European Journal of Oncology Nursing最新文献

{"title":"Impact of patient resourcefulness on cancer patients’ pain management and medical opioid use: A cross-sectional study","authors":"Pei-Yi Hsu ,&nbsp;Chiou-Fang Liou","doi":"10.1016/j.ejon.2024.102771","DOIUrl":"10.1016/j.ejon.2024.102771","url":null,"abstract":"<div><h3>Purpose</h3><div>Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.The aim of the project is to investigate the impact of resourcefulness and pain interpretation on cancer-related pain control. Cancer pain often leads to stress adaptation issues. Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.</div></div><div><h3>Methods</h3><div>This was a quantitative survey. From November 2020 to November 2021, a survey was conducted at an oncology outpatient clinic and wards, with 100 completed questionnaires.</div></div><div><h3>Results</h3><div>The interaction between resourcefulness and opioid analgesics significantly influenced cancer pain sensation. John-Neyman values could identify patients with poor pain management, thus improving clinical practice. Canonical Correlation Analysis revealed a correlation between resourcefulness and challenges. Four distinct groups of type of illness, gender, level of education were identified from two-step cluster analysis.</div></div><div><h3>Conclusion</h3><div>Understanding patients' pain perceptions and enhancing their resourcefulness could enable patients to seek resources, take painkillers, and find positive interpretations of pain. Future patient educational strategies could help patients overcome challenges with cancer pain management and improve current pain educational materials. Hence, clinical health education may improve patients’ resourcefulness, enabling them to learn self-care skills, overcome the challenging feelings of pain management, and effectively manage cancer pain.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102771"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967289","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 intolerance of uncertainty in health anxiety in cancer patients: Exploring demographic and cancer-related variations","authors":"M. Mojtaba Poshtan ,&nbsp;Abdulaziz Aflakseir ,&nbsp;Michael Witthöft ,&nbsp;Mary Gemma Cherry ,&nbsp;Changiz Rahimi Taghanaki ,&nbsp;Mani Ramzi","doi":"10.1016/j.ejon.2025.102793","DOIUrl":"10.1016/j.ejon.2025.102793","url":null,"abstract":"<div><h3>Purpose</h3><div>Health anxiety (HA) is a critical issue for cancer patients. This study investigates the role of intolerance of uncertainty (IU) in HA among a heterogeneous sample of cancer patients, comparing those with hematological malignancies and solid tumor cancers. It also explores the impact of demographic and cancer-related factors on HA.</div></div><div><h3>Methods</h3><div>A total of 184 cancer patients participated in this study. Measurement model and structural model were assessed using Partial Least Squares Structural Equation Modeling (PLS-SEM) to evaluate the reliability, validity, direct and indirect effect, explanatory power, and predictive power of constructs in the model. Multigroup analyses and moderation effects of demographic and cancer-related variables were also examined.</div></div><div><h3>Results</h3><div>IU significantly predicted HA, mediated by negative problem orientation (NPO) and positive beliefs about worry (PBW). females scored higher in HA, NPO, and cognitive avoidance (CA), while males scored higher in PBW. Solid tumor patients exhibited a stronger positive relationship between IU and HA than hematological malignancy patients. Age and marital status also affected the relationships between IU, NPO, and PBW. Patients without a history of chronic illness or COVID displayed stronger associations between IU and NPO.</div></div><div><h3>Conclusion</h3><div>IU is a key predictor of HA in cancer patients, with varying impacts across demographic and clinical groups. Tailored interventions addressing IU and related constructs help reduce HA, especially among patients with solid tumor cancers, female, married, older, lower educated, and newly diagnosed without former disease diagnosis. This study emphasizes the importance of considering patient heterogeneity in psychological interventions for HA.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102793"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985744","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":"“Anybody who can clarify or humanize the experience would be such a help”: An interpretive description of perceptions of genomic health and nursing care in individuals with cancer predisposition syndromes","authors":"Rebecca Puddester ,&nbsp;Vanessa Francis ,&nbsp;Mike Warren ,&nbsp;April Pike ,&nbsp;Joy Maddigan ,&nbsp;Angela Hyde ,&nbsp;Kathleen Stevens ,&nbsp;Holly Etchegary","doi":"10.1016/j.ejon.2024.102766","DOIUrl":"10.1016/j.ejon.2024.102766","url":null,"abstract":"<div><h3>Purpose</h3><div>There is increased use of genomic testing in oncology care. Yet, individuals with hereditary cancer predisposition syndromes (CPS) experience challenges when navigating the lifelong CPS healthcare considerations. The purpose of this study is to describe the healthcare experiences of individuals living with CPS and their perceptions of genomic-informed nursing care.