Seminars in Oncology Nursing最新文献

{"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}

{"title":"Oncology Advanced Practice Nurses’ Memorable Patient Care Experiences: A Qualitative Analysis","authors":"Abigail G. Cohen ,&nbsp;Vanessa Battista ,&nbsp;Judith Paice ,&nbsp;Betty R. Ferrell","doi":"10.1016/j.soncn.2025.151910","DOIUrl":"10.1016/j.soncn.2025.151910","url":null,"abstract":"<div><h3>Introduction</h3><div>The purpose of this study was to describe oncology<span> advanced practice nurses’ (APRNs) experiences caring for memorable patients, the meaning derived from patients’ experiences and the influence patients have had on their careers. This study builds on work describing the meaning of oncology nursing practice.</span></div></div><div><h3>Methods/Results</h3><div>Oncology APRNs (N=66) participating in an NCI funded ELNEC course responded to 3 open-ended prompts/questions: (1) Share a story about a memorable patient, (2) Why do you think the memory of this patient is meaningful to you? (3) How do you think caring for this patient has influenced your nursing career? A thematic, qualitative analysis of their responses identified several key themes including:</div><div>(1) Lessons learned: Usually profound, occasionally resulting in career altering impact.</div><div>(2) Admiration: Admiration for patients’ kindness, grace, strength, hope and courage through terminal illness.</div><div>(3) Delivery of high-quality palliative care: The foundation for deep connections and mutually beneficial relationships between APRNs and patients.</div><div>(4) Challenges: Clinical scenarios involving APRNs feeling like they failed; staff distress, trauma, or grief.</div></div><div><h3>Conclusions</h3><div>Oncology nurses described early nursing career experiences of patients as the greatest teachers and shared invaluable and transformative lessons learned about what it means to be human in the face of serious illness.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151910"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188546","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":"Advancing Global Cancer Symptom Science: Insights and Strategies from the Inaugural Cancer Symptom Science Expert Meeting","authors":"Sara Colomer-Lahiguera ,&nbsp;Rachel A. Pozzar ,&nbsp;Carolyn S. Harris ,&nbsp;Jeannine M. Brant ,&nbsp;Yvette P. Conley ,&nbsp;Mary E. Cooley ,&nbsp;Manuela Eicher ,&nbsp;Pamela S. Hinds ,&nbsp;Doris Howell ,&nbsp;Sandra A. Mitchell ,&nbsp;Karin Ribi ,&nbsp;Margaret Quinn Rosenzweig ,&nbsp;Susan W. Wesmiller ,&nbsp;Christine Miaskowski ,&nbsp;Marilyn J. Hammer","doi":"10.1016/j.soncn.2025.151905","DOIUrl":"10.1016/j.soncn.2025.151905","url":null,"abstract":"<div><h3>Objectives</h3><div>The inaugural “Cancer Symptom Science Expert Meeting,” held in Lausanne, Switzerland, on October 11 to 12, 2023, brought together 40 nurse scientists from seven countries. The event aimed to enhance collaboration across the global symptom science community; identify common research interests, gaps in knowledge, and opportunities for research; and develop strategies to address challenges and accelerate symptom science research internationally. This White Paper summarizes the discussions and recommendations deliberated during the meeting and introduces the Global Research Alliance in Symptom Science (GRASS).</div></div><div><h3>Methods</h3><div>This 2-day meeting featured presentations that highlighted critical issues and unanswered questions in cancer symptom science. Four core topic areas based on knowledge gaps were reflected throughout presentations. The co-occurrence of cancer with other chronic conditions (eg, cardiovascular disease, diabetes) that may share similar contributors and underlying mechanisms were included. Four working groups (WGs) were formed to identify gaps and opportunities associated with each topic and to outline strategic directions and essential actions to advance symptom science.</div></div><div><h3>Results</h3><div>WGs developed four recommendations. WG1 explored optimal approaches to collect, analyze, and use symptom data for research and clinical purposes. WG2 addressed the development of a minimum dataset or common data model for symptom science. WG3 focused on enhancement of best practices in implementation science strategies to improve uptake of evidence-based symptom management in routine care. WG4 addressed capacity building and infrastructure for the creation of a GRASS.</div></div><div><h3>Conclusions</h3><div>WGs’ recommendations underscore the commitment of an international coalition of scientists to advance symptom science. The symposium established the groundwork for the development of GRASS, dedicated to symptom science in cancer and other chronic conditions. Future directions include establishing regular scientific meetings, fostering interdisciplinary collaboration, and engaging with symptom scientists.</div></div><div><h3>Implications for Nursing Practice</h3><div>GRASS is an alliance for symptom science and its implementation into clinical practice. Nurses are at the forefront of this work.