European Journal of Oncology Nursing最新文献

{"title":"Different needs ask for different care: Breast cancer patients’ preferences regarding assessment of care needs and information provision in personalized aftercare","authors":"A. Dekker-Klaassen ,&nbsp;C.H.C. Drossaert ,&nbsp;L.S. Folkert ,&nbsp;M.L. Van der Lee ,&nbsp;C. Guerrero-Paez ,&nbsp;S. Claassen ,&nbsp;J.C. Korevaar ,&nbsp;S. Siesling","doi":"10.1016/j.ejon.2025.102873","DOIUrl":"10.1016/j.ejon.2025.102873","url":null,"abstract":"<div><h3>Purpose</h3><div>Aftercare for curatively treated breast cancer patients includes support and information provision. As patients differ in their needs, personalization of aftercare is advocated, but clear guidelines on how to achieve personalization are currently missing. This study investigates patients’ preferences regarding assessment of care needs and information provision.</div></div><div><h3>Method</h3><div>Semi-structured interviews were conducted with 18 breast cancer patients (15 female, 3 male) who received aftercare for at least three months in five Dutch hospitals. Interviews were analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Several patients perceived current aftercare as too intensive or too little, therefore they preferred to discuss their needs beforehand with their health care provider to align aftercare with their needs. Patients preferred more attention to needs on the domains of social and emotional wellbeing and return to work. Patients preferred a comprehensive resource of information on potential (late) effects of cancer and its treatment and of available support options, enabling them to self-manage the dosage and timing of desired information. Patients had positive expectations about an aftercare plan, as it would provide a better overview of their care needs, support options and agreements about the aftercare trajectory.</div></div><div><h3>Conclusions</h3><div>To facilitate personalization in aftercare, information and care needs should be better addressed and summarized in an aftercare plan. Patients and healthcare practitioners should create the aftercare plan together in shared decision-making. A supporting tool is needed to improve assessment of care needs on multiple domains, to provide layered information and facilitate use of aftercare plans.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102873"},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821326","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":"‘Each loss left an imprint on me’: A grounded theory study exploring end-of-life care experiences in pediatric oncology nurses","authors":"Meltem Gürcan ,&nbsp;Emine Kumbul ,&nbsp;Sevcan Atay Turan","doi":"10.1016/j.ejon.2025.102872","DOIUrl":"10.1016/j.ejon.2025.102872","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to develop an explanatory framework to examine pediatric oncology nurses' experiences and emotional challenges in providing end-of-life care.</div></div><div><h3>Method</h3><div>This qualitative study employed a grounded theory methodology. During data collection, 14 pediatric oncology nurses participated in semi-structured interviews. Data collection and analysis were carried out simultaneously. Data analysis followed the open, axial, and selective coding techniques.</div></div><div><h3>Results</h3><div>Four main categories, and 10 subcategories, were identified to construct the grounded theory: Transition to the End-of-Life Stage, Management of the End-of-Life Care Process, Challenges at the Moment of Death, and Impact on Nurses Following Engagement in Care. These categories encompass the emotional, task-related, and relational dynamics experienced by nurses throughout the end-of-life care process.</div></div><div><h3>Conclusions</h3><div>The study developed a grounded theory to guide how end-of-life care and loss experiences impact pediatric oncology nurses, providing a chronological overview of their emotions and experiences. Participants underlined that each loss left an imprint on them, as they formed a bond with the children. Nurses require support to develop their practical skills and competencies in coping with the challenging nature of end-of-life care and facing death.