Seminars in Oncology Nursing最新文献

{"title":"Assessment of Survivor Concerns Scale for Gynecological Cancer: Turkish Validity and Reliability Study","authors":"Gonul Kurt ,&nbsp;Hamide Arslan Tarus ,&nbsp;Neriman Yükseltürk Şimşek","doi":"10.1016/j.soncn.2025.151954","DOIUrl":"10.1016/j.soncn.2025.151954","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to adapt the Assessment of Survivor Concern Scale to Turkish and test its validity and reliability in gynecological cancer survivors.</div></div><div><h3>Methods</h3><div>This methodological study was conducted with 76 gynecological cancer survivors. During the adaptation phase of the Assessment of Survivor Concern Scale, the scale was first translated into Turkish and then culturally adapted. Next, the construct validity of the scale was evaluated by confirmatory factor analysis. The reliability of the scale was tested using Cronbach's alpha internal consistency coefficient, item-total score correlation coefficients, and intraclass correlation coefficients.</div></div><div><h3>Results</h3><div>It was determined that the Assessment of Survivor Concern Scale consisted of five items and two subscales. In the confirmatory factor analysis, the fit index values of the scale showed a good fit in general. The Cronbach’s alpha internal consistency coefficient of the scale was found to be 0.83, its intraclass correlation coefficients of the scale were above 0.70, and its item-total score correlation coefficients varied between 0.53 and 0.72.</div></div><div><h3>Conclusion</h3><div>The Turkish version of the Assessment of Survivor Concern Scale is a valid and reliable instrument for assessing the worry levels of gynecological cancer survivors.</div></div><div><h3>Implications for Nursing Practice</h3><div>Assessment of Survivor Concern Scale can help assess worry levels in survivors of gynecological cancers. This makes it possible to identify survivors with high worry levels and provide them with personalized counseling and psychosocial support.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151954"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709928","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":"“You Feel Like a Bystander in Your Own Life”—A Qualitative Study of Men’s Experience Cancer Healthcare","authors":"Ricco S. Jørgensen ,&nbsp;Elisabeth Coyne ,&nbsp;Karin B. Dieperink","doi":"10.1016/j.soncn.2025.151950","DOIUrl":"10.1016/j.soncn.2025.151950","url":null,"abstract":"<div><h3>Objectives</h3><div>This study explores the experience of healthcare professional (HCP) interactions for men with cancer. Additionally, to explore whether there is a disparity in how they perceive the interaction based on their relationship status—whether they are single or cohabiting.</div></div><div><h3>Methods</h3><div>The design was a qualitative descriptive study with a hermeneutic approach, using in-depth focus group interviews. Two focus group interviews were conducted between December 2023 and January 2024, with 11 men participating. The participants were divided into two groups based on whether they were single or cohabiting. Data were analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Three themes were extracted from the data. (1) “Perceptions of received support for caregivers vary based on living status” emphasizing the vital support caregivers provide to men who are cohabiting. The caregivers of single men are not automatically included in discussions with HCPs. (2) “The importance of information and healthcare professional relationships” underscores the disparity in the relationship between single men and HCPs compared to cohabiting men. (3) “Masculine norms and health behaviour” explores how traditional masculine norms influence men’s health behaviors.</div></div><div><h3>Conclusions</h3><div>Cohabiting men feel acknowledged and adequately informed about their illness and therefore report a generally positive experience with HCPs. Single men feel overlooked by HCPs, sensing a lack of interest in their individual circumstances and life experiences. Consequently, single men advocate for continuity in care, believing it would enable HCPs to better understand their needs and provide the necessary support.</div></div><div><h3>Implications for Nursing Practice</h3><div>There is a need to recognize the diversity among men for a more individualized approach to care. Recognizing and acknowledging the male perspective enables the development of interventions tailored to enhance the quality of life. Single men express a desire for continuity in their care. A consistent patient-nurse relationship fosters trust and therefore encourages men to open up.