{"title":"End-of-Life Preparedness and Quality of Advance Care Planning Discussions in Patients With Advanced Metastatic Cancer.","authors":"Poonam Goswami","doi":"10.1188/25.ONF.70-80","DOIUrl":"https://doi.org/10.1188/25.ONF.70-80","url":null,"abstract":"<p><strong>Objectives: </strong>To describe end-of-life (EOL) preparedness, the quality of advance care planning (ACP) discussions, and their effect on EOL preparedness in patients with metastatic cancer enrolled in a phase 1/2 clinical trial.</p><p><strong>Sample & setting: </strong>81 English-speaking adults aged 18 years or older with advanced metastatic cancer who were enrolled in a phase 1/2 clinical trial and hospitalized at a comprehensive cancer center in South Texas.</p><p><strong>Methods & variables: </strong>A nonexperimental descriptive study was conducted in two parts in 2022. Data were collected using the Quality of Communication Questionnaire and the preparation for EOL subscale of the Quality of Life at the EOL-Cancer questionnaire.</p><p><strong>Results: </strong>About half of the sample (n = 40) reported being well prepared for EOL and 41 reported being not well prepared for EOL. Patients reported being moderately to completely worried about being a burden to family (n = 36), their family's ability to cope with the future (n = 42), and frightened by thoughts of dying (n = 27). Quality of ACP communication was significantly correlated with EOL preparedness (r = 0.38, p < 0.001).</p><p><strong>Implications for nursing: </strong>As integral parts of the healthcare team, nurses can communicate with patients with advanced cancer about ACP and initiate EOL discussions, enhance patients' awareness of their EOL stage, and encourage them to plan their EOL care.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"70-80"},"PeriodicalIF":1.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399662","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}
Monica Bates, Alexandra Thullen, Laura Basham, Allie Carter, Alyson Keen
{"title":"A Randomized Controlled Trial of Aromatherapy to Reduce Symptom Burden in Patients Undergoing Hematopoietic Stem Cell Transplantation.","authors":"Monica Bates, Alexandra Thullen, Laura Basham, Allie Carter, Alyson Keen","doi":"10.1188/25.ONF.E1-E11","DOIUrl":"https://doi.org/10.1188/25.ONF.E1-E11","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the safety and efficacy of aromatherapy on symptom burden and associated outcomes.</p><p><strong>Sample & setting: </strong>92 inpatients who underwent hematopoietic stem cell transplantation on hematology-oncology units in an academic hospital.</p><p><strong>Methods & variables: </strong>Participants in this pilot randomized controlled trial received essential oil-infused or blank aromatherapy patches and completed a symptom journal. Mixed-model analysis of variance was used to analyze chemotherapy-induced nausea, vomiting, and retching (CINVR) and anxiety symptoms. A t test was used to analyze medications administered for CINVR. Descriptive statistics were used to analyze additional study aims.</p><p><strong>Results: </strong>There was no significant difference in mean symptom scores or medications administered between the intervention and control groups. On a 1-10 rating scale (10 = extremely satisfied/extremely likely), aromatherapy was rated 8 or higher for satisfaction (n = 50) and likeliness to use again (n = 53).</p><p><strong>Implications for nursing: </strong>Aromatherapy can be used for holistic symptom management to improve the patient experience.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"E1-E11"},"PeriodicalIF":1.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399661","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}
Hayley Dunnack Yackel, Wanli Xu, Jung Wun Lee, Xiaomei Cong, Andrew L Salner, Valerie B Duffy, Michelle P Judge
{"title":"HPV Status and Oral Health Symptom Patterning During Treatment and Survivorship in Patients With Head and Neck Cancer: A Longitudinal Analysis.","authors":"Hayley Dunnack Yackel, Wanli Xu, Jung Wun Lee, Xiaomei Cong, Andrew L Salner, Valerie B Duffy, Michelle P Judge","doi":"10.1188/24.ONF.565-575","DOIUrl":"https://doi.org/10.1188/24.ONF.565-575","url":null,"abstract":"<p><strong>Objectives: </strong>To describe longitudinal oral health symptom patterns of patients receiving concurrent chemotherapy and radiation therapy for head and neck cancer (HNC) and examine associations between phenotypic characteristics, including human papillomavirus (HPV) status and oral health symptoms.</p><p><strong>Sample & setting: </strong>A pilot retrospective longitudinal chart review (N = 270) of patients with HNC at a northeastern U.S. regional cancer institute.