European Journal of Oncology Nursing最新文献

{"title":"The effect of an empowerment program on ruminative thoughts, fatigue, and psychological resilience of cancer survivors: A randomized controlled trial.","authors":"Sinem Öcalan, Yeter Sinem Üzar-Özçetin, Ömer Dizdar, Şeref Can Gürel","doi":"10.1016/j.ejon.2026.103355","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103355","url":null,"abstract":"<p><strong>Purpos: </strong>Cancer survivors in remission often experience intrusive rumination, cancer-related fatigue, and reduced psychological resilience, which may hinder daily functioning and recovery. This study evaluated the effects of a 10-week online empowerment program designed to reduce intrusive rumination and fatigue while enhancing deliberate rumination and psychological resilience.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted with 62 cancer survivors assigned to an intervention or waitlist control group. The intervention comprised ten weekly 90-min Zoom sessions integrating psychoeducation, cognitive-behavioral therapy, acceptance and commitment therapy, mindfulness, and relaxation techniques. Outcomes were assessed at baseline, post-intervention, and 3-month follow-up using the Event-Related Rumination Inventory, Cancer Fatigue Scale, and Connor-Davidson Resilience Scale. Primary analyses followed the intention-to-treat principle using linear mixed-effects models.</p><p><strong>Results: </strong>The 62 participants had a mean age of 49.98 ± 9.32 years, and 93.5% were female. Significant group × time interactions were observed for intrusive rumination (F = 5.711, p = .005), deliberate rumination (F = 6.303, p = .003), cancer-related fatigue (F = 7.349, p = .001), and psychological resilience (F = 4.205, p = .020). Across the three measurement points, intrusive rumination and cancer-related fatigue decreased in the intervention group, while deliberate rumination and psychological resilience increased, with different trajectories observed in the control group.</p><p><strong>Conclusions: </strong>The empowerment program improved intrusive rumination, cancer-related fatigue, deliberate rumination, and psychological resilience among cancer survivors. Empowerment-based interventions may represent feasible nursing strategies for psychosocial support during remission.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"85 ","pages":"103355"},"PeriodicalIF":3.6,"publicationDate":"2026-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247507","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":"Parents' and health professionals' perspectives on supporting physical activity among children undergoing cancer treatment: A qualitative interview study.","authors":"David Mizrahi, Olivia Wu, Xiaohan Qian, Verena Wu, Chrissie Ho, Alexandra Martiniuk, Lauren Ha, Damien Ragusa, Kylie Brown, Ben Smith","doi":"10.1016/j.ejon.2026.103352","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103352","url":null,"abstract":"<p><strong>Purpose: </strong>Physical activity (PA) opportunities are not consistently integrated into childhood cancer care. This qualitative study explored parents' and health professionals' perspectives on barriers and facilitators to supporting PA during treatment, including areas of convergence and divergence.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 27 participants (10 parents, 17 health professionals). Participants were recruited through consumer advisory panels, community organisations, and social media. Interview questions were informed by the RE-AIM framework, and data analysed using codebook thematic analysis to categorise common patterns while considering differences between participant groups.</p><p><strong>Results: </strong>Participants described PA as frequently deprioritised during treatment, when children experienced treatment-related symptoms and reduced functional capacity. Concerns about safety, infection, medical devices and appropriate PA intensity further limited participation. Facilitators included clinical endorsement, education, early referral and flexible programs adapted to treatment stage, symptoms, preferences and functional capacity. Telehealth, community-based options, enjoyable activities, supervised and self-directed PA were also considered valuable. Organisational barriers included limited staffing, space, referral pathways, funding and access to appropriately trained exercise professionals. Parents and health professionals converged on the value of PA and the need for safe, tailored support, but differed in their emphasis on family capacity, clinical priorities and system-level constraints. Parents emphasised family burden, whereas health professionals emphasised service capacity and clinical priorities.</p><p><strong>Conclusion: </strong>Participants' perspectives highlight the need for flexible, safety-informed and accessible PA pathways integrated into routine care, supported by appropriate workforce capacity and resourcing, and adapted to changing treatment needs. Considering both stakeholder groups can inform more responsive PA implementation strategies.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"85 ","pages":"103352"},"PeriodicalIF":3.6,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247466","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":"Barriers to follow-up and rehabilitation among head and neck cancer survivors in Norway: A qualitative study.","authors":"Renate Andreassen, Elin Hadler-Olsen, Birgitta Jönsson, Monika Dybdahl Jakobsen","doi":"10.1016/j.ejon.2026.103349","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103349","url":null,"abstract":"<p><strong>Purpose: </strong>The aim was to explore head and neck cancer (HNC) survivors' experiences of barriers to follow-up care and rehabilitation in Norway 3-5 years after treatment.