Familial Adenomatous Polyposis: Development, Presentation, and Treatment Strategies.
This article will address the development of FAP, its presentation, and potential treatment strategies that may be used by nurse practitioners. PMID: 30880794 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Dolan S Tags: Clin J Oncol Nurs Source Type: research

How Does a Swedish Nursing Student View Clinical Oncology Care in the United States?
Abstract I have always been the type of person who wants to create the greatest good for the greatest number of people. This led me to an adventure that started in the fall of 2016 as I entered the Bachelor of Science in Nursing program at Hälsohögskolan (the School of Health Sciences) at Jönköping University in Sweden. A goal was set in the back of my mind that I wanted to study abroad in the United States and examine the similarities and differences between care provided in hospitals in the two different countries. For my independent study at the University of North Carolina (UNC) at Chapel H...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Anarp S Tags: Clin J Oncol Nurs Source Type: research

Cancer Clinical Trials: Improving Awareness and Access for Minority and Medically Underserved Communities.
Abstract Cancer clinical trials offer patients an opportunity to receive new and innovative treatment, as well as contribute to the future of cancer care. Enrollment onto clinical trials also may lead to better care and outcomes; however, few adult patients with cancer and even fewer ethnic and racial minority patients participate. PMID: 30880796 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Beauchemin M, Hillyer G, St Germain D Tags: Clin J Oncol Nurs Source Type: research

Thrombopoietin Receptor Agonists: Eltrombopag and Romiplostim for the Treatment of Chronic Immune Thrombocytopenia Purpura.
This article reviews ITP treatment for adult and pediatric patients, including the use of the oral agent eltrombopag and the injectible agent romiplostim, nursing considerations, and patient education. PMID: 30880797 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Atkinson K Tags: Clin J Oncol Nurs Source Type: research

Innovation and Invention.
Abstract Being a transplant to the Golden State of California for the past 31 years, I have had the privilege to live in arguably one of the most vibrant and innovative states in our union, with energy and diversity visible in our geography, our almost 40 million residents from multiple ethnicities and belief systems, and the sixth largest economy in the world. Therefore, this April, southern California's invigorating atmosphere will be the perfect climate to spark and nourish ideas that affect our practice when the 44th annual Oncology Nursing Society Congress takes place in Anaheim. PMID: 30880798 [PubMed -...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Carr E Tags: Clin J Oncol Nurs Source Type: research

Flipped Classroom Strategy: An Accessible, Application-Driven Approach to Genomics Education.
Abstract Gaps in nurses' knowledge and application related to genomics exist. This project aimed to develop an accessible genomic education program for oncology nurses. Consequently, the flipped classroom strategy was used. This involved the use of prework consisting of an online genetics and genomics module and optional journal articles. In-person class time built on the prework and focused on specific clinical applications. Outcomes demonstrated that learners were highly satisfied with the educational format and that course objectives were met. Improvement in knowledge of basic genomic concepts, clinical applica...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Fee-Schroeder KC, Nelson DM Tags: Clin J Oncol Nurs Source Type: research

Outpatient Palliative Care: A Case Study Illustrating Clinic Support Offered to Patients Receiving Cancer Treatment.
This article offers a condensed review of available literature on the usefulness of palliative care in the oncology clinic setting and a case study to illustrate these ideas. METHODS: Literature was reviewed related to the successes and failures of providing an embedded palliative care team in an oncology clinic and its role and effectiveness as part of a collaborative interprofessional team for patients with cancer. FINDINGS: The incorporation of palliative care into outpatient oncology clinics presented a reduction in symptom burden, financial burden, and emergency department visits for symptom management. Pall...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Hallman K, Newton S Tags: Clin J Oncol Nurs Source Type: research