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102872"},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759936","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":"Predictors of shared decision-making in patients with recurrent and metastatic nasopharyngeal carcinoma: An observational structural equation modeling approach","authors":"Huijun Wu ,&nbsp;Yuying Fan ,&nbsp;Yu Cheng ,&nbsp;Jun-e Zhang","doi":"10.1016/j.ejon.2025.102869","DOIUrl":"10.1016/j.ejon.2025.102869","url":null,"abstract":"<div><h3>Purpose</h3><div>This investigation examines the interrelationships between SDM and key behavioral factors—decision-making attitude, self-efficacy, nurse-patient trust, and intention—among Chinese r/m NPC patients through structural equation modeling, guided by the Theory of Planned Behavior.</div></div><div><h3>Methods</h3><div>A cross-sectional investigation following STROBE guidelines. Through convenience sampling, 301 r/m NPC patients were enrolled from a Southern Chinese tertiary cancer center between November 2023 and June 2024. Participants completed comprehensive assessments including demographic data, the Decision Self-Efficacy Scale, Cancer Patients' Decision-Making Regarding Treatment Scale, Nurse-Patient Trust Scale, and Expectation of Involvement in Medical Decision-Making Scale.</div></div><div><h3>Results</h3><div>The mean score of SDM among patients with r/m NPC was 18.25 ± 6.29, indicating a low-middle level of SDM. Older age (<em>β</em> = 3.179) contributed to the low SDM level. The results of the structural equation model show that decision-making attitude (<em>β</em> = 0.254) and decision-making intention (<em>β</em> = −0.740) have direct effects on SDM. Furthermore, decision-making attitude (<em>β</em> = −0.453) and decision-making self-efficacy (<em>β</em> = 0.430) can indirectly influence SDM through the decision-making intention.</div></div><div><h3>Conclusion</h3><div>Healthcare professionals could utilize these pathway-specific findings to enhance shared decision-making implementation. Given the low-middle participation level, especially among elderly patients, healthcare providers should prioritize strategies that strengthen decision-making intention and foster positive participation attitudes. Future interventions should be tailored based on these identified pathways to effectively promote shared decision-making in clinical practice.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102869"},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767938","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":"Demoralization and sleep in breast cancer: A casual and computer-simulated network analysis","authors":"Hongman Li ,&nbsp;Ying Xiong ,&nbsp;Qihan Zhang ,&nbsp;Yufei Lu ,&nbsp;Qiaoling Chen ,&nbsp;Siqi Wu ,&nbsp;Yiguo Deng ,&nbsp;Jiahua Wu ,&nbsp;M. Tish Knobf ,&nbsp;Zengjie Ye","doi":"10.1016/j.ejon.2025.102870","DOIUrl":"10.1016/j.ejon.2025.102870","url":null,"abstract":"<div><h3>Purpose</h3><div>There is evidence in studies with patients diagnosed with breast cancer that suggests demoralization, which is described as a sense of hopelessness and inability to cope, is associated with a decline in sleep. However, there are limited studies that fully explain the association. The purpose of this study was to further explore demoralization and sleep in patients.</div></div><div><h3>Methods</h3><div>In the \"Be Resilient to Breast Cancer\" study, self-report data were collected on sleep and demoralization. Sleep was measured with the Pittsburgh Sleep Quality Index for a total sleep quality score and 7 sleep domains. The Demoralization Scale provides 16 items. Gaussian network analysis was employed to identify core symptoms and bridge symptoms. A Bayesian network was used to examine how these symptoms are causally related to each other. Computer-simulated interventions were used to identify targets for intervention.</div></div><div><h3>Results</h3><div>The distress item of the Demoralization Scale was the core symptom (Str = 1.17, Bet = 52, Clo = 0.003), while the daytime dysfunction domain of sleep was considered the bridge symptom. Sleep quality was the key parent node. Computer-simulated intervention suggests targeting distress and loss of emotional control.</div></div><div><h3>Conclusions</h3><div>Sleep may contribute to demoralization from the findings of casual networking analysis. Distress and loss of emotional control should be targeted to decrease the adverse interaction with sleep.