</p><p><strong>Methods: </strong>This descriptive qualitative study involved 12 individual interviews with Norwegian HNC survivors. Data were analysed using inductive semantic thematic analysis. Haggerty's continuity-of-care framework subsequently informed the interpretation of findings in relation to informational continuity (the use of information to connect care), relational continuity (ongoing patient-provider relationships), and management continuity (coordinated and consistent care across providers).</p><p><strong>Results: </strong>Four themes emerged: (1) limited continuity due to difficult access to services and frequent personnel changes, leading to fragmented care and insufficient follow-up; (2) challenges in information flow and communication, including complex and poorly tailored information, speech barriers, and increasing reliance on self-management; (3) inadequate coordination across care levels, with unclear responsibilities and limited collaboration, particularly during transitions to primary care; and (4) structural barriers affecting access, including limited availability of specialised services, financial burden, and challenges navigating digital systems.</p><p><strong>Conclusion: </strong>HNC survivors face substantial barriers to continuity in follow-up and rehabilitation, which may be particularly pronounced in rural areas. Targeted strategies to improve coordination, accessibility, and integration within and across healthcare services are needed to promote equitable, holistic, and long-term support for survivors with complex needs.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"85 ","pages":"103349"},"PeriodicalIF":3.6,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229382","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":"Prevalence, risk factors, and lived experiences of insomnia among cancer caregivers: A mixed-method study.","authors":"Yangxi Huang, Jojo Yan Yan Kwok, Li Li, Pui Hing Chau","doi":"10.1016/j.ejon.2026.103351","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103351","url":null,"abstract":"<p><strong>Purpose: </strong>Insomnia affects 40-76% of cancer caregivers, yet prevalence estimates vary widely and evidence on associated factors and lived experiences remains limited. Guided by the 3P model of insomnia, this study estimated insomnia prevalence, identified associated factors, and explored caregivers' lived experiences and treatment preferences.</p><p><strong>Methods: </strong>An explanatory sequential mixed-methods study was conducted among informal cancer caregivers in China. Insomnia was assessed using the Insomnia Severity Index (ISI), and associated factors were examined by stepwise multivariable logistic regression. Semi-structured interviews with caregivers experiencing insomnia were analysed using qualitative content analysis.</p><p><strong>Results: </strong>Among 427 caregivers, 52.0% reported clinically significant insomnia symptoms (ISI > 7). Predisposing factors included older age (aOR = 1.03), family history of insomnia (aOR = 3.12) and medication use for conditions other than insomnia (aOR = 0.41); higher anxiety symptoms (aOR = 1.30) were precipitating, and higher pre-sleep arousal (aOR = 1.03) perpetuating. Only 13.3% (57/427) of caregivers had ever used an insomnia intervention, and evidence-based psychological interventions were rarely used (9.4% of users). Qualitative findings showed that night-time caregiving demands, emotional distress and environmental disruptions contributed to insomnia onset and persistence, and caregivers preferred flexible, remotely delivered non-pharmacological interventions.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first mixed-methods study in China to apply the 3P model to insomnia among cancer caregivers while also exploring their lived experiences and treatment preferences. Insomnia was highly prevalent and undertreated. Routine sleep screening and scalable, caregiver-adapted non-pharmacological interventions should be prioritised to support caregivers' sleep health and caregiving capacity.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"85 ","pages":"103351"},"PeriodicalIF":3.6,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221064","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 role of outreach workers in care coordination for teenagers and young adults with cancer: The BRIGHTLIGHT_2021 programme.","authors":"Syka Iqbal, Ailey McLeod, Rachel M Taylor, Lorna A Fern, Julie A Barber, Jamie Cargill, Richard G Feltbower, Laura Haddad, Maria Lawal, Martin G McCabe, Louise Soanes, Dan P Stark, Cecilia Vindrola-Padros","doi":"10.1016/j.ejon.2026.103353","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103353","url":null,"abstract":"<p><strong>Purpose: </strong>Teenagers and young adults (TYA) with cancer have distinct developmental, psychosocial, and clinical needs that require age-appropriate care. Healthcare policy in the United Kingdom advocates care in centralised specialist age-appropriate TYA Principal Treatment Centres (PTCs). The responsibility of coordination and delivery of 'joint care' is reliant on outreach workers who bridge the gap between the PTC and hospitals and support young people closer to home. We aimed to explore outreach workers' experiences of their role in coordinating TYA cancer care.</p><p><strong>Method: </strong>Semi-structured qualitative interviews were conducted with 10 outreach workers and care coordination staff working across PTCs and designated hospitals in the United Kingdom. Data were analysed thematically using framework analysis informed by rapid assessment procedure (RREAL RAP) sheets.