Chlorhexidine Gluconate Baths: Supporting Daily Use to Reduce Central Line-Associated Bloodstream Infections Affecting Immunocompromised Patients.
Abstract BACKGROUND: Chlorhexidine gluconate (CHG) has a broad-spectrum antimicrobial property that has proven to be effective in prolonging skin antisepsis and decreasing pathogens often seen in oncology units. OBJECTIVES: The aim was to reduce the incidence of central line-associated bloodstream infections in a hematology-oncology unit through the staff's continued adherence to the institution's protocol for CHG baths with wipes, and to identify barriers and the degree to which they interfered with optimal use of the CHG wipes. METHODS: The project focused on supporting staff and nurses by providing ed...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Jusino-Leon GN, Matheson L, Forsythe L Tags: Clin J Oncol Nurs Source Type: research

Chemotherapy Safety: Reducing Errors With a Nurse-Led Time-Out Process.
Abstract BACKGROUND: Nurses represent the last line of defense in preventing the occurrence of chemotherapy errors; it is important to assess error rates and implement quality improvement initiatives to reduce nurse-initiated chemotherapy administration errors. OBJECTIVES: The purpose of this project was to assess the rates of chemotherapy administration errors before and after a two-nurse chemotherapy time-out process was implemented and the frequency of prevented errors in the postintervention and maintenance periods. METHODS: This retrospective quality report used pharmacy administration records and c...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Kalo K, Karius D, Bena JF, Morrison SL, Albert NM Tags: Clin J Oncol Nurs Source Type: research

Pharmacokinetics: Unique Challenges in Blood Monitoring for Oncology Nurses.
This article will provide an overview of evidence-based approaches to the collection of PK samples, monitoring of PK levels, and the resulting management of patients undergoing PK testing. METHODS: A case study involving busulfan, an alkylating agent used in the pre-stem cell transplantation setting, will highlight the cross-contamination of samples while a drug is being infused through a central venous catheter with PK sample collection from a proximal peripherally inserted central catheter. The influence of false elevations in drug concentrations on PK-guided dose adjustments will also be emphasized. FINDINGS: ...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Kawedia JD, Kalariya N, Gulbis AM, Andersson BS, Myers AL Tags: Clin J Oncol Nurs Source Type: research

Clostridium Difficile Infection: The Effects of Acid Suppression Therapy in Patients With Cancer.
Abstract BACKGROUND: Clostridium difficile infection (CDI) is common among hospitalized patients and is particularly serious in patients with cancer. Acid suppression therapy, particularly that which uses proton pump inhibitors (PPIs), has been shown to place hospitalized adult patients at greater risk for CDI, but this relationship has not been proven among patients with cancer. OBJECTIVES: This review assesses risk factors for CDI among patients with cancer, with a specific focus on acid suppression therapy using PPIs and histamine-2 receptor antagonists (H2RAs). METHODS: A literature search was perfor...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Lan H Tags: Clin J Oncol Nurs Source Type: research

Response to "Workplace Wellness Programs: Educating Patients and Families About Discrimination Via Disclosure of Genetic Information".
Response to "Workplace Wellness Programs: Educating Patients and Families About Discrimination Via Disclosure of Genetic Information". Clin J Oncol Nurs. 2019 Apr 01;23(2):124 Authors: Steck MB Abstract An article by Steck (2018), published in the August issue of the Clinical Journal of Oncology Nursing, stated that workplace wellness programs are legally permitted to request the family medical history of employees. However, since publication, the previously cited regulations have been redacted, and the relevant information needs updated. PMID: 30880805 [PubMed - in process] (Source: Cl...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Steck MB Tags: Clin J Oncol Nurs Source Type: research

Dermatologic Toxicities: A Chart Review of Clinical Management Among Patients With Metastatic Colorectal Cancer Treated With Panitumumab.
This article aims to describe treatment modalities used for the management of dermatologic toxicity among patients with mCRC who were treated with panitumumab and to assess the proportion of patients who were recommended preemptive versus reactive management strategies. METHODS: This retrospective chart review evaluated different treatment modalities and routes of administration. The modalities were categorized as prescription or over-the-counter. The timing in relation to the first dose of panitumumab was used to define preemptive versus reactive treatments. FINDINGS: In a sample of 330 patients, only 10% of pat...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Lowe KA, Sangaré L, Roehl KA, Jung S, Kafatos G, Garwin T Tags: Clin J Oncol Nurs Source Type: research

