Catherine M Sabiston, Angela J Fong, Jenna Smith-Turchyn, Steve Amireault, Kelly P Arbour-Nicitopoulos, Jacqueline L Bender, Jennifer M Jones
{"title":"Exploring Peer Support Characteristics for Promoting Physical Activity Among Women Living Beyond a Cancer Diagnosis: A Qualitative Descriptive Study.","authors":"Catherine M Sabiston, Angela J Fong, Jenna Smith-Turchyn, Steve Amireault, Kelly P Arbour-Nicitopoulos, Jacqueline L Bender, Jennifer M Jones","doi":"10.1188/23.ONF.101-114","DOIUrl":"10.1188/23.ONF.101-114","url":null,"abstract":"<p><strong>Purpose: </strong>To explore women's perceptions of and preferred peer characteristics for peer mentoring to support physical activity promotion. Understanding how women living beyond a cancer diagnosis perceive peers for physical activity may help guide further health behavior mentoring and support practices.</p><p><strong>Participants & setting: </strong>16 English-speaking adult women living beyond a cancer diagnosis.</p><p><strong>Methodologic approach: </strong>Following a qualitative descriptive approach, four in-person focus groups were conducted and discussions were analyzed using inductive content analysis.</p><p><strong>Findings: </strong>Participants described four considerations for peer matching: (a) personal characteristics, (b) physical activity characteristics, (c) cancer characteristics, and (d) finding a peer. Similarities in age, life phase, location, history of physical activity, type of cancer, severity of cancer, and personality were integral. An online or mobile application and the ability to create multiple partnerships were preferred.</p><p><strong>Implications for nursing: </strong>Understanding methods to promote physical activity is imperative for long-term survivorship outcomes. Nurses in oncology care settings may promote physical activity and social support for women living beyond cancer diagnoses by facilitating optimal peer matches.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 1","pages":"101-114"},"PeriodicalIF":1.9,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10548627","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}
Sherry S Chesak, Ann Marie Dose, Jay Mandrekar, Dara James, Deidre R Pachman, Susanne Cutshall, Debbie Lynn Fuehrer, Amit Sood
{"title":"Outcomes of a Stress Management and Resiliency Training (SMART) Program for Family Caregivers of Individuals With Advanced Head and Neck Cancer.","authors":"Sherry S Chesak, Ann Marie Dose, Jay Mandrekar, Dara James, Deidre R Pachman, Susanne Cutshall, Debbie Lynn Fuehrer, Amit Sood","doi":"10.1188/23.ONF.6-18","DOIUrl":"10.1188/23.ONF.6-18","url":null,"abstract":"<p><strong>Objectives: </strong>To conduct a single-arm prospective pilot study examining the feasibility, acceptability, and preliminary effectiveness of a Stress Management and Resiliency Training (SMART) intervention among family caregivers (FCGs) of individuals with head and neck cancer (HNC).</p><p><strong>Sample & setting: </strong>This study was conducted with 26 FCGs of individuals with HNC receiving chemotherapy in the medical oncology clinic at the Mayo Clinic Comprehensive Cancer Center.</p><p><strong>Methods & variables: </strong>The SMART intervention consisted of in-person and online components. Measurements included feasibility, acceptability, self-compassion, resilience, perceived stress, anxiety, and mindfulness.</p><p><strong>Results: </strong>Results support acceptability of the SMART program and provide recommendations to improve feasibility. Data indicate significant improvements in self-compassion (p = 0.03) and anxiety (p = 0.02), with positive trends for resilience, stress, and mindfulness.</p><p><strong>Implications for nursing: </strong>This study warrants further research with larger, more diverse samples testing the efficacy of the program, its mechanism of action, and potential synergistic effects among individuals receiving oncology care, FCGs, and nurses.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 1","pages":"6-18"},"PeriodicalIF":1.9,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10188653","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}
Tongyao Wang, Susan R Mazanec, Nicholas K Schiltz, Nipun Chhabra, Rod Rezaee, Joachim G Voss
