Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Authors: PMID: 31967445 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - January 24, 2020 Category: Nursing Tags: Clin J Oncol Nurs Source Type: research

Perceptions of Stress: Patient and Caregiver Experiences With Stressors During Hospitalization.
Abstract BACKGROUND: Hospitalization for a cancer diagnosis and treatment may trigger stressful experiences for patients and family caregivers. OBJECTIVES: The purpose of this study was to identify patients' and caregivers' perceptions of stressors during hospitalization and evaluate their education needs. METHODS: A descriptive correlational research design was used to determine whether there is any correlation between the stress perceptions of patients and family caregivers and their need for additional education on health-related issues. FINDINGS: Patients reported experiencing mild to extreme st...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Abuatiq A, Brown R, Wolles B, Randall R Tags: Clin J Oncol Nurs Source Type: research

Moral Distress: One Unit's Recognition and Mitigation of This Problem.
This article describes recognizing the risk of moral distress in a newly formed medical-surgical oncology unit and steps taken to mitigate developing moral distress, illustrating that moral distress is present in oncology nursing and warrants further study. PMID: 31961832 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Bruce SD, Allen D Tags: Clin J Oncol Nurs Source Type: research

Sun-Protective Behaviors: An Educational Intervention With Hospital Staff Aimed at Skin Cancer Prevention in Children.
Abstract BACKGROUND: Melanoma incidence and mortality rates are predicted to steadily increase. Sun protection is important during early development because of the potential for overexposure to ultraviolet radiation while outdoors. OBJECTIVES: The purpose of this project was to design, implement, and evaluate an educational intervention provided to healthcare professionals (HCPs) with the intention of influencing the behaviors of child populations served. METHODS: The project evaluated HCPs' baseline knowledge about sun-protective behaviors, their level of knowledge regarding sun-protective behaviors pos...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Bruce AF, Cowan T Tags: Clin J Oncol Nurs Source Type: research

When Does Treatment in Cancer Care Become Futile?
Abstract Futility in medicine has been defined as excessive medical intervention with very little prospect of altering the clinical outcome in a positive manner. If treatments fail to release our patients from the preoccupation with the illness and do not allow them to pursue their life goals, then perhaps that treatment is futile. PMID: 31961835 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Katz P Tags: Clin J Oncol Nurs Source Type: research

American Indians and Alaska Natives: Resolving Disparate Cancer Outcomes.
Abstract American Indians and Alaska Natives (AIANs) have been documented as a population with high rates of cancer mortality in comparison to other racial and ethnic groups in the United States. During a time when other populations in the United States are experiencing improvements in cancer outcomes, cancer disparities in AIANs persist. The disparities in cancer outcomes in this diverse population can be attributed to a complex constellation of factors, which include access-to-care, economic, medical, and individual barriers, and mistrust and disenfranchisement. PMID: 31961836 [PubMed - in process] (Source:...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Haozous EA Tags: Clin J Oncol Nurs Source Type: research

Getting Information-STAT.
Abstract This issue of the Clinical Journal of Oncology Nursing (CJON) contains the inaugural installment of STAT, a visually compelling one-page review about oncologic emergencies or other clinical care issues that require urgent nursing attention. The reasons for STAT are simple. The need for nurses to have accessible and timely references to support clinical practice is well established. Studies consistently confirm that time management is a core nursing competency. To best manage that time, nurses who have ready access to foundational clinical care content can better affect patient outcomes. PMID: 3196183...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Carr E Tags: Clin J Oncol Nurs Source Type: research