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151905"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828338","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":"Symptom Science in Pediatric Oncology","authors":"Sue Zupanec ,&nbsp;Kathleen E. Montgomery ,&nbsp;Pamela S. Hinds","doi":"10.1016/j.soncn.2025.151902","DOIUrl":"10.1016/j.soncn.2025.151902","url":null,"abstract":"<div><h3>Objectives</h3><div>to describe the historical evolution of symptom science in pediatric oncology from single symptom measurement to standardizing patient- and caregiver-reported outcomes in clinical trials, including underlying theoretical guidance, contributions of advanced analytics, and the state of integration of the science into clinical practice. Developmental considerations are also described.</div></div><div><h3>Methods</h3><div>historical and current peer-reviewed literature including original research reports and reviews as well as clinical practice guidelines were reviewed and findings extracted.</div></div><div><h3>Results</h3><div>Standardized patient-, caregiver-, and clinician-reported symptom and treatment toxicity outcomes are now embedded in certain clinical trials of the largest pediatric oncology cooperative group. Though the 3 reports can be discordant, findings indicate the willingness of patients, caregivers and clinicians to report on symptoms and toxicities. Concurrently, advanced analytics have revealed the existence of patient subgroups in terms of symptom experiences. This latter finding combined with the use of estimated minimally important differences, makes possible the potential of tailoring symptom management. Embedding symptom reports in clinical practice in a standardized manner, including real time reports and care, is a future milestone in pediatric oncology symptom science.</div></div><div><h3>Conclusions</h3><div>Three symptom perspectives, the patient, family caregiver, and clinician, are essential to accurately measure and manage the impact of cancer therapies on patient symptoms, treatment tolerability, function, and quality of life.</div></div><div><h3>Implications for Nursing Practice</h3><div>Standardizing patient, family, and clinician reports will provide important research and clinical care advances. Embedding these 3 perspectives in nursing practice in a standardized approach is the next milestone for symptom science in pediatric oncology.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151902"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337260","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":"State of the “Art” in Precision Health Symptom Science Research","authors":"Christine Miaskowski ,&nbsp;Sara Colomer-Lahiguera ,&nbsp;Yvette P. Conley ,&nbsp;Susan Dorsey ,&nbsp;Marilyn J. Hammer ,&nbsp;Carolyn Harris ,&nbsp;Marques Shek Nam Ng ,&nbsp;Michele Pelter ,&nbsp;Nancy Redeker ,&nbsp;Susan Wesmiller","doi":"10.1016/j.soncn.2025.151906","DOIUrl":"10.1016/j.soncn.2025.151906","url":null,"abstract":"<div><h3>Objectives</h3><div>The purposes of this paper are to provide a historical perspective on precision health symptom science research; discuss current “conundrums” in precision health symptom science research, including gaps in knowledge and opportunities for growth; and highlight potential challenges that could impede the advancement of precision health symptom science research. The paper concludes with critical directions and recommendations for future research.</div></div><div><h3>Methods</h3><div>A narrative review of the literature on symptoms and symptom burden, across common medical conditions (ie, cancer, heart failure, chronic obstructive pulmonary disease, chronic kidney disease, human immunodeficiency virus, type 2 diabetes mellitus, was conducted to provide information on salient topics associated with precision health symptom science research.</div></div><div><h3>Results</h3><div>This paper provides an overview of the field of precision health symptom science research. Some of the conundrums discussed include measurement of single and multiple symptoms; interindividual variability in persons’ symptom experiences; the concept of “time” in the evaluation of symptoms; advantages and disadvantages of various analytic approaches; and the collection of “meaningful” data. Practical research examples and suggestions are included to guide the development and conduct of future studies.</div></div><div><h3>Conclusions</h3><div>The paper summarizes potential challenges and opportunities in precision health symptom science research. The final section of the paper provides a summary of critical directions and recommendations for future research.</div></div><div><h3>Implications for Nursing Practice</h3><div>Precision health symptom science is a relatively young field of scientific inquiry. However, the future of precision health symptom science research is both exciting and challenging. Knowledge gained in this field will result in the identification of risk factors for a higher symptom burden and the development and testing of personalized interventions to prevent and/or treat symptoms across one or more acute or chronic medical conditions.