{"title":"Post-Traumatic Distress and Symptom Experience in Patients With Head and Neck Cancer-Related Tracheostomy and Family Caregivers.","authors":"Tongyao Wang, Susan R Mazanec, Nicholas K Schiltz, Nipun Chhabra, Rod Rezaee, Joachim G Voss","doi":"10.1188/23.ONF.35-46","DOIUrl":"10.1188/23.ONF.35-46","url":null,"abstract":"<p><strong>Objectives: </strong>To describe post-traumatic distress and identify associated factors in patients with head and neck cancer-related tracheostomy and their family caregivers.</p><p><strong>Sample & setting: </strong>This observational study assessed 22 patients with surgically managed head and neck cancer-related tracheostomy and 17 family caregivers at a comprehensive cancer center.</p><p><strong>Methods & variables: </strong>Instruments included the Impact of Event Scale-Revised, the Memorial Symptom Assessment Scale, and the Patient-Reported Outcomes Measurement Information System Depression 6a Short Form scale.</p><p><strong>Results: </strong>Post-traumatic distress related to tracheostomy and general depression in patients and family caregivers was highly prevalent. An increased level of physical symptoms was moderately correlated with higher levels of post-traumatic distress.</p><p><strong>Implications for nursing: </strong>Patients who experienced higher symptom burden may also suffer from post-traumatic distress related to tracheostomy. Oncology nurses can implement post-traumatic distress screening in patients and their family caregivers.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 1","pages":"35-46"},"PeriodicalIF":1.9,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10196956","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":"A Phenomenologic Study of the Experiences of Pediatric Cancer Survivors After Hematopoietic Stem Cell Transplantation.","authors":"Yoonjung Kim, Jeongmin Ha, Eun Seok Choi","doi":"10.1188/23.ONF.91-98","DOIUrl":"10.1188/23.ONF.91-98","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the experiences of pediatric cancer survivors in South Korea after hematopoietic stem cell transplantation.</p><p><strong>Participants & setting: </strong>14 survivors of childhood cancer who had undergone hematopoietic stem cell transplantation at a pediatric hematopoietic stem cell transplantation center.</p><p><strong>Methodologic approach: </strong>Participants underwent in-depth face-to-face or online interviews from October 2020 to January 2021. Data were analyzed following Giorgi's descriptive phenomenologic research method.</p><p><strong>Findings: </strong>The following four themes emerged: regaining physical strength, a wish to express the overwhelming burden, cultivating positive thinking through reflection, and living a self-directed life. Pediatric cancer survivors experienced deep appreciation toward surroundings and everyday life, engaged in broader and greater positive thinking, and strived to live a self-directed life despite physical limitations and negative emotions.</p><p><strong>Implications for nursing: </strong>Interventions enabling pediatric cancer survivors to express challenges and help them recover physical fitness are needed to improve their post-transplantation quality of life. These results can inform healthcare providers, nurses, and the general community to provide high-quality care to cancer survivors.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 1","pages":"91-98"},"PeriodicalIF":1.9,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10566990","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}
Kelly Tan, Barbara Fredrickson, Hudson Santos, William Wood, Todd A Schwartz, Deborah K Mayer
{"title":"A Visual Case-Oriented Analysis of Stress-Related Symptoms in Caregivers of Allogeneic Bone Marrow Transplantation Recipients.","authors":"Kelly Tan, Barbara Fredrickson, Hudson Santos, William Wood, Todd A Schwartz, Deborah K Mayer","doi":"10.1188/22.ONF.541-551","DOIUrl":"https://doi.org/10.1188/22.ONF.541-551","url":null,"abstract":"<p><strong>Objectives: </strong>To describe trends in caregiver stress and stress-related symptoms (anxiety, depression, fatigue, and sleep disturbance) across 12 weeks post-transplantation.</p><p><strong>Sample & setting: </strong>11 caregivers were recruited from a National Cancer Institute-designated comprehensive cancer center's bone marrow transplantation (BMT) outpatient clinic in the southeastern United States.</p><p><strong>Methods & variables: </strong>A visual case-oriented analysis was conducted on data from 11 caregivers' weekly self-reported data to identify trends after allogeneic BMT.</p><p><strong>Results: </strong>The authors identified three primary trends as follows: U-shaped (highest symptoms at start of transplantation and end of study; n = 3), negatively sloped (highest symptoms at beginning of transplantation and decreasing over time; n = 2), and V-shaped predischarge (highest symptoms at start of transplantation and right before discharge home; n = 4). Two caregivers did not have postdischarge data because of patient death prior to study completion.</p><p><strong>Implications for nursing: </strong>Caregivers may benefit from additional support to manage their stress-related symptoms at the start of transplantation and just before discharge.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"49 6","pages":"541-551"},"PeriodicalIF":1.9,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10431954/pdf/nihms-1866408.