Loneliness, Death Perception, and Spiritual Well-Being in Adult Oncology Patients
Background Holistic nursing care requires taking into consideration the spiritual and emotional dimensions of the patient. Objective The aim of this study was to determine the relationships among loneliness, death perception, and spiritual well-being in adult oncology patients. Methods This cross-sectional, descriptive-correlational study was conducted between March 20, 2018, and September 20, 2018. A total of 347 oncology inpatients participated in this study. Data were collected using the UCLA Loneliness Scale (UCLA-LS), the Personal Meanings of Death Scale, and the Functional Assessment of Chronic Illn...
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

Self-management Strategies for Risk Reduction of Subclinical and Mild Stage of Breast Cancer–Related Lymphedema: A Longitudinal, Quasi-experimental Study
Background Early intervention with self-management strategies can potentially reduce the risk of progression of breast cancer–related lymphedema (BCRL). Objective To determine if The-Optimal-Lymph-Flow (TOLF) program focused on self-management strategies applied to patients with a subclinical or mild stage of BCRL can improve lymphedema-related behaviors, symptom experience, and limb circumference changes. Methods A total of 41 women with subclinical or mild lymphedema were enrolled in TOLF program. Lymphedema-related behaviors and lymphedema-related symptom experiences were measured by the Breast Cance...
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

Understanding the Complexity, Underlying Processes, and Influencing Factors for Optimal Multidisciplinary Teamwork in Hospital-Based Cancer Teams: A Systematic Integrative Review
Conclusion To improve multidisciplinary teamwork, the focus needs to be on the process of collaboration throughout the cancer care trajectory of the patient. A more integrated, interdisciplinary approach should be aimed for to recognize the role and contribution of all disciplines involved. Implications A cultural change is needed toward interdisciplinary practice in hospitals to reach partnership between all involved professionals as part of a participatory, collaborative, and coordinated approach. (Source: Cancer Nursing)
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

Development of the Prostate Cancer Treatment Decision Framework: A Context-Specific Expansion of the Risk-as-Feelings Hypothesis
Conclusions The Prostate Cancer Treatment Decision Framework combines new variables with older models to explain the PrCA treatment decision-making process and elucidate relationships affecting treatment outcomes and survivors’ perceptions of these outcomes. The core premise of this model can be applied to other high-risk health decisions. Implications for Practice Healthcare providers have the greatest influence on PrCA treatment decision-making. Using a shared decision-making approach, providers should take into account a patient’s personal characteristics and values, in addition to clinical presentation, ...
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

Dyadic Coping in Couples With Breast Cancer in China
Conclusions Dyadic coping in couples with breast cancer in China was in the reference range. Psychosocial characteristics, marital adjustment, and body image should be considered and evaluated when conducting interventions for couples with breast cancer. Implications for Practice When conducting interventions for couples with breast cancer, nurses should identify couples who are likely to adopt negative dyadic coping styles and then conduct targeted interventions that consider psychosocial characteristics, marital adjustment, and body image in couples with breast cancer. (Source: Cancer Nursing)
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

Developing a Next-of-Kin Involvement Guide in Cancer Care—Results From a Consensus Process
Conclusion In this study, we identified topics and elements to include in a next-of-kin involvement guide to support quality and safety in hospital cancer care. The study raises awareness of the complex area of next-of-kin involvement and contributes with theory development and knowledge translation in an involvement guide tailored for use by healthcare professionals and managers in everyday clinical practice. Implications for Practice Service providers can use the guide to formulate intentions and make decisions with suggestions and priorities or as a reflexive tool for organizational improvement. (Source: Cancer Nursing)
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

“I’m Not From Another Planet”: The Alienating Cancer Care Experiences of Trans and Gender-Diverse People
Conclusions The unique experiences of trans and gender-diverse people in cancer care shed light on the effect of gender biases and barriers to empathic care. Findings provide professionals with insights that can enhance their clinical practice through informing the ways they provide care to people with diverse genders. Implications for Practice Cancer care nurses should be reflecting on their own assumptions related to gender and engaging their patients in genuinely empathic communication. (Source: Cancer Nursing)
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

