Lung Cancer Screening: Implementation of and Barriers to a Nurse Practitioner-Led Program.
Abstract Lung cancer accounts for more American deaths annually than any other cancer, and the survival rate is low among those diagnosed with advanced-stage disease. Screening with low-dose computed tomography (CT) can help to reduce mortality. CT screening for lung cancer should be performed in the context of a comprehensive screening program, rather than as a single isolated test. The addition of the nurse practitioner role is instrumental in creating a lung cancer screening program that may increase patient satisfaction and that meets regulatory criteria. PMID: 30451993 [PubMed - in process] (Source: Clin...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Black L Tags: Clin J Oncol Nurs Source Type: research

Celiac Plexus Block: Management of Abdominal Pain in Patients With Late-Stage Cancer.
Abstract BACKGROUND: A majority of patients with abdominal cancer report intractable abdominal pain as their disease progresses. For intractable abdominal pain related to malignancy, celiac plexus block can provide relief and reduce the use of oral opioids, helping to improve quality of life. OBJECTIVES: The aim of this article is to explore the feasibility and effectiveness of celiac plexus block as a pain management option for patients with late-stage abdominal cancer. METHODS: A literature review of articles about pain in late-stage patients with cancer, with a focus on abdominal pain, pain management...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Ashlock K Tags: Clin J Oncol Nurs Source Type: research

Pain Assessment: Use of the Defense and Veterans Pain Rating Scale in Patients With Cancer.
Abstract BACKGROUND: Thorough, consistent pain assessment and reassessment are critical to guide and evaluate interventions designed to improve pain. OBJECTIVES: Based on a literature review about functional pain assessment, clinicians selected and then implemented the Defense and Veterans Pain Rating Scale (DVPRS) as a pain assessment instrument option in a comprehensive cancer center. METHODS: The DVPRS was added as a pain assessment instrument in clinical oncology practice. From postimplementation chart review and clinician satisfaction surveys, the DVPRS was evaluated for the following. FINDINGS...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Blackburn LM, Burns K, DiGiannantoni E, Meade K, O'Leary C, Stiles R Tags: Clin J Oncol Nurs Source Type: research

Hemorrhagic Cystitis: Treatment With Hyperbaric Oxygen Therapy in Patients With Acute Lymphoblastic Leukemia.
This study details the pathologic progression of HC in a patient with acute lymphoblastic leukemia harboring BK virus after cytotoxic induction chemotherapy and haploidentical marrow transplantation. METHODS: A search of PubMed for literature published from 1973-2018 was conducted using keywords. FINDINGS: Hyperbaric oxygen therapy in chemotherapy-induced and BK virus-associated HC is a viable management option in parallel with tapering of immunosuppressives, bladder irrigation, and IV resuscitation within the post-transplantation acute lymphoblastic leukemia population. PMID: 30451996 [PubMed - in process] ...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Botta LM, Botta GP Tags: Clin J Oncol Nurs Source Type: research

5-Fluorouracil and Capecitabine: Assessment and Treatment of Uncommon Early-Onset Severe Toxicities Associated With Administration.
This article delineates the differences between expected side effects and uncommon early-onset severe toxicities from 5-FU and capecitabine. It also provides background for understanding the reasons patients may develop these toxicities and reviews the efficacy of standard supportive care against a novel therapy (uridine triacetate). METHODS: A panel of nurses convened to review the literature about toxicities associated with 5-FU and capecitabine administration and determined methods to educate nurses about toxicities and treatment. FINDINGS: Standard supportive care for 5-FU and capecitabine toxicities is assoc...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Brutcher E, Christensen D, Hennessey Smith M, Koutlas JB, Sellers JB, Timmons T, Thompson J Tags: Clin J Oncol Nurs Source Type: research

What Do You Do When Oncology Chooses You?
Abstract My journey through nursing school at the University of Hawaii Maui College has been the most challenging but, by far, the most memorable adventure of my life. During this short-lived period, I lost my mom, who was also my best friend, to stage IV non-small cell lung cancer. Almost three years have passed, but the memories and the emotions are still quite vivid. PMID: 30451998 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Maga LLC Tags: Clin J Oncol Nurs Source Type: research

