Cancer Nursing最新文献

{"title":"Effects of Social Support and Rural-Urban Residence on Behavioral Financial Toxicity Among Patients With Cancer in China: A Multicenter Cross-Sectional Study.","authors":"Binbin Xu, Winnie K W So, Kai Chow Choi","doi":"10.1097/NCC.0000000000001636","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001636","url":null,"abstract":"<p><strong>Background: </strong>Cancer-related financial toxicity (FT) is a global challenge encompassing material burden, psychological distress, and cost-related behaviors such as delaying or forgoing treatment. Behavioral FT affects adherence but remains understudied.</p><p><strong>Objective: </strong>To examine independent, interactive, and combined associations of social support and residential setting with behavioral FT among patients with cancer.</p><p><strong>Methods: </strong>This secondary analysis included 1208 patients with cancer from 12 hospitals across 3 Chinese provinces. Hierarchical logistic regression examined independent associations and multiplicative interaction between social support and residential setting on behavioral FT, adjusting for 11 covariates. Additive interaction was assessed using relative excess risk due to interaction, attributable proportion, and synergy index. A 4-group composite variable was used to evaluate the combined association.</p><p><strong>Results: </strong>After adjustment for household income and other covariates, rural residence (odds ratio [OR] = 2.03, P < .001) and low social support (OR = 1.59, P = .005) were independently associated with greater behavioral FT, with no significant multiplicative or additive interaction. However, compared with urban high-support patients, the odds of behavioral FT increased progressively across the urban low-support (OR = 1.90, P = .036), rural high-support (OR = 2.19, P < .001), and rural low-support (OR = 3.26, P < .001) groups.</p><p><strong>Conclusions: </strong>Rural residence and low social support were independently associated with greater behavioral FT, with the highest vulnerability among patients experiencing both.</p><p><strong>Implications for oncology nursing practice: </strong>Oncology nurses should routinely assess patients' financial concerns and social support, particularly among rural patients, and facilitate referral to financial navigation and supportive services.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping an Overlooked Spiral of Trauma-Exposure to Sexual Abuse and Psycho-Spiritual Outcomes in Patients With Cancer: A Systematic Review and Meta-Analysis.","authors":"Ki Sum Samson Wong, Mingfang Li, Chia-Chin Lin","doi":"10.1097/NCC.0000000000001633","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001633","url":null,"abstract":"<p><strong>Background: </strong>Cancer and sexual abuse survivorship both involve trauma, yet little evidence synthesis has examined psycho-spiritual outcomes at the intersection of both. This may limit nurses' recognition of compounded distress in patients with cancer and sexual trauma, who often remain silent.</p><p><strong>Objective: </strong>To appraise psycho-spiritual outcomes associated with sexual abuse exposure in patients with cancer.</p><p><strong>Interventions/methods: </strong>A systematic search was conducted on 10 databases until April 21, 2026. Unadjusted and adjusted effect estimates were pooled separately.</p><p><strong>Results: </strong>Of the identified sources, 11 studies involving 79,318 patients were included. Sexual abuse was associated with depression (unadjusted standardized mean difference [SMD] = 0.51, 95% confidence interval [CI] = 0.31-0.71; adjusted SMD = 0.32, 95% CI = 0.24-0.41), anxiety (unadjusted SMD = 0.42, 95% CI = 0.17-0.67), and spiritual concerns (unadjusted SMD = 0.32, 95% CI = 0.11-0.53; adjusted SMD = 0.27, 95% CI = 0.16-0.38). Findings on posttraumatic stress symptoms were inconclusive (unadjusted SMD = 0.34, 95% CI = 0.17-0.50; adjusted SMD = 0.02, 95% CI = -0.19 to 0.23). Childhood exposure demonstrated a stronger association with depression in adulthood (unadjusted SMD = 0.68, 95% CI = 0.65-0.70) than lifetime exposure (unadjusted SMD = 0.35, 95% CI = 0.07-0.63).</p><p><strong>Conclusions: </strong>This meta-analysis clarifies the extent to which past exposure to sexual abuse may aggravate psycho-spiritual symptoms in patients with cancer.</p><p><strong>Implications for oncology nursing practice: </strong>Oncology nurses must practice trauma-informed care to prevent re-traumatization. Awareness of sexual abuse survivorship should be incorporated into continuing professional development in oncology nursing.