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10011347","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":"Correlates of Physical Health Comorbidities Among Adult Female Cancer Survivors in South Korea.","authors":"So-Hyun Park, Shiela M Strauss","doi":"10.1188/22.ONF.585-594","DOIUrl":"https://doi.org/10.1188/22.ONF.585-594","url":null,"abstract":"<p><strong>Objectives: </strong>To determine correlates of comorbidities in adult female Korean cancer survivors.</p><p><strong>Sample & setting: </strong>This cross-sectional study used data from the 2017-2019 Korea National Health and Nutrition Examination Survey. The study sample consisted of adult female Korean cancer survivors (N = 609) aged 19 years or older.</p><p><strong>Methods & variables: </strong>Comorbidities were assessed using an adapted Charlson Comorbidity Index (CCI). Bivariate and multivariate linear regression analyses were conducted to identify correlates of comorbidities. Data were collected on sociodemographic characteristics, cancer-related characteristics, and comorbidities.</p><p><strong>Results: </strong>The mean adapted CCI score was 2.4. Type of cancer and years since diagnosis were significant correlates of comorbidity. Other significant correlates included high body mass index, physical inactivity, low income, having less than a college education, being a former or current smoker, and having never smoked.</p><p><strong>Implications for nursing: </strong>Many correlates of comorbidities in adult female Korean cancer survivors are consistent with those reported in other countries, including in the United States. Nurses can assess and educate cancer survivors on modifiable risk factors to prevent health comorbidities in cancer survivorship care.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"49 6","pages":"585-594"},"PeriodicalIF":1.9,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10441114","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}
Elizabeth Guimond, Berhan Getachew, Timiya S Nolan, Karen Miles Sheffield-Abdullah, Jamie L Conklin, Rachel Hirschey
{"title":"Communication Between Black Patients With Cancer and Their Oncology Clinicians: Exploring Factors That Influence Outcome Disparities.","authors":"Elizabeth Guimond, Berhan Getachew, Timiya S Nolan, Karen Miles Sheffield-Abdullah, Jamie L Conklin, Rachel Hirschey","doi":"10.1188/22.ONF.509-524","DOIUrl":"https://doi.org/10.1188/22.ONF.509-524","url":null,"abstract":"<p><strong>Problem identification: </strong>Significant cancer disparities exist between Black and White patients. One important contributor to patient outcomes disparities is patient-clinician communication. Conversations between clinicians and Black patients are often shorter and less detailed compared to White patients.</p><p><strong>Literature search: </strong>A systematic literature search was conducted. Databases were searched to identify studies that included (a) participants with a cancer diagnosis, (b) information specific to Black or African American participants, and (c) information on patient-clinician communication. A total of 67 articles underwent full review; 24 studies met inclusion criteria.</p><p><strong>Data evaluation: </strong>Each included study was scored for level of evidence, and common themes were identified across studies using the Matrix Method.</p><p><strong>Synthesis: </strong>The following themes were identified: relationship building, building trust, empowering patients for shared decision-making, addressing topics of patient concern, and consideration of community and family.</p><p><strong>Implications for research: </strong>Results identify several ways that nurses can improve communication with Black patients. Research aimed at identifying interpersonal strategies to mitigate cancer disparities is needed.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"49 6","pages":"509-524"},"PeriodicalIF":1.9,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10368517/pdf/nihms-1906979.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9866479","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}
Sarah N Price, Megan Shen, Maureen Rigney, Jamie S Ostroff, Heidi A Hamann