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151950"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001951","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":"Factors Associated with Visiting Nurses’ Palliative Care Practices for Japanese Patients with Cancer and Noncancer Illnesses: A Cross-Sectional Study","authors":"Kakei Iwahara ,&nbsp;Mayumi Mizutani ,&nbsp;Susumu Tanimura ,&nbsp;Ritsuko Nishide","doi":"10.1016/j.soncn.2025.151998","DOIUrl":"10.1016/j.soncn.2025.151998","url":null,"abstract":"<div><h3>Objectives</h3><div>Enhancing home-based palliative care provided by visiting nurses is a strategic priority in Japan. This study aimed to identify factors associated with visiting nurses’ palliative care practices that address physical, psychological, social, and spiritual distress in patients with cancer and noncancer illnesses.</div></div><div><h3>Methods</h3><div>A questionnaire survey was conducted in 2021 among 294 visiting nurses in Mie Prefecture, Japan, to assess their individual and organizational attributes alongside their palliative care practices. The prevalence ratios were estimated using modified Poisson regression models, with palliative care practices targeting the four distress domains in both patient groups as the objective variables.</div></div><div><h3>Results</h3><div>The palliative care provided by the included nurses primarily addressed physical distress, followed by psychological, social, and spiritual distress in both patient groups. Collaboration with nurse specialists (certified nurse specialists or certified nurses) improved palliative care for physical (cancer, APR 1.21; noncancer, APR 1.23), psychological (cancer, APR 1.23; noncancer, APR 1.25), and social distress (cancer, APR 1.36; noncancer, APR 1.40) in both patient groups. Moreover, a well-defined perception of palliative care was associated with better palliative care for social (cancer, APR 1.68; noncancer, APR 1.49) and spiritual distress (cancer, APR 2.62; noncancer, APR 2.20).</div></div><div><h3>Conclusions</h3><div>The study suggests the crucial role of collaboration with nurse specialists and need for a better understanding of palliative care to improve the quality of care provided by visiting nurses to patients with cancer and noncancer illnesses.</div></div><div><h3>Implications for Nursing Practice</h3><div>Enhancing palliative care quality requires targeted education for visiting nurses on the effective collaboration with nurse specialists and a clear understanding of palliative care. This approach will enable nurses to address the multifaceted needs of patients with cancer and noncancer illnesses, ultimately improving their physical, psychological, social, and spiritual well-being.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151998"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Patients and Family Caregivers After Chimeric Antigen Receptor T-Cell Therapy: A Qualitative Study","authors":"Britt Snoek ,&nbsp;Wendy H. Oldenmenger ,&nbsp;Susanne M. van Hooft ,&nbsp;Pim G.N.J. Mutsaers","doi":"10.1016/j.soncn.2025.151951","DOIUrl":"10.1016/j.soncn.2025.151951","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the experiences and counseling needs of family caregivers and patients with relapsed or refractory B-cell lymphoma after CAR T-cell therapy.</div></div><div><h3>Methods</h3><div>A qualitative descriptive design was used. Twelve interviews were conducted with patients individually or together with their family caregiver between December 2021 and March 2022. The interviews were transcribed verbatim, coded and a qualitative thematic analysis was carried out.</div></div><div><h3>Results</h3><div>Five themes that influenced experiences and counseling needs after CAR T-cell therapy were identified: (1) emotional impact, (2) impact on daily life, (3) individual coping strategies, (4) social support, and (5) professional care. Most patients experienced fear of disease progression and infections. Others experienced CAR T-cell therapy as easier than previous treatment with chemotherapy followed by an autologous stem cell transplant. Both patients and family caregivers emphasized the importance of their support system and clear information about the treatment. Some family caregivers found the treatment pathway more challenging than patients, especially when neurological side-effects occurred.</div></div><div><h3>Conclusion</h3><div>Patients need personalized counseling before, during, and after treatment. Our study helps to identify important themes to consider during (after)care, where nurses play a crucial role. Family caregivers are important and may experience treatment differently. Therefore, they may need different counseling. Early identification of personal coping strategies can be a starting point for improving care.</div></div><div><h3>Implications for nursing practice</h3><div>CAR T-cell therapy can be a complex pathway and has a unique profile of toxicity. Family caregivers play an important role. Both can experience an impact on emotional well-being, daily life and social functioning. Hematology nurses should be aware of the potential impact of CAR T-cell therapy with the consideration that every person has different coping strategies and keep in mind that each person has different coping strategies and may need different counseling.