Foundations of Practice.
Abstract A highly disproportionate burden of cancer is manifested in the world's poorest societies. Since 2016, I have volunteered with the Washington, DC-based organization Health Volunteers Overseas and have provided oncology and palliative nursing education and consultation in Vietnam, Honduras, and Bhutan. In addition, I have volunteered with Living Room International in Kenya, focusing on hospice nursing resource enhancement. I have traveled more than 50,000 miles to those four resource-impoverished nations and witnessed hardships beyond description. PMID: 30451999 [PubMed - in process] (Source: Clinical...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Boyle DA Tags: Clin J Oncol Nurs Source Type: research

Homeless With Cancer: An Unrecognized Problem in the United States.
Abstract Homelessness is a national problem that is worsening. Some challenges the homeless face-lack of shelter, food, health care, support, and opportunities-are well known. Cancer, an unrecognized problem among the homeless, is a leading cause of their deaths. PMID: 30452000 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Biedrzycki B Tags: Clin J Oncol Nurs Source Type: research

Temperature Measurements: Comparison of Different Thermometer Types for Patients With Cancer.
Abstract BACKGROUND: Accurate temperature measurement in patients with cancer is critical. Many patients are neutropenic; therefore, fever represents an oncologic emergency, and, in many cases, it can be the only indication of a life-threatening infection. Although oral thermometers most closely represent true core temperature, patients may have barriers to oral thermometry. OBJECTIVES: The purpose of this study was to assess the accuracy of two alternative, noninvasive thermometers (tympanic and temporal artery) by comparing them to an oral thermometer. METHODS: A method-comparison study design was used...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Gates D, Horner V, Bradley L, Fogle Sheperd T, John O, Higgins M Tags: Clin J Oncol Nurs Source Type: research

Cancer-Related Pain: Understanding Genetic Influences and Determining Implications for Practice.
Abstract Pain can be highly variable and unpredictable. Genetics may be key to identifying pain mechanisms that control the intensity, duration, and physiologic response in individuals with chronic pain. Pharmaco-genomics and precision medicine are permitting advances in pain control with analgesic drugs that have increased effectiveness and lead to decreased side effects. Knowledge of genetic variations related to how and why patients experience pain will aid in identifying those at risk, provide a better understanding of the phenomenon of pain, and possibly lead to innovative therapies to control pain. PMID...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Jakub K Tags: Clin J Oncol Nurs Source Type: research

Monitoring Temperature: Knowledge and Skills of Outpatients With Cancer.
This study sought to determine outpatients' temperature-monitoring knowledge and skills; whether an educational DVD could increase knowledge; and the level of agreement between a home thermometer and a calibrated hospital thermometer. METHODS: The intervention was an educational DVD. Patients completed a survey and were observed taking their temperature. Investigators rated whether the correct steps were taken and then obtained the temperature. The bias and precision of the patient's thermometer were determined. FINDINGS: Knowledge scores averaged 68%. Most participants correctly identified elevated temperatures ...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Honaker T, Long A, Lyons D, McCoy R, Salters D, MacArthur SK Tags: Clin J Oncol Nurs Source Type: research

Fall Risk Perceptions: A Study of Hospitalized Patients With Hematologic Malignancies.
This study describes patient perceptions of fall risk in people with hematologic malignancies and compares patient and nurse perceptions of fall risk. METHODS: This mixed-methods study used descriptive statistical and narrative analyses. A convenience sample of patients was interviewed about perception of fall risk. Descriptive analysis of patient data and analysis around correlation between patient and nurse assessment of fall risk were completed. FINDINGS: Themes emerged about participants' prior experience with falls and perceptions of fall education. Participants who reported feeling weak prior to hospitaliza...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Knox A Tags: Clin J Oncol Nurs Source Type: research

