Clinical Trial Subinvestigator: An Emerging Role for Oncology Nurse Practitioners.
Abstract Phase 1 clinical trials are essential to improving outcomes in cancer care. The investigational agents in these trials may be associated with adverse events that can contribute to symptom burden and declining performance status for trial participants. The emerging role for oncology nurse practitioners (ONPs) as subinvestigators offers a unique practice setting for advanced practice nurses. In this role, ONPs provide expert oncology care, are responsible for swift recognition and management of adverse events, and ensure adherence to the clinical trial protocol. PMID: 32945784 [PubMed - as supplied by ...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Patterson C, Barber FD Tags: Clin J Oncol Nurs Source Type: research

Characterizing Pain Experiences: African American Patients With Multiple Myeloma Taking Around-the-Clock Opioids.
This study aimed to characterize the pain experience, beliefs about pain and pain control, and additional symptoms among African American patients with multiple myeloma taking around-the-clock opioids. METHODS: This study employed secondary analysis of baseline data from a completed longitudinal study of opioid adherence. Descriptive statistics were used to characterize the sample, pain experience, beliefs regarding pain and pain control, and related symptoms. FINDINGS: Participants (N = 34) experienced everyday pain and additional symptoms, and half experienced depression. Pain management barriers included disli...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Belcher SM, Watkins Bruner D, Hofmeister CC, Kweon J, Meghani SH, Yeager KA Tags: Clin J Oncol Nurs Source Type: research

Cultural Awareness: Ensuring High-Quality Care for Limited English Proficient Patients.
Abstract BACKGROUND: Cancer hospitals throughout the United States have seen an increase in the number of adults who are considered limited English proficient (LEP); such individuals do not speak English as their primary language and have a limited ability to read, speak, write, or understand the language. This population requires nurses who are responsive to their language and cultural needs. OBJECTIVES: The purpose of this study was to assess cultural awareness among inpatient oncology nurses and to identify areas for cross-cultural training and educational development. METHODS: 44 inpatient oncology n...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Betancur S, Walton AL, Smith-Miller C, Wiesen C, Leak Bryant A Tags: Clin J Oncol Nurs Source Type: research

Substance Use Screening Protocol: Implementation of a System for Patients With Cancer.
Abstract BACKGROUND: Substance use by patients with a cancer diagnosis may have a detrimental effect on short- and long-term outcomes. Screening, brief intervention, and referral to treatment (SBIRT) has been recommended for all patients in primary care and emergency medicine. OBJECTIVES: The purpose of this quality improvement project was to train clinical providers and to implement an effective SBIRT program in a radiation oncology clinic in a comprehensive cancer center. METHODS: An interprofessional task force developed a staff training protocol that incorporated oncology-specific content. The team t...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Choflet A, Hoofring L, Cheng Z, Katulis L, Narang A, Appling S Tags: Clin J Oncol Nurs Source Type: research

How Does an Oncology Nurse Increase Moral Resilience During a Pandemic?
Abstract As an oncology advanced practice nurse, I find myself asking, "How can I continue to provide the same level of competent, quality care while meeting the unique, holistic needs of this population leveraged with self-care during the COVID-19 pandemic?" In talking with colleagues, we find ourselves torn between providing fluid oncology care that is compassionate and comprehensive while managing our uncertainties with our family since the beginning of this pandemic. I practice in a state that is known nationally to have the worst rates of cancer-associated deaths and comorbidities, which predisposes...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Chitwood H Tags: Clin J Oncol Nurs Source Type: research

The Role of Nursing in Preventing HPV-Related Cancers.
Abstract Human papillomavirus (HPV) is commonly found on the cervix. However, new sites of the virus have emerged during the past 10 years, including the oropharynx in both sexes and the anus in men. According to Senkomago et al. (2019), 34,800 cancers reported annually in the United States from 2012 to 2016 were attributable to HPV. Of these cases, 92% were attributable to types of HPV that are targeted by the 9-valent vaccine (Senkomago et al., 2019). The role of the oncology nurse in HPV prevention begins with the education of patients and their family members regarding updated vaccination information. PMI...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Baldwin CM Tags: Clin J Oncol Nurs Source Type: research