</div></div><div><h3>Methods</h3><div>Interpretive description (ID) was the qualitative approach used in this patient-oriented research study, conducted in partnership with two individuals with lived experience of CPS. Participants were recruited to participate in an interview using a variety of public and provider/patient network sampling sources. Inductive data analysis was guided by general steps for ID analysis as described by Sally Thorne.</div></div><div><h3>Results</h3><div>Thirty-seven individuals who self-reported a CPS participated in interviews between April and August 2023. Two primary themes were identified: 1), <em>When genomic knowledge is power,</em> and 2), <em>Perceived acceptability of nursing roles in CPS care.</em> Participants described genomic knowledge as a form of personal and family empowerment, but many reported that CPS-related knowledge is inaccessible in the healthcare system. This often resulted in healthcare experiences that were insufficient and fragmented. Although participants reported minimal nursing involvement in their CPS care, there was a consensus that enhanced nursing contributions could be beneficial. They particularly endorsed the potential value of a dedicated oncology genomic nursing role.</div></div><div><h3>Conclusions</h3><div>Findings highlight patient-endorsed opportunities for nurses at the generalized and specialized levels to contribute to improved cancer genomic care. Findings can be used to inform novel models of clinical care for individuals with CPS.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102766"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869749","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":"The effectiveness of art-based interventions for cancer patients: A systematic review and meta-analysis","authors":"Eda Ünal (Corresponding author.) ,&nbsp;Gülyeter Erdoğan Yüce","doi":"10.1016/j.ejon.2024.102755","DOIUrl":"10.1016/j.ejon.2024.102755","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to examine the effectiveness of art-based interventions on anxiety, depression, fatigue, and overall quality of life (QoL), including its physical, psychological, and social dimensions in cancer patients.</div></div><div><h3>Methods</h3><div>The literature search included all studies published up to March 2024. Searches were conducted in the MEDLINE, Web of Science, EBSCO, and PubMed databases considering the updated Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. The quality of the studies was assessed using the Revised Cochrane Risk of Bias Tool (RoB 2) and the Risk of Bias in Nonrandomized Studies of Interventions (ROBINS-I) developed by the Cochrane Collaboration. Data were analysed using the MAJOR package in JAMOVI 2.3.28.</div></div><div><h3>Results</h3><div>Fifteen studies conducted with 1113 cancer patients were identified and included in this study. Ten of the studies included women with breast cancer. The remaining studies involved chemotherapy patients with various cancers (n = 3), cancer patients in a blood and marrow transplantation unit (n = 1), and nasopharyngeal cancer patients (n = 1). Meta-analysis indicated that art-based interventions had a significant effect on anxiety, depression and physical aspects of QoL but no significant impact on fatigue, overall QoL, or the psychological and social dimensions of QoL.</div></div><div><h3>Conclusions</h3><div>This study provided clinical support for pursuing art-based research on anxiety, depression, and the physical QoL in cancer patients. However, the effect of art-based interventions on cancer patients' fatigue and their overall QoL, including its social and psychological dimensions, was insignificant.</div></div><div><h3>Registration</h3><div>The study protocol was registered in advance in the PROSPERO (CRD42024531397/April 13, 2024).</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102755"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822571","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":"Effects of virtual reality application on pain, anxiety, and vital signs due to port catheter needle insertion: Randomized controlled study","authors":"Esra İbek ,&nbsp;Derya Çınar","doi":"10.1016/j.ejon.2024.102750","DOIUrl":"10.1016/j.ejon.2024.102750","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to examine the effects of virtual reality applications on pain, anxiety, and vital signs during port catheter needle insertion in adult cancer patients.</div></div><div><h3>Methods</h3><div>The research followed a randomized controlled design as intervention and control groups. In the intervention group, patients received virtual reality sessions with five images in addition to routine procedures during the port catheter needle insertion. We measured the pain, anxiety, and vital parameters resulting from the port catheter needle insertion. Assessments were measured twice: at baseline (before port catheter needle insertion, T0) and at the end of the proceduce (after port catheter needle insertion, T1).</div></div><div><h3>Results</h3><div>The virtual reality application significantly reduced the levels of pain (p=0.45) and anxiety (p&lt;0.001) at T1 in the intervention group compared to the control group. The virtual reality application showed no difference between T0 and T1 in the vital parameters of the intervention group.</div></div><div><h3>Conclusions</h3><div>Virtual reality application during the port catheter needle insertion procedure reduced pain levels and anxiety levels in cancer patients. The virtual reality applications to reduce pain and anxiety levels during the port catheter needle insertion procedure can be recommended.