{"title":"The Lived Experiences of Grief Among Newly Graduated Oncology Nurses: A Descriptive Phenomenologic Study.","authors":"Tuğba Pehlivan Sarıbudak, Pınar Tektaş","doi":"10.1188/26.ONF.e26535300","DOIUrl":"10.1188/26.ONF.e26535300","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the grief experiences, influencing factors, and coping strategies of newly graduated oncology nurses in Türkiye.</p><p><strong>Participants & setting: </strong>Between June and October 2024, 12 phenomenologic semistructured interviews were conducted with newly graduated oncology nurses in Türkiye.</p><p><strong>Methodologic approach: </strong>This study used a descriptive phenomenologic design. Data were analyzed using Colaizzi's seven-step phenomenologic method.</p><p><strong>Findings: </strong>Six main themes emerged from the phenomenologic analysis of the interviews: (a) confronting the reality of death in oncology, (b) emotional reactions and outcomes, (c) suppressed grief, (d) factors affecting the experience of grief, (e) coping, and (f) expectation of organizational support. Newly graduated oncology nurses often experience secondary trauma.</p><p><strong>Implications for nursing: </strong>Nurses should receive training to effectively cope with grief and secondary traumatic stress. Organizations can organize periodic debriefing sessions, offer psychological support, and provide comprehensive orientation and mentorship programs to foster resilience and reduce the risk of compassion fatigue among newly graduated oncology nurses.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 3","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148033811","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":"Effects of Sandplay Therapy on Emotional Problems and Quality of Life in Children With Central Nervous System Tumors: A Randomized Controlled Trial.","authors":"Yuyu Duan, Lu Yuan, Qingxuan Niu, Ying Li, Xiaoqun Chen, Xiaowei Zhang, Daili Zou, Zhihuan Zhou","doi":"10.1188/26.ONF.e26535299","DOIUrl":"10.1188/26.ONF.e26535299","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the effectiveness of sandplay therapy in reducing emotional problems and enhancing quality of life in children with central nervous system (CNS) tumors.</p><p><strong>Sample & setting: </strong>This randomized controlled trial was conducted in a tertiary hospital in China from January to August 2024, involving 56 children aged 6-14 years with CNS tumors.</p><p><strong>Methods & variables: </strong>The intervention and control groups received regular treatment, and the intervention group received an additional four sessions of sandplay therapy. Data were collected at baseline and at 5 weeks and 12 weeks after baseline. The children's scores on three assessments before and after the intervention were analyzed using a mixed-effects model.</p><p><strong>Results: </strong>Participants in the intervention group reported statistically significant lower depression and anxiety scores and higher quality-of-life scores than the control group at 5- and 12-week follow-up.</p><p><strong>Implications for nursing: </strong>Sandplay therapy can reduce depression and anxiety and enhance quality of life in children with CNS tumors. Sandplay therapy is feasible and effective in developing psychological support interventions for children.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 3","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148033795","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 Qualitative Exploration of the Experiences of Sexual and Gender Minority Survivors of Breast and Ovarian Cancer During the COVID-19 Pandemic.","authors":"Heather S Miles, Karen E Wickersham, Liam C Hein","doi":"10.1188/26.ONF.e26535302","DOIUrl":"10.1188/26.ONF.e26535302","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the sexual health experiences of sexual and gender minority (SGM) survivors of breast or ovarian cancer during the COVID-19 pandemic.</p><p><strong>Participants & setting: </strong>Five lesbian or bisexual individuals, recruited nationally, participated in semistructured telephone interviews.</p><p><strong>Methodologic approach: </strong>Data were collected from March to May 2023. Inductive thematic analysis was used to identify significant themes in sexual health, healthcare experiences, and cancer survivorship.