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151951"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271215","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 Five Phases of Patients’ Recovery and Rehabilitation After a Stem Cell Transplantation: A Qualitative Study","authors":"Mariska C.M. van der Lans ,&nbsp;AnneLoes van Staa ,&nbsp;Heleen A. van der Stege ,&nbsp;Wendy H. Oldenmenger","doi":"10.1016/j.soncn.2025.151959","DOIUrl":"10.1016/j.soncn.2025.151959","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to refine the Five Phases of Recovery and Rehabilitation model in allogeneic hematopoietic stem cell transplantation (HSCT) patients and autologous HSCT patients during the first-year post-transplant.</div></div><div><h3>Methods</h3><div>Two focus groups were conducted, one with allogeneic HSCT patients (n = 8) and one with autologous HSCT patients (n = 8). Participants reflected on their experiences during the first-year post-transplant. Data were audiotaped, anonymized, transcribed verbatim, and analyzed using Directed Content Analysis.</div></div><div><h3>Results</h3><div>Both allogeneic HSCT patients and autologous HSCT patients followed the successive five phases of the Five Phases of Recovery and Rehabilitation model. Over time, the focus shifted from physical recovery to phases psychological, social, and spiritual well-being. Additionally, this study demonstrated the need for support from both formal and informal caregivers. As patients progressed through rehabilitation, their need for professional healthcare support gradually transitioned to greater reliance on family caregivers. Formal support from cancer nurses remained essential throughout.</div></div><div><h3>Conclusions</h3><div>This study reinforces the evidence for the Five Phases of Recovery and Rehabilitation model, highlighting the complex survivorship needs of HSCT patients.</div></div><div><h3>Implementations for Nursing Practice</h3><div>The refined model provides a structured framework for organizing complex cancer care, empowering cancer nurses to take a leading role in guiding patients and their families through the challenges of recovery, helping them to navigate the transition beyond HSCT treatment.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151959"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978574","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":"Pediatric Theory of Unpleasant Symptoms: A Multi-level Symptom Theory for Pediatric Cancer","authors":"Kathleen E. Montgomery ,&nbsp;Cynthia A. Gerhardt ,&nbsp;Pamela S. Hinds ,&nbsp;Micah A. Skeens","doi":"10.1016/j.soncn.2025.151955","DOIUrl":"10.1016/j.soncn.2025.151955","url":null,"abstract":"<div><h3>Background</h3><div>Children with cancer often experience significant symptom burden and toxicities associated with cancer treatment. Advancing pediatric symptom science through theory-guided research is essential to inform targeted interventions that ameliorate suffering and enhance quality of life. However, current symptom theories do not reflect the complex relationships between the child, family, and clinician. This highlights the need for a new framework encompassing the child’s experience, while also integrating family and clinician perspectives.</div></div><div><h3>Objectives</h3><div>This narrative review introduces a novel pediatric theory of symptoms developed through a comprehensive synthesis of published literature and existing theory.</div></div><div><h3>Methods</h3><div>The Theory of Unpleasant Symptoms was critically evaluated for empirical gaps and areas for enhancement. Through an iterative process of literature review and theoretical refinement, we developed an adapted theory, called The Pediatric Theory of Unpleasant Symptoms (Pedi-TOUS).</div></div><div><h3>Results</h3><div>The Pedi-TOUS captures the multidimensional symptom experiences of children with cancer. It integrates diverse perspectives on symptom perception and delineates multi-level, influencing factors and performance outcomes associated with symptom experiences. Notably a novel influencing factor regarding relationships is introduced, emphasizing the collaborative role of caregivers and clinicians in shaping the symptom experience.</div></div><div><h3>Conclusions</h3><div>The Pedi-TOUS is a responsive adaptation of existing theory, reflecting emerging trends in pediatric oncology symptom science. It provides a robust conceptual basis for future research aimed at elucidating the comprehensive symptom experiences of children with cancer.</div></div><div><h3>Implications for Nursing Practice</h3><div>Pedi-TOUS can inform clinical practice by guiding the development of tailored, evidence-based interventions to improve symptom management and patient care in pediatric oncology.