Structured DVD Education: Impact on Teaching Satisfaction and Anxiety Among Patients With Leukemia and Lymphoma and Their Family Members.
Abstract BACKGROUND: Many factors can interfere with a patient's ability to cope with a new cancer diagnosis. The method of education delivery may improve satisfaction with teaching and reduce anxiety. Structured DVD education combined with other teaching methods has shown positive results. However, few such studies have included family members. OBJECTIVES: The purpose of this study was to evaluate the impact of structured DVD education versus standard one-on-one education on satisfaction with teaching and on anxiety among patients newly diagnosed with leukemia and lymphoma and their families. METHODS: A...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Peters C, Bowen B, Jusino-Leon G, Kooran S, Smith D, Higgins M, Spinks K Tags: Clin J Oncol Nurs Source Type: research

340B Drug Pricing Program: The Expansion and Its Effect on Cancer Care.
Abstract The 340B Drug Pricing Program is a complex federal program that is intended to provide financial relief to hospitals that provide care to greater volumes of low-income, uninsured, and underinsured patients. The body of literature is growing on how cancer care has transformed since freestanding cancer hospitals became eligible for the 340B program. Currently, community oncology practices are not eligible for the 340B program. PMID: 30880808 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Fauer A, Friese CR Tags: Clin J Oncol Nurs Source Type: research

Air-in-Line Alarms: Decreasing Alarms Through Antisiphon Valve Implementation.
Abstract The administration of 24-hour continuous chemotherapy infusions is common in certain regimens, such as EPOCH (etoposide, prednisone, vincristine, cyclophosphamide, and doxorubicin). Such regimens are notorious for clinically insignificant air-in-line (AIL) alarms because of the naturally bubbly composition of the drugs involved. An antisiphon valve, placed at the end of the IV tubing to pressurize the infusion and to minimize air bubbles, was found to decrease clinically insignificant AIL alarms. The positive outcomes of the current study could be applied to other infusions known for frequent clinically i...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Meade K, Catania K, Lopez B, Connell R Tags: Clin J Oncol Nurs Source Type: research

Enteral Versus Parenteral Nutrition: Use in Adult Patients Undergoing Hematopoietic Stem Cell Transplantation.
Abstract BACKGROUND: Pretransplantation chemotherapy and side effects of transplantation can cause reduced oral intake, contributing to malnutrition. OBJECTIVES: The aim was to evaluate the current evidence comparing enteral nutrition (EN) to parenteral nutrition in the adult hematopoietic stem cell transplantation (HSCT) population. METHODS: A systematic review was conducted in PubMed/MEDLINE®, CINAHL® Plus With Full Text (EBSCO), and Cochrane Library and produced 238 articles. Four articles met inclusion criteria. FINDINGS: Three studies were observational; one was a randomized trial that ...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Reese MK, Hewlings S Tags: Clin J Oncol Nurs Source Type: research

Oncology Nurse Engagement: The Impact of a Management Education Program.
Abstract BACKGROUND: Previous studies have demonstrated that a predictor of nurse engagement is a supportive work environment. Organizations that promote employee engagement have higher retention rates compared to their counterparts. The role of the nurse manager is critical to nursing engagement, and the principles of nurse engagement are teachable. OBJECTIVES: The aim was to measure the impact of a nurse manager engagement education program on oncology nurse engagement. METHODS: The oncology nurses (n = 20) who report to the nurse managers (n = 3) completed a pre- and postintervention nurse engagement ...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Siju J, Johansen ML Tags: Clin J Oncol Nurs Source Type: research

Cannabidiol: The Need for More Information About Its Potential Benefits and Side Effects.
Abstract Consumer demand for cannabidiol (CBD) oil has increased, with growing sales from dispensaries because of the alleged medicinal benefits. Although studies examining the specific therapeutic effects of CBD are increasing, clinical data do not support the popular uses of CBD for Parkinson disease, schizophrenia, cancer palliation and treatment, chronic pain and spasticity, depression, anxiety disorder, insomnia, and inflammation. PMID: 30880812 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Hande K Tags: Clin J Oncol Nurs Source Type: research