Sepsis: Symptoms, Assessment, Diagnosis, and the Hour-1 Bundle in Patients With Cancer.
Abstract Sepsis has a higher incidence of hospital stays and poorer morbidity and mortality outcomes in patients with cancer. The development of infection in weakened immune systems and prolonged treatment courses increase the risk for sepsis in patients with cancer. The causes of infection that can lead to sepsis in patients with cancer are further complicated by disease- or therapy-related neutropenia. Early recognition of sepsis is critical for prompt treatment to prevent tissue damage, organ failure, and mortality. The Surviving Sepsis Campaign recommends the Hour-1 bundle as best practice for sepsis managemen...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Boucher JE, Carpenter D Tags: Clin J Oncol Nurs Source Type: research

Nurse Case Manager: Measurement of Care Coordination Activities and Quality and Resource Use Outcomes When Caring for the Complex Patient With Hematologic Cancer.
This article aimed to identify the frequency of NCM care coordination activities and quality and resource use outcomes in the complex care of patients in the hematology setting. METHODS: NCM aggregate data from complex outpatients with hematologic cancer were retrieved from electronic health records at a comprehensive cancer center in the midwestern United States. Total volume of activities and outcomes were calculated as frequency and percentage. FINDINGS: Care coordination activities included communicating; monitoring, following up, and responding to change; and creating a proactive plan of care. Quality outcom...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Garnett D, Hardy L, Fitzgerald E, Fisher T, Graham L, Overcash J Tags: Clin J Oncol Nurs Source Type: research

Advance Care Planning: Advanced Practice Provider-Initiated Discussions and Their Effects on Patient-Centered End-of-Life Care.
This study involved retrospective data collection of 20 inpatients and 20 outpatients without a scanned advance directive in the electronic health record at the time of admission or clinic visit, as well as an ACP intervention by an APP. FINDINGS: APPs can initiate ACP discussions with patients with cancer, which may assist in their understanding of ACP, resulting in completion of the advance directive documents and a change in their code (resuscitation) status. PMID: 31961841 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Goswami P, Mistric M, Diane Barber F Tags: Clin J Oncol Nurs Source Type: research

Oral Chemotherapy: A Home Safety Educational Framework for Healthcare Providers, Patients, and Caregivers.
Abstract BACKGROUND: Hazardous oral anticancer agents (OACs) require the same safe-handling considerations in the home setting as in controlled healthcare environments. Effective home management strategies for OAC administration emphasize caregiver protections, proper storage, safe administration, spill management, and proper waste disposal to reduce the risk for hazardous drug exposure. OBJECTIVES: The purpose of this study was to establish a framework for oral chemotherapy education for healthcare providers, patients, and caregivers using a checklist and teach-back tool focused on OAC safe handling. ME...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Huff C Tags: Clin J Oncol Nurs Source Type: research

Family Caregiver Strain and Burden: A Systematic Review of Evidence-Based Interventions When Caring for Patients With Cancer.
Abstract BACKGROUND: Caregivers of patients with cancer experience high levels of caregiver-related strain and burden (CGSB). Cancer caregiving is complex and can change dramatically depending on the cancer trajectory. Often, this experience leads to poor health outcomes for the caregiver. OBJECTIVES: This review appraises the evidence on CGSB published from 2007 to October 2017. METHODS: 128 interventional studies found in PubMed® and CINAHL® were appraised and categorized based on the Oncology Nursing Society's Putting Evidence Into Practice schema. FINDINGS: Psychoeducation, supportive ca...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Ginex P, Coleman M, Vrabel M, Bevans M Tags: Clin J Oncol Nurs Source Type: research

Mock Drills: Implementation for Emergency Scenarios in the Outpatient Setting.
Abstract BACKGROUND: Oncology care has made the shift to the outpatient setting. The authors' cancer center is a basic life support-certified facility using an affiliated hospital for emergent transfers. A nurse-led initiative was developed in response to expressed anxieties and lack of comfort by staff related to their role in emergency management. Mock drills help staff retain knowledge and skills necessary during an emergency. OBJECTIVES: This project aimed to create simulation-based scenarios to practice outpatient emergency management skills. METHODS: Targeted objectives for each scenario were devel...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: LeBoeuf J, Pritchett W Tags: Clin J Oncol Nurs Source Type: research