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dyadic Coping in Patients With Hematologic Malignancies and Their Partners: A Scoping Review.","authors":"Dabin Hwang, Argin Malakian, John Kuruvilla, Lindsay A Jibb, Rinat Nissim, Samantha J Mayo","doi":"10.1097/NCC.0000000000001635","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001635","url":null,"abstract":"<p><strong>Background: </strong>Patients and their partners coping with hematologic malignancies (HMs) experience significant psychological and relational challenges. Dyadic coping (DC) plays a critical role in couples' adaptation under cancer treatments.</p><p><strong>Objective: </strong>To synthesize existing evidence on DC strategies, influencing factors, and outcomes among couples facing HMs.</p><p><strong>Methods: </strong>Guided by the JBI framework, this review systematically searched for and included original studies of any design that examined DC in adult couples where one partner had hematologic cancer. Data on study design, population characteristics, coping strategies, factors, and outcomes were extracted and summarized narratively.</p><p><strong>Results: </strong>Nine articles across 8 studies were reviewed. Commonly used DC strategies included stress communication, protective buffering, and common coping. Some evidence suggested the potential usefulness of couple-based programs that incorporate communal coping training, but overall, no studies directly examined factors influencing DC. Studies using the Actor-Partner Interdependence Model revealed reciprocal associations between partners' coping and well-being. Negative strategies were consistently associated with higher distress, poorer relationship satisfaction, and greater unmet needs. Positive strategies showed mixed effects, generally associated with improved relationship satisfaction and quality of life, though sometimes related to increased distress or unmet needs.</p><p><strong>Conclusions: </strong>DC significantly affects relationship quality, psychological well-being, and quality of life in HM couples. Positive strategies can foster mutual support but may also increase strain, whereas negative strategies exacerbate distress.</p><p><strong>Implications for oncology nursing practice: </strong>Findings highlight the clinical importance of supporting couples as relational units. Oncology nurses should integrate tailored, couple-based interventions that address both shared and individual coping needs.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilizing Community Engagement Studios to Improve Participation of African American Cancer Survivors in Couples-Based Exercise Research.","authors":"Lyndsey M Hornbuckle, Cristina S Barroso, Jakevious Rosser, Kerri M Winters-Stone","doi":"10.1097/NCC.0000000000001622","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001622","url":null,"abstract":"<p><strong>Background: </strong>Evidence suggests exercise can improve health outcomes for individuals with cancer and their caregiving partners. Research to improve outcomes in African American (AA) couples coping with cancer is scarce, despite known disparities in AA survivors. Incorporating community-engaged, culturally relevant strategies to enhance intervention development may encourage AA couple engagement in exercise research.</p><p><strong>Objective: </strong>To consult AA cancer survivors and their caregiving partners using a community engagement studio approach and collect feedback about improving recruitment strategies and participation in an existing couples-based exercise trial.</p><p><strong>Methods: </strong>AA adults currently or previously diagnosed with any cancer and their partners were recruited. Three community engagement studio sessions were conducted virtually to collect participants' perceptions using semi-structured discussion guides. Verbatim transcripts were coded by two independent investigators using an open approach to identify themes.</p><p><strong>Results: </strong>Twenty participants (mean age 60.6 ± 9.7 years; 90% AA; 85% survivors; 75% women) completed the study. Four themes emerged: Suggested Exercise Trial Improvements, Exercise Prescription Used in the Trial, Connections to the AA Cancer Community, and The Cancer Experience. Participants quickly developed camaraderie as AAs coping with cancer and expressed gratitude for the opportunity to connect. Caregiving partners were underrepresented, limiting dyadic findings.</p><p><strong>Conclusion: </strong>These qualitative data informed strategies to promote racial diversity in the exercise trial examined. Community input can benefit future exercise research to help reduce cancer-related disparities.</p><p><strong>Implications for practice: </strong>Future exercise oncology research should include community-driven recruitment approaches, hiring diverse staff and study advocates, individual exercise tailoring, and facilitating the development of an AA cancer support community.