Interprofessional Lung Cancer Tumor Board: The Role of the Oncology Nurse Navigator in Improving Adherence to National Guidelines and Streamlining Patient Care.
This article aimed to determine the contributions of an oncology nurse navigator (ONN) related to physician adherence to guidelines and streamlined patient care in an interprofessional lung cancer tumor board. METHODS: Retrospective chart review was performed for 18 months prior to and following implementation of the lung cancer tumor board. FINDINGS: After implementation of the lung cancer tumor board and the creation of clinical pathways by the ONN, diagnosis of early-stage non-small cell lung cancer and the use of diagnostic workups increased. PMID: 30452006 [PubMed - in process] (Source: Clinical Journal...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Peckham J, Mott-Coles S Tags: Clin J Oncol Nurs Source Type: research

Blood and Marrow Transplantation RN Fellowship: Design, Outcomes, and Facilitating Transition to Practice.
Abstract Recruiting and retaining blood and marrow transplantation (BMT) nurses remains challenging. In accordance with the Institute of Medicine recommendation to establish programs to prepare nurses for transition to specialty practice areas, a BMT fellowship program was designed and implemented at a large academic medical center. The yearlong fellowship program consists of monthly class sessions, observation experiences, case study presentations, and evidence-based project development. Outcomes related to retention, certification, and scholarship are presented. PMID: 30452008 [PubMed - in process] (Source:...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Diaz B, Corbett A, Camiling-Burke A Tags: Clin J Oncol Nurs Source Type: research

NO SToPS: Assessment of a Supportive Care Program to Reduce Treatment Breaks in Patients With Head and Neck Cancer.
This article describes the effect of the NO SToPS program. PMID: 30452009 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Lambertz CK, Tivis R, Hansen K Tags: Clin J Oncol Nurs Source Type: research

Clinical Trials Informed Consent: An Educational Intervention to Improve Nurses' Knowledge and Communications Skills.
Abstract BACKGROUND: Teach-back is an evidence-based tool recommended for use during informed consent (IC) discussions. The nurses' role in the IC process is important, particularly for patient education and advocacy. OBJECTIVES: The aim was to initiate and evaluate an educational program for nurses to improve knowledge and communication skills used in IC for cancer clinical trials. METHODS: An educational program was presented to nurses. Anonymous pre-, post-, and one-month postprogram surveys measured nurses' knowledge of research and the importance of and confidence using teach-back during IC discussi...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Regan EM Tags: Clin J Oncol Nurs Source Type: research

Venous Flare Reactions: A Case Report of Reactions Following Etoposide Infusion.
This article presents the case of a patient who has a venous flare reaction immediately following the administration of etoposide for the treatment of diffuse large B-cell lymphoma. Managing such complications is crucial to maintaining patient safety. Proper training and education should be incorporated into nursing practice when identifying, preventing, and managing such reactions. PMID: 30452012 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Mini Gill J, Frost J, Park R, Saria MG Tags: Clin J Oncol Nurs Source Type: research

HPV and Oral Cancer: The Need to Integrate Oral Health Practices Into Nursing Education.
Abstract BACKGROUND: Human papillomavirus (HPV)-associated oropharyngeal cancer has increased in recent decades. With a shortage of dental professionals, nurses may be key in detecting oral cancer and educating patients. OBJECTIVES: The aim of this study is to assess students in nursing and dental programs for their oral and oropharyngeal cancer knowledge and perceptions of responsibility and capability of performing oral screenings and HPV counseling. METHODS: 158 surveys were completed by students attending nursing and dental programs at a midwestern university. The chi-squared test and analysis of var...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Walker K, Jackson R, Edwards PC, Vadaparampil ST Tags: Clin J Oncol Nurs Source Type: research

Immunotherapy in Pediatric Oncology: An Overview of Therapy Types and Nursing Implications.
This article provides an overview of four types of immunotherapy (monoclonal antibodies, chimeric antigen receptors, immune checkpoint inhibitors, and cancer vaccines) and discusses the critical role assumed by nurses in the care of patients receiving immunotherapy. METHODS: A review of the literature was undertaken to identify, describe, and compare the types of immunotherapy used and studied for use in pediatric oncology. FINDINGS: Nurses caring for pediatric patients with cancer may have little experience with immunotherapy. However, they should become knowledgeable about it, particularly as it becomes further...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Warren CB Tags: Clin J Oncol Nurs Source Type: research