Thrombosis: Risk Factors Among Pediatric Patients With Cancer.
This study also examines the clinical nurse's role in preventing thrombosis and caring for pediatric patients who present with thrombosis. METHODS: The thrombosis literature was reviewed to identify risk factors, treatment regimens, and strategies for prevention. FINDINGS: Thrombosis in pediatric patients with cancer requires management of potential complications so that cancer treatment may continue. PMID: 31961846 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Newman GM Tags: Clin J Oncol Nurs Source Type: research

Advocacy: The Pivotal Role of Oncology Nurses.
Abstract Advocacy, an important component of nursing professional practice, is pivotal to ensuring that nurses' experience and insight influence public policy. Understanding how to become engaged and receive training to inform that process can support nurses' professional development. Such engagement ensures that nurses' unique insights inform the policies that affect patient care and professional practice in oncology and beyond. PMID: 31961847 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Blackburn R, Johnson KG, Chaveleh S Tags: Clin J Oncol Nurs Source Type: research

Survivorship Data Coordinator: Successful Exemplar of a New Survivorship Care Plan Role.
Abstract Survivorship care and survivorship care plans have become integral components of comprehensive cancer care and national accreditation. An academic and community cancer network successfully pilot tested a new non-nursing role to support efficiency in case finding, staffing, and tracking patients throughout care delivery: the survivorship data coordinator (SDC). Key functions of the SDC role include abstracting data into survivorship care plans, scheduling survivorship visits, and tracking the number of completed survivorship care plans shared with patients. This pivotal role improved organizational process...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Sweeney KA Tags: Clin J Oncol Nurs Source Type: research

Opioid Misuse Risk: Implementing Screening Protocols in an Ambulatory Oncology Clinic.
Abstract With morbidity and mortality related to opioid use continuing to increase, clinicians need to better understand the risk for opioid misuse in patient populations. Screening for opioid misuse risk has not been routinely adopted as a standard practice in clinical settings. A pilot study was performed to determine the feasibility of screening for future opioid misuse risk using the Opioid Risk Tool (ORT) in an ambulatory oncology clinic. Twelve patients in this sample scored in the moderate- to high-risk range for aberrant behavior, and 8 patients reported a personal history of substance abuse, indicating a ...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Teulings L, Broglio K Tags: Clin J Oncol Nurs Source Type: research

Palliative Care Communication: Outcomes From COMFORT, a Train-the-Trainer Course for Providers.
This study reports on the outcomes of COMFORTTM SM Communication for Oncology Nurses, a train-the-trainer communication course to educate oncology nurses about palliative care communication and improve patient-centered communication and cancer care. METHODS: 355 oncology nurses attended the two-day course. This study used 6- and 12-month follow-up data from nurses who provided feedback on the progress of these goals. FINDINGS: Nurses taught an additional 9,720 oncology providers, conducted needs assessments of communication processes, and initiated institutionwide palliative care communication training. Barriers ...
Source: Clinical Journal of Oncology Nursing - January 23, 2020 Category: Nursing Authors: Wittenberg E, Goldsmith J, Ferrell B, Buller H, Mendoza Y, Ragan SL Tags: Clin J Oncol Nurs Source Type: research

Survivorship Fellowship: Evaluation and Evolution of a Program for Advanced Practice Providers.
Abstract A comprehensive cancer center in the midwestern United States implemented a stakeholder-engaged quality improvement process to extend its existing one-year advanced practice provider (APP) fellowship program consisting of general oncology education and clinical experience to include an additional survivorship clinical rotation. APP fellowship alumni and program stakeholders reported noticeable benefits and greater importance attributed to program participation, validating inclusion of a survivorship clinic rotation as part of the fellowship program. PMID: 31730593 [PubMed - in process] (Source: Clini...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Nolan TS, Hatfield R, Browning KK, Kue J, Klemanski DL Tags: Clin J Oncol Nurs Source Type: research