COVID-19 Pandemic: Preparing to Care for Patients With Cancer From the Perspective of Low- and Middle-Income Countries.
Abstract As the coronavirus spread from Asia to Western Europe and North America, healthcare institutions in the Middle East, Africa, South Asia, and Latin America prepared for the COVID-19 pandemic. Interprofessional task forces were established to coordinate institutions' responses, inventory supplies of personal protective equipment, educate staff and patients, develop procedures for triaging patients and prioritizing care, and provide support to nurses to mitigate their stress. Despite challenges, nurses continued to deliver quality care to patients with cancer. PMID: 32945791 [PubMed - as supplied by pub...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Galassi A, Augustinho Teixeira TO, Lopes De Domenico EB, Al-Ruzzieh M, Oyoe Ohene Oti N, Sukumaran S Tags: Clin J Oncol Nurs Source Type: research

Polycythemia Vera: Symptom Burden, Oncology Nurse Considerations, and Patient Education.
Abstract Polycythemia vera (PV) is a rare progressive myelo-proliferative cancer with significant symptom burden. Patients with PV often experience symptoms that adversely affect quality of life, work productivity, and functional status. Oncology nurses are well suited to assess for symptom burden and to provide educational interventions that support patients and their families. PMID: 32945792 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Brennan-Cook J Tags: Clin J Oncol Nurs Source Type: research

Communication Skills: Use of the Interprofessional Communication Curriculum to Address Physical Aspects of Care.
Abstract BACKGROUND: The literature has emphasized the importance of effective communication regarding psychosocial needs; however, other aspects of patient care, including attention to physical needs, are equally important. OBJECTIVES: The aims of this article are to (a) describe an Interprofessional Communication Curriculum (ICC) in oncology, (b) detail the curriculum content specifically focused on physical aspects of care, and (c) illustrate the importance of interprofessional care in oncology. METHODS: The ICC is organized by the 8 domains of the National Consensus Project for Quality Palliative Car...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Ferrell B, Buller H, Paice JA Tags: Clin J Oncol Nurs Source Type: research

Thyroid Cancer: Implications of Genomics for Care and Practice.
This article reviews the classification, genetics, and risks and management of hereditary cancer syndromes, as well as the somatic gene variants found in thyroid epithelial tumors, with clinical implications. PMID: 32945794 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Donnelly MK Tags: Clin J Oncol Nurs Source Type: research

Orthostatic Vital Signs Algorithm: Decreasing Falls in Patients Undergoing Blood and Marrow Transplantation or Treatment With Cellular Immunotherapy.
This study aimed to determine if the Moffitt BMT-CI Orthostatic Vital Signs Algorithm could decrease inpatient falls. METHODS: A pre-/post-test program evaluation was conducted for one year pre- and postimplementation of the algorithm on newly admitted inpatients. Adherence rate of nurses using the algorithm was monitored. FINDINGS: Overall falls decreased from 5.38% to 3.44%, with zero falls or injuries related to orthostasis for newly admitted patients. Adherence of nurses using the algorithm increased from 60% to 93%. The fall rate has been sustained less than baseline with 100% adherence, and the algorithm ha...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Grady L, Klein J, Patterson AE, Pompos C, Reich RR, Mason TM Tags: Clin J Oncol Nurs Source Type: research

Moral Distress: Identification Among Inpatient Oncology Nurses in an Academic Health System.
Abstract BACKGROUND: Moral distress occurs when clinicians know the morally correct action to take but are unable to follow through because of internal and external constraints. It is associated with negative consequences, such as burnout, decreased job satisfaction, avoidance, and turnover. OBJECTIVES: The purpose of this study was to describe the frequency and level of moral distress among inpatient oncology nurses and to identify possible associations among nurses' demographic characteristics, work experience, and moral distress levels. METHODS: Ninety-three inpatient oncology nurses from a large acad...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Marturano ET, Hermann RM, Giordano NA, Trotta RL Tags: Clin J Oncol Nurs Source Type: research