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102870"},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759939","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":"Creative methods to explore children's experiences of gastrostomy and nasogastric tube feeding during allogeneic bone marrow transplant","authors":"James Evans ,&nbsp;Julie Lanigan ,&nbsp;Dan Green ,&nbsp;Graeme O'Connor ,&nbsp;Faith Gibson","doi":"10.1016/j.ejon.2025.102871","DOIUrl":"10.1016/j.ejon.2025.102871","url":null,"abstract":"<div><h3>Purpose</h3><div>Children undergoing bone marrow transplant experience severe gastrointestinal toxicity. Most become unable to eat, drink and take medications orally putting them at risk of malnutrition and clinical complications. To meet these demands most children require a feeding tube. This study explored children's experiences of having a nasogastric or gastrostomy tube.</div></div><div><h3>Methods</h3><div>During this qualitative component in a mixed methods study, children completed scrapbooks as a creative method which acted as stimuli during two interviews: on admission for transplant and 1–2 months post-discharge. Parents helped their child during interviews where needed. Interviews were thematically analyzed.</div></div><div><h3>Results</h3><div>Six children (aged 5–11) who had a nasogastric tube, three a gastrostomy were interviewed. Five themes are presented. Either tube was uncomfortable at first and required adjustments to daily living, but children adapted quickly. Children wanted choice of tubes and liked being involved in decision-making. They felt both tubes were an asset, particularly to administer medications.</div></div><div><h3>Conclusions</h3><div>Multidisciplinary team support was crucial to the acceptance of either feeding tube. Even though tube feeding can seem a burden, children were appreciative of its importance to receive medicines and nutrition and recommended either tube to other children going through transplant. Having a choice of tubes was important as they appreciated one option might not suit all. Ensuring the child's voice is heard through research is paramount to providing optimal healthcare but can be challenging in practice. Building rapport with families and support from a multidisciplinary team were essential in enabling children to share their experiences.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102871"},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759937","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":"Burnout and work engagement in advanced practice cancer nurses: A scoping review","authors":"Anjali Chamika Rathnayaka Mudiyanselage ,&nbsp;Paul Bennett ,&nbsp;Elisabeth Coyne ,&nbsp;Lynda Hughes ,&nbsp;Doreen Tapsall ,&nbsp;Elizabeth Forster","doi":"10.1016/j.ejon.2025.102860","DOIUrl":"10.1016/j.ejon.2025.102860","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the job demands, resources and outcomes of burnout and work engagement in advanced practice cancer nurses.</div></div><div><h3>Methods</h3><div>A scoping review guided by Arksey and O'Malley's methodological framework. Six databases, including CINAHL (EBSCO), Cochrane Library, MEDLINE (Ovid), PsycINFO (Ovid), Scopus, and ProQuest Dissertations and Theses database and grey literature were searched for studies published in English between January 2000 and January 2024. A descriptive analysis and qualitative content analysis were conducted to analyse the data.</div></div><div><h3>Results</h3><div>A total of 2344 articles were screened for eligibility, and 28 were selected for inclusion. Four broad themes were identified: (i) job demands, (ii) job resources, (iii) negative outcomes and (iv) positive outcomes in relation to the advanced practice cancer nurses’ work environment and practices. A total of 31 job demands, 22 job resources, 9 negative and 12 positive outcomes were identified. Three studies reported higher burnout among advanced practice cancer nurses, while no studies provided data on work engagement.</div></div><div><h3>Conclusion</h3><div>Higher job demands lead to negative outcomes, which could affect advanced practice cancer nurses’ overall performance and well-being. The evidence for the relationship of job demands and resources with burnout and work engagement is inconclusive. Further research is needed to address the influence of job demands and resources on burnout and work engagement of advanced practice cancer nurses.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102860"},"PeriodicalIF":2.7,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715713","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}