Intraperitoneal Chemotherapy: The Lived Experiences of Taiwanese Patients With Ovarian Cancer.
Abstract BACKGROUND: Intraperitoneal (IP) chemotherapy is often a preferred treatment for ovarian cancer because of its clinical benefits, but research on the experiences of patients receiving IP chemotherapy is limited. OBJECTIVES: The purpose of this article is to explore the lived experiences of Taiwanese patients diagnosed with ovarian cancer who have received at least one cycle of IP chemotherapy. METHODS: A semistructured interview guide was used to collect data. Interviews were analyzed using a qualitative content analysis. FINDINGS: The following themes emerged from the data. PMID: 3173...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Chou JF, Lu Y Tags: Clin J Oncol Nurs Source Type: research

How Can Nurses Stay Resilient and Engaged During a Long and Ever-Changing Career Path?
Abstract Forty years ago, on a New Hampshire hilltop, I received my nursing pin as a new graduate from nursing school. A white dress, bright white stockings, and nursing shoes were the order of the day, along with a red rose. Despite the trend away from caps, I secretly loved my nursing cap with its blue velvet stripe. But, the nursing world moved on and, by the end of my first year in practice, nursing caps had become a relic of the past. Looking at a picture from that day, with my favorite professor on the chapel steps, I notice the cap is just a little crooked, but my smile is big. How did that young nurse surv...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Childress S Tags: Clin J Oncol Nurs Source Type: research

The DNA of a Testing Scam.
Abstract Federal agents raided a number of genetic testing laboratories in September 2019, resulting in 35 people being charged with fraudulent genetic testing associated with an estimated $2.1 billion in losses to federal healthcare insurance programs. The scams work in several ways. In some cases, an older adult is contacted by a customer service representative of the testing laboratory and told that Medicare pays for the genetic testing ordered, based on a simple cheek swab sample. This occurs when representatives of the testing laboratory have "arrangements" with providers who order the tests, often ...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Mahon SM Tags: Clin J Oncol Nurs Source Type: research

LGBTQ: The Communities Within a Community.
Abstract Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people are diverse, representing a small percentage of the American population. The identities of LGBTQ people are complex, are multilayered, and have a substantial impact on health and well-being. Oncology nurses and allied health professionals are uniquely positioned to appreciate the individuality of each patient, as well as address population-based considerations. This affords the provision of compassionate, culturally, and clinically competent care to this vulnerable population. Oncology care providers can begin to address the health inequities e...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Rice D Tags: Clin J Oncol Nurs Source Type: research

Parental Uncertainty: Parents' Perceptions of Health-Related Quality of Life in Newly Diagnosed Children With Cancer.
This study examined the relationship between parental uncertainty and parent proxy reports of HRQOL in newly diagnosed children with cancer. METHODS: A longitudinal descriptive approach was used to examine the relationship between parental uncertainty and parent proxy reports of HRQOL in 55 parent-child dyads. Parental trait anxiety, depression, and perceived social support were evaluated as potential predictor variables. FINDINGS: Parents of newly diagnosed children with cancer reported lower parent proxy HRQOL scores. Parental uncertainty was prevalent and affected parents' perceptions of HRQOL three months fol...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Eche IJ, Aronowitz T, Shi L, McCabe MA Tags: Clin J Oncol Nurs Source Type: research

Precautionary Principle: Cancer Prevention Efforts During Critical Periods of Growth and Development.
This article reviews the application of the precautionary principle during critical periods of growth and development and provides recommendations that may prevent epigenetic changes and reduce the risk for cancer. PMID: 31730600 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Cormier AC Tags: Clin J Oncol Nurs Source Type: research