Interprofessional Approach in Gero-Oncology.
Abstract This supplement provides case studies to highlight the importance of using an interprofessional approach to care for older adults. The Oncology Nursing Society (ONS) has been instrumental in disseminating important work and findings in the care of older adults with cancer. PMID: 30452016 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Leak Bryant A Tags: Clin J Oncol Nurs Source Type: research

Older Adults With Lung Cancer: Assessment, Treatment Options, Survivorship Issues, and Palliative Care Strategies.
This article discusses the role of geriatric assessment, treatment options (e.g., surgical, chemotherapy, radiation therapy), survivorship issues, and palliative care strategies for older adults with cancer. METHODS: Literature was reviewed to identify geriatric assessment implications, current treatment strategies, and survivorship and palliative care interventions for older adults with cancer based on a case study approach. FINDINGS: Geriatric assessment is key to identifying deficits and disabilities in older adults with cancer and is a critical component in oncology treatment planning. Evidence-based, less in...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Cope DG, Reb A, Schwartz R, Simon J Tags: Clin J Oncol Nurs Source Type: research

Financial Toxicity: Limitations and Challenges When Caring for Older Adult Patients With Cancer.
This article aims to increase awareness of the financial burden of cancer treatment in older adults with cancer and its effect on health-related quality of life for patients and their families and to increase knowledge of institutional and community resources to help patients manage financial concerns. METHODS: A literature search was performed to investigate the burden of financial toxicity on older adults with cancer. FINDINGS: High levels of financial burden have been linked to lower adherence to cancer treatments, shorter survival, poorer prognosis, and greater risk of recurrence. Older adults are particularl...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Davis ME, Fugett S Tags: Clin J Oncol Nurs Source Type: research

Nursing Education: Review of Assessment, Clinical Care, and Implications for Practice Regarding Older Adult Patients With Cancer.
This article aims to describe the components of the comprehensive geriatric assessment, summarize the importance of exercise in older adults, discuss the harms of polypharmacy, and evaluate the initiatives to improve geriatric nursing education. METHODS: The literature was reviewed and summarized to provide information on comprehensive geriatric assessment, exercise, polypharmacy, and geriatric nursing education. FINDINGS: Numerous assessment tools can help guide the care of older adult patients with cancer. Because many nurses have little formal geriatric-specific training, there is a growing need for targeted e...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Goldberg JI, Burhenn PS, Ginex PK Tags: Clin J Oncol Nurs Source Type: research

Transitional Care: Methods and Processes for Transitioning Older Adults With Cancer in a Postacute Setting.
This article will examine the topic of older adults with cancer when transitioned to a skilled nursing setting and the challenges they may face along the care continuum. In addition, it will look at the continuity of care between the hospital and skilled nursing facility, as well as explore some of the clinical difficulties experienced by older adult patients with cancer in the postacute care setting. METHODS: Keyword searches were conducted in a selected literature review of CINAHL®, Ovid, PubMed, and Google Scholar databases. FINDINGS: Successful transitional care models are built around effective communica...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Jackson ML Tags: Clin J Oncol Nurs Source Type: research

Frailty in Older Adults: Assessment, Support, and Treatment Implications in Patients With Cancer.
Abstract BACKGROUND: Frailty is defined as a disability in those of advanced age, often with comorbidities, poor nutritional status, cognitive decline, and reduced functional status. OBJECTIVES: The purpose of this article is to discuss the concept of frailty, assess the use of a comprehensive geriatric assessment (CGA), and understand the implications for treatment to maintain or enhance physical, functional, and cognitive health of older adult patients with cancer. METHODS: Literature about frailty in older adult patients diagnosed with cancer was reviewed to determine evidence-based assessment and tre...
Source: Clinical Journal of Oncology Nursing - November 21, 2018 Category: Nursing Authors: Overcash J, Cope DG, Van Cleave JH Tags: Clin J Oncol Nurs Source Type: research

