Too Much Cancer Care?: Nurses' Perspectives on the Unnecessary Use of Oncology Services
Conclusions Nurses perceive unnecessary use of health services as a result of multiple, interlinked and complex causes, but few targeted interventions exist. Future research should explore quantifying unnecessary use to determine an accurate representation of the issue. Implications for Practice Solutions should include engaging patients and families, involving nurses, and fostering multidisciplinary collaborative teamwork to positively affect care and treatment decision-making processes. (Source: Cancer Nursing)
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Adapting and Going the Extra Mile: A Qualitative Study of Palliative Care in Rural Northern Norway From the Perspective of Healthcare Providers
Conclusions Palliative care needs strengthening in rural areas, and increased competence for all healthcare professionals is vital to increase equality in care. Geographical conditions require locally adapted solutions. Access to guidelines and interprofessional collaboration are essential. Implications for Practice Rural palliative care needs in Norway are improving, as exemplified by at least 1 cancer nurse assigned to each local authority, and access to guidelines and palliative tools and interprofessional collaboration. (Source: Cancer Nursing)
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Quality of Life and Severity of Symptom Differences Between Post Open Colectomy and Laparoscopic Colectomy in Colorectal Cancer Patients
Conclusions Patients who received the laparoscopic-assisted colectomy procedure reported a better quality of life and lower symptom severity than those who received the conventional open colectomy surgical method. Implications for Practice Patients who will have a conventional open colectomy will likely need enhanced management of symptoms and attention to their quality of life. (Source: Cancer Nursing)
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Use of a Symptom Diary on Oncology Wards: Effect on Symptom Management and Recommendations for Implementation
Background Management of symptoms is essential in reducing the symptom burden of cancer patients. The effect of symptom diaries on symptom management to date has been evaluated only in ambulatory settings. Objective The aims of this study were to identify the key facilitators for successful implementation of symptom diaries on oncology wards from patients’ and professionals’ perspectives and to evaluate implementation outcomes. Methods In 2 cycles of action research, the Utrecht Symptom Diary (USD) was implemented on 3 oncology wards and a daycare unit. Key facilitators for implementation were identif...
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

The Interaction Between Hematological Cancer Patients and Family Caregivers and Their Life Changes: A Qualitative Dyadic Approach
Conclusion Patients with hematological cancer and family caregivers need nurses’ support. Nurses should be prepared to provide patient-caregiver–based interventions. Implication for Practices It is important that nurses take action to strengthen the relationship between patients and their caregivers, particularly with a focus on carrying out interventions to improve communication between them. Nurses can also strengthen dyads’ coping by drawing attention to positive developments in their perspectives and relationships. (Source: Cancer Nursing)
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Maternal Experiences of Parenting Young Children While Battling Breast Cancer in Taiwan
Conclusions The findings illustrate how Taiwanese mothers interpret their illness, contextualize illness-related messages in daily life, and maintain family ties while coping with breast cancer. The will to maintain the family's integrity, including the extended family, can empower mothers throughout the trajectory. Implications for Practice Ill mothers may benefit from nurses' guidance on daily routines and cultural practices that they can exploit to frame illness messages for their children. Maternal efforts to change their outlook on life, vocalize their needs, and become more assertive should be acknowledged...
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Forgiveness and Health Outcomes in Cancer Survivorship: A Scoping Review
Conclusions Forgiveness in interpersonal relationships is a spiritual concern for individuals with cancer. Addressing forgiveness needs may promote mental health in cancer survivors. More empirical evidence is needed to understand the role of forgiveness in physical health in individuals with cancer. Implications for Practice Acknowledging forgiveness beliefs is a psychosocial-spiritual intervention that nurses can provide to support mental health in individuals with cancer. The potential role of forgiveness in physical health for individuals with cancer requires further study. (Source: Cancer Nursing)
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Cancer Nurses: A Voice to Lead—A Vision for Cancer Care
No abstract available (Source: Cancer Nursing)
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: DEPARTMENTS: Insights Source Type: research

