{"title":"Extremity Cooling for Peripheral Neuropathy Prevention: A Rapid Synthesis of Evidence.","authors":"Jaclyn D Peterson, Caroline Clark","doi":"10.1188/26.CJON.96-100","DOIUrl":"10.1188/26.CJON.96-100","url":null,"abstract":"<p><p>Chemotherapy-induced peripheral neuropathy (CIPN) is a common side effect of cancer therapy. Patients who experience CIPN can develop symptoms in their hands and feet, which may affect function and quality of life. Cryotherap.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 2","pages":"96-100"},"PeriodicalIF":1.2,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632516","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}
Karen E Alsbrook, Valerie Shelton, Trinity Isaac, Sydney Johnson, Eileen Danaher Hacker
{"title":"Opioid Wastes in Cancer Care: A Retrospective Electronic Health Record Review.","authors":"Karen E Alsbrook, Valerie Shelton, Trinity Isaac, Sydney Johnson, Eileen Danaher Hacker","doi":"10.1188/26.CJON.133-138","DOIUrl":"10.1188/26.CJON.133-138","url":null,"abstract":"<p><strong>Background: </strong>Analyzing reasons for opioid wastes documented in the electronic health record (EHR), particularly instances of patient refusal, may offer insight into the prevalence of opiophobia as a potential proxy indicator.</p><p><strong>Objectives: </strong>The purpose of this study was to identify and classify reasons for wasting opioid analgesics as documented in the EHR for one year at a National Cancer Institute-designated comprehensive cancer center.</p><p><strong>Methods: </strong>This descriptive study retrospectively reviewed nurse-documented opioid wastes from January 1 to December 31, 2023. Opioid wastes with reasons documented as missed, refused, returned to cabinet, on hold, held, or stopped were included. Investigators used directed content analysis to code wastes as intentional, accidental, or patient related. Patient-related wastes were further coded because of patient condition or refusal, with refusals subcoded by nurse comments.</p><p><strong>Findings: </strong>Most opioid wastes were intentional and mandated by hospital policies, and 477 wastes were attributed to patient refusals. Future prospective research can attempt to clarify the reasons why patients and their family caregivers refrain from using opioids.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 2","pages":"133-138"},"PeriodicalIF":1.2,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632644","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}
Margie Guillory, Regina DeGennaro, Melissa M Gomes
{"title":"Evaluating a Nurse Guideline for Bispecific Antibody Step-Up Dosing in an Ambulatory Setting: A Quality Improvement Project.","authors":"Margie Guillory, Regina DeGennaro, Melissa M Gomes","doi":"10.1188/26.CJON.E9-E18","DOIUrl":"10.1188/26.CJON.E9-E18","url":null,"abstract":"<p><strong>Background: </strong>Despite treatment advancements, multiple myeloma remains incurable, with patients often experiencing relapsed or refractory multiple myeloma. Developments in bispecific antibody (BsAb) therapies have shown promising efficacy in managing this disease. BsAbs present challenges around treatment-related toxicities and resource utilization, particularly during inpatient monitoring.</p><p><strong>Objectives: </strong>This quality improvement project aimed to evaluate a nurse-developed guideline for BsAb step-up dosing in an outpatient setting.</p><p><strong>Methods: </strong>This project used a framework that involved systematic training and data collection to assess the effectiveness of the guideline in detecting toxicities, monitoring patient outcomes, and integrating telephone follow-up into nursing workflows.</p><p><strong>Findings: </strong>The guideline supported safe BsAb step-up dosing in an ambulatory setting, with timely toxicity detection and effective remote symptom assessment through telephone follow-up. Nursing engagement increased via structured training and workflow integration, demonstrating that BsAb therapies can be safely managed in this setting.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 2","pages":"E9-E18"},"PeriodicalIF":1.2,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632562","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":"A Nurse-Driven Port Access Algorithm to Reduce Central Line-Associated Bloodstream Infections.","authors":"Kelsey Miller, Amanda S Hart","doi":"10.1188/26.CJON.147-151","DOIUrl":"10.1188/26.CJON.147-151","url":null,"abstract":"<p><p>Following increased port-related central line-associated bloodstream infections (CLABSIs), a clinical nurse specialist-led team developed a nurse-driven algorithm for port access to support clinical decision-making and gu.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 2","pages":"147-151"},"PeriodicalIF":1.2,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632399","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}
Nicole Spencer, Kerolos G Rizk, Sophia K Smith, Donny V Huynh, Tara A Albrecht