Benign Breast Diseases: An Introduction for the Advanced Practice Nurse.
Abstract The discovery of an abnormality in the breast may provoke anxiety for patient and clinician alike. Fortunately, most lesions in the breast are benign. Physical examination and breast imaging, including mammography, ultrasound, and magnetic resonance imaging, assist in the diagnosis of benign breast diseases. Understanding benign breast diseases is important for advanced practice nurses because these diseases are commonly seen in daily clinical practice. PMID: 30239503 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Mau K Tags: Clin J Oncol Nurs Source Type: research

Head and Neck Cancer Survivors: Specific Needs and Their Implications for Survivorship Care Planning.
Abstract BACKGROUND: Head and neck cancer (HNC) survivors experience significant sequelae of treatment, including long-term physical side effects and ongoing cancer surveillance. OBJECTIVES: The aim of this study is to understand patients' survivorship knowledge gaps and supportive care needs. METHODS: Through an anonymous cross-sectional survey, the authors evaluated 41 HNC survivors' knowledge regarding post-treatment issues. FINDINGS: Patients had undergone a variety of treatment modalities. PMID: 30239504 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Berkowitz CM, Allen DH, Tenhover J, Zullig LL, Fischer JE, Pollak KI, Hicks MR, Hillson JV, Koontz BF Tags: Clin J Oncol Nurs Source Type: research

Height Measures: Evaluating Alternatives to Standing Height in the Ambulatory Setting.
Abstract BACKGROUND: Height measurement is a key clinical component to measure body mass index and body surface area used for patient care, including calculating chemotherapy doses. Some patients cannot feasibly or safely stand for height measurement because of a number of diseases and disabilities. The literature is unclear regarding alternatives to standing height for patients unable to stand. OBJECTIVES: The purpose of this research study was to test equivalence of a number of measurements to find a reliable alternative to standing height for ambulatory oncology clinic patients who are unable to or cannot ...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Cirillo DM, Hart SK, Reich RR, Mason TM Tags: Clin J Oncol Nurs Source Type: research

How Do You Champion the Patient Navigator Role?
Abstract I worked for the Louisiana Tumor Registry for years, coding pathology reports and doing my part to make a difference, but ultimately, I grew bored. I wanted to hear the stories behind the reports I entered into a database and craved interaction with patients. When the opportunity to become a patient navigator presented itself, I jumped at the chance. I sold myself as an eager and capable member of the community who knew the patients' frustrations firsthand. I guess it worked, because I was hired by the Louisiana Cancer Control Program in July 2010 as a patient navigator for patients beginning cancer treat...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Prier AW Tags: Clin J Oncol Nurs Source Type: research

An Islamic Perspective: Suffering and Meaning in Cancer.
This article focuses on Islamic perspectives of suffering and meaning in illness as they relate to cancer care. Personal narrative and evidence-based information are integrated to inform a holistic nursing approach to the care of Muslim patients, particularly when supporting them and their families through suffering in the context of malignancy or significant illness. PMID: 30239507 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Mobin-Uddin A Tags: Clin J Oncol Nurs Source Type: research

Geographic Health Disparities: Satellite Clinics for Cancer Care in Rural Communities.
This article analyzes a satellite chemotherapy infusion center on the island of Martha's Vineyard in Massachusetts. METHODS: Interviews were conducted with staff of the infusion department of Martha's Vineyard Hospital, which has partnered with the cancer center at Massachusetts General Hospital to offer a satellite chemotherapy infusion center for island residents. FINDINGS: High-quality community hospitals are increasingly able to offer specialized oncology treatment and nursing care at greater convenience for patients through the use of satellite clinics. PMID: 30239508 [PubMed - in process] (Source: Clin...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Curtis ML, Eschiti VS Tags: Clin J Oncol Nurs Source Type: research