The Understanding of Dignity Among In-Hospital Patients Living With Incurable Esophageal Cancer
Conclusions A dialogical and understanding approach is significant in making the patient feel worthy, consequently helping to uphold a sense of dignity. The changing and decaying body due to eating difficulties bears witness to illness, altering the individual’s sense of self, in turn threatening the dignity of identity. Implication for Practice The care should be based on a reverential response based on the patients’ lifeworld. In doing so, storytelling might be a way. Palliative care for these people needs to stress that patients share other aspects of life that is not totally dominated by their illness, i...
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

Physical Activity Interventions for Colorectal Cancer Survivors: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Conclusions We provided evidence that PA interventions were effective in improving disease-specific quality of life, PA level, and maximum amount of oxygen; however, they did not improve fatigue and body mass index. Further randomized controlled trials are needed to determine the optimal mode of delivering PA intervention for CRC survivors. Implications for Practice As the survival rate of patients with CRC increases, survivors of CRC need to increase PA in a community setting after completing primary treatments. Effective and efficient modes of PA intervention delivery could improve health-related outcomes and ...
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

Identification of Distinct Profiles of Cancer-Related Fatigue and Associated Risk Factors for Breast Cancer Patients Undergoing Chemotherapy: A Latent Class Analysis
Conclusion These findings reveal that breast cancer patients undergoing chemotherapy show significant heterogeneity in their experience of cancer-related fatigue. Implications for Practice Characteristics associated with different fatigue profiles, in particular the high-risk profiles, can be used by clinicians to target patients at greater risk of poorer symptom and quality-of-life outcomes to provide interventions tailored to their different needs. (Source: Cancer Nursing)
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

Coping Strategies of Adolescent and Young Adult Survivors of Childhood Cancer: A Qualitative Study
Conclusions Even long after completing treatment, the cancer experience remained deeply ingrained in AYA survivors' lives. Although they did not perceive their survivorship as a large problem in their current lives, coping with being a childhood cancer survivor did take effort. The deployment of specific coping strategies helped them to remain focused on the positive outlook in life and to deal with the long-term physical and psychosocial consequences of the cancer experience aimed at ultimately leading a normal life. Implications for Practice This study emphasizes the current individual frame of reference of th...
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

Effects of a Roy’s Adaptation Model–Guided Support Group Intervention on Sexual Adjustment, Body Image, and Perceived Social Support in Women With Breast Cancer
Conclusion The Roy’s Adaptation Model–based support group intervention contributes positively to physiologic, self-concept, role-function, and interdependence modes by creating a positive effect on body image, improving sexual functions, and increasing social support for women on treatment for breast cancer. Implications for Practice This support group intervention may enhance care outcomes in women on treatment for cancer and could thus be incorporated into standard care for this patient group. (Source: Cancer Nursing)
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

The Lived Experiences of Mothers Who Are Parenting Children With Leukemia
Conclusion The mothers perceived their life as changing immediately upon hearing their child’s cancer diagnosis as they experienced a plethora of emotions. They sought support at various points during their child’s illness to cope and overcome the challenges during the cancer treatment journey. Implications for Practice Pediatric oncology nurses can support mothers during their transition to caring for a child with leukemia and can provide the needed support to reduce maternal distress and increase effective coping with the challenges. (Source: Cancer Nursing)
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

The Experiences and the Needs of Caregivers of Patients With Head and Neck Cancer: An Integrative Review
Conclusions Head and neck cancer affects the caregivers’ lives physically, psychosocially, and financially. Caregivers identified the need for informational, financial, and educational support on an ongoing basis in assisting their loved ones with HNC. Implications for Practice Ongoing assessment of caregivers’ support needs may contribute to enhancing the care and management of patients with HNC and is essential to promptly identify the concerns of caregivers. Clinicians should view the caregivers as copartners in HNC management and offer adequate support and education programs relevant to their needs. (Source: Cancer Nursing)
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research

The Use of Mobile Applications for Managing Care Processes During Chemotherapy Treatments: A Systematic Review
Conclusion Based on the available research, mobile apps are likely to be a useful and acceptable tool to monitor interventions and complications. In addition, mobile apps can help in the self-management of treatment-related complications. Importantly, these apps need to bridge the academic context and clinical practice, by evaluating the impact of the use of mobile apps in patients. Implications for Practice The concept of prescribing apps is being addressed to ensure that apps work and have fair privacy and data security policies that address safety requirements. (Source: Cancer Nursing)
Source: Cancer Nursing - November 1, 2021 Category: Nursing Tags: ARTICLES: ONLINE ONLY Source Type: research