Preparedness for Surgery: Analyzing a Quality Improvement Project in a Population of Patients Undergoing Hepato-Pancreatico-Biliary Surgery.
Abstract BACKGROUND: Approximately 20% of patients diagnosed with pancreatic cancer will be eligible for hepato-pancreatico-biliary (HPB) surgery. Studies indicate that high-quality patient education is pivotal in reducing anxiety, improving clinical and performance outcomes, and increasing patient satisfaction. OBJECTIVES: This quality improvement project sought to determine the perceived level of preparedness for patients undergoing HPB surgery and to identify information and knowledge gaps in preoperative education. METHODS: Convenience sampling was used to collect postoperative information via questi...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: O'Connor K, La Bruno D, Rudderow J, Cannaday S, Yeo CJ, Yeo TP Tags: Clin J Oncol Nurs Source Type: research

Nursing Shift Handoff Process: Using an Electronic Health Record Tool to Improve Quality.
Abstract Nursing shift handoffs can be frustrating for nursing staff when information received about a patient is inaccurate or inadequate. The safety of the patient may be compromised, and missed opportunities for care interventions may occur. The electronic health record (EHR) provides healthcare professionals with useful information that can highlight the most important items the nurse needs to prioritize patient care. A unit leadership team at a large academic hospital developed a peer-to-peer training plan to provide evidence-based nursing education using the nursing handoff feature in the EHR. PMID: 329...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Panda S Tags: Clin J Oncol Nurs Source Type: research

Academic Nurse Navigation: Unique Aspects and Strategies for Success.
Abstract The role and competencies of the oncology nurse navigator (ONN) are well defined and emphasize education, communication, and collaboration to support patients, families, and caregivers in overcoming barriers within healthcare systems. The authors describe the operationalization of the ONN role within a large academic health system and present a case study that illustrates the work of a team of navigators. The importance of co-navigating individuals with their community-based navigators and healthcare teams is presented, emphasizing the significance of interprofessional collaboration to support continuity ...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Miller E, Sheaffer H Tags: Clin J Oncol Nurs Source Type: research

Laboratory Process Improvement: A Quality Initiative in an Outpatient Oncology Clinic.
Abstract The goal of achieving maximum productivity through process redesign and teamwork in oncology laboratory (lab) operations can be challenging in cancer care organizations. At an urban cancer center, missing lab orders occurred frequently and led to increases in lab errors, turnaround time, and patient wait times. Patient and staff satisfaction metrics were also affected, resulting in suboptimal scores. A nurse-driven practice change project was initiated after a thorough assessment in two clinic sites. The application of targeted lean methodology to redesign lab processes and workflows, in addition to engag...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Wojciechowski M, Rodts M Tags: Clin J Oncol Nurs Source Type: research

Transplantation and Adherence: Evaluating Tacrolimus Usage in Pediatric Patients With Cancer.
Abstract BACKGROUND: Researchers have estimated that about 50% of pediatric patients with chronic illness adhere to tacrolimus therapy, a medication responsible for preventing critical side effects in patients undergoing hematopoietic stem cell transplantation (HSCT). OBJECTIVES: The purpose of this study was to describe patient adherence to tacrolimus by reviewing documentation from the electronic health record and therapeutic drug levels. METHODS: This retrospective descriptive study examined 357 clinic visits by 57 patients undergoing HSCT. Direct (tacrolimus levels) and indirect (subjective reporting...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Skeens MA, Dietrich MS, Ryan-Wenger N, Gilmer MJ, Mulvaney SA, Foster Akard T Tags: Clin J Oncol Nurs Source Type: research

Comprehensive Geriatric Assessment: A Case Report on Personalizing Cancer Care of an Older Adult Patient With Head and Neck Cancer.
This article aims to present comprehensive geriatric assessment (CGA) as an approach to personalizing care for older adults with cancer. METHODS: A case study of an 89-year-old man with head and neck cancer is presented as a framework to describe the process of CGA and an overview of geriatric oncology screening and assessment. FINDINGS: CGA enables personalized care by informing decision making about cancer treatment and guiding implementation of enhanced supportive interventions. Screening tools can help identify older adult patients who would benefit from CGA. Oncology nurses can integrate geriatric assessment...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Strohschein FJ, Loucks A, Jin R, Vanderbyl B Tags: Clin J Oncol Nurs Source Type: research