Symptom Distress: Implementation of Palliative Care Guidelines to Improve Pain, Fatigue, and Anxiety in Patients With Advanced Cancer.
Abstract BACKGROUND: The integration of palliative care into standard oncology care is supported by research to improve quality of life and symptom distress in patients with advanced cancer. In 2016, the American Society of Clinical Oncology (ASCO) released practice guidelines for oncology palliative care that emphasized interprofessional assessment and management of this patient population. OBJECTIVES: The purpose of this study was to evaluate the effect of clinical guidelines on symptom distress in patients with advanced cancer. METHODS: In two oncology palliative care clinics, the Edmonton Symptom Ass...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Koesel N, Tocchi C, Burke L, Yap T, Harrison A Tags: Clin J Oncol Nurs Source Type: research

Associated Toxicities: Assessment and Management Related to CAR T-Cell Therapy.
This article presents an overview of pathophysiology, assessment, and evidence-based management of CAR T-cell therapy-associated toxicities, with particular attention paid to CRS and neurologic toxicity management. Implications for nursing practice are included for prominent toxicities to guide clinical practice. METHODS: An overview of recent guidelines and evidence for CAR T-cell therapy toxicity assessment and management is provided. FINDINGS: Evidence-based approaches to CAR T-cell therapy toxicities continue to evolve. As organizational and institutional guidelines emerge, nurses must be aware of anticipated...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Anderson K, Latchford T Tags: Clin J Oncol Nurs Source Type: research

Management Across Settings: An Ambulatory and Community Perspective for Patients Undergoing CAR T-Cell Therapy in Multiple Care Settings.
This article presents an overview of key considerations for referring providers and institutions prior to and following CAR T-cell therapy. METHODS: Definitions of the consultation and workup, leukapheresis, bridging, lymphodepleting chemotherapy, infusion and monitoring, and long-term follow-up phases are presented, along with specific considerations for referring centers. FINDINGS: Although CAR T-cell therapy is limited to select centers, the process of supporting and educating patients and their caregivers requires a partnership between referring and treating providers. As CAR T-cell indications expand, manage...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Beaupierre A, Lundberg R, Marrero L, Jain M, Wang T, Alencar MC Tags: Clin J Oncol Nurs Source Type: research

Adult Survivorship: Considerations Following CAR T-Cell Therapy.
This article reviews survivorship considerations, with particular attention paid to the physical, psychosocial, and financial effects for adults who have undergone CAR T-cell therapy. METHODS: A review of the physiologic and psychosocial sequelae resulting from CAR T-cell therapy is presented, with a focus on late effects and financial toxicities of treatment. Physiologic concerns include B-cell aplasia and resulting hypogammaglobulinemia, as well as prolonged cytopenias and associated risk for infection. FINDINGS: To date, adult CAR T-cell therapy survivorship data are limited. However, data from clinical trials...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Buitrago J, Adkins S, Hawkins M, Iyamu K, Oort T Tags: Clin J Oncol Nurs Source Type: research

Pediatric Survivorship: Considerations Following CAR T-Cell Therapy.
This article presents an overview of pediatric relapsed and refractory acute lymphoblastic leukemia (ALL) and chimeric antigen receptor (CAR) T-cell therapy in pediatric patients. OBJECTIVES: Acute and chronic post-CAR T-cell effects and considerations are discussed, along with survivorship considerations. METHODS: A case study illustrates the identification and management of physiologic and psychosocial sequelae. FINDINGS: B-cell aplasia, hypogammaglobulinemia, infections, and cumulative effects of CAR T-cell therapy and other treatments are a concern in the pediatric population. Unique to pediatric and you...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Callahan C, Barry A, Fooks-Parker S, Smith L, Baniewicz D, Hobbie W Tags: Clin J Oncol Nurs Source Type: research