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Meaning of a Cancer Diagnosis for the Rural Patient Through the Lenses of Merleau-Ponty and Heidegger: A Hermeneutic Phenomenological Study.","authors":"Martha S Curtin, Darryl Somayaji, Suzanne S Dickerson","doi":"10.1097/NCC.0000000000001629","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001629","url":null,"abstract":"<p><strong>Background: </strong>In a rural setting, individuals who receive a cancer diagnosis experience an interconnected group of challenges that contribute to the lived experience of space and time. Philosophers offer a perspective of human experience that provides insight into how individuals manage life challenges.</p><p><strong>Objective: </strong>To understand the lived experiences by inserting the lenses of Merleau-Ponty (MP) and Heidegger as they relate to space and time, and work toward a holistic practice that is maximally effective.</p><p><strong>Methods: </strong>This qualitative secondary analysis applied hermeneutic phenomenology when reviewing interview transcripts from 15 participants. Participants discussed their experiences in ways that resonated with philosophical work from MP and Heidegger, highlighting their applicability to the nature of the participants' experiences.</p><p><strong>Results: </strong>Two main themes and several subthemes were identified and interpreted using philosophical viewpoints. Theme 1, Experiencing limitations in one's space, and subthemes Sacrificing independence and personal space and Leaving the rural environment, are well explicated by MP's notion of \"being-in-the-world.' Theme 2, Being thrown into life with a cancer diagnosis, and subthemes Prioritizing health, Striving for normalcy, and Living authentically, are well explained by Heidegger's impressions of temporality and thrownness.</p><p><strong>Conclusions: </strong>Incorporation of philosophers' viewpoints is valuable in providing a holistic understanding of the lived experience of participants. Nurses are on the frontline of healthcare and can ensure that individual needs are met while providing best-practice care for rural patients.</p><p><strong>Implications for oncology nursing practice: </strong>Providing authentic care, recognizing the strengths of the rural community, and practicing advocacy for the rural patient are important.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconfiguring Priorities: Breastfeeding Decision-making Among Young Breast Cancer Survivors.","authors":"Ariadna Huertas-Zurriaga, Sandra Cabrera-Jaime, Isabel Navarri, Iris Teruel-Garcia, Juan Manuel Leyva-Moral","doi":"10.1097/NCC.0000000000001455","DOIUrl":"10.1097/NCC.0000000000001455","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer survivors face unique challenges in breastfeeding decisions. Limited research exists on the experiences and decision-making processes of young women with breast cancer regarding breastfeeding.</p><p><strong>Objective: </strong>To explain the decision-making processes of young women with breast cancer in relation to breastfeeding throughout the cancer trajectory.</p><p><strong>Methods: </strong>A constructivist grounded theory approach was used. Semistructured interviews were conducted with 12 women diagnosed with breast cancer and 8 healthcare professionals. Data were analyzed using constant comparative analysis.</p><p><strong>Results: </strong>The core category \"Reconfiguring Priorities: The Secondary Role of Breastfeeding in the Context of Breast Cancer in Young Women\" emerged, encompassing 3 subcategories: (1) scars over time, (2) omitting breastfeeding in oncological care, and (3) self-management of breastfeeding.</p><p><strong>Conclusions: </strong>Breastfeeding decision-making among young breast cancer survivors is not driven by conscious will but by a constant struggle with the conditioning factors of the oncological process: mortality and toxicity of drugs to breast milk. The lack of professional support leads women to develop their own strategies for managing breastfeeding, marked by ambivalence between motivations and personal challenges.</p><p><strong>Implications for practice: </strong>Healthcare professionals should integrate breastfeeding discussions into oncological care for young breast cancer survivors. Specialized lactation consultants with oncology expertise should be incorporated into the care team. Peer support programs can provide valuable guidance based on lived experiences, empowering women to make informed decisions about breastfeeding after breast cancer.