Social Isolation: Managing Psychological Distress in Hospitalized Patients During the COVID-19 Pandemic.
This article presents a case study of a patient receiving a bone marrow transplantation who experienced psychological distress during hospitalization because of social isolation. The National Comprehensive Cancer Network guidelines for distress management are used as a framework to outline a nursing plan of care for managing social isolation-related psychological distress in patients who are hospitalized during a worldwide pandemic. PMID: 32945803 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Cazeau N Tags: Clin J Oncol Nurs Source Type: research

Skin Toxicity: Clinical Summary of the ONS Guidelines ™ for Cancer Treatment-Related Skin Toxicity.
Skin Toxicity: Clinical Summary of the ONS Guidelines™ for Cancer Treatment-Related Skin Toxicity. Clin J Oncol Nurs. 2020 Oct 01;24(5):561-565 Authors: Wiley K, Ebanks GL, Shelton G, Strelo J, Ciccolini K Abstract Cancer treatment-related skin toxicities are a frequent and distressing side effect of antineoplastic therapies, especially chemotherapy and targeted therapies. Skin toxicities associated with these therapies can include rashes, hand-foot skin reaction, hand-foot syndrome, and hair loss. These symptoms cause not only physical pain and discomfort but also psychological distress, and th...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Wiley K, Ebanks GL, Shelton G, Strelo J, Ciccolini K Tags: Clin J Oncol Nurs Source Type: research

STAT: Spinal Cord Compression.
Abstract Spinal cord compression involves tumor invasion or extension into the epidural space or pathologically collapsed vertebral bone fragments impinging on the spinal cord. PMID: 32945805 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Wiley K Tags: Clin J Oncol Nurs Source Type: research

The Nightingale Legacy.
Abstract The World Health Organization (WHO, 2020) has designated 2020 as the International Year of the Nurse and the Midwife to mark the 200th anniversary of Florence Nightingale's birth. This celebration honors her work and impact on the nursing profession-one of engagement and advocacy for public health. Nightingale's Notes on Nursing (1860) illustrated her observations of social determinants for health wellness and illness. She championed efforts for community access to clean water and public sanitization and emphasized the importance of nutrition and hygiene on healing and wellness. Her calls for action still...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Allen DH Tags: Clin J Oncol Nurs Source Type: research

Environmental Risk Factors: The role of oncology nurses in assessing and reducing the risk for exposure.
This article describes potential risks for exposure to radon, arsenic, pesticides, and antineoplastic agents, which can lead to the development of cancer. METHODS: The authors performed a review of the literature on environmental exposures and their relationship to the development of cancer. FINDINGS: Environmental factors are abundant in the home, workplace, and environment. Nurses can lead campaigns to educate the public about environmental risk factors and their effects on the development of cancer. PMID: 32945807 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Dike S, McGowan T Tags: Clin J Oncol Nurs Source Type: research

Behavioral Risk Factors: A Guide for Oncology Nurses Counseling Patients.
This article discusses known cancer-protective behaviors, including exercising regularly, maintaining a healthy weight, vaccinating against cancer-associated viruses, and minimizing exposure to tobacco products, alcohol, processed meats, and ultraviolet light. METHODS: The author performed a review of guidelines and techniques for counseling patients about risky behaviors, with an emphasis on patients with cancer. FINDINGS: Much remains to be learned about the most effective clinical interventions for encouraging patients to adopt healthy behaviors, but oncology nurses should become familiar with the fundamental ...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Glenn DG Tags: Clin J Oncol Nurs Source Type: research

Healthy Behaviors: Prevalence of Uptake Among Cancer Survivors.
Abstract BACKGROUND: Although most cancer survivors adhere to recommendations to refrain from tobacco and minimize alcohol use, survivors of certain cancers are not meeting these recommendations. In addition, most cancer survivors do not achieve optimal recommendations for diet and physical activity, further decreasing survivor health and quality of life. Sun protective and sleep behaviors also tend to be suboptimal among survivors. Uptake of age-appropriate vaccinations is variable among survivors. OBJECTIVES: The purpose of this article is to review the prevalence of healthy behavior uptake among cancer sur...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Hirschey R, Nyrop KA, Mayer DK Tags: Clin J Oncol Nurs Source Type: research