Clinical Trials: Understanding Patient Perspectives and Beliefs About Treatment.
Abstract BACKGROUND: Understanding the experiences of patients with solid tumors who are in phase 1 clinical trials can help nurses to provide optimal care. OBJECTIVES: The purpose of this article is to describe patient perspectives of participating in a phase 1 trial and understanding their disease status and treatment options. In addition, the authors describe the impact of the disease and clinical trial participation on quality of life. METHODS: 30 patients were interviewed and audio recorded; the interviews were transcribed and content analysis methods were used to identify common themes. FINDIN...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Ferrell B, Williams AC, Borneman T, Chung V, Smith TJ Tags: Clin J Oncol Nurs Source Type: research

Midostaurin: Nursing Perspectives on Managing Treatment and Adverse Events in Patients With FLT3 Mutation-Positive Acute Myeloid Leukemia and Advanced Systemic Mastocytosis.
This article aims to improve oncology nurses' knowledge about the benefits and risks of midostaurin therapy and to provide guidance on the identification and management of eligible patients. METHODS: The clinical data that supported the U.S. Food and Drug Administration's approval of midostaurin are reviewed, and supporting safety and management considerations are provided based on the authors' experiences as nurses and advanced practice providers caring for patients who received midostaurin during these key clinical trials. FINDINGS: Nausea and vomiting are the most frequent nonhematologic adverse events reporte...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Galinsky I, Coleman M, Fechter L Tags: Clin J Oncol Nurs Source Type: research

Hereditary Pancreatic Cancer Syndromes: Providing Care to At-Risk Families.
This article reviews various hereditary pancreatic cancer syndromes, as well as pancreatic cancer screening recommendations, options, and limitations. PMID: 31730603 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: King E, Nehoray BM Tags: Clin J Oncol Nurs Source Type: research

PD-1 Inhibitors: Safety of Use and Management of Immune-Mediated Adverse Reactions in Patients With Head and Neck Cancer.
Abstract BACKGROUND: Treatment of patients with recurrent or metastatic squamous cell carcinoma of the head and neck (SCCHN) with programmed cell death protein 1 (PD-1) inhibitors has been associated with risk of developing immune-mediated adverse reactions (IMARs). OBJECTIVES: This review provides nurses with an overview of the safety of PD-1 inhibitors approved by the U.S. Food and Drug Administration for recurrent or metastatic SCCHN following platinum chemotherapy, as well as recommendations for assisting with the diagnosis and management of IMARs. METHODS: PubMed® searches were conducted to iden...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Lewis RL, Miller KL Tags: Clin J Oncol Nurs Source Type: research

Providing Palliative Care: Oncology Nurses' Perceptions of Their Self-Reported Abilities.
Abstract BACKGROUND: Oncology nurses are pivotal in the provision of primary palliative care. However, nurses working in oncology settings, where the goal is often curative, may lack knowledge about and comfort in providing palliative care. OBJECTIVES: The purpose of this study is to determine how oncology nurses perceive their ability to provide palliative care services to patients and their families. METHODS: Using Benner's theory of skill acquisition as a basis for self-evaluation, this cross-sectional, descriptive pilot study surveyed oncology nurses. FINDINGS: All participants reported ranges f...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Mann CM, Aldossary FR, Sullivan SS Tags: Clin J Oncol Nurs Source Type: research

Virtual Reality-Based Resilience Programs: Feasibility and Implementation for Inpatient Oncology Nurses.
This article reviews recommendations from an implementation project about a VR intervention for oncology nurses. PMID: 31730607 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Michael SH, Villarreal PM, Ferguson MF, Wiler JL, Zane RD, Flarity K Tags: Clin J Oncol Nurs Source Type: research

Managing Addiction: Guidelines for Patients With Cancer.
Abstract Addiction in patients with cancer is not well described. Patients with substance use disorders (SUDs) and cancer experience worse outcomes; however, no guidelines exist for identifying and successfully managing these issues in oncology. With the goal to improve patient safety and outcomes, an interprofessional work group at a major academic cancer hospital initiated a trial screening process for identifying substance abuse issues in an oncology population. Simultaneously, guidelines for patients with cancer and SUDs were created. PMID: 31730608 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: McNally GA, Sica A, Wiczer T Tags: Clin J Oncol Nurs Source Type: research

