很有前途的微创治疗方法。为了优化以患者为中心的结果和公平获取，未来的工作应侧重于标准化方案，实施有效的社会心理评估，并扩大护士主导的综合护理模式。

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引用次数: 0

Genomic Instability in Hereditary Breast Cancer: Clinical and Nursing Implications for Risk Assessment and Targeted Therapeutic Strategies. 遗传性乳腺癌的基因组不稳定性：风险评估和靶向治疗策略的临床和护理意义。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-11-08 DOI: 10.1016/j.soncn.2025.152054

Aladeen Alloubani, Refat Nimer, Fatima Farhan, Farah Eid, Yahya Khawaja

Objectives: This review aims to bridge genomic insights with oncology nursing practice, promoting risk-informed care for patients with hereditary breast cancer (HBC).

Methods: This study reviewed publications from 2018 to 2024, searching PubMed, CINAHL, and Cochrane under PRISMA guidelines. It systematically reviews GI, emphasizing sporadic and hereditary breast cancer (BC), including BRCA1/2-related hereditary breast and ovarian cancer syndrome (HBOC), Li-Fraumeni syndrome (TP53 mutations), and Lynch syndrome (MSI-driven BC).

Results: Key genomic alterations such as TP53, BRCA1/2, and BCL2 mutations were found across various BC subtypes, including triple-negative, HER2-positive, and hormone receptor-positive tumors. Given the hereditary nature of some BC cases, genetic testing is crucial for risk assessment and early intervention, particularly as part of personalized screening protocols. Inhibiting these pathways with BCL2 inhibitors, PARP inhibitors for BRCA-mutated tumors, and immune checkpoint inhibitors for MSI-high tumors represents a promising therapeutic strategy.

Conclusions: This review highlights the importance of integrating genomic findings into personalized care planning, genetic counseling, and patient education.

Implications for nursing practice: Oncology nurses play a central role in applying genomic knowledge in patient care. They support informed decision-making regarding genetic testing, encourage adherence to surveillance protocols, monitor patients on targeted therapies, and advocate for equitable access to genetic services.

目的：本综述旨在将基因组学见解与肿瘤学护理实践联系起来，促进遗传性乳腺癌（HBC）患者的风险知情护理。方法：本研究回顾了2018年至2024年的出版物，在PRISMA指南下检索PubMed， CINAHL和Cochrane。它系统地回顾了GI，强调了散发性和遗传性乳腺癌（BC），包括brca1 /2相关的遗传性乳腺癌和卵巢癌综合征（HBOC）， Li-Fraumeni综合征（TP53突变）和Lynch综合征（msi驱动的BC）。结果：关键的基因组改变，如TP53、BRCA1/2和BCL2突变，在各种BC亚型中被发现，包括三阴性、her2阳性和激素受体阳性肿瘤。鉴于某些BC病例的遗传性，基因检测对于风险评估和早期干预至关重要，特别是作为个性化筛查方案的一部分。用BCL2抑制剂、brca突变肿瘤的PARP抑制剂和msi高肿瘤的免疫检查点抑制剂抑制这些途径是一种很有前景的治疗策略。结论：本综述强调了将基因组研究结果整合到个性化护理计划、遗传咨询和患者教育中的重要性。对护理实践的启示：肿瘤护士在应用基因组知识在患者护理中发挥核心作用。他们支持基因检测方面的知情决策，鼓励遵守监测方案，监测患者的靶向治疗，并倡导公平获得遗传服务。

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引用次数: 0

"The Nurse's Role in Genetic Counseling for Hereditary Neoplastic Syndromes: A Scoping Review". “护士在遗传性肿瘤综合征遗传咨询中的作用：范围综述”。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-17 DOI: 10.1016/j.soncn.2025.152037

Silvana Maria Barros de Oliveira, Paulyne Souza Silva Guimarães, Márcia Mirian Rosendo Aleluia, Alda Graciele Claudio Dos Santos Almeida, Patrícia de Carvalho Nagliate, Alda Galdino Dos Santos

Objective: To map the professional roles of nurses in genetic counseling (GC) for hereditary neoplastic syndromes (HNS).

Methods: A scoping review was conducted following the JBI methodological framework. The search involved three stages-strategy validation, database querying, and reference tracking-and included SCOPUS, Medline via PubMed, CINAHL, and Web of Science, between March and April 2024.