Use of Exemplars: Identification of Best Practices in Cancer Prevention and Screening.
This article seeks to identify best practices in cancer prevention and screening. METHODS: This article presents exemplars in oncology nursing that illustrate implementation of best practices for cancer prevention and screening. FINDINGS: Oncology nurses are well situated to not only provide education about prevention activities, but also to encourage participation in recommended screenings. Implementation of evidence-based practice, along with the nurses' clinical knowledge and patient preferences, allows for the best outcomes for patients. The use of exemplars is an ideal way of telling nurses' stories to share...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: O'Leary C Tags: Clin J Oncol Nurs Source Type: research

Advocacy and Collaboration: Advancing Cancer Prevention and Screening.
This article describes how nurses can advance cancer prevention and screening initiatives in industry, education, legislative advocacy, research, survivorship, and program development and support. METHODS: An online search and collaborative knowledge revealed examples of nurses leading the way in cancer prevention and screening efforts. FINDINGS: Nurse-driven cancer prevention and screening collaborations advance care farther and faster. By creating maximum impact and mobilizing individual passion for a project, any nurse can find collaborative niche opportunities in clinical practice. PMID: 32945811 [...
Source: Clinical Journal of Oncology Nursing - September 21, 2020 Category: Nursing Authors: Watson J Tags: Clin J Oncol Nurs Source Type: research

Esophageal Cancer: A Case Study of a Rare Metastatic Esophageal Squamous Cell Carcinoma.
This article presents an unusual instance of an isolated osseous metastasis of esophageal squamous cell carcinoma to the distal bone of the left ankle and describes the contributions of advanced practice nursing assessment and clinical judgment to improve patient outcomes. This case study also highlights comprehensive cancer care by an interprofessional palliative care team. PMID: 32678357 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Cullen G Tags: Clin J Oncol Nurs Source Type: research

Sexual Health Education: Knowledge Level of Oncology Nurses and Barriers to Discussing Concerns With Patients.
This study assessed the effects of a nurse-focused sexual health education workshop on change in knowledge of sexual concerns, barriers to discussing sexuality, and frequency of bringing up sexual concerns. METHODS: A train-the-trainer approach was used to educate oncology nurse managers, who then trained oncology nurses (N = 65) at 10 education workshops. Each workshop provided four hours of content on sexual health and incorporated role-play and lecture. FINDINGS: Mean knowledge scores were improved, and barriers to discussing sexuality at the three- and six-month follow-ups were reduced. Frequency in discussin...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Eid K, Christensen S, Hoff J, Yadav K, Burtson P, Kuriakose M, Patton H, Nyamathi A Tags: Clin J Oncol Nurs Source Type: research

Acalabrutinib: Managing Adverse Events and Improving Adherence in Patients With Mantle Cell Lymphoma.
This article aims to provide nurses with firsthand guidance so that they can better support patients with mantle cell lymphoma initiating acalabrutinib. METHODS: Safety data from the acalabrutinib ACE-LY-004 phase 2 trial in 124 patients with relapsed or refractory mantle cell lymphoma were reviewed, and strategies implemented at the University of Texas MD Anderson Cancer Center to manage trial AEs are described. FINDINGS: The most common AEs of any grade were headache and diarrhea, but no patients discontinued treatment because of them. When doses were missed or modified, patients were reeducated about the impor...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Badillo M, Nava D, Rosa M, Chen W, Guerrero M, Wang M Tags: Clin J Oncol Nurs Source Type: research

Can a Recent Nurse Graduate Thrive in the Oncology Setting?
Abstract My personal experience with nursing school can be best described as floating in the middle of the ocean with a life vest while kicking and paddling to keep my head above the water. I spent countless hours studying for examinations, rewriting care plans, and practicing skills. In addition to my own efforts to survive, I also had my life vest in the form of my instructors, preceptors, and fellow classmates, who I give credit for my success. PMID: 32678360 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Waldo A Tags: Clin J Oncol Nurs Source Type: research