Telemedicine Versus Clinic Visit: A Pilot Study of Patient Satisfaction and Recall of Diet and Exercise Recommendations From Survivorship Care Plans.
Abstract BACKGROUND: Telemedicine is a growing approach to providing health care but a relatively new model for cancer survivorship services. OBJECTIVES: This quantitative, quasiexperimental pilot research study compared patient satisfaction and recall of nutrition and exercise recommendations for in-person clinic visits versus telemedicine appointments. METHODS: Participants were stage 0-III cancer survivors who received their survivorship care plans from a nurse practitioner (NP). Following their clinic or telephone appointment, patients were sent a link to a survey that included demographic, patient s...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Sprague SL, Holschuh C Tags: Clin J Oncol Nurs Source Type: research

Pediatric Palliative Care: A Literature Review of Best Practices in Oncology Nursing Education Programs.
Abstract Palliative care as a foundation for patient-centered care is not adequately covered in nursing curricula. This gap in education means that pediatric oncology nurses may lack necessary palliative care competencies to provide comprehensive care to patients. A literature review was performed to determine if nurses believe that they are prepared to provide clinical palliative care to pediatric patients and how pediatric palliative care best practices can be better integrated into nursing education programs. According to the literature review, studies suggest that providing pediatric palliative care education ...
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Negrete TN, Tariman JD Tags: Clin J Oncol Nurs Source Type: research

Shared Decision Making: Effects of an Online Education Session on Knowledge, Attitudes, Adaptability, and Communication Skills Among Nurses.
This study provides preliminary evidence that a one-hour web-based SDM education session is acceptable and has positive effects on oncology nurses' self-reported knowledge, attitudes, adaptability, and communication skills. More research is warranted to validate these findings. PMID: 31730611 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - November 17, 2019 Category: Nursing Authors: Warzyniec A, Tariman JD, Simonovich S Tags: Clin J Oncol Nurs Source Type: research

Quality Improvement: Increasing Essential Visits in a Triage Clinic.
Abstract Patients with cancer should report symptoms related to treatment, but many patients not actively being treated for disease present to oncology clinics for care that could be managed in other settings. These nonessential visits may lead to lessened appointment availability for patients with essential issues related to disease and treatment. In an outpatient breast cancer clinic, a quality improvement initiative was implemented to decrease the number of nonessential patient encounters and to increase the number of essential encounters. This intervention involved creating and implementing a triage protocol u...
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Martinez A, Tanner M Tags: Clin J Oncol Nurs Source Type: research

Iranian Women's Decision Making: Preferred Roles, Experienced Involvement, and Decisional Conflict When Undergoing Surgery for Early-Stage Breast Cancer.
This study evaluated decision-making participation regarding surgery among women with early-stage breast cancer. METHODS: This cross-sectional, descriptive-correlational study included 328 Iranian women with early-stage breast cancer. A convenience sample completed a demographic questionnaire, the Control Preferences Scale, the nine-item Shared Decision Making Questionnaire, and the Decisional Conflict Scale. FINDINGS: Most participants preferred to maintain passive roles. High decisional conflict was associated with uncertainty about surgical treatment options, whereas lower decisional conflict was related to va...
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Aminaie N, Lehto RH, Negarandeh R Tags: Clin J Oncol Nurs Source Type: research