</p><p><strong>Findings: </strong>Three themes were identified: (a) a \"silent crisis\" in health care for queer people with cancer, (b) sexual health as an unaddressed need for sexual minority women, and (c) unacceptable cancer care during the COVID-19 pandemic. Participants stressed the need for inclusive care addressing SGM-specific issues.</p><p><strong>Implications for nursing: </strong>The findings highlight the need for culturally competent nursing practices and education to meet SGM individuals' health needs. Nurses should proactively address SGM-specific sexual health and identity challenges in survivorship care, including partner inclusion and affirming communication.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 3","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148033805","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}
Jung-Jung Tsai, Chih-Jung Wu, Hsiao-Fang Hu, Ya-Jung Wang
{"title":"Symptom Severity Subgroups and Individual Symptom-Associated Risk for Fear of Progression in Metastatic Breast Cancer.","authors":"Jung-Jung Tsai, Chih-Jung Wu, Hsiao-Fang Hu, Ya-Jung Wang","doi":"10.1188/26.ONF.e26535304","DOIUrl":"10.1188/26.ONF.e26535304","url":null,"abstract":"<p><strong>Objectives: </strong>To identify symptom severity subgroups among metastatic breast cancer survivors and examine their association with fear of progression.</p><p><strong>Sample & setting: </strong>The sample included 102 individuals with metastatic breast cancer recruited during follow-up outpatient visits.</p><p><strong>Methods & variables: </strong>A secondary analysis of symptom data was conducted to identify subgroups. Predominant symptoms were defined as the five most severe and prevalent within each subgroup. Logistic regression was used to identify predictors of fear of progression.</p><p><strong>Results: </strong>Two symptom severity subgroups were identified: mild (n = 36, 35%) and severe (n = 66, 65%). Fatigue was the most prevalent symptom. Compared with the mild group, the severe group reported significantly higher breast cancer-specific symptom and fear-of-progression scores. Worry about worsening showed the strongest association with fear of progression (odds ratio = 2.9, p < 0.001).</p><p><strong>Implications for nursing: </strong>Routine assessment of symptom severity and psychological distress is essential to identify survivors at risk for heightened fear of progression. Tailored nursing interventions may reduce fear of progression and improve quality of life.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 3","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148033835","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":"May 2026 Letter to the Editor.","authors":"Susan Weiss Behrend, Janine Overcash","doi":"10.1188/26.ONF.e26535309","DOIUrl":"10.1188/26.ONF.e26535309","url":null,"abstract":"<p><strong>Policy for letters to the editor: </strong>Selection of letters to be published is the decision of the editor. For acceptance, letters must be signed. A letter can appear anonymously if requested by the author. All letters are subject to editing. A letter that questions, criticizes, or responds to a previously published Oncology Nursing Forum article automatically will be sent to the author of that article for a reply. This type of collegial exchange is encouraged. Send letters to ONFEditor@ons.org.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 3","pages":"1-2"},"PeriodicalIF":1.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148033839","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}
Vera Bratnichenko, Karen K. McDonnell, Polina Amburg, Pamela J. Wright, Kesheng Wang
{"title":"Barriers and Facilitators to Cancer Screening Among Eastern European Immigrants in the United States: A Systematic Literature Review.","authors":"Vera Bratnichenko, Karen K. McDonnell, Polina Amburg, Pamela J. Wright, Kesheng Wang","doi":"10.1188/26.ONF.e26535279","DOIUrl":"10.1188/26.ONF.e26535279","url":null,"abstract":"<p><strong>Problem identification: </strong>Eastern European immigrants in the United States face disproportionately higher cancer mortality because of delayed detection. Understanding the specific barriers and facilitators affecting this population is essential for designing interventions that improve screening uptake and reduce cancer-related morbidity.</p><p><strong>Literature search: </strong>A database search identified U.S.-based, peer-reviewed studies focused on Eastern European immigrant adults aged 18 years or older.</p><p><strong>Data evaluation: </strong>Rayyan software supported article screening and management. Nine studies met inclusion criteria, and key information on study characteristics, methods, and outcomes was extracted.