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151906"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of a Musical Starry Sky Projector on Fatigue, Sleep, and Quality of Life in Pediatric Oncology Patients: A Randomized Controlled Trial","authors":"Remziye Semerci Şahin ,&nbsp;Tuba EREN ,&nbsp;Aycan Kucukkaya ,&nbsp;Polat Goktas ,&nbsp;Gülcan AVCI ,&nbsp;Filiz Savran","doi":"10.1016/j.soncn.2025.151911","DOIUrl":"10.1016/j.soncn.2025.151911","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate the effect of an Ocean Wave and LED Starry Sky Projector on fatigue, sleep, and quality of life (QoL) in pediatric oncology patients.</div></div><div><h3>Methods</h3><div><span>This randomized controlled trial included 60 pediatric oncology patients aged 8 to 18 years who were newly diagnosed with cancer and undergoing chemotherapy. Participants were randomly allocated into two groups: intervention (</span><em>n</em> = 30) and control (<em>n</em><span> = 30). The intervention group received standard care plus nightly exposure to an Ocean Wave and LED Starry Sky Projector for 30 minutes before sleep, over a period of 1 week. The control group received standard care only. Data were collected using the Adolescent Information Form, Pediatric Quality of Life Scale, Visual Sleep Scale, and Fatigue Intensity Scale. Fatigue and sleep quality were assessed daily, while QoL was evaluated on the first and seventh days.</span></div></div><div><h3>Results</h3><div>The descriptive characteristics of children in the intervention and control groups were found to be homogeneously distributed. Although no statistically significant difference was observed in sleep quality between the groups on the first day (<em>P</em> &gt; .05), significant differences favoring the intervention group were found from the second to the seventh day (<em>P</em> &lt; .05). Similarly, no significant differences were found in fatigue levels between the two groups throughout the week (<em>P</em> &gt; .05). There was no statistically significant difference in the mean scores of the “Pediatric Quality of Life Scale” between the groups (<em>P</em> &gt; .05).</div></div><div><h3>Conclusions</h3><div>This study found that the ocean wave and LED starry sky projector significantly improved sleep quality over time in pediatric oncology patients but had no significant effect on fatigue or QoL.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses can use musical projectors as a noninvasive, cost-effective tool to improve sleep quality in pediatric oncology patients during treatment.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151911"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227632","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 Cost-Effectiveness of Nursing Interventions in Cancer Care: Systematic Review","authors":"İlknur Yazıcıoğlu ,&nbsp;Gülcan Bağçivan ,&nbsp;Anica Kolic","doi":"10.1016/j.soncn.2025.151907","DOIUrl":"10.1016/j.soncn.2025.151907","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to comprehensively examine the studies evaluating the cost impact of nursing intervention in cancer care.</div></div><div><h3>Methods</h3><div><span>PubMed, Scopus, Web of Science, MEDLINE, </span>Cochrane Library<span>, and CINAHL<span><span> were searched between 2001 and 2024 for randomized controlled trials examining the cost-effectiveness of nursing intervention in cancer care. The search strategy and selection process was done following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Studies were included if they (1) involved nursing intervention (nurse-led or nurse involved), (2) were conducted with adult patients with cancer, (3) reported cost-effectiveness outcome, and (4) were randomized controlled trials. The study selection process was performed on the Rayyan program. The Consolidated Health </span>Economic Evaluation<span> Reporting Standards (CHEERS) checklist was used for quality assessment of included studies.</span></span></span></div></div><div><h3>Results</h3><div>Twenty-four studies met the criteria and were analyzed. More than half of the studies (18/24) were classified as moderate quality. The types of interventions were nursing care<span> including follow-ups, home visits and needs assessment (n = 11, 46%), education program (n = 2, 8%), telephone follow-up (n = 6, 25%), psychosocial support<span> (n = 1, 4%), group medical consultations (n = 1, 4%), and Geriatric Assessment Management (n = 1, 4%). Seventeen of the interventions were led by the nurse and five were performed by the health care team including a nurse.</span></span></div></div><div><h3>Conclusions</h3><div>In this systematic review, many of the included studies showed the cost-reducing effect of nurse care. Cost-effectiveness can be demonstrated as a way to convince health care system decision-makers to integrate an intervention into care services; in this respect, this result is significant.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses are one of the key factors in the structure of health care delivery, including financing, cost-effectiveness, and resource management. In terms of cancer care, considering the high treatment costs in the world, there is a need to make the situation cost-effective. As providers of health care services, nurses should provide evidence of cost-reducing interventions.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151907"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250862","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}