Has the Emperor Met His Match?
Abstract In the 2015 Ken Burns documentary, Cancer: The Emperor of All Maladies, based on Siddhartha Mukherjee's The Emperor of All Maladies, the 2011 nonfiction award-winning biography about cancer, we are introduced to the first pediatric patient who received an experimental cellular therapy at Children's Hospital of Philadelphia. The outcomes for that patient, initially treated in 2012 and now almost seven years into survivorship, led to the development of clinical trials with commercially developed chimeric antigen receptor (CAR) T-cell products. PMID: 30880818 [PubMed - in process] (Source: Clinical Jour...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Brassil KJ, Carr E Tags: Clin J Oncol Nurs Source Type: research

CAR T-Cell Therapy: Update on the State of the Science.
This article provides information on the current state of the science related to commercially available CAR T-cell products and examines how CAR T-cell science is evolving. METHODS: An overview of pathophysiology, indications, and nursing implications of the currently approved CAR T-cell agents is presented. Future directions for CAR T-cell development and treatment indications are discussed. FINDINGS: Tisagenlecleucel (Kymriah®) and axicabtagene ciloleucel (Yescarta®) received approval in 2017 for the treatment of B-cell precursor acute lymphoblastic leukemia in pediatric and young adult patients, and re...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Lamprecht M, Dansereau C Tags: Clin J Oncol Nurs Source Type: research

Building a Program: Implications for Infrastructure, Nursing Education, and Training for CAR T-Cell Therapy.
This article presents an overview of operational approaches to CAR T-cell therapy program development and oncology nurse education considerations. These are provided through the lens of two institutions approved to administer CAR T-cell therapy, with differing approaches to CAR T-cell program development, implementation, and staff training. METHODS: Development of freestanding CAR T-cell therapy programs are compared with programs embedded in a specialty area. Issues related to accreditation and financial considerations are explored. Distinct features of inpatient and ambulatory care settings are presented. FINDI...
Source: Clinical Journal of Oncology Nursing - March 19, 2019 Category: Nursing Authors: Taylor L, Rodriguez ES, Reese A, Anderson K Tags: Clin J Oncol Nurs Source Type: research

Dronabinol Therapy: Central Nervous System Adverse Events in Adults With Primary Brain Tumors.
Abstract Dronabinol is an effective adjunct to antiemetic regimens during cancer treatment in several populations of patients with cancer. However, it has been used little in central nervous system (CNS) cancers because of concerns regarding potential CNS adverse events. This secondary analysis explored CNS adverse events reported by adults with primary brain tumors while receiving dronabinol during chemotherapy. The occurrence of CNS adverse events in this population was similar to that reported by patients in other oncology populations. PMID: 30681988 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Allen D Tags: Clin J Oncol Nurs Source Type: research

Standardizing Roles: Evaluating Oncology Nurse Navigator Clarity, Educational Preparation, and Scope of Work Within Two Healthcare Systems.
Abstract BACKGROUND: Since the introduction of patient navigation, challenges persist in standardizing the oncology nurse navigator (ONN) role, educational preparation, and scope of work. OBJECTIVES: With a goal of systemwide understanding of navigation services, two healthcare institutions examined the educational preparation, responsibilities, and understanding of the ONN role. METHODS: Two nurse leaders in navigation concurrently used surveys, focus groups, and interprofessional discussions to assess the current state of navigation within their comparable organizations. They aggregated their findings,...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Cantril C, Christensen D, Moore E Tags: Clin J Oncol Nurs Source Type: research

In Cancer Care, What is Loss and What is Victory?
Abstract The challenges faced in my first year as a new oncology nurse included learning the beauty of small victories and understanding loss. Family and friends often mention how sad and hard this profession is. It is hard to explain how much I love this job to those who view it as somewhat depressing. The victories are the small moments: shortness of breath improving because the tumor shrank, attending a granddaughter's graduation, seeing a new baby born, or celebrating another birthday. Those moments keep us coming to work every day and help our patients make it another month. PMID: 30681990 [PubMed - in p...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Parker A Tags: Clin J Oncol Nurs Source Type: research