Afatinib Therapy: Practical Management of Adverse Events With an Oral Agent for Non-Small Cell Lung Cancer Treatment.
Abstract BACKGROUND: Afatinib is an oral, irreversible ErbB family blocker indicated for first-line treatment of metastatic non-small cell lung cancer (NSCLC) in patients with non-resistant epidermal growth factor receptor (EGFR) mutations. Afatinib is also approved for the treatment of metastatic squamous NSCLC following progression on platinum-based chemotherapy. Common afatinib-associated toxicities include gastrointestinal and dermatologic events, which can be dose limiting. OBJECTIVES: In this review, the authors describe clinical trial experiences with afatinib, as well as best practices and practical a...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Edwards RL, Andan C, Lalla RV, Lacouture ME, O'Brien D, Sequist LV Tags: Clin J Oncol Nurs Source Type: research

Targeted Therapy: New Radiolabeled Somatostatin Analogs to Treat Gastroenteropancreatic Neuroendocrine Tumors.
This article discusses lutetium Lu 177 dotatate therapy administration and patient care considerations. PMID: 30239510 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Boucher JE, Sommers R Tags: Clin J Oncol Nurs Source Type: research

Multiple Myeloma Education: Results From the ACE Program's Digital, Serial Learning Approach.
Abstract BACKGROUND: Understanding aspects of multiple myeloma (MM) from drug delivery to side effect management and survivorship are critical to patient management. The Advanced Clinical Educator (ACE) program in MM combined live and web-based activities to educate nurses to gain mastery of content and achieve ACE status. OBJECTIVES: The primary objectives were to improve ACE candidates' practice skills and knowledge of MM and prepare them to educate others. METHODS: 20 ACE candidates were paired with an advisor and educated through a structured learning program. The RealMeasure® methodology measure...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Faiman B, Kurtin S, Timko J, Gracie-King L Tags: Clin J Oncol Nurs Source Type: research

Scalp Cooling: Implementation of a Program at a Multisite Organization.
This article describes the experience of a large multisite organization that implemented a machine-based scalp cooling program. METHODS: Nursing staff led an interprofessional team that addressed components of the program. As a result, eight sites within the authors' organization simultaneously began offering scalp cooling via machine using a single unified process. This approach was then successfully replicated one year later to prepare six additional sites to launch scalp cooling for other solid tumor types beyond breast cancer. FINDINGS: Using a structured, collaborative, and interprofessional approach to the ...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Fischer-Cartlidge E, Ross M, Hernández K, Featherstone A, Haase C Tags: Clin J Oncol Nurs Source Type: research

Access to Care.
Abstract More and more community cancer care centers are shifting the model of delivery. In two years, 423 individual clinic treatment sites have closed, 658 oncology practices have been acquired by hospital systems, and 359 practices have struggled financially. These statistics represent an 11.3% increase in the number of community cancer clinic closings and an 8% increase in the number of facility consolidations into hospital settings. Overall, since 2008, 13.8 practices per month have been affected by closings, hospital acquisitions, and corporate mergers. PMID: 30239513 [PubMed - in process] (Source: Clin...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Carr E Tags: Clin J Oncol Nurs Source Type: research

Workplace Wellness Programs: Educating Patients and Families About Discrimination Via Disclosure of Genetic Information.
This article stresses the importance of nurses being aware of these laws and pushing for policy revision to protect sensitive genetic information. PMID: 30239514 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Steck MB Tags: Clin J Oncol Nurs Source Type: research

Adolescent Cancer Survivors: A Literature Review of Psychological Effects Following Remission.
Abstract BACKGROUND: The psychological distress caused by cancer can remain long after remission. With advanced curative treatments, many pediatric patients continue to have late complications that interfere with neurologic, physical, and social development. OBJECTIVES: The aim of this article is to analyze nine published articles that focus on adolescent cancer survivors (ACSs) and the incidence and risk factors of post-traumatic stress disorder (PTSD) and post-traumatic stress symptoms (PTSSs). METHODS: A search of published articles including pediatric and adolescent oncology and PTSD was performed. T...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Katzman BI, John R Tags: Clin J Oncol Nurs Source Type: research