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102750"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869750","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":"Effects of selective taste steering of bread and soups on quality of life in adult cancer outpatients who experience chemotherapy-induced taste alterations","authors":"Bart Geurden ,&nbsp;Lobke Van den Wijngaert ,&nbsp;Peter Boeren ,&nbsp;Edwig Goossens ,&nbsp;Jef Adriaenssens ,&nbsp;Pieter Vandecandelaere","doi":"10.1016/j.ejon.2024.102775","DOIUrl":"10.1016/j.ejon.2024.102775","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the effectiveness of selective taste steering (STS) to hyper personalize bread and soup for adult cancer outpatients with chemotherapy-induced taste alterations.</div></div><div><h3>Methods</h3><div>This multicentre study included two groups of adult cancer outpatients with CiTA, all receiving dietary advice as standard care. In one group, STS was applied to bread and soups for three months. Outcomes were compared using validated scales and a structured questionnaire at baseline and after one and three months of follow-up.</div></div><div><h3>Results</h3><div>At baseline, 19.3% of all patients (N = 160) had a normal nutritional status. Compared to the intervention group, undernutrition in the control group increased significantly after 1 month (p &lt; .001) and 3 months (p &lt; .001). In the intervention group, the score for 'appetite loss' decreased after 1 month (p &lt; .001) and remained low after 3 months of follow-up (p &lt; .001). The 'fatigue, ' ‘nausea/vomiting' and ‘diarrhea’ symptom scores in the intervention group decreased significantly (p &lt; .001, &lt;.001 and &lt; .002, respectively).</div></div><div><h3>Conclusion</h3><div>STS decreased loss of appetite and improved palatability and food intake as well as food-related symptoms of QOL in adult cancer outpatients with CiTA These findings are clinically relevant and support a hyper-personalized approach to malnutrition in cancer patients.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102775"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967277","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":"Readiness for hospital discharge and associated factors in patients with oral cancer: A cross-sectional study","authors":"Liumei Guo ,&nbsp;Yu Zhang ,&nbsp;Yunyu Zhou ,&nbsp;Jingya Yu ,&nbsp;Xuemei Yang ,&nbsp;Lu Bai ,&nbsp;Qian Lu ,&nbsp;Xiaoqin Bi","doi":"10.1016/j.ejon.2025.102777","DOIUrl":"10.1016/j.ejon.2025.102777","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the current status of discharge readiness among postoperative oral cancer patients and identify the primary associated factors.</div></div><div><h3>Methods</h3><div>Information from 713 oral cancer patients was collected using questionnaire surveys. One-way ANOVA or t-tests were employed to compare differences in discharge readiness across various demographic characteristics. Correlation analyses were conducted to examine the relationships between discharge readiness and discharge teaching quality, as well as social support. Multiple stepwise regression analysis was utilized to identify independent factors associated with discharge readiness.</div></div><div><h3>Results</h3><div>The mean discharge readiness score of postoperative oral cancer patients was 89.52 ± 8.63. Seven variables, such as age, marital status, and income, were identified as significant associated factors. Furthermore, both the quality of discharge teaching and social support exhibited a significant positive correlation with discharge readiness.</div></div><div><h3>Conclusion</h3><div>Postoperative oral cancer patients had moderate levels of discharge readiness and social support but low levels of discharge teaching quality. Discharge readiness among these patients is linked to various factors.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102777"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015616","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":"Care needs and cancer-related post traumatic stress (CR-PTS) in patients with early-stage lung cancer three months after surgery","authors":"Yaun-Ju Lin ,&nbsp;Jin-Shing Chen ,&nbsp;Yun-Hsiang Lee ,&nbsp;Xiao-Yin Chou ,&nbsp;Yeur-Hur Lai","doi":"10.1016/j.ejon.2025.102788","DOIUrl":"10.1016/j.ejon.2025.102788","url":null,"abstract":"<div><h3>Purpose</h3><div>Lung cancer is one of the life-threatening diseases. The purposes of this study were to explore (1) the levels of unmet care needs, cancer-related post-traumatic stress (CR-PTS), and symptoms, and (2) factors related to unmet care needs in newly diagnosed early-stage lung cancer (LC) patients three months after surgery.</div></div><div><h3>Methods</h3><div>A cross-sectional study with consecutive sampling was conducted in the thoracic outpatient clinic of a medical centre in Taiwan to recruit early-stage (I-IIIA) LC patients. Patients were assessed of their care needs (Supportive Care Needs Survey Screening Tool [SCNS-ST9]), CR-PTS (Impact of Events Scale Revised [IES-R], including intrusion, avoidance, hyperarousal subscales), symptom severity, and background information.