Taxane-Induced Peripheral Neuropathy: Objective and Subjective Comparison Between Paclitaxel and Docetaxel in Patients With Breast Cancer.
Abstract BACKGROUND: Taxane-induced peripheral neuropathy (TIPN) is caused by the neurotoxicity of paclitaxel and docetaxel, but the differences between paclitaxel- and docetaxel-induced peripheral neuropathy are understudied. OBJECTIVES: The purpose of this study is to compare TIPN between docetaxel and paclitaxel in patients with breast cancer and to examine the consistency of measuring TIPN between researchers and patients. METHODS: Secondary data were analyzed from a cross-sectional study that included 64 patients with breast cancer from two teaching hospitals in Taiwan. Objective and subjective TIPN...
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Chan YN, Jheng YW, Wang PJ, Chen CY, Lin MW, Wang YJ Tags: Clin J Oncol Nurs Source Type: research

How Do We Grow Our Next Generation of Nurse Leaders?
Abstract A plus sign can mean many things depending on the context-math for a school-aged child, a positive balance for an accountant, or, for us (the authors), new beginnings and new additions to our families. We were thrilled with the news that we were both expecting at the same time and that our children would be growing up together. As reality set in, however, we realized that this timing would have an incredible impact on our clinical oncology care teams because the two of us would be on leave at the same time. PMID: 31538968 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Ashley A, Marsh K Tags: Clin J Oncol Nurs Source Type: research

Technology and Humanity.
Abstract New technologies have brought immeasurable benefits to medicine. They have also altered our patients' experiences and our role as providers in significant ways. To give you an example, my patient sessions often start with me madly clicking away in the electronic health record, trying to reconcile three duplicate instances of the same medication in the patient's chart. After that maze, a series of pop-up boxes flash alerts to query the patient about weight, smoking, depression, and pain. I am now clicking as fast as I can to preserve any remaining time in the 15-minute session to address the patient's canc...
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Fry A Tags: Clin J Oncol Nurs Source Type: research

Breast Cancer Early Detection: An Academic-Community Partnership in the Philippines.
This article describes the impact of a train-the-trainer program, with mission groups traveling to the Philippines to promote female residents' breast cancer awareness, knowledge, and intent for future screening. PMID: 31538970 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Wu TY, Hoffman JL Tags: Clin J Oncol Nurs Source Type: research

Transfusion Reactions: A Case Study of an Ocular Adverse Event During Autologous Transplantation.
This article presents a case study of a patient with cancer undergoing autologous stem cell transplantation who experienced an adverse ocular reaction following platelet transfusion. FINDINGS: Ensuring that oncology nurses are proactive in identifying and managing symptoms that can result from atypical transfusion reactions can reduce morbidity and mortality and improve overall patient care outcomes. PMID: 31538971 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Eche IJ, Nahas M, Dunn E, Eche IM, O'Brien KL Tags: Clin J Oncol Nurs Source Type: research

Shared Decision Making: Improving Patient Outcomes by Understanding the Benefits of and Barriers to Effective Communication.
This article reviews the evidence on how nurses can influence the outcomes of cancer treatment decisions by using the SDM model. PMID: 31538972 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Faiman B, Tariman JD Tags: Clin J Oncol Nurs Source Type: research

Breast Cancer Prognostic Tests: Helping Patients Understand Testing Results and Their Implications.
This article outlines the most commonly used breast cancer prognostic tests, including the individual assay's purpose, its genomic makeup, the targeted patient population, and its prognostic and predictive abilities. Key nursing implications are discussed, highlighting how nurses can best apply knowledge of breast cancer prognostic tests to nursing practice. PMID: 31538973 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Miller L, Smith EC Tags: Clin J Oncol Nurs Source Type: research

Radiation Therapy Pain Management: Prevalence of Symptoms and Effectiveness of Treatment Options.
Abstract BACKGROUND: The prevalence of pain among patients undergoing radiation therapy (RT) is not well described. OBJECTIVES: The purpose of this study was to assess the prevalence and management of pain in patients undergoing RT. METHODS: 94 patients undergoing RT were surveyed at two time points during the course of their treatment. Patients reported on pain, fatigue, nausea, headache, and depressive symptoms, as well as on the use of pharmacologic and nonpharmacologic or alternative methods for symptom management. FINDINGS: The mean severity of pain did not change significantly between the firs...
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Lamba N, Mahal BA, Martinez R, Leland P, Shih HA Tags: Clin J Oncol Nurs Source Type: research