</p><p><strong>Methods & variables: </strong>HPV status and oral health symptoms (pain, mucositis, taste alteration, xerostomia, dysphagia, and candidiasis) were examined during treatment (six weeks) and survivorship (three months). Latent transition analysis was conducted across each time point.</p><p><strong>Results: </strong>The latent transition analysis revealed classes with moderate to high symptom expression persisted into survivorship. The HPV-negative phenotype had higher symptom expression across treatment and survivorship.</p><p><strong>Implications for nursing: </strong>Patients with HPV-negative HNC may require early intervention, while considering social determinants of health to attenuate symptom expression and improve outcomes.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"51 6","pages":"565-575"},"PeriodicalIF":1.6,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471699","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}
Lori Ranallo, Harsh B Pathak, Jianghua He, Jaromme Geebum Kim, Karla Van Goethem, Karin Denes-Collar, Julia Danielle Caldwell, Jamie S Myers
{"title":"Feasibility Study of Adverse Childhood Experiences, Treatment-Related Sequelae, and Inflammatory Markers in Breast Cancer Survivors.","authors":"Lori Ranallo, Harsh B Pathak, Jianghua He, Jaromme Geebum Kim, Karla Van Goethem, Karin Denes-Collar, Julia Danielle Caldwell, Jamie S Myers","doi":"10.1188/24.ONF.516-528","DOIUrl":"10.1188/24.ONF.516-528","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the incidence of adverse childhood experiences (ACEs) in breast cancer survivors and potential associations with long-term treatment-related sequelae.</p><p><strong>Sample & setting: </strong>English-speaking breast cancer survivors three or more years from diagnosis with complete treatment response (N = 120) were recruited prior to scheduled survivorship clinic visits.</p><p><strong>Methods & variables: </strong>Participants in this cross-sectional observational feasibility study rated anxiety, depression, fatigue, sleep disturbance, cognitive issues, resilience, and ACEs (experienced prior to age 18 years). Blood samples were analyzed for inflammatory and epigenetic biomarkers.</p><p><strong>Results: </strong>ACEs assessment was feasible. Higher ACE scores correlated with greater fatigue, anxiety, and depression, and with lower cognitive function (p < 0.05). Resilience was positively associated with cognitive function and negatively associated with fatigue, anxiety, and depression.</p><p><strong>Implications for nursing: </strong>There is evidence for the impact of ACEs on long-term treatment-related sequelae in women with breast cancer. Oncology nurses should consider incorporating ACEs assessment into the workflow for women receiving survivorship care.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"51 6","pages":"516-528"},"PeriodicalIF":1.6,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471698","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}
Sara Colomer-Lahiguera, Rachel A Pozzar, Bruce A Cooper, Steven M Paul, Karin Snowberg, Stacey A Kenfield, Susan M Chang, Maura Abbott, Erin L Van Blarigan, Jon D Levine, Manuela Eicher, Marilyn J Hammer, Christine Miaskowski
{"title":"Worse Psychological Profiles Are Associated With Higher Levels of Stress and Symptom Burden in Patients With Cancer During the COVID-19 Pandemic.","authors":"Sara Colomer-Lahiguera, Rachel A Pozzar, Bruce A Cooper, Steven M Paul, Karin Snowberg, Stacey A Kenfield, Susan M Chang, Maura Abbott, Erin L Van Blarigan, Jon D Levine, Manuela Eicher, Marilyn J Hammer, Christine Miaskowski","doi":"10.1188/24.ONF.529-546","DOIUrl":"https://doi.org/10.1188/24.ONF.529-546","url":null,"abstract":"<p><strong>Objectives: </strong>To identify subgroups of patients with distinct psychological profiles at the beginning of the COVID-19 pandemic and evaluate for differences.</p><p><strong>Sample & setting: </strong>Online survey of patients with cancer during the COVID-19 pandemic.</p><p><strong>Methods & variables: </strong>Patients completed measures of demographic and clinical characteristics, as well as cancer- and COVID-19-related stress, global stress, social isolation, loneliness, financial toxicity, and common symptoms. Latent profile analysis was used to identify distinct psychological profiles.</p><p><strong>Results: </strong>Among 1,145 patients, three subgroups were identified (i.e., no anxiety or depression and normative level of resilience; high depression, high anxiety, and low resilience; and very high depression, very high anxiety, and very low resilience). Patients with the two worst psychological profiles were younger, more likely to be female, more recently diagnosed with cancer, and more likely to have breast cancer.