Chemotherapy-Induced Peripheral Neuropathy: Use of an Electronic Care Planning System to Improve Adherence to Recommended Assessment and Management Practices.
Abstract BACKGROUND: Chemotherapy-induced peripheral neuropathy (CIPN) is often inadequately assessed and managed by advanced practice providers. OBJECTIVES: The aim is to explore the impact of CIPN assessment training and electronic care planning system (CPS) use on CIPN assessment documentation and guidelines adherence. METHODS: The authors used a pre-/post-test, prospective design with two retrospective chart reviews. Six providers received CIPN assessment training and used the CPS to manage CIPN for 75 women receiving neurotoxic chemotherapy. FINDINGS: CPS use significantly improved documentatio...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Knoerl R, Bridges C, Smith GL, Yang JJ, Kanzawa-Lee G, Smith EML Tags: Clin J Oncol Nurs Source Type: research

Response to "Nephrotoxicity: Evidence in Patients Receiving Cisplatin Therapy".
Response to "Nephrotoxicity: Evidence in Patients Receiving Cisplatin Therapy". Clin J Oncol Nurs. 2018 Oct 01;22(5):477-478 Authors: Nematbakhsh M Abstract An article by Duffy, Fitzgerald, Boyle, and Rohatgi (2018) was published in the April issue of the Clinical Journal of Oncology Nursing. Based on review, the authors suggested some clinical recommendations to protect the kidneys against cisplatin-induced nephrotoxicity, including hydration or supplementation of magnesium or mannitol during cisplatin administration. In addition to clinical findings, the related basic sciences data may be ...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Nematbakhsh M Tags: Clin J Oncol Nurs Source Type: research

Oncology Nurse Practitioner Role: Recommendations From the Oncology Nursing Society's Nurse Practitioner Summit.
Abstract BACKGROUND: Oncology nurse practitioners (ONPs) are advanced practice RNs prepared at the graduate level with high-level knowledge and skills in oncology. Because of challenges in educational programs and variability in the scope of practice at the state and institutional level, many ONPs are challenged to practice to the full extent of their education, certification, and licensure. OBJECTIVES: The purpose of this article is to review issues affecting the education and practice patterns of ONPs and to identify solutions to address the challenges that exist for ONPs. METHODS: Members of the Oncol...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Mackey H, Noonan K, Kennedy Sheldon L, Singer M, Turner T Tags: Clin J Oncol Nurs Source Type: research

Oral Cryotherapy: Prevention of Oral Mucositis and Pain Among Patients With Colorectal Cancer Undergoing Chemotherapy.
Abstract BACKGROUND: Evidence remains mixed on the benefits of oral cryotherapy in the prevention of oral mucositis and pain associated with fluorouracil-based chemotherapy. OBJECTIVES: The intent of this article is to evaluate the effect of oral cryotherapy on the prevention of oral mucositis and pain among patients with colorectal cancer undergoing fluorouracil-based chemotherapy. METHODS: Using an experimental study design, the authors randomly assigned 80 patients to either the intervention (n = 40) or usual care group (n = 40). Intervention group participants received oral cryotherapy in the form of...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Idayu Mat Nawi R, Lei Chui P, Wan Ishak WZ, Hsien Chan CM Tags: Clin J Oncol Nurs Source Type: research

Multidisciplinary Cancer Care Model: A Positive Association Between Oncology Nurse Navigation and Improved Outcomes for Patients With Cancer.
This article aims to determine whether the inclusion of a gastrointestinal (GI) oncology nurse navigator (ONN) on the multidisciplinary cancer care team is associated with improved quality of care for patients. METHODS: This retrospective study compared randomly selected patients with GI cancer with and without an ONN. Two endpoints, the time from diagnosis to treatment and the average number of missed appointments, were evaluated through a review of healthcare records using the Epic electronic health records system. FINDINGS: Patients with an ONN had a shorter time lapse between diagnosis and treatment commencement (p
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Muñoz R, Farshidpour L, Chaudhary UB, Fathi AH Tags: Clin J Oncol Nurs Source Type: research