Results: From 1,089 identified records, 18 studies met the inclusion criteria. Most were conducted in the United States (12/66.6%). The roles of nurses in GC included risk assessment, pre- and post-test counseling, and patient follow-up. Fewer studies reported nurse-led coordination of GC services, reflecting a gap in leadership and institutional autonomy. The scope of practice varied depending on professional training, national regulations, and local protocols.

Conclusion: This scoping review substantiates nurses' central role in GC for HNS. However, their autonomy is constrained by policies and inequities. Enhanced education and standardized nurse-led protocols can strengthen GC, reduce disparities, and expedite prevention.

Implications for nursing practice: To meet the rising demand for oncology genetic services, policymakers should fund nurse education and training, clarify professional roles, and expand nurses' decision-making autonomy in GC. Scaling nurse-led, standardized risk-assessment and screening-particularly in primary care and underserved settings-can accelerate preventive access. Establishing nurse-led regional networks will improve equity, reduce disparities, and align cancer genetics services with local health-system contexts by addressing structural barriers.

目的：了解护士在遗传性肿瘤综合征（HNS）遗传咨询（GC）中的职业角色。方法：根据JBI方法学框架进行范围审查。检索涉及三个阶段——策略验证、数据库查询和参考文献跟踪，检索时间为2024年3月至4月，检索对象包括SCOPUS、Medline（通过PubMed）、CINAHL和Web of Science。结果：从1089份确定的记录中，有18项研究符合纳入标准。大多数在美国进行（12/66.6%）。护士在胃癌中的作用包括风险评估、检测前和检测后的咨询以及患者随访。较少的研究报告了护士主导的GC服务协调，反映了领导和机构自治方面的差距。实践范围因专业培训、国家法规和地方协议而异。结论：本综述证实了护士在HNS患者GC中的核心作用。然而，他们的自主权受到政策和不平等的限制。加强教育和标准化的护士主导方案可以加强GC，减少差异，加快预防。对护理实践的启示：为满足日益增长的肿瘤遗传服务需求，决策者应资助护士教育和培训，明确专业角色，扩大护士在胃癌中的决策自主权。扩大护士主导的标准化风险评估和筛查，特别是在初级保健和服务不足的环境中，可以加快预防性获取。通过解决结构性障碍，建立由护士主导的区域网络将改善公平性，减少差距，并使癌症遗传学服务与当地卫生系统的情况保持一致。

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引用次数: 0

Learning to Live With and Beyond Hematological Cancer: A Narrative Study for a Comprehensive Patient Perspective 学习与血液学癌症共存并超越：一项全面患者视角的叙事研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.151952

Karine Bilodeau , Cynthia Henriksen , Camila Aloisio Alves , Pegah Torabi , Lynda Piché , Jacinthe Pepin , Virginia Lee , Marie-France Vachon , Nathalie Folch , Marie-Pascale Pomey , Nicolas Fernandez

Purpose

The aim is to describe and conceptualize the lived experiences of people learning to live with and beyond hematological cancer throughout the cancer trajectory.

Method

This study used a narrative qualitative methodology to explore the experiences and experiential learning processes of people living with and beyond hematological cancer throughout their cancer care trajectory. Participants were recruited via a Canadian patient advocacy organization, and data were collected via remote semi-structured interviews, which were transcribed into first-person narratives and validated by participants. Data were analyzed using a hybrid inductive/deductive content analysis framework based on an educational biography reconstruction analysis approach.

Results

Twelve participants described their experiences during the hematological cancer care trajectory. These were conceptualized into 4 phases. The first phase, characterized as “Loss and Disruption,” occurs during the time of the first symptoms and diagnosis. Next, we present the second phase, characterized by “Putting One's Life on Hold” during treatment. Then, we describe the third phase, characterized by “Rediscovery and Personal Development,” which occurs at the end of treatment. The fourth phase, “Starting Over, Drawing from Experience” represents the experience of recurrence of cancer that is common in hemato-oncology.

Conclusions

This study highlights how the hematological cancer care trajectory influenced the process of learning to live with the disease. This experiential learning is closely tied to the different stages of the care trajectory, its key events, and the various individuals involved. These results will assist oncology nurses in developing sensitivity through a deeper understanding of each patient's unique journey and experiential learning.