Palliative Care: The Emerging Field in Bhutan.
Abstract The rise in noncommunicable diseases and initiation of cancer treatment in Bhutan, combined with a global recognition of the need for palliative care, led the country's Ministry of Health to identify the need for palliative care. A team of nurses at Jigme Dorji Wangchuck National Referral Hospital in Thimphu were recruited to launch the country's first homecare palliative program. The Bhutan Cancer Society contributed financially to this effort, and other nongovernment organizations and faculty at the Khesar Gyalpo University of Medical Sciences of Bhutan School of Nursing contributed on the academia fron...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Bay J, Yangden Y, Sherpa N, Luitel A Tags: Clin J Oncol Nurs Source Type: research

Head and Neck Cancer: Identifying Depression as a Comorbidity Among Patients.
Abstract Patients with head and neck cancer (HNC) are at high risk for developing depressive symptoms and a major depressive disorder as comorbidities. Depression can affect quality of life (QOL), with data indicating an associated increased risk of recurrence and mortality for patients with HNC. The purpose of this article is to urge oncology nurses to consider depression as an important comorbidity in the care plan for patients with HNC. Resources allocated for depression prevention and screening can decrease symptoms, the incidence of suicidal ideation, and healthcare-associated costs while improving QOL and mo...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Friedland CJ Tags: Clin J Oncol Nurs Source Type: research

Invaluable Resources.
Abstract As an oncology nurse and lifelong beneficiary of libraries and librarians, I know that libraries provide a solid foundation to frame our points of view, practice strategies, and policies. Even in this age of "just Google that," any sturdy, scholarly response is rooted in the literature, relying on libraries or, in this day and age, information resources. But, let's face it, the most robust access to any library system is not possible without the help of an expert navigator: a librarian who knows how to mine information and package it for our own needs. PMID: 30681993 [PubMed - in process] (...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Carr E Tags: Clin J Oncol Nurs Source Type: research

Metastatic Prostate Cancer: Effects of Genetic Testing on Care.
Abstract The National Comprehensive Cancer Network now recommends BRCA1/2 genetic testing in men with metastatic prostate cancer. The purpose of this article is to provide a review of principles of genetic testing in prostate cancer and highlight the significance of clinical genetic testing of BRCA1/2 and other genes (CHEK2, HOXB13, PALB2), including Lynch syndrome genes (MLH1, MSH2, MSH6, and PMS2) in men with metastatic prostate cancer. The potential impact of genetic testing on systemic treatments and the significance of the pathogenic results for at-risk family members is discussed. PMID: 30681994 [PubMed...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Connors LM Tags: Clin J Oncol Nurs Source Type: research

Mental Health Distress: Oncology Nurses' Strategies and Barriers in Identifying Distress in Patients With Cancer.
Abstract BACKGROUND: Oncology nurses have an important role in identifying mental health distress; however, the research to date indicates that oncology nurses often do not accurately detect this distress. OBJECTIVES: The aim of this study is to explore oncology nurses' perspectives on indicators of distress in patients, the strategies they use in identifying these signs of distress, and the barriers they face in recognizing these indicators. METHODS: Twenty oncology nurses were interviewed. The study used the grounded theory method of data collection and analysis. FINDINGS: Nurses relied on a numbe...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Granek L, Nakash O, Ariad S, Shapira S, Ben-David M Tags: Clin J Oncol Nurs Source Type: research

Male Caregivers: Shifting Roles Among Family Caregivers.
This article explores male caregiving from the perspective of family and professional roles. METHODS: A review of the literature related to men in the caregiving role was conducted. This review included only men providing care to a family member and was limited to men caring for an adult. FINDINGS: The main traits of male caregivers were defined as masculinization of caregiving behaviors, social support needs, and caregiver role strain/emotional aspects of caring. Men in the caregiving role must be supported. Education related to how men provide care is needed. Hands-on education should also be provided to men in...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Mott J, Schmidt B, MacWilliams B Tags: Clin J Oncol Nurs Source Type: research

