Carrie Bellerive, Teresa S Miceli, Kevin Brigle, Beth Faiman, Mary Steinbach
{"title":"Survivorship and Health Maintenance in Patients With Multiple Myeloma: A Nurse-Led Survivorship Care Framework.","authors":"Carrie Bellerive, Teresa S Miceli, Kevin Brigle, Beth Faiman, Mary Steinbach","doi":"10.1188/26.CJON.E87-E96","DOIUrl":"10.1188/26.CJON.E87-E96","url":null,"abstract":"<p><p>Advances in therapy have transformed multiple myeloma (MM) into a chronic relapsing-remitting disease, resulting in a growing population of survivors requiring long-term, comprehensive care. Five-year relative survival for.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 5","pages":"E87-E96"},"PeriodicalIF":0.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104821","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}
{"title":"How Can New Oncology Nurses Overcome Self-Doubt While Finding Their Place?","authors":"Jaclyn Ose","doi":"10.1188/26.CJON.408","DOIUrl":"10.1188/26.CJON.408","url":null,"abstract":"<p><p>Working in research has reinforced an important truth: It is OK to not know everything. In fact, it is expected. We are working with novel therapies. My patients teach me just as much as I care for them. That perspective has.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 5","pages":"408"},"PeriodicalIF":0.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104861","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}
Rebecca Beckman, Jessica Jackson, Ruth Burchell, Shannon White
{"title":"Virtual Reality to Reduce Anxiety in Veterans Undergoing Chemotherapy Infusions.","authors":"Rebecca Beckman, Jessica Jackson, Ruth Burchell, Shannon White","doi":"10.1188/26.CJON.388-394","DOIUrl":"10.1188/26.CJON.388-394","url":null,"abstract":"<p><strong>Background: </strong>Veterans are predisposed to generalized anxiety, and a cancer diagnosis can intensify psychological distress and overall unpleasant experiences during treatment. Infusion clinic staff at a veterans hospital tend to focus care primarily on the medical needs of patients, but evidence suggests health outcomes improve when both the mental health and physical needs of patients with cancer are addressed.</p><p><strong>Objectives: </strong>This evidence-based practice project sought to reduce anxiety in veterans undergoing chemotherapy infusions through virtual reality (VR) meditation.</p><p><strong>Methods: </strong>The Iowa Model of Evidence-Based Practice guided the project. A literature search and appraisal identified level I-III evidence suggesting that VR meditation, compared to standard care, had significant reduction of anxiety in patients with cancer undergoing chemotherapy. At a veterans hospital outpatient infusion clinic, a team developed a standard operating procedure, trained nursing staff, and administered immersive VR meditation via headset with an installed meditation application during chemotherapy infusions. Participants (N = 17) completed pre- and postintervention surveys measuring anxiety.</p><p><strong>Findings: </strong>Results suggested a statistically significant reduction in anxiety from pre-VR meditation (mean = 1.59) to post-VR meditation (mean = 0.18) (p = 0.003). Nursing implementation of VR meditation during chemotherapy infusions may reduce anxiety in patients with cancer undergoing chemotherapy.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 5","pages":"388-394"},"PeriodicalIF":0.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104889","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}
Ranju Jha Singh, Susan M Schneider, Julie A Thompson, Abir Khan, Mary Lou Affronti
{"title":"Correcting Vitamin D Deficiency to Prevent Paclitaxel-Induced Peripheral Neuropathy: A Practice Change Evaluation.","authors":"Ranju Jha Singh, Susan M Schneider, Julie A Thompson, Abir Khan, Mary Lou Affronti","doi":"10.1188/26.CJON.375-379","DOIUrl":"10.1188/26.CJON.375-379","url":null,"abstract":"<p><strong>Background: </strong>Chemotherapy-induced peripheral neuropathy (CIPN) is a persistent problem in ambulatory oncology and is associated with low serum vitamin D levels.</p><p><strong>Objectives: </strong>This quality improvement project evaluated a practice change at a rural community cancer center (preimplementation: N = 20; postimplementation: N = 27) aimed at mitigating CIPN associated with paclitaxel treatment in patients with breast cancer by recommending vitamin D supplementation. The key goal was to reduce CIPN incidence by at least 10%.</p><p><strong>Methods: </strong>A pre-/postimplementation comparison of CIPN incidence among patients with breast cancer receiving paclitaxel was used before (January 2022 to December 2023) and after (June 2024 to December 2024) a practice change recommending vitamin D supplementation.</p><p><strong>Findings: </strong>CIPN incidence decreased from 80% (n = 16 of 20) preimplementation to 67% (n = 18 of 27) postimplementation, a 13% reduction that met the 10% goal. All patients with vitamin D insufficiency (N = 11) developed CIPN.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 5","pages":"375-379"},"PeriodicalIF":0.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104841","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}