目的：目的是描述和概念化在整个癌症轨迹中学习与血液病癌症共存和超越的人们的生活经历。方法：本研究采用叙述性定性方法，探讨血液癌患者和非血液癌患者在癌症治疗过程中的经历和体验学习过程。参与者通过加拿大患者倡导组织招募，并通过远程半结构化访谈收集数据，这些访谈被转录成第一人称叙述并由参与者验证。数据分析采用基于教育传记重构分析方法的混合归纳/演绎内容分析框架。结果：12名参与者描述了他们在血液学癌症治疗过程中的经历。这些被概念化为4个阶段。第一阶段，特征为“丧失和破坏”，发生在最初症状和诊断期间。接下来，我们介绍第二阶段，其特点是在治疗期间“暂停生命”。然后，我们描述第三阶段，以“重新发现和个人发展”为特征，发生在治疗结束时。第四个阶段，“从头开始，从经验中汲取”，代表了血液肿瘤中常见的癌症复发经验。结论：本研究强调血液学癌症护理轨迹如何影响学习与疾病共存的过程。这种体验式学习与护理轨迹的不同阶段、关键事件和涉及的不同个体密切相关。这些结果将有助于肿瘤护士通过深入了解每个患者的独特旅程和经验学习来发展敏感性。

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引用次数: 0

Competency-Based Orientation for Pediatric Hematology-Oncology Nurses: A Scoping Review for Developing Standards 儿童血液肿瘤学护士的能力导向：制定标准的范围审查。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.151960

Monnie Abraham , Paola Viveros Lamas , Tammy Rampton , Yan Yin Lim , Angela Massouh , Khairunnissa Hooda , Majeda A. Al-Ruzzieh

Objectives

A competency-based orientation program provides a supportive environment for new pediatric hematology-oncology nurses, facilitating their transition and skill development. Despite evidence of its benefits, such programs lack global standardization, particularly in low- and middle-income countries. A standardized and adaptable program could significantly benefit hospitals worldwide. This study aimed to explore current literature on competency-based orientation programs and their practical applications to develop standards for implementation pediatric hematology-oncology nursing.

Method

This study used a scoping review to explore orientation programs in the literature and existing competency-based orientation programs at pediatric hematology-oncology facilities within the St. Jude Global Alliance member institutions.

Results

Fourteen articles and four institutions with competency-based orientation programs from Jordan, Lebanon, Pakistan, and Singapore were reviewed. No articles reported on competency-based orientation programs for pediatric hematology-oncology units and there were limited articles from low- and middle-income countries. The authors found a lack of consistency in orientation timing, competency assessment, preceptorships, and coordination with key stakeholders.

Conclusions

Inconsistent orientation practices do not sufficiently prepare nurses who are new to pediatric hematology-oncology units for independent patient care. The authors recommend standardizing competency-based orientation programs for pediatric hematology-oncology units.

Implications for Nursing Practice

Creating a standardized competency-based orientation program adaptable to any pediatric hematology-oncology units worldwide would set new nurses up for success and improve patient outcomes.

目的：一个以能力为基础的培训项目为新的儿科血液肿瘤学护士提供了一个支持性的环境，促进他们的过渡和技能发展。尽管有证据表明其益处，但此类项目缺乏全球标准化，特别是在低收入和中等收入国家。一个标准化和适应性强的项目可以极大地造福世界各地的医院。本研究旨在探讨以能力为基础的导向计划的现有文献及其在制定实施儿科血液肿瘤学护理标准方面的实际应用。方法：本研究采用范围回顾的方法来探讨在圣犹达全球联盟成员机构的儿童血液肿瘤学设施中，文献和现有的基于能力的入职培训项目。结果：我们回顾了来自约旦、黎巴嫩、巴基斯坦和新加坡的14篇文章和4个机构的能力导向项目。没有文章报道儿童血液肿瘤单位的基于能力的定向项目，来自低收入和中等收入国家的文章也很有限。作者发现在方向、时间、能力评估、指导和与关键利益相关者的协调方面缺乏一致性。结论：不一致的定向实践不能充分准备护士谁是新的儿科血液肿瘤科独立的病人护理。作者建议标准化儿童血液肿瘤学单位的基于能力的定向项目。对护理实践的启示：创建一个标准化的能力为基础的培训计划，适用于全球任何儿科血液肿瘤学单位，将为新护士的成功奠定基础，并改善患者的治疗效果。

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