</p><p><strong>Implications for nursing: </strong>Findings may assist clinicians to identify patients at increased risk for significant psychological morbidity and provide more timely, targeted, and cost-effective interventions.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"51 6","pages":"529-546"},"PeriodicalIF":1.6,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471701","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 Rosenzweig, Sarah M Belcher, Loyda E Braithwaite, Linda Cuaron, Erica Fischer-Cartlidge, Robin M Lally, Lauri A Linder, Tacy Meyeraan, Roselyn Ogunkunle, Natalia G Springer, Lixin Song, Karen E Wickersham, Margaret S B Moore, Aimee Anderson
{"title":"Research Priorities of the Oncology Nursing Society: 2024-2027.","authors":"Margaret Rosenzweig, Sarah M Belcher, Loyda E Braithwaite, Linda Cuaron, Erica Fischer-Cartlidge, Robin M Lally, Lauri A Linder, Tacy Meyeraan, Roselyn Ogunkunle, Natalia G Springer, Lixin Song, Karen E Wickersham, Margaret S B Moore, Aimee Anderson","doi":"10.1188/24.ONF.502-515","DOIUrl":"10.1188/24.ONF.502-515","url":null,"abstract":"<p><strong>Problem statement: </strong>To define the Oncology Nursing Society Research Agenda for 2024-2027.</p><p><strong>Design: </strong>An iterative, multiple data sources consolidation through the Research Agenda Project Team.</p><p><strong>Data sources: </strong>Previous research priorities, literature review, stakeholder survey, and research priorities from other cancer care organizations and funding agencies.</p><p><strong>Findings: </strong>10 evergreen statements articulated foundational values for oncology nurse scientists, and 5 topics emerged as research priorities for the upcoming three years: Advance patient-centric, precision symptom science; provide evidence for safe and effective cancer care delivery models and support of the oncology nursing workforce; describe the impact of the environment on cancer care outcomes; integrate patient navigation into cancer care across the trajectory; and advance the use of innovative methodologies in oncology nursing research.</p><p><strong>Implications for nursing: </strong>The Oncology Nursing Society Research Agenda is an effective resource for directing the organization's research vision. This foundational document directs funding awards and requests, mentorship, and policy initiatives.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"51 6","pages":"502-515"},"PeriodicalIF":1.6,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471700","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}
Hannah Choi, Shuang Gao, Judith M Schlaeger, Crystal L Patil, Ardith Z Doorenbos, Katelyn Sullivan, Natalie Lif, Hongjin Li
{"title":"Expectancy Effect of Acupuncture on Cancer-Related Outcomes: A Systematic Review.","authors":"Hannah Choi, Shuang Gao, Judith M Schlaeger, Crystal L Patil, Ardith Z Doorenbos, Katelyn Sullivan, Natalie Lif, Hongjin Li","doi":"10.1188/24.ONF.547-564","DOIUrl":"https://doi.org/10.1188/24.ONF.547-564","url":null,"abstract":"<p><strong>Problem identification: </strong>Previous reviews have reported the efficacy of acupuncture in managing cancer-related symptoms. However, there is a lack of comprehensive reviews examining how patients' expectancy regarding acupuncture influences treatment outcomes in the context of cancer survivorship.</p><p><strong>Literature search: </strong>9 databases were searched for articles published through August 2023. The authors included acupuncture studies that reported on patient expectancy for the effectiveness of acupuncture.</p><p><strong>Data evaluation: </strong>10 studies were included in this review. Study quality was assessed using the Cochrane risk-of-bias tool and the ROBINS-I (Risk Of Bias In Non-randomised Studies-of Interventions) tool.</p><p><strong>Synthesis: </strong>5 studies explored the relationship between expectancy and cancer-related outcomes, and in 3, expectancy was significantly associated with reduced pain, frequency of bowel movements, and severity of insomnia. Male and older patients, nonresponders to acupuncture, and those with lower education levels had lower expectancy regarding acupuncture.</p><p><strong>Implications for nursing: </strong>Healthcare providers should assess patient expectancy to comprehensively understand its role in improving acupuncture outcomes.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"51 6","pages":"547-564"},"PeriodicalIF":1.6,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471696","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}