Sleep During Pelvic-Abdominal Radiotherapy for Cancer: A Longitudinal Study With Special Attention to Sleep in Relation to Nausea and Quality of Life
Conclusion Nausea, more than a number of other variables, is a possible predictor of poor sleep in patients during radiotherapy for cancer. Implications for Practice The results indicate that effectively managing nausea may be important for sleep quality, and possibly quality of life, in patients undergoing radiotherapy for cancer. More research is needed before recommendations for practice can be made. (Source: Cancer Nursing)
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Rural-Urban Differences in Neuroimmune Biomarkers and Health Status Among Women Living With Breast Cancer
Background Because of chronic emotional and psychosocial stressors following breast cancer (BC) treatment, BC survivors are at risk of neuroimmune dysfunction in survivorship. Rural BC survivors experience more health disparities than urban BC survivors. Rural-urban residence as a variable on neuroimmune activity in extended BC survivorship continuum has not been explored. Objective To report the feasibility of studying relationships between neuroimmune activity and perceived health in rural and urban BC survivors. Methods Data from a pilot study of BC survivors (n = 41) were analyzed. Participants were r...
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Defining Expertise in Cancer Nursing Practice
Conclusions Many of the expert characteristics identified in this study reflect traits common to other nursing specialty groups. Of particular relevance to cancer nurses was “adaptability,” reflecting the complexity of contemporary cancer care and reaffirming Benner’s definition of an expert nurse as one who can fluidly connect knowledge and experience to unfamiliar practice contexts. Implications for Practice Understanding characteristics of expert cancer nurses may help inform and support professional practice advancement and guide future research about select characteristics of expert cancer nurses to p...
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Development and Psychometric Evaluation of a New Short Version of the Swedish Frommelt Attitudes Toward Care of the Dying Scale
Conclusions The 9-item FATCOD–Short Form demonstrates evidence of acceptable validity and reliability to identify nurses’ attitudes toward caring for dying persons because of its brevity and comprehensive content. Implications for Practice When changing curricula in nursing education or implementing new procedures in nursing practice, it is important to have valid instruments to evaluate the results of the change. Such instruments should not be too lengthy or complicated. FATCOD–Short Form is a brief and valid instrument that can be easily used. (Source: Cancer Nursing)
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Oncology Nurses' Perspectives and Practices Toward the Delivery of Cancer Survivorship Care in Hong Kong
Conclusions This study provides further evidence for inadequacies of oncology nurses in delivering survivorship care and their perceived barriers. Further studies are required to enhance our understanding of the strategies for improving the quality of cancer survivorship care. Implications for Practice Results underscore the need to develop educational resources and enhance training in survivorship care for oncology nurses. (Source: Cancer Nursing)
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Exploring Young People’s Experience of Ending Active Cancer Treatment: When the “Little Cancer Treatment Bubble” Pops
Conclusions Adolescents and young adults were underprepared for and challenged by the unexpected emotional and physical consequences of ending active cancer treatment. Implications for Practice Young people require information and support to prepare for ending active treatment and reintegration to everyday life. Preparation for the short- and long-term physical, social, and psychological impact of a cancer diagnosis even when treatment ends will assist young people in managing this transition. Further research is required to develop and test interventions to provide timely, structured, and equitable information ...
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research

Impact of Birth Cohorts in Breast Cancer Risk Among South Korean Women
Conclusion Whereas the relationship between reproductive factors and breast cancer risk was relatively weak, birth cohort was the most important risk factor for breast cancer. Implications for Practice The results provide a basis and a rationale for developing birth cohort–based clinical guidelines for breast cancer prevention and early detection, treatment, and survivorship. These findings should also be useful to researchers in other countries experiencing rapid changes in breast cancer incidence. (Source: Cancer Nursing)
Source: Cancer Nursing - June 25, 2021 Category: Nursing Tags: ARTICLES Source Type: research