Response to "Personal Protective Equipment: Evaluating Usage Among Inpatient and Outpatient Oncology Nurses".
Response to "Personal Protective Equipment: Evaluating Usage Among Inpatient and Outpatient Oncology Nurses". Clin J Oncol Nurs. 2019 Oct 01;23(5):462 Authors: Eisenberg S, Menonna-Quinn D Abstract I read with great interest the recent article entitled "Personal Protective Equipment: Evaluating Usage Among Inpatient and Outpatient Oncology Nurses" by Menonna-Quinn, Polovich, and Marshall (2019). In addition to furthering the body of knowledge regarding personal protective equipment (PPE) usage in the USP era, the Hazardous Drug Handling Questionnaire that was used in the study can ...
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Eisenberg S, Menonna-Quinn D Tags: Clin J Oncol Nurs Source Type: research

Guided Imagery: Reducing Anxiety, Depression, and Selected Side Effects Associated With Chemotherapy.
Abstract BACKGROUND: Cancer treatment can be a great source of anxiety and depression for patients. Patients who experience anxiety and depression may be treated with a variety of nonpharmacologic treatments, such as guided imagery. OBJECTIVES: The purpose of this article is to determine the effect of guided imagery on patients' anxiety, depression, and other selected side effects prompted by chemotherapy. METHODS: This pre- and postintervention assessment randomly selected patients with various types of cancer who were undergoing chemotherapy to listen to a guided imagery audio file for 20 minutes per d...
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Mahdizadeh MJ, Tirgari B, Abadi OSRR, Bahaadinbeigy K Tags: Clin J Oncol Nurs Source Type: research

Clostridium Difficile: Reducing Infections Using an Evidence-Based Practice Initiative.
This article examines whether the use of a standardized protocol for cleaning high-touch surface areas would reduce the incidence of hospital-acquired C. difficile infection. METHODS: The initiative targeted five high-touch surfaces, and nurses were educated about these findings. Baseline data on the C. difficile infection rate was collected from four specialty medical-surgical oncology units. A pilot period of the Five by Five initiative evaluated C. difficile infection rates after staff cleaning of these high-touch surfaces. FINDINGS: This initiative accounted for a statistically significant reduction in C. dif...
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Nielsen CSR, Sanchez-Vargas R, Perez A Tags: Clin J Oncol Nurs Source Type: research

Extremity Cooling: A Synthesis of Cryotherapy Interventions to Reduce Peripheral Neuropathy and Nail Changes From Taxane-Based Chemotherapy.
This article synthesizes the literature on efficacy and tolerability of extremity cryotherapy during taxane administration to identify if it is an intervention that can be provided to patients to mitigate these symptoms. METHODS: A literature review was performed using PubMed®, the Cochrane Database of Systematic Reviews, Ovid, Web of Science, and CINAHL®. 46 articles were initially identified, and 10 articles were reviewed (5 related to nail changes and 5 related to neuropathy). FINDINGS: Larger, powered studies are needed on these topics; however, existing data suggest this intervention as a promising l...
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Peyton L, Fischer-Cartlidge E Tags: Clin J Oncol Nurs Source Type: research

Professional Organization Membership: The Benefits of Increasing Nursing Participation.
Abstract Membership in professional organizations is a way for professionals with similar objectives to join together to have the voice of many, versus the voice of one. Joining an organization can lead to personal growth, enhanced professional prospective and knowledge development, and support for creating change. PMID: 31538979 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2019 Category: Nursing Authors: Cline D, Curtin K, Johnston PA Tags: Clin J Oncol Nurs Source Type: research