</p><p><strong>Results: </strong>Outreach workers described their role as providing coordinated care and liaison across multidisciplinary teams, addressing TYA needs and filling a perceived gap in services. Participants reported that their role contributed to continuity of care and facilitated equitable access to age-appropriate care closer to home. Potential barriers included isolation due to large geographic coverage and travel time and limited staff understanding outreach roles, alongside inconsistent referral routes. Outreach workers emphasised the need for skills such as communication, relationship-building and strong clinical knowledge.</p><p><strong>Conclusions: </strong>Outreach workers described their role as highly skilled, complex and varied. Incorporating the identified facilitators and barriers into outreach strategies, including integration into healthcare settings, increased resourcing, and staff awareness may help inform future TYA care coordination, workforce planning and integration of outreach workers into routine TYA cancer healthcare settings.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"85 ","pages":"103353"},"PeriodicalIF":3.6,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229376","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":"Death anxiety in advanced cancer patients and family caregivers: A scoping review.","authors":"Qian Sun, Janelle Yorke, Herbert Ho Fung Loong, Haiyue Luo, Xuexun Xiao, Qi Liu, Ting Mao, Ka Yan Ho","doi":"10.1016/j.ejon.2026.103334","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103334","url":null,"abstract":"<p><strong>Purpose: </strong>To map the landscape of death anxiety regarding its conceptualization, prevalence, correlates, and management within both patients and caregivers.</p><p><strong>Method: </strong>We systematically searched PubMed, EMBASE, CINAHL, PsycINFO, Web of Science, Ovid Medline, Cochrane Library, CNKI and Wanfang from their inception to 5 January, 2026. This scoping review was conducted following the framework of Arksey and O'Malley and was reported in accordance with the PRISMA-ScR guidelines. Following the screening of abstracts and full-text articles, data were extracted and synthesized using an inductive thematic analysis.</p><p><strong>Results: </strong>A total of 54 studies were included. Death anxiety is multidimensional, involving fear of one's own death and loss, with varied measurement tools. Contributing factors are demographic, disease-related, psychosocial, and relational. Consequences include psychological distress, reduced quality of life, and compromised caregiving or decisions. Individual therapies like Managing Cancer and Living Meaningfully are effective for patients, but integrated dyadic interventions are scarce.</p><p><strong>Conclusions: </strong>This scoping review demonstrates that death anxiety in advanced cancer is a multidimensional and relational phenomenon influencing both patients and caregivers. Recognizing death anxiety as a shared emotional burden highlights the need to move beyond individual-based interventions toward integrated dyadic approaches that address death anxiety. Embedding death anxiety management within holistic care models may enhance emotional adaptation and end-of-life quality. Continued research should refine theoretical frameworks and develop evidence-based strategies to mitigate the reciprocal impact of death anxiety across cancer patient-caregiver dyads.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"85 ","pages":"103334"},"PeriodicalIF":3.6,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225419","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":"Getting sample size right in nurse-led oncology trials: A practical guide.","authors":"Wai Hang Kwok, Jing-Yu Benjamin Tan","doi":"10.1016/j.ejon.2026.103313","DOIUrl":"https://doi.org/10.1016/j.ejon.2026.103313","url":null,"abstract":"","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":" ","pages":"103313"},"PeriodicalIF":3.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892937","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":"Corrigendum to \"Demoralization and sleep in breast cancer: A casual and computer-simulated network analysis\" [Europ. J. Oncol. Nurs. 76 (2025) 102870].","authors":"Hongman Li, Ying Xiong, Qihan Zhang, Yufei Lu, Qiaoling Chen, Siqi Wu, Yiguo Deng, Jiahua Wu, M Tish Knobf, Zengjie Ye","doi":"10.1016/j.ejon.2026.103295","DOIUrl":"10.1016/j.ejon.2026.103295","url":null,"abstract":"","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":" ","pages":"103295"},"PeriodicalIF":3.6,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726605","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":"Oncology nursing at an inflection point: Five imperatives for the next five years","authors":"Alex Molassiotis,&nbsp;Jing-Yu (Benjamin) Tan","doi":"10.1016/j.ejon.2026.103236","DOIUrl":"10.1016/j.ejon.2026.103236","url":null,"abstract":"","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"83 ","pages":"Article 103236"},"PeriodicalIF":3.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220578","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":"Corrigendum to “The effect of hand-foot exercises on chemotherapy-induced peripheral neuropathy-related pain, falls, and quality of life in colorectal cancer: A randomized controlled trial” [Europ. J. Oncol. Nurs. 71 (2024) 102641]","authors":"İlayda Eroğlu,&nbsp;Sevinç Kutlutürkan","doi":"10.1016/j.ejon.2026.103223","DOIUrl":"10.1016/j.ejon.2026.103223","url":null,"abstract":"","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"83 ","pages":"Article 103223"},"PeriodicalIF":3.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}