</p><p><strong>Synthesis: </strong>Many studies grouped Eastern European immigrants with broader immigrant populations, with breast cancer being the most frequently examined condition. Common barriers to screening included fear, language challenges, and lack of health insurance.</p><p><strong>Implications for practice: </strong>Facilitators such as culturally concordant providers, provider recommendations, and community-based outreach enhance screening participation. Interventions to reduce language barriers, mistrust, and limited awareness may be crucial to improving cancer screening rates among Eastern European immigrants.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 2","pages":"45–55"},"PeriodicalIF":1.7,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434472","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 Ho, Dianxu Ren, Zhirui Deng, Margaret Rosenzweig, Anna L. Marsland, Jan Drappatz, Ashlee R. Loughan, Heidi S. Donovan, Paula Sherwood
{"title":"The Effect of Environmental Vulnerability on Family Caregiver Health.","authors":"Rebecca Ho, Dianxu Ren, Zhirui Deng, Margaret Rosenzweig, Anna L. Marsland, Jan Drappatz, Ashlee R. Loughan, Heidi S. Donovan, Paula Sherwood","doi":"10.1188/26.ONF.e26535274","DOIUrl":"10.1188/26.ONF.e26535274","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the effect of neighborhood level indices of socioeconomic status on interleukin (IL)-6, IL-1 receptor antagonist (IL-1RA), and C-reactive protein (CRP) levels in family caregivers of patients with a primary malignant brain tumor.</p><p><strong>Sample & setting: </strong>Baseline data were obtained from 120 family caregivers of patients with a primary malignant brain tumor.</p><p><strong>Methods & variables: </strong>High-sensitivity CRP, IL-6, and IL-1RA levels were assessed from 5 ml of blood. Standardized neighborhood deprivation and social vulnerability levels were obtained using metrics from the U.S. Census Bureau, and sociodemographic information was collected via self-report. Final analyses were performed using multivariate linear regression adjusting for potential covariates.</p><p><strong>Results: </strong>Higher neighborhood deprivation was associated with higher CRP (p = 0.05) and IL-6 levels (p = 0.08), and higher levels of social vulnerability (p = 0.05) were significantly associated with higher CRP levels. A trend (p = 0.1) was found between social vulnerability and IL-6 levels.</p><p><strong>Implications for nursing: </strong>Recognizing the characteristics placing neuro-oncology caregivers at risk for compromised immunity can inform health strategies and targeted interventions. Indices of environmental vulnerability can identify individuals for whom reduction of inflammation should be a primary target to improve quality of life and overall health.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 2","pages":"20–28"},"PeriodicalIF":1.7,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434589","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":"Bridging the Gap: The Role of Shared Decision-Making in Addressing Racial and Ethnic Disparities in Prostate-Specific Antigen Screening.","authors":"Hyesong H. Joung, David N. Martin, Randy A. Jones","doi":"10.1188/26.ONF.e26535281","DOIUrl":"10.1188/26.ONF.e26535281","url":null,"abstract":"<p><strong>Objectives: </strong>To assess racial and ethnic differences in prostate-specific antigen (PSA) screening and shared decision-making (SDM) and examine whether SDM modifies screening rates by race and ethnicity.</p><p><strong>Sample & setting: </strong>Data from the 2021-2023 Behavioral Risk Factor Surveillance System were analyzed, including 10,778 men aged 55-69 years eligible for PSA screening.</p><p><strong>Methods & variables: </strong>Descriptive statistics and chi-square tests assessed racial and ethnic differences in PSA screening and estimated SDM (eSDM) use. Multiple logistic regression models evaluated the impact of eSDM on PSA screening rates, including an interaction term for race and ethnicity and eSDM.</p><p><strong>Results: </strong>Among the sample, 46% reported undergoing PSA screening in the past year. eSDM was a significant predictor of PSA screening. After adjusting for eSDM and covariates, racial disparities in screening rates were no longer significant. Only Asian American men showed a significantly lower likelihood of screening following SDM exposure compared to White men.</p><p><strong>Implication for nursing: </strong>SDM can reduce racial and ethnic disparities in PSA screening. In addition, factors like healthcare access significantly influence screening rates, requiring targeted investigation. The results call for further investigation to culturally optimize SDM.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 2","pages":"57–67"},"PeriodicalIF":1.7,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434454","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}