Artist Impact: Effects of Live Art on Patients and Staff in an Outpatient Chemotherapy Treatment Environment.
Abstract BACKGROUND: Visual art and music have been found to improve the emotions and moods of patients and healthcare staff, and attendance of live performances has been shown to foster social interaction. OBJECTIVES: The aim of the study was to explore the effects of a visual artist on patients and nursing staff in an outpatient chemotherapy treatment environment. METHODS: During an eight-week period, an artist painted in an outpatient chemotherapy treatment room, either interacting with patients (six weeks) or quietly painting while wearing headphones (two weeks). A total of 73 surveys were completed ...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Parks-Stamm EJ, Ferrell EM Tags: Clin J Oncol Nurs Source Type: research

Genetic Service Delivery Models: Exploring Approaches to Care for Families With Hereditary Cancer Risk.
Abstract BACKGROUND: Providing timely access to quality genetic counseling is becoming necessary as the awareness and availability of high-risk screening and genetic testing increase. The results of genetic testing directly influence treatment decisions and recommendations for cancer screening and prevention. Evolving service delivery models of genetic counseling can lessen patient and system barriers to comprehensive genetic care. OBJECTIVES: The aim of this article is to note known barriers to accessing genetic care, review strategies and delivery models to enhance access to the genetic counseling process, ...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Pierle JM, Mahon SM Tags: Clin J Oncol Nurs Source Type: research

Improving Transitional Care: The Role of Handoffs and Discharge Checklists in Hematologic Malignancies.
Abstract BACKGROUND: Transitional care from inpatient to outpatient settings is a high-risk time for medical errors and missed follow-up appointments. Discharge checklists and handoffs are effective tools that lead to improved quality of care and outcomes. OBJECTIVES: The purpose of this project was to implement an evidence-based discharge checklist and handoff template to improve and standardize transitional care from hospital to home for patients with hematologic malignancies. METHODS: The advanced practice providers (APPs) completed the discharge checklist at least 24 hours prior to discharge. The APP...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Prince M, Allen D, Chittenden S, Misuraca J, Hockenberry MJ Tags: Clin J Oncol Nurs Source Type: research

The Role of Oncology Nurses as Ethicists: Training, Opportunities, and Implications for Practice.
Abstract Ethical challenges are inherent in oncology clinical practice. Ranging from transitions in care to code status and treatment decisions, these ethical challenges can have an acute effect on nurses, with well-established connections to moral distress and other psycho-emotional sequelae. The availability of a nurse ethicist can provide invaluable resources to support nurses in awareness of ethical challenges and support for ethical decision making in practice. PMID: 30682000 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Neumann J, Counts V, Jernigan C Tags: Clin J Oncol Nurs Source Type: research

Age Determinants for Breast Surgery: Using the Choosing Wisely Initiative for Early-Stage Breast Cancer Treatment Strategies.
This article highlights an approach to surgical treatment that demonstrates that age may not be the most important factor in surgical treatment for early-stage breast cancer. PMID: 30682001 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Mau K, Ringer R Tags: Clin J Oncol Nurs Source Type: research

Oxaliplatin: Detection and Management of Hypersensitivity Reactions.
This article reviews the symptoms of HSRs associated with oxaliplatin, the specific management of HSRs associated with oxaliplatin, the role of desensitization, and the potential use of skin testing to better identify patients at risk for HSR. METHODS: This article reviews the literature related to the diagnosis, prevention, and management of HSRs associated with oxaliplatin and outlines nurses' role. FINDINGS: Oxaliplatin HSRs can occur at any cycle, but patients are at highest risk after they have received six prior infusions of oxaliplatin. PMID: 30682002 [PubMed - in process] (Source: Clinical Journal of Oncology Nursing)
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Rogers BB, Cuddahy T, Briscella C, Ross N, Olszanski AJ, Denlinger CS Tags: Clin J Oncol Nurs Source Type: research

Nurse Navigation Program: Outcomes From a Breast Cancer Center in Brazil.
This study aims describe the outcomes of a pioneering nurse navigation program established in a breast cancer center in a private, nonprofit hospital in Porto Alegre, Brazil. METHODS: This is a cross-sectional, retrospective, descriptive study based on electronic health records. Descriptive statistics were used for data analysis. FINDINGS: Data from 263 patients participating in the navigation program and hospital quality indicators showed a reduction in the time elapsed from diagnosis to the start of treatment from 24 days in 2014 to 18 days in 2017. Of 153 patients who responded to a patient satisfaction survey...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Rohsig V, Silva P, Teixeira R, Lorenzini E, Maestri R, Saraiva T, Souza A Tags: Clin J Oncol Nurs Source Type: research