Young Adults With Sickle Cell Disease: Challenges With Transition to Adult Health Care.
Abstract Because life expectancy has increased greatly in the past few decades for individuals living with sickle cell disease (SCD), transition to the adult healthcare setting has become a necessity to continue disease management. Transition for young adults with SCD is associated with declining health outcomes, including increased acute care use and mortality. Nurses can assist young adults with SCD who are at risk after transition by assessing the young adult's ability to carry out disease self-management, facilitating the supportive role of the family, and recognizing young adults who may have difficulty acces...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Varty M, Popejoy LL Tags: Clin J Oncol Nurs Source Type: research

Metastatic Prostate Cancer: An Update on Treatments and a Review of Patient Symptom Management.
Abstract BACKGROUND: Available treatment options have improved overall survival and contributed to delayed progression, but metastatic prostate cancer remains incurable. Treatment strategies are based on disease progression assessed by a combination of biochemical, radiographic, and symptomatic changes. OBJECTIVES: The aim of this article is to review metastatic prostate cancer, symptoms representing disease progression, disease treatments, and symptom management. METHODS: A PubMed® search restricted to English-language articles published since 1990 was conducted in August 2018 with combinations of t...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Drudge-Coates L, Delacruz A, Gledhill R, Goh P, Tomlinson B Tags: Clin J Oncol Nurs Source Type: research

Through a Face Mask.
Abstract Put aside the exasperating debate about whether individuals should wear a face mask to protect themselves and others against the spread of the COVID-19 virus (Centers for Disease Control and Prevention, 2020). Wearing a face mask has become a cause célèbre, with implications of safety for oneself and others, trust in science, and being in defiance of or in lockstep with healthcare authority figures. PMID: 32678363 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Carr E Tags: Clin J Oncol Nurs Source Type: research

African American Patients With Multiple Myeloma: Optimizing Care to Decrease Racial Disparities.
Abstract The incidence of multiple myeloma in African Americans is two to three times higher than in other ethnicities and is the leading hematologic malignancy in African Americans. Despite the high incidence of multiple myeloma in African American individuals, a vast majority experience delays in diagnosis and reduced usage of effective therapies, including stem cell transplantation, as well as low participation in clinical trials. Racial disparities, social and financial health disparities, and barriers to earlier access to care can lead to poorer patient outcomes. There are also unique characteristics in the d...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Pierre A, Williams TH Tags: Clin J Oncol Nurs Source Type: research

Renal Cell Cancer Syndromes: Identification and Management of Patients and Families at Increased Risk.
This article offers clinically relevant information specific to various major renal cell cancer syndromes. PMID: 32678365 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Paquin M, Fasolino T Tags: Clin J Oncol Nurs Source Type: research

Chemotherapy Education and Support: A Model for Use in the Ambulatory Care Setting.
Abstract BACKGROUND: Oncology nurses are challenged to coordinate an effective, evidence-based approach to comprehensive patient education, symptom management, and psychosocial support for patients with pancreatic and colorectal cancers during chemotherapy. OBJECTIVES: The purpose of the study was to develop and evaluate a nurse-led psychoeducational intervention using a multimedia tool. METHODS: Development and testing of the intervention was grounded in the Science and Practice Aligned Within Nursing model for evidence-based practice implementation. FINDINGS: Forty-five participants completed the ...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Jabaley T, Rizzo P, Grenon NN, Sullivan C, Bagley J, Nassif M, Siegel R, Underhill-Blazey ML Tags: Clin J Oncol Nurs Source Type: research

Appendiceal Mucinous Neoplasm: Nurse Education About a Rare and Complex Disease.
Abstract BACKGROUND: Appendiceal mucinous neoplasms (AMNs) are a rare and complex spectrum of disease involving a mucinous tumor within the appendix, which can range from benign to malignant. If not limited to the appendix, the mucinous tumor can spread diffusely throughout the peritoneum. OBJECTIVES: Because of the low incidence of AMN, this study describes the diagnosis and treatment process for this disease, which is not well known to most care providers. METHODS: An extensive analysis of the current literature, including incidence, diagnosis, and surgical treatment, was performed. A review of the pre...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Kamm AM, Turaga KK Tags: Clin J Oncol Nurs Source Type: research

