Komal P Singh, Bruce A Cooper, Cindy S Tofthagen, John D Fryer, Parminder Singh, Keenan Pituch, Qiyun Zhu, Haiwei Gu, Marilyn J Hammer, Yvette P Conley, Jon D Levine, Christine Miaskowski
{"title":"Higher Levels of Stress and Neuropsychological Symptoms Are Associated With a High Nausea Profile in Patients With Cancer Receiving Chemotherapy.","authors":"Komal P Singh, Bruce A Cooper, Cindy S Tofthagen, John D Fryer, Parminder Singh, Keenan Pituch, Qiyun Zhu, Haiwei Gu, Marilyn J Hammer, Yvette P Conley, Jon D Levine, Christine Miaskowski","doi":"10.1188/23.ONF.461-473","DOIUrl":"10.1188/23.ONF.461-473","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate differences in the severity of global, cancer-specific, and cumulative life stress, resilience, and common neuropsychological symptoms among four subgroups of patients with distinct chemotherapy-induced nausea (CIN) profiles.</p><p><strong>Sample & setting: </strong>Adult patients with cancer (N = 1,343) receiving chemotherapy.</p><p><strong>Methods & variables: </strong>Patients completed stress, resilience, and neuropsychological symptom severity measures. The Memorial Symptom Assessment Scale was used to assess CIN occurrence six times over two cycles of chemotherapy. Parametric and nonparametric statistics were used to evaluate differences among subgroups of patients with distinct CIN profiles.</p><p><strong>Results: </strong>The high class had significantly higher levels of global, cancer-specific, and cumulative life stress; significantly higher levels of depression, anxiety, sleep disturbance, morning and evening fatigue, and pain; and lower levels of morning and evening energy and cognitive dysfunction.</p><p><strong>Implications for nursing: </strong>Clinicians need to evaluate CIN occurrence across each cycle of chemotherapy and assess patients for various types of stress and common neuropsychological symptoms.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 4","pages":"461-473"},"PeriodicalIF":1.9,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10197795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susan Storey, Xiao Luo, Jie Ren, Kun Huang, Diane Von Ah
{"title":"Symptom Clusters in Patients With Colorectal Cancer and Diabetes Over Time.","authors":"Susan Storey, Xiao Luo, Jie Ren, Kun Huang, Diane Von Ah","doi":"10.1188/23.ONF.475-485","DOIUrl":"10.1188/23.ONF.475-485","url":null,"abstract":"<p><strong>Objectives: </strong>To examine symptoms and symptom clusters in patients with colorectal cancer (CRC) with or without diabetes at three key periods (0-6 months, 12-18 months, and 24-30 months) post-initial chemotherapy.</p><p><strong>Sample & setting: </strong>Patients with CRC from a cancer center in the midwestern United States between January 2007 and December 2017.</p><p><strong>Methods & variables: </strong>Eight of the most common symptoms (fatigue, gastrointestinal issues, depression, anxiety, peripheral neuropathy, physical function, cognition, and sleep disturbance) reported by patients with CRC and patients with diabetes were extracted from electronic health records. Exploratory factor analysis was used to identify symptom clusters, which were assessed for patterns and clinical relevance.</p><p><strong>Results: </strong>Gastrointestinal issues and fatigue were the most prevalent symptoms in patients with CRC at each period. Across the three periods, patients with CRC and diabetes had more symptom clusters (n = 7) compared to patients with CRC without diabetes (n = 4). No stable symptom clusters were identified for either group.</p><p><strong>Implications for nursing: </strong>Oncology clinicians must recognize that patients with CRC and diabetes may present with exacerbated symptoms or symptom clusters. Ongoing assessment and monitoring of patients with CRC and diabetes for symptoms and symptom clusters is important because they may be at an increased risk for higher symptom burden.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 4","pages":"475-485"},"PeriodicalIF":1.9,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10252407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stella Dike, Sandra K Cesario, Ann Malecha, Rachelle Nurse
{"title":"An Education Intervention to Increase Human Papillomavirus Vaccination Confidence and Acceptability: A Randomized Controlled Trial.","authors":"Stella Dike, Sandra K Cesario, Ann Malecha, Rachelle Nurse","doi":"10.1188/23.ONF.423-436","DOIUrl":"10.1188/23.ONF.423-436","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the effect of an intervention to improve human papillomavirus (HPV) vaccination confidence, attitudes, and beliefs among non-Hispanic Black mothers.</p><p><strong>Sample & setting: </strong>Participants were 63 non-Hispanic Black mothers of children aged 9-17 years who resided in the United States and whose children had not received HPV vaccination. Interventions and data collection were conducted via a videoconferencing platform.</p><p><strong>Methods & variables: </strong>A randomized controlled trial was performed using two groups. The experimental group received two HPV vaccination education sessions and the control group received two healthy nutrition education sessions. Data were collected after the last intervention and four weeks later. Variables included HPV vaccination confidence, attitudes, and beliefs.</p><p><strong>Results: </strong>The experimental group reported more positive attitudes and beliefs about HPV vaccination (p = 0.002) and greater vaccination confidence than the control group (p = 0.049).</p><p><strong>Implications for nursing: </strong>Nurses can improve HPV vaccination confidence, attitudes, and beliefs among non-Hispanic Black mothers through HPV vaccination education.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 4","pages":"423-436"},"PeriodicalIF":1.9,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10252411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jaime Weimer, Houtan Bozorghadad, Keith Schoonover, Christine Carll, Kirstin Repco
