Clinical journal of oncology nursing最新文献

Gestational Trophoblastic Disease: A Clinical Review and Case Study Presentation for the Advanced Practice Nurse. 妊娠滋养细胞疾病：高级执业护士的临床回顾和病例研究报告。

IF 1.3 4区医学

Clinical journal of oncology nursing Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.E97-E102

Merlendi Brown

{"title":"Gestational Trophoblastic Disease: A Clinical Review and Case Study Presentation for the Advanced Practice Nurse.","authors":"Merlendi Brown","doi":"10.1188/25.CJON.E97-E102","DOIUrl":"10.1188/25.CJON.E97-E102","url":null,"abstract":"Background: Gestational trophoblastic (GT) disease is a continuum of gynecologic disorders that begins with a hydatidiform mole and may progress to GT neoplasia.Objectives: The purpose of this article is to review the pathophysiology and clinical manifestations associated with GT disease and provide the advanced practice RN with evidence-based management strategies to use when caring for patients.Methods: A case study details a woman aged 42 years with a hydatidiform mole who underwent multiple uterine curettage procedures. The disease progressed to GT neoplasia, characterized by elevated human chorionic gonadotropin (hCG) levels. The patient completed a 10-week course of IV methotrexate, and hCG levels returned to normal range.Findings: Serial monitoring of hCG levels is paramount when caring for a patient with GT disease. The advanced practice RN should recognize the pathologic significance of rising hCG levels, report these trends to the treating physician, and aim to improve health outcomes.","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"29 3","pages":"E97-E102"},"PeriodicalIF":1.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using the Ipsilateral Arm in Patients With Breast Cancer: An Evidence-Based Practice Project and Practice Change. 乳腺癌患者使用同侧臂：循证实践项目和实践改变。

IF 1.3 4区医学

Clinical journal of oncology nursing Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.212-218

Kathryn L Shady

{"title":"Using the Ipsilateral Arm in Patients With Breast Cancer: An Evidence-Based Practice Project and Practice Change.","authors":"Kathryn L Shady","doi":"10.1188/25.CJON.212-218","DOIUrl":"10.1188/25.CJON.212-218","url":null,"abstract":"Background: The ipsilateral arm is not used for blood pressure, phlebotomy, or IV access postmastectomy or post-lymph node removal or biopsy. The non-evidence-based practice of blanket forbidding of ipsilateral arm use can result in inaccurate calf blood pressure measurements, foot stick blood draw orders, and an increased need for tunneled central venous catheters.Objectives: This project piloted a practice change and allowed for the use of the ipsilateral arm in patients with breast cancer.Methods: The team used the Johns Hopkins Evidence-Based Practice Model to implement a practice change for hematology-oncology inpatients with breast cancer and lymph node involvement, removal, or biopsy, or mastectomy history.Findings: Twelve months after implementation, more than 100 patients with breast cancer participated with zero incidences of resulting lymphedema. There were no foot stick orders or calf blood pressures in patients when the ipsilateral arm was used. After 16 months, the practice change became a systemwide policy.","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"29 3","pages":"212-218"},"PeriodicalIF":1.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Noninvasive Continuous Temperature Monitoring in Oncology and Future Directions. 肿瘤学无创连续体温监测及未来发展方向。

IF 1.3 4区医学

Clinical journal of oncology nursing Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.E70-E78

Sarah K Bradley, Ruth Anne Phillips, Janvi Jani

{"title":"Noninvasive Continuous Temperature Monitoring in Oncology and Future Directions.","authors":"Sarah K Bradley, Ruth Anne Phillips, Janvi Jani","doi":"10.1188/25.CJON.E70-E78","DOIUrl":"10.1188/25.CJON.E70-E78","url":null,"abstract":"Background: This review describes the current state of noninvasive continuous temperature monitoring (CTM) in oncology and future directions for CTM.Objectives: MEDLINE®, Google Scholar™, and ClinicalTrials.gov databases were searched for articles published from April 1, 2019, to April 30, 2024, to evaluate the use of wearable CTM devices. The validity of the evidence and the regulatory status of U.S. Food and Drug Administration 510(k)-cleared devices were assessed to determine the benefits and limitations of using CTM for detecting febrile neutropenia.Methods: In total, 178 unique studies were screened, 64 were selected for additional review, and 15 met inclusion criteria and used one of four brands of 510(k)-cleared medical-grade devices.Findings: The benefits of CTM identified in this review include improved patient outcomes, increased cost savings, ease and reliability of use, increased patient mobility, and the ability to wirelessly and remotely monitor patients. The feasibility, usability, and satisfaction in patients and caretakers were established.","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"29 3","pages":"E70-E78"},"PeriodicalIF":1.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Precision Oncology and the Evolution of Breast Cancer Care. 精准肿瘤学与乳腺癌护理的发展。