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151955"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776919","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":"Impact of Inequalities in Treatment for Prostate Cancer Affecting Demand for Secondary and Tertiary Services: Secondary Analysis of Linked National Datasets","authors":"Ashleigh Lauren Ward ,&nbsp;Susanne Cruickshank ,&nbsp;Liz Forbat","doi":"10.1016/j.soncn.2025.151914","DOIUrl":"10.1016/j.soncn.2025.151914","url":null,"abstract":"<div><h3>Objectives</h3><div>This study calculates the actual and weighted changes in population, incidence, and treatment use to better understand the inequities in use affecting the delivery of prostate cancer services.</div></div><div><h3>Methods</h3><div>Health data held by Scotland’s electronic Data Research and Innovation Service were linked with National Records of Scotland census data and Information Services Division health data to identify men aged ≥45 living in Scotland who had prostate cancer. Data were analyzed descriptively and weighted using National Records of Scotland census data.</div></div><div><h3>Results</h3><div>Demand for secondary and tertiary services nationally coincided with the implementation of new technologies and treatments in Scotland. Furthermore, differences in demand for treatment services were evident between regions that could not be explained by urban and rural factors.</div></div><div><h3>Conclusion</h3><div>These findings demonstrate the level of national variability that governments and health care administrations need to consider when distributing resources to services.</div></div><div><h3>Implications for Nursing Practice</h3><div>This report highlights the challenges for cancer nurses in maintaining skills and competencies in light of rapidly emerging technologies, and the unique demands on local and regional services, which will affect mentorship across regions.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151914"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056237","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":"What are the Key Components of an Advanced Nurse Practitioner (ANP) Led High-Risk Family History Breast Clinic? A Scoping Review.","authors":"Lisa Marie Cadden, Carla O'Neill, Mary Ryder","doi":"10.1016/j.soncn.2025.152018","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.152018","url":null,"abstract":"<p><strong>Objectives: </strong>To identify what is known in the existing literature about the key components of an advanced nurse practitioner led high-risk family history breast clinic.</p><p><strong>Methods: </strong>This scoping review adheres the Joanna Briggs Institute scoping review framework and reported in line with the PRISMA Extension for Scoping Reviews (PRISMA-ScR) checklist. A systematic search of 4 databases including CINAHL, PubMed, Scopus and PsychINFO and sources of grey literature was conducted in October 2024 and December 2024. Data was extracted, synthesised and presented in narrative and table format.</p><p><strong>Results: </strong>Seven papers met the inclusion criteria. Two themes emerged from the literature, risk assessment to determine breast cancer risk and the psychological impact of risk realisation on the patient and the nurse.</p><p><strong>Conclusion: </strong>This scoping review aimed to identify the key components of an advanced nurse practitioner led high risk family history breast clinic. Two key components emerged from the literature namely risk assessment and the psychological impact of risk realisation. This review also identifies the recommended clinical outcomes following the identification of women at high risk for developing breast cancer. This review also aimed to identify the gaps in the literature regarding the role of the nurse within these clinics. The management of women identified to have psychological distress as a consequence of risk realisation.</p><p><strong>Implications for nursing practice: </strong>Advanced nurse practitioners are well placed to lead the care of women at high-risk of developing breast cancer utilising a holistic approach, in conjunction with the multidisciplinary team.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152018"},"PeriodicalIF":2.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of an Instrument to Measure Intention of Cancer Surveillance Among Patients With Hereditary Colorectal Cancer on the Basis of Theory of Planned Behavior.","authors":"Qianqian Du, Lu Cui, Jingyue Xie, Xiaodan Wu, Xiaoxuan Wang, Chen Yuan, Meifen Zhang","doi":"10.1016/j.soncn.2025.151988","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151988","url":null,"abstract":"<p><strong>Objective: </strong>Patients with hereditary colorectal cancer (HCRC) require consistent surveillance for both intestinal and extra-intestinal cancers. This study aims to develop a scale to measure variables associated with the intention of cancer surveillance behavior among patients with HCRC based on the Theory of Planned Behavior.</p><p><strong>Methods: </strong>The preliminary scale was constructed using direct measures derived from a literature review, and belief-based indirect measures generated through a belief elicitation study involving 23 patients with HCRC. Then a sample of 134 patients was recruited to evaluated the validity and reliability of the scale.