{"title":"Identifying Barriers to Advocacy Among Patients With Lung Cancer: The Role of Stigma-Related Interpersonal Constraint.","authors":"Sarah N Price, Megan Shen, Maureen Rigney, Jamie S Ostroff, Heidi A Hamann","doi":"10.1188/22.ONF.553-563","DOIUrl":"10.1188/22.ONF.553-563","url":null,"abstract":"<p><strong>Objectives: </strong>To examine whether aspects of disease-specific stigma are barriers to advocacy among individuals with lung cancer.</p><p><strong>Sample & setting: </strong>266 patients with lung cancer treated at two National Cancer Institute-designated comprehensive cancer centers in the United States.</p><p><strong>Methods & variables: </strong>Patients completed a cross-sectional survey. Demographic, clinical, and stigma-related correlates of advocacy were also explored.</p><p><strong>Results: </strong>In multivariable analyses, lower levels of patient advocacy were reported by older patients and those with higher levels of constrained disclosure (i.e., avoidance of or discomfort in disclosing one's lung cancer status).</p><p><strong>Implications for nursing: </strong>Avoidance of discussing lung cancer (constrained disclosure) may be a barrier to patient involvement in advocacy. Additional research is needed to examine this relationship, reduce stigma, and promote inclusivity for individuals with lung cancer.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"49 6","pages":"553-563"},"PeriodicalIF":1.9,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10591268/pdf/nihms-1936062.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10006627","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}
Sunny Lee Stirling, Caroline Etland, Cynthia D Connelly, Patricia Calero, Laurie Ecoff
{"title":"Oncology Nurse Navigator Effect on Emergency Department Visits and Hospital Admissions of Adults With Cancer Post-Outpatient Chemotherapy.","authors":"Sunny Lee Stirling, Caroline Etland, Cynthia D Connelly, Patricia Calero, Laurie Ecoff","doi":"10.1188/22.ONF.595-612","DOIUrl":"https://doi.org/10.1188/22.ONF.595-612","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the effect of oncology nurse navigators (ONNs) on the number of emergency department (ED) visits and hospital admissions (HAs) of adults with cancer post-outpatient chemotherapy.</p><p><strong>Sample & setting: </strong>1,370 patients with cancer between January 1, 2018, and December 31, 2019, in a comprehensive community cancer center in southern California.</p><p><strong>Methods & variables: </strong>A descriptive cross-sectional study was conducted using retrospective electronic health records. Primary analysis included bivariate and multiple linear regression to identify correlates of ED visits and HAs in terms of ONN involvement.</p><p><strong>Results: </strong>About 35% of patients had an ED visit or HA. Anemia, dehydration, and pain were common diagnoses. No significant differences were found in ED visits and HAs by ONN group. Medicare and chemotherapy administration location contributed to the likelihood of ED visits; nausea, pain, and pneumonia contributed to the likelihood of HAs.</p><p><strong>Implications for nursing: </strong>ED visits and HAs are not appropriate clinical outcomes to measure ONNs' efficacy. Further research is needed to understand the long-term fiscal and operational outcomes of ONNs.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"49 6","pages":"595-612"},"PeriodicalIF":1.9,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432454","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}
Suzanne L Walker, Victoria Vaughan Dickson, Pamela Z Cacchione
{"title":"A Pilot Mixed-Methods Study of Malignant Pleural Mesothelioma Symptoms.","authors":"Suzanne L Walker, Victoria Vaughan Dickson, Pamela Z Cacchione","doi":"10.1188/22.ONF.615-623","DOIUrl":"https://doi.org/10.1188/22.ONF.615-623","url":null,"abstract":"<p><strong>Objectives: </strong>To describe symptoms of malignant pleural mesothelioma (MPM), a rare cancer associated with a poor prognosis and significant symptoms, via a pilot mixed-methods study, because it is unclear whether MPM symptom assessment tools accurately characterize these symptoms.</p><p><strong>Sample & setting: </strong>Participants with MPM were recruited from a large northeastern U.S. academic medical center with an interprofessional MPM program.</p><p><strong>Methods & variables: </strong>A mixed-methods pilot approach was employed using the Lung Cancer Symptom Scale for Mesothelioma (LCSS-Meso) to quantitatively describe MPM symptoms and semistructured interviews to qualitatively capture these symptoms.</p><p><strong>Results: </strong>Seven participants with MPM completed the LCSS-Meso and qualitative interviews. The five symptoms evaluated by the LCSS-Meso were confirmed as symptoms of MPM in participant interviews. However, the presence and severity of some symptoms were either under- or overestimated by the scale. Two additional symptoms, distress and sleep disturbance, also emerged from the qualitative interviews.</p><p><strong>Implications for nursing: </strong>Nurses caring for people with MPM should have a thorough understanding of common symptoms, but they must also explore additional symptoms that are meaningful to each patient.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"49 6","pages":"615-623"},"PeriodicalIF":1.9,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10447435","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}