IF 1.3 4区医学

Clinical journal of oncology nursing Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.196-200

Andrew S Guinigundo

引用次数: 0

Nutrition Education to Build Oncology Nurse Confidence and Affect Patient Care. 营养教育建立肿瘤护士信心，影响病人护理。

IF 1.3 4区医学

Clinical journal of oncology nursing Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.237-243

Jennifer Servant, Lisa Foertsch, Jeanine M Rundquist, Patricia K Tuite

{"title":"Nutrition Education to Build Oncology Nurse Confidence and Affect Patient Care.","authors":"Jennifer Servant, Lisa Foertsch, Jeanine M Rundquist, Patricia K Tuite","doi":"10.1188/25.CJON.237-243","DOIUrl":"10.1188/25.CJON.237-243","url":null,"abstract":"Background: Nutrition is an essential part of care for patients with cancer, but healthcare providers lack confidence in discussing nutrition-related topics with their patients. Nurses provided with education can increase their confidence in teaching patients about nutrition; however, data are limited on the effects of this education on patient care.Objectives: The purpose of this project was to provide education for outpatient oncology nurses about nutrition and assess its impact on nurses' confidence, use of nutrition resources, and patient care.Methods: This quality improvement project used a pre- and postsurvey to evaluate the implementation of evidence-based, nutrition-focused nurse education. Data were collected on nurse confidence, patient nutrition needs, patient experiences with nutrition education, and use of nutrition resources.Findings: The education was completed by 16 infusion nurses. Implementation of nutrition-focused education for outpatient oncology nurses increased nurse confidence and the use of nutrition resources. The most frequent nutrition complaint among patients was related to weight loss, with nearly half of nutrition consultations placed for that reason.","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"29 3","pages":"237-243"},"PeriodicalIF":1.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oncology Nurse Acceptance of Virtual Reality as a Work Break. 肿瘤护士接受虚拟现实作为工作休息。

IF 1.3 4区医学

Clinical journal of oncology nursing Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.254-256

Amy E Rettig, Diana McMahon, Rachel Arpin, Kellen Maicher

引用次数: 0

Fueling Inquiry: Oncology Nurses Need Space to Wonder. 推动调查：肿瘤护士需要思考的空间。

IF 1.3 4区医学

Clinical journal of oncology nursing Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.188-189

Joni L Watson

引用次数: 0

Caring for People With Cancer and Physical Disabilities. 照顾癌症及身体残障人士。

IF 1.3 4区医学

Clinical journal of oncology nursing Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.250-253

Grace Cullen

引用次数: 0

Safety and Adverse Event Management of VEGFR-TKIs in Patients With Metastatic Renal Cell Carcinoma. VEGFR-TKIs在转移性肾癌患者中的安全性和不良事件管理。

IF 1.3 4区医学

Clinical journal of oncology nursing Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.219-229

Laura S Wood, Zita D Lim

{"title":"Safety and Adverse Event Management of VEGFR-TKIs in Patients With Metastatic Renal Cell Carcinoma.","authors":"Laura S Wood, Zita D Lim","doi":"10.1188/25.CJON.219-229","DOIUrl":"10.1188/25.CJON.219-229","url":null,"abstract":"Background: Vascular endothelial growth factor receptor-tyrosine kinase inhibitors (VEGFR-TKIs), alone or in combination with immune checkpoint inhibitors, are part of the standard of care in treating metastatic renal cell carcinoma (mRCC). VEGFR-TKIs are associated with acute, chronic, and potentially dose-limiting toxicities requiring treatment modifications and discontinuations.Objectives: This article summarizes evidence-based practices that oncology nurses may use to manage VEGFR-TKI adverse events and improve quality of life in patients with mRCC.Methods: Pivotal clinical trial publications of VEGFR-TKIs in mRCC were reviewed to evaluate the adverse event profile of each drug and effective management strategies.Findings: Patients with mRCC treated with VEGFR-TKIs can benefit from education about potential side effects, consistent monitoring, and early detection of adverse events, as well as appropriate interventions to improve treatment tolerability, adherence, outcomes, and quality of life.","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"29 3","pages":"219-229"},"PeriodicalIF":1.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

We Advocate for Our Patients, but Can We Also Advocate for Ourselves? 我们为病人辩护，但我们也能为自己辩护吗？

IF 1.3 4区医学

Clinical journal of oncology nursing Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.264

Monica Beck

引用次数: 0