Nutritional Screening: Development and Implementation of a Protocol in Patients With Head and Neck Cancer.
This article aims to develop and pilot a nutritional screening protocol in an outpatient head and neck clinic using the abridged version of the Patient Generated Subjective Global Assessment (abPG-SGA) so that at-risk patients are identified and can maintain or minimize weight loss and body mass index (BMI). METHODS: At initial and subsequent visits, study participants completed the abPG-SGA, documenting percentage of weight loss and BMI from baseline. FINDINGS: 317 patients completed the abPG-SGA, with 119 scoring 6 or more, prompting a dietitian referral. The nutritional screening protocol accurately identified...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Laursen A Tags: Clin J Oncol Nurs Source Type: research

Patient Falls Prevention: Assessing the Use of an Innovative Color-Coded Flag System in an Outpatient Oncology Infusion Center.
Abstract The National Database of Nursing Quality Indicators (NDNQI, 2020) defines a patient fall as an unplanned descent to the floor with or without injury. A fall occurs in 30%-50% of hospitalized patients with cancer in the United States (Jatoi, 2017). According to the Joint Commission (2015), the average cost of each fall with injury in the United States was about $14,000 to the healthcare system, averaging about $50 billion annually (Kartiko et al., 2020). Fall-related injuries to patients can result in additional treatment, hospital admissions, prolonged hospital stays, delays in cancer treatment, immobilit...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Shah M Tags: Clin J Oncol Nurs Source Type: research

COVID-19 and Oncology: Operationalizing Best Practices Across Collaborative Health Systems.
Abstract To plan for a proactive approach to support patients traveling for their treatment during the COVID-19 pandemic, a network of oncology hospitals worked within existing collaborative agreements to define policies and procedures to transition care for patients living in communities in close proximity to a member institution. Nurse leaders were instrumental in collaborating with and leading interprofessional partners to achieve these outcomes. These efforts led to patients' abilities to continue treatment in their local community, ensuring continuity of cancer care. PMID: 32678371 [PubMed - as supplied ...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Johnston PA, Kitchens JL, LaBree K, Powers CA, Segovia JH, Viles J, Mshindi Walker M, Kuban DA Tags: Clin J Oncol Nurs Source Type: research

Older Adults and Scam Awareness: Exploring Vulnerability Within Geriatric Oncology.
Abstract The majority of patients with cancer are adults aged 65 years or older. Despite this, their special needs are generally under-recognized and under-researched. This includes the lack of awareness about scams targeting vulnerable older adults. The purpose of this article is to share knowledge and resources about financial exploitation of patients aged 65 years or older. Enhanced recognition of this phenomenon can facilitate oncology nurses' early identification and interventions for at-risk older adult populations. PMID: 32678372 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Boyle DA Tags: Clin J Oncol Nurs Source Type: research

Fear of Cancer Progression: Findings From Case Studies and a Nurse-Led Intervention.
This article describes a nurse-led intervention for managing FOP in two patients with advanced gynecologic cancer. The intervention teaches skills for managing worry, challenging unhelpful beliefs, and modifying unhelpful coping behaviors. METHODS: Preliminary findings from the two case studies are presented, including a comparison of post-treatment FOP scores to baseline scores. FINDINGS: The participants reported feeling more focused, less overwhelmed, and more in control of their worries. Both participants achieved statistically reliable improvements in FOP scores. PMID: 32678373 [PubMed - as suppli...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Reb AM, Borneman T, Economou D, Cangin MA, Patel SK, Sharpe L Tags: Clin J Oncol Nurs Source Type: research

Shared Decision-Making Competency: Provider-Specific Factors in Hematology-Oncology Clinical Practice.
Abstract A computerized database search was performed using PubMed®, CINAHL®, and EBSCOhost to identify provider-specific factors associated with shared decision-making (SDM) competency among direct patient care providers in hematology-oncology practice. Personal factors included being female or older in age and having higher education. Years of clinical experience, nonclinical experiences, institutional support for SDM, administrative support for SDM training and education, and cultural competence were also reported as having a positive correlation with SDM competence among care providers. Future research...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Tariman JD, Tarvainis A, Webber-Ritchey KJ, Simonovich SD Tags: Clin J Oncol Nurs Source Type: research