{"title":"Surgical Sidekick Pilot: Health Literacy in Action.","authors":"Shannon Merkovsky, Jasmine Sandoval","doi":"10.1188/26.CJON.E81-E86","DOIUrl":"10.1188/26.CJON.E81-E86","url":null,"abstract":"<p><p>The Surgical Sidekick quality improvement pilot is a resource aimed at enhancing health literacy and empowering patients undergoing surgery for head and neck cancer. Nurses introduced the tool to patients upon confirmation th.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 5","pages":"E81-E86"},"PeriodicalIF":0.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104912","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}
{"title":"The Terminally Ill Adults (End of Life) Bill in the United Kingdom and Patient and Clinician Attitudes on Legalization of Assisted Dying.","authors":"Amy Louise Ellis, Naomi Cazeau","doi":"10.1188/26.CJON.E74-E80","DOIUrl":"10.1188/26.CJON.E74-E80","url":null,"abstract":"<p><strong>Background: </strong>The legalization of assisted dying remains open for debate in the United Kingdom, where the Terminally Ill Adults (End of Life) Bill is currently under review. It is paramount to consider patient and clinician attitudes on assisted dying and understand how legalization of assisted dying may alter care delivery in the United Kingdom.</p><p><strong>Objectives: </strong>The purpose of this clinical review is to facilitate healthcare professionals' understanding of the clinical implications for practice and how their attitudes and those of their patients may influence the future of care delivery in the palliative setting.</p><p><strong>Methods: </strong>This article combines a clinical review of qualitative and quantitative studies from the past 10 years. The selected sources were assessed and analyzed using a thematic approach.</p><p><strong>Findings: </strong>Several studies were cross-examined that focused primarily on patient and clinician attitudes toward the legalization of assisted dying. Ethical and legal considerations were identified by most studies regarding legalizing assisted dying.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 5","pages":"E74-E80"},"PeriodicalIF":0.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104906","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}
{"title":"The Role of Cancer-Related Fatalistic Beliefs and Perceived Information Ambiguity in Lung Cancer Screening Uptake.","authors":"Maryum Zaidi, Sayantani Sarkar, Hermine Poghosyan","doi":"10.1188/26.CJON.357-366","DOIUrl":"10.1188/26.CJON.357-366","url":null,"abstract":"<p><strong>Background: </strong>Cancer-related fatalistic beliefs and perceived information ambiguity may reduce engagement in cancer prevention and screening. Fatalistic beliefs reflect perceptions that cancer outcomes are inevitable despite prevention or treatment, whereas perceived information ambiguity reflects uncertainty about available health information.</p><p><strong>Objective: </strong>This study examined associations among perceived information ambiguity, cancer-related fatalistic beliefs, and lung cancer screening (LCS) uptake among LCS-eligible adults.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted from December 2023 to February 2024. Participants were LCS-eligible adults with at least a 20 pack-year smoking history, were a current smoker or quit smoking within the past 15 years, and had no prior lung cancer history. The primary outcome was LCS uptake within the past year; predictors were cancer-related fatalistic beliefs and perceived information ambiguity. Descriptive statistics and multinomial multivariable logistic regression were used to examine associations.</p><p><strong>Findings: </strong>Most participants were aged 50-64 years (n = 559, 65%), female (n = 498, 58%), White (n = 681, 79%), and insured (n = 800, 93%), and had an annual household income of $34,999 or less (n = 457, 53%). Mean pack-year smoking history was 39.4 (SD = 17.4). LCS uptake was reported within the past year by 159 (18%) participants, more than one year ago by 183 (21%) participants, and never by 521 (60%) participants. Cancer-related fatalistic beliefs were not significantly associated with LCS uptake. Participants who reported perceived information ambiguity were 37% less likely to report LCS uptake in the past year (relative risk ratio = 0.63, 95% confidence interval [0.41, 0.96]). The findings support the implementation of nursing strategies to reduce perceived information ambiguity regarding LCS.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 5","pages":"357-366"},"PeriodicalIF":0.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104832","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}