Maria Rangwala, Elisha Baafi Oduro, Nicolette M. McGeorge, Dana Deighton, Ian Kleckner, Cynthia L. Renn, Amber Kleckner
{"title":"Clinician Perspectives on the Development of a Survivorship Care Plan Smartphone Application: A Qualitative Thematic Analysis.","authors":"Maria Rangwala, Elisha Baafi Oduro, Nicolette M. McGeorge, Dana Deighton, Ian Kleckner, Cynthia L. Renn, Amber Kleckner","doi":"10.1188/26.ONF.e26535277","DOIUrl":"10.1188/26.ONF.e26535277","url":null,"abstract":"<p><strong>Purpose: </strong>To describe clinicians' perspectives on POSTHOC (POSt-Treatment Healthcare Outcomes for Cancer survivors), a survivorship care plan (SCP) smartphone application (app).</p><p><strong>Participants & setting: </strong>14 clinicians, including 5 nurses, were recruited from oncology (n = 9) and other allied medical fields (n = 5).</p><p><strong>Methodologic approach: </strong>Semistructured interviews about the clinician portal and patient-facing app were conducted to assess usability and utility.</p><p><strong>Findings: </strong>Participants reported many positive perceptions regarding the SCP app, noting its accessibility, accountability tools, and ability to promote patient-provider communication at and in between appointments. Participants also noted several negative perceptions, such as the expectation for immediate clinician interaction. Clinicians commented on technical aspects and features of the SCP app to improve data usability (e.g., personalization, customization), minimize redundancy, and streamline feasibility and utility in the clinic.</p><p><strong>Implications for nursing: </strong>Clinicians encouraged the continuation of the SCP app development with specific feedback for improvement.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 2","pages":"68–80"},"PeriodicalIF":1.7,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434480","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}
Elizabeth K. Arthur, Virginia Anderson, Tyra Robertson, Kaitlyn Rechenberg, Carley Geiss, Hayden J. Fulton, Miranda Essa, Saba Arzola, Laura A. Szalacha, Usha Menon
{"title":"Sexual Health Care of Women Cancer Survivors Among Minority Groups: A Pilot Study.","authors":"Elizabeth K. Arthur, Virginia Anderson, Tyra Robertson, Kaitlyn Rechenberg, Carley Geiss, Hayden J. Fulton, Miranda Essa, Saba Arzola, Laura A. Szalacha, Usha Menon","doi":"10.1188/26.ONF.e26535280","DOIUrl":"10.1188/26.ONF.e26535280","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the intersectionality of sexual health and cancer survivorship care in women among minority groups as well as their partners to illuminate the unique challenges faced.</p><p><strong>Sample & setting: </strong>Women cancer survivors cohabitating with a partner for at least six months in the Tampa Bay area in Florida who self-identify as a sexual, racial, or ethnic minority (n = 11) and their partners (n = 3) were included in the study.</p><p><strong>Methods & variables: </strong>Semistructured interviews were conducted to gain an understanding of survivor and partner experiences and perspectives related to sexual healthcare delivery after cancer.</p><p><strong>Results: </strong>Providers often failed to address survivors' sexual health. Participants felt uncomfortable discussing sexual health with their providers because of their backgrounds, experiences, and cultural taboos about sex. Some participants experienced a lack of partner support to pursue sexual health interventions.</p><p><strong>Implications for nursing: </strong>Oncology nurses and advanced practice professionals need to be trained to prioritize sexual health among minority women cancer survivors and facilitate comfortable, culturally competent conversations about sexual health.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 2","pages":"7–17"},"PeriodicalIF":1.7,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434595","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}