Weighted Blankets: Anxiety Reduction in Adult Patients Receiving Chemotherapy.
This study assessed the effectiveness of a medical-grade therapeutic weighted blanket on anxiety in patients receiving their first and second chemotherapy infusions at an outpatient infusion center. METHODS: A randomized controlled trial with a crossover design was performed with new patients in the outpatient chemotherapy infusion center. Patients were randomized to one of two study arms (given the weighted blanket during their first infusion or given the weighted blanket during their second infusion). Anxiety was measured using an anxiety inventory and a visual analog scale. FINDINGS: Anxiety was reduced among ...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Vinson J, Powers J, Mosesso K Tags: Clin J Oncol Nurs Source Type: research

Low-Dose Computed Tomography: Effects of Oncology Nurse Navigation on Lung Cancer Screening.
Abstract BACKGROUND: Low-dose computed tomography (LDCT) lung cancer screening is an evidence-based and reimbursable strategy to decrease lung cancer and all-cause mortality in qualifying patients, but there remains low use and variation in providers' LDCT screening, ordering, and referring knowledge. OBJECTIVES: The purpose of this quality improvement project was to examine the effects of oncology nurse navigation on assisting patients and ensuring optimal LDCT lung cancer screening. METHODS: Oncology nurse navigators conducted LDCT provider education and navigated 133 eligible patients to LDCT during a...
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Authors: Watson J, Broome ME, Schneider SM Tags: Clin J Oncol Nurs Source Type: research

STAT: Cytokine Release Syndrome.
Authors: Abstract Cytokine release syndrome is a systemic inflammatory condition that may occur after treatment with some types of immunotherapy. PMID: 32678378 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - July 19, 2020 Category: Nursing Tags: Clin J Oncol Nurs Source Type: research

Adrenal Insufficiency: Immune Checkpoint Inhibitors and Immune-Related Adverse Event Management.
Abstract Adrenal insufficiency (AI) is a potential immune-related adverse event (irAE) of immunotherapy (e.g., checkpoint inhibitor). If not identified and treated promptly, AI can be life-threatening. Unlike other irAEs, AI may be irreversible, requiring long-term glucocorticoid and mineralocorticoid replacement. Provider and patient education are essential in the management of immune checkpoint inhibitor-induced AI. PMID: 32441673 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - May 24, 2020 Category: Nursing Authors: Hobbs KB, Yackzan S Tags: Clin J Oncol Nurs Source Type: research

Hodgkin Lymphoma Survivor Wellness: Development of a Web-Based Intervention.
Abstract BACKGROUND: Informational and supportive care resources are needed for Hodgkin lymphoma (HL) survivors. OBJECTIVES: The aim of this article is to adapt and evaluate a previously developed survivorship care website for HL survivors. METHODS: A mixed-methods, user-centered design, including one-time focus groups, was followed by iterative web design and user testing. Transcripts were content analyzed, and survey responses were summarized. FINDINGS: HL survivors need survivorship care education and support. Tailored web-based resources may be an effective adjunct to clinical care. The Survivor...
Source: Clinical Journal of Oncology Nursing - May 24, 2020 Category: Nursing Authors: Amweg LN, McReynolds J, Lansang K, Jones T, Snow C, Berry DL, Partridge AH, Underhill-Blazey ML Tags: Clin J Oncol Nurs Source Type: research

Is Oncology Really for Me?
Abstract As I enter into my last year of nursing school at the University of Maryland School of Nursing in Baltimore, I am asked many times, "What area of nursing do you want to go into?" Although this question can be very daunting for most, the hardest question that I am constantly mulling over is, "Do you want to stay in oncology after you graduate?" I currently work as a student nurse on an inpatient oncology unit, and I see the ups and downs that oncology nurses face every day. PMID: 32441676 [PubMed - as supplied by publisher] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - May 24, 2020 Category: Nursing Authors: McCluskey S Tags: Clin J Oncol Nurs Source Type: research