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"355-364"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Do People Living With Cancer Navigate Health Systems?: A Multi-Grounded Theory.","authors":"Emma Hennessey, Amy Kirkegaard, Lauren Ball","doi":"10.1097/NCC.0000000000001468","DOIUrl":"10.1097/NCC.0000000000001468","url":null,"abstract":"<p><strong>Background: </strong>Cancer and its physiological and psychological effects are well defined, but how these factors impact health system navigation for people living with cancer (PLWC) is lacking.</p><p><strong>Objective: </strong>To develop a theory explaining how PLWC navigate health systems to meet their health and well-being needs.</p><p><strong>Methods: </strong>This study used multi-grounded theory to explain how PLWC navigate health systems to meet their needs. Individuals more than 6 months postdiagnosis participated in semistructured interviews. The theory was grounded with the Health Beliefs Model and Socioecological Model to generate a candidate theory.</p><p><strong>Results: </strong>Eighteen participants were interviewed (n = 12 female); the most prominent cancer type was breast (50%). The theory comprised 5 components describing how PLWC navigate health services: (1) \"being on the journey\" referenced a core care team and differing utilization over time; (2) \"adjusting to a new identity\" addressed feeling lost and isolated and a desire to be around people who have experienced cancer; (3) \"assimilating knowledge\" included knowledge about cancer, timing, and source of information; (4) \"navigating the health system\" found health-seeking attitudes and behaviors dictated whether services were accessed; and (5) \"policy environment\" acknowledged how policy set the context within which all theory components exist.</p><p><strong>Conclusions: </strong>The candidate theory depicts core factors influencing how PWLC navigate health and well-being services over their cancer journey and into survivorship.</p><p><strong>Implications for practice: </strong>The theory identifies factors that influence access to healthcare, including trust and knowledge, which can form the basis of navigational initiatives and programs.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"317-326"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life and Cancer-Related Experiences of Late-Stage and Metastatic Colorectal Cancer Survivors: A Mixed-Methods Study.","authors":"Krista A Brown, Katrina M Poppert Corts, Sharon Medcalf, Melissa Acquazzino, Robin M Lally","doi":"10.1097/NCC.0000000000001480","DOIUrl":"10.1097/NCC.0000000000001480","url":null,"abstract":"<p><strong>Background: </strong>People with late-stage and metastatic colorectal cancer (CRC) are living longer, with rates increasing over time, necessitating a greater understanding of their survivorship experiences.</p><p><strong>Objective: </strong>The purpose of this study was to explore the quality of life (QoL) and cancer-related experiences of stages III and IV CRC survivors and to inform oncology nursing practice and survivorship care.</p><p><strong>Interventions/methods: </strong>This sequential, explanatory mixed-method study used a cross-sectional Functional Assessment of Cancer Therapy-Colorectal survey and semistructured interviews to explore QoL and cancer-related experiences of stages III and IV CRC survivors. The study was guided by the Ferrell QoL model. Descriptive statistics and directed and summative content analysis were utilized, followed by integration using joint displays.</p><p><strong>Results: </strong>Thirty-one CRC survivors participated in the study; 24 completed the Functional Assessment of Cancer Therapy-Colorectal, and 12 participated in the semistructured interviews. Results identified 8 QoL themes: control, acceptance, normalcy, resilience, trust, isolation, and anger/frustration with support needs, including ostomy appliance management and shared experiences from other CRC survivors.</p><p><strong>Conclusions: </strong>Stage III/IV CRC survivors experience substantial physical, psychological, social, and spiritual cancer-related challenges. Integration of quantitative and qualitative data in this study highlighted QoL domains for future clinical intervention.</p><p><strong>Implications for practice: </strong>These data inform oncology nurses and other healthcare providers regarding QoL domains that may warrant greater assessment among late-stage and metastatic CRC survivors experiencing low, moderate, or high QoL. Interventions to facilitate social and community support for late-stage and metastatic CRC survivors through support groups, one-on-one interactions, or virtual online platforms are warranted.