Male Breast Cancer: Examining Gender Disparity in Diagnosis and Treatment.
This article examines current literature on male breast cancer, including reasons for the gender disparity and interventions that may help to address it. METHODS: An integrative review was conducted, and 12 studies were selected for inclusion. FINDINGS: Study consensus is that male breast cancer is an underresearched subject and that increased research efforts may improve outcomes. In addition, interventions could help to decrease the gender disparity in breast cancer detection. PMID: 30239521 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Nemchek L Tags: Clin J Oncol Nurs Source Type: research

Care Coordination: Overcoming Barriers to Improve Outcomes for Patients With Hematologic Malignancies in Rural Settings.
This article aims to synthesize the literature about barriers to timely access to care and to coordination of this care for patients with hematologic malignancies, particularly those in rural settings, as well as identify strategies to improve cancer care delivery for those patients. METHODS: A search of the literature from 2008-2018 pertaining to rural health disparities for patients with hematologic malignancies, along with ways to overcome these disparities, was conducted. FINDINGS: Patients with hematologic malignancies, particularly those who reside in rural settings, face complex barriers to care. These bar...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Passwater C, Itano J Tags: Clin J Oncol Nurs Source Type: research

Conversations With Patients: A Recipe for Providing Better, More Personalized Care.
Abstract The best gift a patient ever gave me was a recipe. It was handwritten on a small piece of lined paper, all in capital letters. The recipe was for zucchini bread and was given to me by Mr. S, a lung cancer survivor in his early 80s who I had been following in the cancer survivorship clinic that I started at the VA where I work in New England. He came to see me every three to six months for clinic visits and computed tomography scans to monitor for recurrence of his lung cancer. PMID: 30239523 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Beck JR Tags: Clin J Oncol Nurs Source Type: research

Caring for Staff: The Role of Psychiatric Mental Health Advanced Practice RNs in Supporting Oncology Nurses.
Abstract Compassion fatigue and burnout are well-established experiences for oncology nurses, often resulting in distress and reduced job satisfaction and prompting nurses to leave the profession altogether. Multiple interventions have been developed to better support nurses experiencing these phenomena, with varying success. PMID: 30239524 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Frankenfield R, Thompson K, Lindsey A, Rettig A Tags: Clin J Oncol Nurs Source Type: research

Vapocoolant Sprays: Use With Totally Implanted Venous Access Devices.
Abstract Vapocoolant sprays are used in some facilities to manage pain associated with accessing totally implanted venous access devices (TIVADs). They are neither indicated nor contraindicated, and literature supporting safe and effective use within this process is lacking. The purpose of this article is to evaluate the use of vapocoolant sprays within the TIVAD access process and to facilitate best practice accounting for product use and safety, institutional policy, and individual patient needs. PMID: 30239525 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Bostelman C Tags: Clin J Oncol Nurs Source Type: research

Crucial Conversations: Addressing Informational Needs of Adolescents and Young Adults Diagnosed With Cancer.
This article describes some of the critical time points for AYAs with cancer and the resources available to support the nursing profession in meeting the unique care needs of this population. PMID: 30239526 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Mitchell L, Tam S, Gupta AA Tags: Clin J Oncol Nurs Source Type: research

Approval Process: An Overview of Biosimilars in the Oncology Setting.
This article aims to describe the approval process of biosimilars, including extrapolation, and to help healthcare providers understand when a biosimilar may be interchanged for the reference biologic and the naming convention used for biosimilars. In addition, this article explores how these topics affect confidence in dispensing and pharmacovigilance. METHODS: A literature review was conducted, and search terms and variation included biosimilar agents AND FDA approval, legislation, interchangeability, naming conventions, confidence in dispensing, and pharmacovigilance. FINDINGS: Healthcare providers involved in...
Source: Clinical Journal of Oncology Nursing - September 22, 2018 Category: Nursing Authors: Sowinski-Raff L Tags: Clin J Oncol Nurs Source Type: research