{"title":"Support for an innovative approach to delivering gynaecological cancer nursing guidance: A qualitative exploration – Part 2","authors":"Natalie Williams ,&nbsp;Georgia Halkett ,&nbsp;Tracey Moroney ,&nbsp;Sharon MacLean ,&nbsp;Olivia Cook","doi":"10.1016/j.ejon.2025.102863","DOIUrl":"10.1016/j.ejon.2025.102863","url":null,"abstract":"<div><h3>Purpose</h3><div>Gynaecological cancer nurses in Australia are seeking formal guidance to support them and improve equitable nursing care delivery. No comprehensive guide for specialised nursing care of gynaecological cancers is available; however, it is recognised that challenges exist to guidance implementation and active involvement of stakeholders during development is critical to enhance implementation success. This study aimed to explore expectations of nurses and people with lived experience during development of a guidance resource for specialised gynaecological cancer nursing. This paper presents expectations on content and design.</div></div><div><h3>Method</h3><div>Utilising an exploratory qualitative descriptive design, gynaecological cancer nurses and people with lived experience of a gynaecological cancer participated in focus groups or interviews following a semi-structured interview guide. Transcripts underwent inductive content analysis.</div></div><div><h3>Results</h3><div>Participants included 20 nurses and seven people with lived experience of gynaecological cancers. Two major themes emerged: “Support care and educate nurses with content across the care continuum” and “Design the guidance with functionality and practicality for nurses in everyday practice”. Participants wanted provision of “practical and instructive” guidance that “incorporates interactive elements”, “ensures easy accessibility” and “integrates visual appeal”. “Comprehensive patient support content linked to clinical tools and external resources” and “Including education on disease, nursing roles and well-being” were considered important.</div></div><div><h3>Conclusions</h3><div>Expectations for gynaecological cancer nursing guidance to include content across the care continuum and functionality supports the need to plan for an innovative resource format. Further exploration of implementation determinants, along with adopting an implementation science framework and integrating adult learning principles is recommended.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102863"},"PeriodicalIF":2.7,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643250","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}

{"title":"Guided self-determination for patients with non-small cell lung cancer: Patients’ experiences of a nurse-led person-centred intervention","authors":"Mie Grube Skaarhoej ,&nbsp;Mette Linnet Olesen ,&nbsp;Sisse Storm Frimann ,&nbsp;Heidi Bergenholtz ,&nbsp;Elizabeth Rosted","doi":"10.1016/j.ejon.2025.102864","DOIUrl":"10.1016/j.ejon.2025.102864","url":null,"abstract":"<div><h3>Purpose</h3><div>Guided self-determination is an empowering person-centred approach that has proven useful in empowering different patient groups but has not yet been tested in lung cancer patients. The purpose of the study was to examine how patients with stage III non-small cell lung cancer in concomitant chemoradiotherapy could benefit from a guided self-determination course.</div></div><div><h3>Methods</h3><div>A prospective intervention study with both quantitative and qualitative data. Patients (n = 20) were offered four guided self-determination conversations with a nurse. Symptoms and quality of life were measured through questionnaires and semi-structured interviews elicited thirteen patients’ experiences. Thematic analysis was conducted, and the Consolidated Criteria for Mixed Method Research was used for reporting.</div></div><div><h3>Results</h3><div>No difference in quality of life were found but significant worsening of pain, dyspnea, diarrhoea and dysphagia. Six themes were generated describing that in a new, uncertain and lonely situation with a life-threatening disease, the patients appreciated a respectful relationship with a nurse, and conversations with the nurse became a lifeline. Some patients felt increasingly empowered through new insights, while others felt that it became too intimate.</div></div><div><h3>Conclusion</h3><div>When patients with a serious disease can draw on nurses’ knowledge and experience, they are empowered to manage everyday life. Some patients need supportive and reflective conversations, while others benefit from concrete problem-solving objectives.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102864"},"PeriodicalIF":2.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674821","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}