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E612-E623"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Status and Influencing Factors of Self-management Positivity in Patients With Head and Neck Neoplasms: A Cross-sectional Study.","authors":"Zhuoran Gao, Siyu Li, Yanzhongcheng Xu, Xinghua Bai","doi":"10.1097/NCC.0000000000001475","DOIUrl":"10.1097/NCC.0000000000001475","url":null,"abstract":"<p><strong>Background: </strong>Self-management positivity is important for patients to improve treatment outcomes, reduce healthcare costs, and provide an intrinsic motivation to gain hope and self-confidence in coping with their illness. In clinical practice, it has been found that head and neck cancer (HNC) patients have a lower level of self-management positivity.</p><p><strong>Objective: </strong>To investigate the degree of self-management positivity among patients with HNC and analyze its influencing factors.</p><p><strong>Methods: </strong>A cross-sectional survey of 215 patients in the radiotherapy department was conducted using the Patient Activation Measure 13 (PAM13), Health Literacy Management Scale, Acceptance of Illness Scale, Cancer Loneliness Scale, and General Self-efficacy Scale.</p><p><strong>Results: </strong>The PAM13 score of patients with HNC was 63.48 ± 14.7 at level 3. Multiple linear regression analysis showed that widowhood ( β  = -.127; P  < .05), monthly family income per capita ( β  = .234; P  < .01), disease duration ( β  = .154; P  < .01), health literacy ( β  = .215; P  < .01), loneliness ( β  = -.128; P  < .05), disease acceptance ( β  = .144; P  < .05), and self-efficacy ( β  = .152; P  < .01) were the influencing factors of self-management positivity, which accounted for 37.9% of the total variance.</p><p><strong>Conclusion: </strong>Patients' self-management positivity still needs to be improved. Medical staff should attach great importance to patients' psychological dynamics and actively popularize health knowledge in order to effectively enhance self-management enthusiasm.</p><p><strong>Implications for practice: </strong>It is imperative that we give adequate attention to the self-management positivity of HNC patients. In addition, our country can try to incorporate PAM13 into the healthcare system, using the scale to identify patients who lack self-management awareness, knowledge, and ability and are at risk of readmission upon admission or discharge.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E591-E600"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scoping Review of the Perceptions and Experiences of People From Underserved Groups of Being on Personalized Stratified Follow-Up Following Treatment for Breast Cancer.","authors":"Katie Sutton, Sophie McGrevey, Verna Lavender, Lorraine Marke, Jo Armes","doi":"10.1097/NCC.0000000000001631","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001631","url":null,"abstract":"<p><strong>Background: </strong>Personalized Stratified Follow-Up (PSFU) is an approach to cancer follow-up involving patients re-accessing care when they need to, rather than attending predetermined appointments. The benefits of this approach are a more personalized experience for patients and increased capacity in clinics.</p><p><strong>Objective: </strong>To understand the evidence relating to the experiences of people on PSFU following breast cancer treatment, specifically in terms of the perceptions of people from underserved groups.</p><p><strong>Methods: </strong>A scoping review of the relevant evidence was conducted. Screening was conducted independently by 2 researchers. Data extracted were charted using a predetermined checklist for summary and analysis.</p><p><strong>Results: </strong>A total of 2728 results were identified through databases; 11 papers were included. Nineteen gray literature resources were also identified. Findings were presented as: (1) key components of PSFU for breast cancer; (2) experiences and perceptions of patients and health professionals in relation to PSFU for breast cancer; (3) suggestions to enhance PSFU; and (4) evidence relating to underserved groups on PSFU for breast cancer.</p><p><strong>Conclusion: </strong>Patients on PSFU are generally satisfied with their care and are confident in managing their own condition. Unmet needs include psychological support and re-accessing clinical teams. This review has highlighted that little is known about the experiences of underserved groups.</p><p><strong>Implications for nursing practice: </strong>Nurses should be aware of the importance of providing patients on PSFU with information about self-examination, signs of recurrence, side effects, and re-accessing the clinical team. PSFU services should be designed to ensure that patients from underserved groups do not experience inequalities in their care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}