{"title":"Familiarity and Perceptions of Ovarian Cancer Biomarker Testing and Targeted Therapy: A Survey of Oncology Nurses in the United States.","authors":"Jaime Weimer, Houtan Bozorghadad, Keith Schoonover, Christine Carll, Kirstin Repco","doi":"10.1188/23.ONF.437-448","DOIUrl":"10.1188/23.ONF.437-448","url":null,"abstract":"<p><strong>Objectives: </strong>To assess oncology nurses' awareness of biomarker testing and targeted therapy for ovarian cancer.</p><p><strong>Sample & setting: </strong>100 oncology nurses completed an online survey in June 2022.</p><p><strong>Methods & variables: </strong>A cross-sectional survey was used to examine nurses' understanding of ovarian cancer testing and treatments, assess barriers, and identify opportunities for further education.</p><p><strong>Results: </strong>Almost all respondents believed biomarker testing and targeted therapy were very/extremely important in diagnosing and supporting treatment of patients with ovarian cancer. Nurses were very/extremely familiar with cancer antigen 125 and germline testing, but fewer reported the same familiarity with somatic testing. Most nurses were familiar with targeted therapy for ovarian cancer, but only about half were very/extremely familiar with poly(ADP-ribose) polymerase (PARP) inhibitors. Less than half felt highly knowledgeable about PARP inhibitors.</p><p><strong>Implications for nursing: </strong>It is important that oncology nurses understand biomarker testing and targeted therapy. There is an opportunity to provide resources to nurses to help them become more comfortable with PARP inhibitors in particular.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 4","pages":"437-448"},"PeriodicalIF":1.9,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10197798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Next-Generation Symptom Science in Oncology Nursing.","authors":"Debra Lyon","doi":"10.1188/23.ONF.420-421","DOIUrl":"10.1188/23.ONF.420-421","url":null,"abstract":"<p><p>The 2023 Oncology Nursing Society (ONS) Congress® was outstanding. More than 3,000 attendees gathered to focus on oncology nursing in San Antonio, Texas. The timing of ONS Congress coincided with Fiesta, the annual festival.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 4","pages":"420-421"},"PeriodicalIF":1.9,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rebuilding and Guiding the Self With Spirituality: A Grounded Theory of Experiences of Adolescents and Young Adults With Cancer.","authors":"Orhan Gürsu, Meltem Gürcan, Sevcan Turan","doi":"10.1188/23.ONF.487-497","DOIUrl":"10.1188/23.ONF.487-497","url":null,"abstract":"<p><strong>Purpose: </strong>To clarify the experiences of spirituality among adolescents and young adults (AYAs) with cancer following diagnosis.</p><p><strong>Participants & setting: </strong>Participants were recruited at a clinic and on an oncology unit in Turkey. A combination of purposive sampling and theoretical sampling strategy was used to identify 14 participants.</p><p><strong>Methodologic approach: </strong>A grounded theory design was used for this study. Semistructured interviews were conducted with each participant between October 2021 and January 2022. The data were analyzed using open, axial, and selective coding.</p><p><strong>Findings: </strong>All the participants were Muslim, were aged 15-39 years, spoke Turkish, and had undergone treatment for any type of cancer. The core category was identified as rebuilding and guiding the self with spirituality. AYAs connected more closely with their sense of spirituality after being diagnosed with cancer.</p><p><strong>Implications for nursing: </strong>This study demonstrated the importance of providing a supportive healing environment to address the spiritual dimension of the cancer experience for AYAs. Individualized interventions ensuring an appropriate level of spiritual care based on clinical standards are essential to meet the needs of patients and ensure positive long-term health outcomes.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 4","pages":"487-497"},"PeriodicalIF":1.9,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10252405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding mHealth Patient-Reported Priority Symptoms for Gynecologic Cancer During Chemotherapy: A Secondary Analysis.","authors":"Christina M Wilson, Eli Iacob, Kathi Mooney","doi":"10.1188/23.ONF.521-529","DOIUrl":"10.1188/23.ONF.521-529","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the percentage of and the most prevalent moderate to severe symptoms and to analyze longitudinal patterns and co-occurrence of symptoms during the first three cycles of chemotherapy.</p><p><strong>Sample & setting: </strong>A secondary analysis of 26 women with gynecologic cancer who reported daily symptoms.</p><p><strong>Methods & variables: </strong>Moderate to severe symptom presence and severity levels were calculated as proportions. Symptoms for each patient were graphed during three cycles and analyzed for patterns of onset, duration, and clustering.