Chao-Hua Chuang, Chih-Yi Li, Yu-Wen Wang, Shu-Ching Ma
{"title":"Exploring Caregiver Burden and Related Factors Among Primary Caregivers of Patients With Cancer in Taiwan.","authors":"Chao-Hua Chuang, Chih-Yi Li, Yu-Wen Wang, Shu-Ching Ma","doi":"10.1188/24.ONF.E25-E36","DOIUrl":"https://doi.org/10.1188/24.ONF.E25-E36","url":null,"abstract":"<p><strong>Objectives: </strong>To explore burden and its related factors among primary caregivers of patients with cancer.</p><p><strong>Sample & setting: </strong>This study was conducted in an oncology ward at a medical center in southern Taiwan. A total of 137 dyads of patients with cancer and their primary caregivers were recruited.</p><p><strong>Methods & variables: </strong>This cross-sectional correlational study used a structured questionnaire to assess the burden of primary caregivers. Data on patients' basic characteristics and disease profiles were extracted from medical records from January to June 2019. Linear regression analysis was used to identify factors associated with the burden of primary caregivers.</p><p><strong>Results: </strong>The majority of primary caregivers were female (70%) and aged younger than 65 years (85%). Overall, the mean primary caregiver burden score was 38.83 (SD = 12.86), with spiritual burden ranking highest among the four domains assessed. Factors related to overall primary caregiver burden included psychiatric symptoms, daily care hours, patient age, and the lack of rotational support.</p><p><strong>Implications for nursing: </strong>Hospice and oncology nurses can actively identify psychiatric symptoms in primary caregivers, targeting high-risk groups to provide timely resources or psychiatric referrals, aiming to alleviate future caregiver burden.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"51 6","pages":"E25-E36"},"PeriodicalIF":1.6,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471697","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":"Build Bridges, Not Walls: A Call for Collaboration in Oncology With PhD and DNP Colleagues to Improve Research.","authors":"Lorinda A Coombs, A Jean Hammer","doi":"10.1188/24.ONF.500-501","DOIUrl":"https://doi.org/10.1188/24.ONF.500-501","url":null,"abstract":"<p><p>Collaboration between DNP-prepared nurse scientists and DNP-prepared nurse clinicians strengthens oncology science and can potentially improve patient-centered outcomes. Many within the nursing community associate the reducti.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"51 6","pages":"500-501"},"PeriodicalIF":1.6,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471695","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}
Min Kyeong Jang, Sue Kim, Chang G Park, Eileen G Collins, Laurie Quinn, Min Jung Kim, Yunah Lee, Carol Estwing Ferrans
{"title":"Barriers to Surveillance Mammography Adherence in Korean Breast Cancer Survivors.","authors":"Min Kyeong Jang, Sue Kim, Chang G Park, Eileen G Collins, Laurie Quinn, Min Jung Kim, Yunah Lee, Carol Estwing Ferrans","doi":"10.1188/24.ONF.E37-E49","DOIUrl":"https://doi.org/10.1188/24.ONF.E37-E49","url":null,"abstract":"<p><strong>Objectives: </strong>To identify barriers to surveillance mammography adherence in Korean breast cancer survivors (BCSs), which is crucial for early detection of recurrence and new cancers.</p><p><strong>Sample & setting: </strong>195 BCSs were recruited from a breast cancer clinic and its support groups at a South Korean hospital.</p><p><strong>Methods & variables: </strong>This descriptive study used a cross-sectional design. Participants completed a self-administered multi-instrument survey based on a comprehensive framework for adherence, including individual characteristics, symptoms, quality of life, cognitive appraisal, social support, and healthcare system factors.</p><p><strong>Results: </strong>Having had a mammogram within the past year was considered adherent (n = 177), and no mammography within the past year was considered nonadherent (n = 18). Logistic regression revealed that longer time since diagnosis (p < 0.001), greater depression (p = 0.024), and higher health services utilization (p < 0.001) were predictors of lower mammography adherence (chi square = 76.618, p < 0.001, R2 = 58%).</p><p><strong>Implications for nursing: </strong>This is the first study to identify depression as a barrier to surveillance mammography in BCSs, suggesting that depression screening and treatment may be important for increasing adherence.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"51 6","pages":"E37-E49"},"PeriodicalIF":1.6,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471694","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}