Nursing Care at the End of Life: Optimizing Care of the Family in the Hospital Setting.
Abstract Most Americans prefer their home as a place of death, but most die in the hospital acute care setting. Nurses are the major providers of hospital-based end-of-life care; therefore, it is imperative to identify family preferences for nursing support during the end of life. An initiative was undertaken to create a blueprint for operationalizing research findings that identified family preferences for nursing support during the peri-death experience of a loved one within acute care. Seven components of an acute bereavement support protocol were delineated: developing room signage, assessing family prioritiza...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Boyle DA Tags: Clin J Oncol Nurs Source Type: research

Central Line Care: Empowering Patients to Prevent Infection and Injury Via EPIC2.
Abstract BACKGROUND: Central line-associated bloodstream infections (CLABSIs) are associated with an increased risk of mortality, prolonged hospitalizations, and inflated cost of care. Patients in the hematology-oncology specialty unit are at greater risk of developing CLABSIs because of their immunocompromised state and high number of central line (CL) days. OBJECTIVES: The aim of the EPIC2 project was to reduce CLABSI rates on a hematology-oncology specialty unit with historically high CLABSI rates despite prior quality improvement efforts. METHODS: EPIC2 used the theory of planned behavior as the fram...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Suttle RD, Buffington HM, Madden WT, Dawson MA Tags: Clin J Oncol Nurs Source Type: research

Avelumab Immunotherapy: Management of Adverse Events Associated With New Treatment for Merkel Cell Carcinoma.
This article discusses the use of avelumab for the treatment of mMCC and management of associated toxicities. METHODS: Literature on mMCC disease state and clinical trial data for avelumab were reviewed. FINDINGS: Avelumab has been investigated in patients with mMCC either following disease progression after one or more prior lines of chemotherapy or no prior systemic therapy. These patients experience clinically meaningful benefit. About 70% of patients receiving avelumab experience treatment-related adverse events. Given the limited benefit of chemotherapy, managing symptoms related to avelumab is key to admini...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Ugolini H, Bryan J, Hennessy M, Kaufman HL, D'Angelo S Tags: Clin J Oncol Nurs Source Type: research

Communication Training: Needs Among Oncology Nurses Across the Cancer Continuum.
This study reports on communication training needs for oncology nurses to inform future development of communication curricula and institutional training. METHODS: A national survey of oncology nurse teams (N = 355) attending one of four communication training courses was used. Surveys were used to evaluate institutions' current patient-centered communication practices and to ascertain institutional communication training needs. FINDINGS: Nurses' role in communicating prognosis remains unclear, and training is needed for discussing survivorship. Curriculum development should be congruent with institutionally defi...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Wittenberg E, Goldsmith J, Buller H, Ragan SL, Ferrell B Tags: Clin J Oncol Nurs Source Type: research

Outcome Measurement: Patient Satisfaction Scores and Contact With Oncology Nurse Navigators.
Abstract BACKGROUND: Satisfaction with care is a reported outcome of patient navigation. Assessment methods vary, as do navigation programs, including the use of oncology nurse navigators (ONNs). OBJECTIVES: The purpose of this study is to evaluate the effect of contact with an ONN on patient satisfaction. METHODS: A retrospective review of oncology Press Ganey outpatient satisfaction surveys was conducted. Groups with and without ONN contact were compared on responses to survey items relevant to ONN roles. For those 15 items, mean scores, top box scores, and all-facility percentile rank were compared be...
Source: Clinical Journal of Oncology Nursing - January 27, 2019 Category: Nursing Authors: Yackzan S, Stanifer S, Barker S, Blair B, Glass A, Weyl H, Wheeler P Tags: Clin J Oncol Nurs Source Type: research

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