</p><p><strong>Results: </strong>Patients completed 1,562 calls to the remote symptom monitoring system. The most commonly reported moderate to severe symptoms were pain, fatigue, and trouble sleeping. Pain and fatigue co-occurred with trouble sleeping in one symptom pattern. Patterns included no moderate to severe symptoms, moderate to severe symptoms during one cycle, moderate to severe symptoms during two cycles, and moderate to severe symptoms during all cycles.</p><p><strong>Implications for nursing: </strong>Nurses should consistently assess symptoms across cycles. To verify distinct classes of symptoms and better target interventions, further study is warranted.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 4","pages":"521-529"},"PeriodicalIF":1.9,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10197796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Margaret Quinn Rosenzweig, Bethany Nugent, Meaghan McGuire
{"title":"Impact of Race and Area Deprivation on Triple-Negative Metastatic Breast Cancer Outcomes.","authors":"Margaret Quinn Rosenzweig, Bethany Nugent, Meaghan McGuire","doi":"10.1188/23.ONF.449-457","DOIUrl":"10.1188/23.ONF.449-457","url":null,"abstract":"<p><strong>Objectives: </strong>To describe area deprivation, anxiety, depression, relative dose intensity of first-line metastatic breast cancer (MBC) treatment, and survival in Black and White women who had died from triple-negative MBC, including interaction analysis.</p><p><strong>Sample & setting: </strong>This cohort study drew from a database of women who had died from MBC (N = 53).</p><p><strong>Methods & variables: </strong>Descriptive statistics, independent t tests, analysis of variance, and Mann-Whitney U tests were used, and effect sizes were calculated.</p><p><strong>Results: </strong>Compared with White women, Black women reported higher anxiety and depression at MBC baseline. Black women living in areas of higher deprivation experienced shorter overall survival than White women living in similar areas (9.9 months versus 24.6 months). These results were not statistically significant, likely because of a small sample size, but were clinically meaningful.</p><p><strong>Implications for nursing: </strong>Black and low-income women with breast cancer experience inferior survival as compared with White and higher-income women. Newer explanatory models for racial disparity in cancer outcomes include the assessment of neighborhood deprivation. White women may be less affected by their neighborhood, even when living in areas of greater deprivation influencing cancer outcomes. This merits further exploration.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 4","pages":"449-457"},"PeriodicalIF":1.9,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10252410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial Intelligence for Oncology Nursing Authors: Potential Utility and Concerns About Large Language Model Chatbots.","authors":"Debra Lyon","doi":"10.1188/23.ONF.276-277","DOIUrl":"https://doi.org/10.1188/23.ONF.276-277","url":null,"abstract":"<p><p>Artificial intelligence is a revolution in the computing and data scientist era that has led to excitement and controversy in many fields, including research and publishing. As we move further into the artificial intelligence.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 3","pages":"276-277"},"PeriodicalIF":1.9,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9528898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jiahui Liu, Xuying Li, Yan Tan, Meihua Hu, Yunxia Fang, Jie Li Wang
{"title":"Barriers for Nurses Providing Cancer Pain Management: A Qualitative Systematic Review.","authors":"Jiahui Liu, Xuying Li, Yan Tan, Meihua Hu, Yunxia Fang, Jie Li Wang","doi":"10.1188/23.ONF.348-360","DOIUrl":"https://doi.org/10.1188/23.ONF.348-360","url":null,"abstract":"<p><strong>Problem identification: </strong>Improperly managed pain can negatively affect physical and mental health, quality of life, and functional status of individuals with cancer. To address nurses' experiences with and barriers to providing cancer pain management, a systematic review was conducted.</p><p><strong>Literature search: </strong>PubMed®, Embase®, Web of Science, CINAHL®, Cochrane Library, CNKI, VIP Chinese Science and Technology Periodicals Full-Text Database, Wanfang, and SINOMED databases were searched for articles published from database inception through August 2022.</p><p><strong>Data evaluation: </strong>Two researchers independently evaluated the studies' quality, and meta-integration was performed using thematic synthesis. Eighteen qualitative studies, including 277 nurses from 11 different countries, were included in the review.</p><p><strong>Synthesis: </strong>The following three themes regarding nurses' barriers to providing cancer pain management were identified: (a) healthcare professional-related barriers, (b) patient-related barriers, and (c) organizational-related barriers.</p><p><strong>Implications for practice: </strong>This systematic review provides an evidence-based reference for nurses to manage pain among individuals with cancer and develop appropriate interventions.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 3","pages":"348-360"},"PeriodicalIF":1.9,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9476116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}