</p><p><strong>Results: </strong>The finalized scale comprises 37 items with 4 subscales. The I-CVI ranged from 0.875 to 1.000, while the S-CVI/Ave for each subscale varied between 0.964 and 1.000. The Cronbach's α for the direct measures of each subscale ranged from 0.819 to 0.940. The intraclass correlation coefficient was between 0.609 and 0.893. Exploratory factor analysis revealed that the direct measures accounted for 80.133% of the variance. Convergent validity was established between the direct measures and the indirect measures (attitudes r = 0.469, P < .001; subjective norms r = 0.374, P < .001; perceived behavioral control r = 0.353, P < .001).</p><p><strong>Conclusion: </strong>The scale demonstrates adequate construct validity, predictive validity, internal consistency reliability and test-retest reliability, making it a valuable tool for assessing beliefs regarding cancer surveillance in patients with HCRC.</p><p><strong>Implications for nursing practice: </strong>This newly developed scale will provide critical insights into how intentions influence actual cancer surveillance behavior among patients with HCRC. This understanding will facilitate the design of nursing interventions aimed at enhancing surveillance behaviors and long-term health outcomes.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151988"},"PeriodicalIF":2.3,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849638","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":"Lived Experiences of Iranian Oncology Nurses on Missed Nursing Care During a Public Health Crisis: Causes and Emotional Consequences","authors":"Mahsa Pourshaban ,&nbsp;Hadi Hasankhani ,&nbsp;Atefeh Allahbakhshian ,&nbsp;Sarieh Poortaghi","doi":"10.1016/j.soncn.2025.151947","DOIUrl":"10.1016/j.soncn.2025.151947","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;&lt;span&gt;The COVID-19 pandemic posed unprecedented challenges for health care systems worldwide, particularly for oncology nurses in Iran, who grappled with significant issues related to missed &lt;/span&gt;nursing care&lt;span&gt;. These challenges have raised critical concerns regarding their professional roles and emotional health. This study aims to investigate the lived experiences of Iranian oncology nurses, emphasizing the emotional ramifications of missed nursing care and the underlying factors that contributed to this phenomenon during the pandemic.&lt;/span&gt;&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This research adopted a qualitative approach grounded in Heidegger’s hermeneutic phenomenology. The study involved 12 oncology nurses employed in various departments across five public hospitals in Tehran and Tabriz. Data collection spans from February 2023 to December 2024, utilizing in-depth, semi-structured interviews to garner rich, qualitative insights. Interviews were conducted until data saturation was reached, ensuring a comprehensive understanding of the participants’ experiences. The simultaneous analysis of the data follows the methodological framework established by Diekelmann et al. (1989).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Through a detailed phenomenological analysis of the interviews, four primary themes emerged, accompanied by sixteen subthemes: “Existential Fatigue,” “Difficult Emotions,” “Nurse Assumptions,” and “Role Ambivalence.” The first two themes illuminate the emotional distress experienced by nurses as a direct outcome of the challenges posed by missed nursing care. Conversely, the latter themes shed light on the factors contributing to these instances of missed care amid the pandemic’s unique challenges.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Oncology nurses often grapple with intense emotional challenges as they strive to meet the demanding nature of their caregiving roles. This emotional strain can hinder their ability to fully connect with patients, leading to missed nursing opportunities that create a harmful cycle affecting both the well-being of the nurses and the outcomes for patients. This scenario highlights the deep link between emotional health and the quality of nursing practice. Additionally, biases and a sense of futility regarding certain interventions complicate their experiences, especially during crises, while the duality of their roles introduces conflicting expectations. This interplay underscores the complexities inherent in nursing, particularly in demanding situations.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications for Nursing Practice&lt;/h3&gt;&lt;div&gt;These findings underscore the urgent necessity for comprehensive emotional health support and regular emotional assessments for oncology nurses to enhance their resilience. Creating a supportive and nurturing work environment&lt;span&gt;, coupled with targeted training to address common nurse assumptions and clarify role expectations, is essential. Such measures","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151947"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627731","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}