</div></div><div><h3>Results</h3><div>Of the 130 participants enrolled in this study, 62.3% of subjects reported to have overall unmet care needs and 28.5% were at risk of CR-PTS. The levels of unmet care needs are generally in moderate level, with health system and information needs being the highest. Mild to moderate CR-PTS levels were noted, with avoidance, intrusion, and hyperarousal in descending order. Logistic regression identified lower education, higher symptom severity, and higher CR-PTS as the most robust factors related to unmet care needs.</div></div><div><h3>Conclusion</h3><div>The findings of this study highlight the importance of assessing care needs and psychological distress status of patients with early-stage LC. Developing appropriate interventions for this vulnerable patient population and examining their effects on improving care needs and psychological health are urgently needed.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102788"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076183","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":"Psychosocial programs to alleviate fertility-related distress in patients with cancer: A mixed-methods systematic review","authors":"Mina Jang ,&nbsp;Jinyoung Park ,&nbsp;Jeehee Han","doi":"10.1016/j.ejon.2025.102787","DOIUrl":"10.1016/j.ejon.2025.102787","url":null,"abstract":"<div><h3>Purpose</h3><div>This mixed-methods systematic review aimed to identify the key components of psychosocial programs for fertility-related distress in patients with cancer and integrate the findings from quantitative and qualitative studies.</div></div><div><h3>Methods</h3><div>A search for relevant studies published between January 2012 and March 2024 was conducted in the PubMed, EMBASE, CINAHL, MEDLINE, PsycINFO, and Cochrane Review Library databases. Data were synthesized using a sequential descriptive design.</div></div><div><h3>Results</h3><div>Eight studies were included: six randomized controlled trials (two of which also included qualitative data) and two qualitative studies. The quantitative data found direct effects such as increased fertility-related knowledge, although the results on psychological outcomes such as anxiety and depression were inconsistent. The qualitative findings confirmed patients’ ambivalence about facing their fertility issues, increased knowledge for decision-making, and unmet needs such as information overload and a lack of psychological support. For the cognitive-behavioral outcomes, fertility-related concerns were examined in greater depth in the quantitative studies, whereas the qualitative studies focused more on empowerment.</div></div><div><h3>Conclusion</h3><div>This review emphasizes the need for the careful design of psychosocial interventions to prevent negative emotional impacts while supporting the long-term self-management of fertility-related issues. Tailoring these interventions to meet the specific needs of patients is essential for improving psychosocial outcomes.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102787"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015614","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":"Development and pilot testing of a theory-driven and evidence-based advance care planning training programme for nurses in acute care settings","authors":"Carmen WH. Chan ,&nbsp;Nancy HY. Ng ,&nbsp;Helen YL. Chan ,&nbsp;Kai Chow Choi ,&nbsp;Ka Ming Chow ,&nbsp;Cecilia WM. Kwan ,&nbsp;Jackie Robinson ,&nbsp;Mankei Tse","doi":"10.1016/j.ejon.2024.102760","DOIUrl":"10.1016/j.ejon.2024.102760","url":null,"abstract":"<div><h3>Purpose</h3><div>To develop and pilot-test a novel training programme for nurses in acute care settings to improve their decision-making support skills, knowledge, attitudes, and confidence in conducting advance care planning (ACP).</div></div><div><h3>Methods</h3><div>A single-group repeated measures design was employed. This study was conducted in two phases. In Phase 1, a theory-driven and evidence-based ACP training programme for nurses was developed based on the results of a prior systematic review and qualitative interviews. In Phase 2, a pilot study was conducted to assess the feasibility and acceptability of the ACP training programme according to the Tickle-Degnen typology and to explore the programme's preliminary effects.</div></div><div><h3>Results</h3><div>Guided by the theory of planned behaviour and the experiential learning model, a multi-media experiential ACP training programme, the MEACP, was developed, comprising a 10-module mobile application and a 2-h, nurse-led skill-building workshop. The study had a high recruitment rate (91%), with 20 nurses consenting to participate in the MEACP. The nurses remained attentive and active during the workshop and were highly satisfied with the programme. The outcome evaluation results demonstrated preliminary positive effects of the MEACP in terms of improving the nurses’ decision-making support skills, knowledge, attitudes, and confidence in conducting ACP.</div></div><div><h3>Conclusions</h3><div>The MEACP could feasibly be introduced in acute care settings and was found to be an acceptable educational intervention. This work contributes to nursing practice by providing information about the design of an innovative ACP training programme. Finding will highlight the importance of a paradigm shift regarding ACP in acute care settings.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102760"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873345","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}