{"title":"Identifying Risk of Financial Toxicity in Newly Diagnosed Patients With Cancer.","authors":"Nicole Spencer, Kerolos G Rizk, Sophia K Smith, Donny V Huynh, Tara A Albrecht","doi":"10.1188/26.CJON.112-117","DOIUrl":"10.1188/26.CJON.112-117","url":null,"abstract":"<p><p>This quality improvement project implemented and evaluated a program designed to identify newly diagnosed patients with cancer who are at risk for financial toxicity in a rural oncology clinic setting. This project used a pre.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 2","pages":"112-117"},"PeriodicalIF":1.2,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632507","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":"Get ONBOARD: An Oncology Nurse Practitioner Baseline Orientation Assessment for Role Development.","authors":"Noëlle Pinti, Caitlin Murphy","doi":"10.1188/26.CJON.101-106","DOIUrl":"10.1188/26.CJON.101-106","url":null,"abstract":"<p><p>Oncology nurse practitioners (ONPs) contribute to high-quality, patient-centered cancer care. Standardized onboarding processes tailored to their specialized role-including those entering with prior oncology nursing experie.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 2","pages":"101-106"},"PeriodicalIF":1.2,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632577","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":"A Cancer Disparities Focus Without Acronyms.","authors":"Joni L Watson","doi":"10.1188/26.CJON.6-7","DOIUrl":"10.1188/26.CJON.6-7","url":null,"abstract":"<p><p>In a time of shifting language, policy constraints, and organizational discomfort with terminology, many nurses and other healthcare professionals remain uncertain about how to name, measure, and sustain a focus on healthcare.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 1","pages":"6-7"},"PeriodicalIF":1.2,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131046","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}
Alexa Lahera, Leonardo Martinez, Jilian Manrique, Richard R Reich, Tina M Mason
{"title":"Starlight Therapy: Reduction of Anxiety in Women With Breast Cancer Receiving First-Time Treatment.","authors":"Alexa Lahera, Leonardo Martinez, Jilian Manrique, Richard R Reich, Tina M Mason","doi":"10.1188/26.CJON.41-46","DOIUrl":"10.1188/26.CJON.41-46","url":null,"abstract":"<p><strong>Background: </strong>Anxiety is an undermanaged mental health symptom in women with breast cancer. It is frequently reported prior to treatment and may be seen to nearly double during chemotherapy treatment. Snoezelen® Multi-Sensory Environments, which use methods of sensory engagement including light projection, are described as relaxing spaces that can help reduce agitation and anxiety.</p><p><strong>Objectives: </strong>This study examined whether starlight therapy (light projection of stars and clouds) is feasible and acceptable and whether it can help reduce anxiety in women with breast cancer receiving cycle 1, day 1 treatment in the ambulatory setting.</p><p><strong>Methods: </strong>The study team conducted a single-group pre-/post-test pilot (N = 30) with data collection at four time points on the day of chemotherapy/immunotherapy treatment.</p><p><strong>Findings: </strong>Starlight therapy is feasible and acceptable. Participating women with breast cancer experienced a reduction in anxiety levels on cycle 1, day 1 of chemotherapy/immunotherapy treatment. No patient scored positive for clinical anxiety after receiving starlight therapy and after infusion.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 1","pages":"41-46"},"PeriodicalIF":1.2,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131255","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":"Can Cancer Survivors Grow Beyond What Once Defined Them?","authors":"Marloe Esch","doi":"10.1188/26.CJON.88","DOIUrl":"10.1188/26.CJON.88","url":null,"abstract":"<p><p>Like the tough bark of a tree, cancer felt like the rough exterior of my life. It was all I saw when I looked at myself. How long had I been struggling to adopt the ill-fitting identity of \"cancer survivor\"? Hijacked by t.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 1","pages":"88"},"PeriodicalIF":1.2,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131269","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}
Jennifer Lyn Pouliot, Anna F Raquiz, Jessica O'Neill Lyublinsky, Rebecca Farley, Frances Cartwright
{"title":"Improving Patient Care and Nursing Efficiency Through Customized Infusion Pump Tubing.","authors":"Jennifer Lyn Pouliot, Anna F Raquiz, Jessica O'Neill Lyublinsky, Rebecca Farley, Frances Cartwright","doi":"10.1188/26.CJON.70-74","DOIUrl":"10.1188/26.CJON.70-74","url":null,"abstract":"<p><p>A large healthcare system launched a quality improvement initiative to reduce pump alarms and minimize residual volume by implementing customized tubing solutions. Early results have shown clinically significant reductions in.</p>","PeriodicalId":10350,"journal":{"name":"Clinical journal of oncology nursing","volume":"30 1","pages":"70-74"},"PeriodicalIF":1.2,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131292","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}