Aissa Feldmann, Melissa A Powell, Haesu Jin, Nikolas James Silva, Ivan Spasojevic, AnnMarie L Walton
{"title":"Evaluation of Closed-System Transfer Devices in Reducing Surface Contamination With Antineoplastic Drugs in Two Patient Administration Areas.","authors":"Aissa Feldmann, Melissa A Powell, Haesu Jin, Nikolas James Silva, Ivan Spasojevic, AnnMarie L Walton","doi":"10.1188/26.CJON.380-387","DOIUrl":"10.1188/26.CJON.380-387","url":null,"abstract":"<p><strong>Background: </strong>Antineoplastic drugs (ADs) are widely used in healthcare settings and dangerous to healthcare workers who may be exposed. Closed-system transfer devices (CSTDs) are engineering controls designed to reduce environmental exposure to ADs.</p><p><strong>Objectives: </strong>This study documents AD residue on surfaces in a high-volume outpatient infusion clinic and an inpatient oncology unit before and after the implementation of CSTDs to determine whether this engineering control decreased contamination with ADs.</p><p><strong>Methods: </strong>The authors collected 60 surface wipe samples pre- and postimplementation in each setting to assess the detection of etoposide and cyclophosphamide. The authors also conducted semistructured interviews with nurse managers and observed environmental services workers to evaluate training and cleaning practices, respectively.</p><p><strong>Findings: </strong>This study did not find a significant difference between contamination for either drug in either clinical setting after the implementation of CSTDs. Implications for nursing practice include standardizing appropriate cleaning products and protocols, assigning specific cleaning tasks to nursing, and ensuring that institutional policies for safe handling of ADs are followed.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 5","pages":"380-387"},"PeriodicalIF":0.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104835","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}
{"title":"Clinical Trials and the Oncology Nurse's Role in Advancing Health Equity.","authors":"John Bourgeois","doi":"10.1188/26.CJON.395-400","DOIUrl":"10.1188/26.CJON.395-400","url":null,"abstract":"<p><p>Clinical trials advance the field of oncology, but inequities in clinical trial participation perpetuate inequities in research and development. Oncology nurses can reduce these inequities in clinical trial participation and.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 5","pages":"395-400"},"PeriodicalIF":0.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104874","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}
Richard Nishan Boyajian, Molly Hagen, Sugato Bagchi, Shilpa Mahatma, Ashleigh Kowtoniuk, Quoc-Dien Trinh, Tarun Kumar, Paul L Nguyen
{"title":"Leveraging Artificial Intelligence to Monitor Patients With Prostate Cancer in a Retrospective Cohort of Radiation Oncology Clinic Patients.","authors":"Richard Nishan Boyajian, Molly Hagen, Sugato Bagchi, Shilpa Mahatma, Ashleigh Kowtoniuk, Quoc-Dien Trinh, Tarun Kumar, Paul L Nguyen","doi":"10.1188/26.CJON.367-374","DOIUrl":"10.1188/26.CJON.367-374","url":null,"abstract":"<p><strong>Background: </strong>The U.S. oncology workforce is not increasing at the same pace as the cancer survivor population. Cancer care requires extended coordination across multiple disciplines. Oncology teams need technological solutions to support patient surveillance and meet growing care demands.</p><p><strong>Objectives: </strong>The purpose of this study was to develop and test an artificial intelligence (AI) approach to identify and track care states in patients with prostate cancer.</p><p><strong>Methods: </strong>The study examined data from a retrospective cohort of 180 patients to develop ground truth care state assignments with parameters set by clinicians, then developed an AI model that set its own parameters for care state assignment and tested it on this cohort dataset. The study assessed the agreement between assignments made by the AI model and clinician specialists.</p><p><strong>Findings: </strong>The AI model produced care state assignments for all 180 patients in less than one second, and agreement with the clinician-assigned care state was 95%.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 5","pages":"367-374"},"PeriodicalIF":0.9,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104893","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}