{"title":"Acceptance and commitment therapy effectiveness for fear of cancer recurrence: A systematic review and meta-analysis","authors":"Yin Yuyan ,&nbsp;Li Jiaqi ,&nbsp;Wang Ting ,&nbsp;Xu Juan ,&nbsp;Wu Jinfeng ,&nbsp;Luo Jing","doi":"10.1016/j.ejon.2025.102862","DOIUrl":"10.1016/j.ejon.2025.102862","url":null,"abstract":"<div><h3>Purpose</h3><div>This systematic review and meta-analysis aimed to assess the impact of Acceptance and Commitment Therapy (ACT) on Fear of cancer recurrence (FCR) among cancer survivors.</div></div><div><h3>Methods</h3><div>The various databases including PubMed, EMBASE, CINAHL, Scopus, The Cochrane Library, Wanfang data, CNKI, CBM, and CQVIP were searched from their start dates up to June 1, 2024. Meta-analysis was conducted using RevMan 5.3 and Stata 17.0. Sub-analysis was performed to identify sources of heterogeneity and to mitigate the impact of confounding variables.</div></div><div><h3>Results</h3><div>The meta-analysis included 11 studies, encompassing 1093 participants. Findings from a random-effects analysis, indicated that ACT significantly reduced FCR in cancer survivors [SMD = −1.26, 95 % CI (−1.70, −0.81), <em>P</em> &lt; 0.05], both at three months follow-up [SMD = −1.76, 95 % CI (−2.75, −0.76), <em>P</em> &lt; 0.05] and six months follow-up [SMD = −0.84, 95 % CI (−1.34, −0.34), <em>P</em> &lt; 0.05]. The results of subgroup analyses revealed that the duration, format, and location of interventions could affect outcomes. At the same time,the results revealed that ACT can reduce anxiety and experiential avoidance in cancer survivors, though its effect on fatigue requires further investigation. The quality assessment results of the included literature ranged from low to high risk of bias.</div></div><div><h3>Conclusions</h3><div>ACT can effectively reduce FCR, experiential avoidance, and anxiety in cancer survivors, though it did not significantly affect fatigue levels. Further high-quality RCTs are needed to elucidate the effects of ACT on FCR in cancer survivors.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102862"},"PeriodicalIF":2.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679270","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}

{"title":"An interpretive phenomenological study on the lived experiences of allogeneic hematopoietic cell transplantation patients 'in an Islamic context'","authors":"Roai Gassas","doi":"10.1016/j.ejon.2025.102865","DOIUrl":"10.1016/j.ejon.2025.102865","url":null,"abstract":"<div><h3>Purpose</h3><div>Allogeneic hematopoietic cell transplantation (allo-HCT) has serious complications despite its potential curative effects. Some of these complications can impede ongoing treatment and healing. Transplantation is a long journey that requires close follow-up and monitoring. In-depth knowledge of patient perspectives is essential to provide quality care at all levels. This study aimed to explore the lived experiences of allo-HCT patients.</div></div><div><h3>Methods</h3><div>An interpretive phenomenological design was employed in this study. One-to-one virtual semistructured in-depth interviews were conducted with nine adult allo-HCT patients. Interviews were transcribed verbatim, and data were analyzed by Diekelmann's seven-stage analysis technique. The study was carried out at Princess Noorah Oncology Center (PNOC) at Jeddah city.</div></div><div><h3>Results</h3><div>The participants were found to experience a range of physical and psychological changes as they progressed through the transplantation stages. These changes were interconnected and portrayed challenges dealing with transplantation. Overall, the findings revealed the complex and multifaceted nature of the recovery process, illustrating the delicate balance survivors are trying to reach through deep reasoning and mental adaptations. The experiences of the participants were captured in several themes: Transplantation knowledge aligned with patient preferences, transplantation course, perspective shift and transformation, family role transition, mental wellness, surrender, support system, and patience.</div></div><div><h3>Conclusion</h3><div>This study demonstrated the experiences of allo-HCT patients, how these patients transitioned from one stage to another, and the intellectual skills they embraced through this transition process. The findings reflected the coping strategies and mechanisms used by patients to overcome hardship and revealed aspects of illness and wellness concepts.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102865"},"PeriodicalIF":2.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671657","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}