Anouk S. Huberts , Noëlle J.M.C. Vrancken Peeters , Hester Pastoor , Cristina Guerrero Paez , Linetta B. Koppert
{"title":"Let's talk about sex! Why should healthcare professionals address sexual distress in breast cancer patients and survivors?","authors":"Anouk S. Huberts , Noëlle J.M.C. Vrancken Peeters , Hester Pastoor , Cristina Guerrero Paez , Linetta B. Koppert","doi":"10.1016/j.ejon.2024.102606","DOIUrl":"10.1016/j.ejon.2024.102606","url":null,"abstract":"<div><h3>Purpose</h3><p>Sexual distress impacts the quality of life (QoL) of breast cancer patients but is often overlooked in standard care pathways. This study evaluated the prevalence and factors of sexual distress among Dutch breast cancer patients, compared them to the general population, and explored how sexual distress is discussed in clinical settings from the perspectives of patients and healthcare professionals (HCPs).</p></div><div><h3>Methods</h3><p>Questionnaires containing the Female Sexual Distress Scale (FSDS) and demographic variables were distributed to women with breast cancer. The effect of breast cancer on sexual distress was assessed with a Mann-Whitney <em>U</em> test. Multivariable linear regression was used to analyze variables associated with FSDS. The Sexuality Attitudes and Beliefs Survey (SABS) was sent to HCPs.</p></div><div><h3>Results</h3><p>Breast cancer patients reported significantly higher sexual distress compared to a Dutch non-breast cancer cohort, respectively 16.38 (SD 11.81) and 23.35 (SD 11.39). Factors associated with higher sexual distress were psychological comorbidities, the body image scale, and being diagnosed >10 years ago. Sexual distress was not discussed as often as patients needed. Barriers to addressing sexual distress were time constraints, HCPs’ confidence in their ability to address sexual distress, and uncertainty about who is responsible for initiation.</p></div><div><h3>Conclusions</h3><p>Breast cancer patients showed significantly higher sexual distress compared to the Dutch population. However, it was not frequently addressed in the consultation room. While some barriers have been identified, this study highlights the importance of further exploring obstacles to integrating discussions about sexual distress into routine care to improve QoL of breast cancer patients.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001042/pdfft?md5=4322190fdfb44202ccc1c695037df0ab&pid=1-s2.0-S1462388924001042-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141055206","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}
Polly H. Dufton , Marie F. Gerdtz , Rebecca Jarden , Meinir Krishnasamy
{"title":"Factors that influence presentation to an emergency department during systemic anti-cancer therapy: An exploratory qualitative study","authors":"Polly H. Dufton , Marie F. Gerdtz , Rebecca Jarden , Meinir Krishnasamy","doi":"10.1016/j.ejon.2024.102607","DOIUrl":"10.1016/j.ejon.2024.102607","url":null,"abstract":"<div><h3>Purpose</h3><p>To explore factors that influence presentation to an emergency department during ambulatory systemic anti-cancer therapy.</p></div><div><h3>Methods</h3><p>This study was an exploratory qualitative study using semi-structured interviews. A purposive sample of adult patients with any cancer who had commenced systemic anti-cancer therapy in the ambulatory setting up to six months prior participated in semi-structured interviews between November 2016–December 2017. Interviews were transcribed verbatim, and data analysed thematically using a template analysis approach.</p></div><div><h3>Results</h3><p>Twenty patients and four caregivers took part. Five themes were generated from the interview data: 1) the unknown and unpredictable; 2) a change of lifestyle; 3) social determinants and access; 4) trust in care providers; and 5) the unavailability of care.</p></div><div><h3>Conclusion</h3><p>As the number of systemic anti-cancer agents and patients eligible for them continues to grow, identifying, implementing and evaluating initiatives to mitigate emergency department presentations present an important area for health services research. Addressing timely access to trusted care and enhancing patient capacity for self-management present important areas for nurse-led system innovation. Findings from this study offer important insights into where and how nurses can mitigate emergency department presentations for individuals receiving systemic anti-cancer therapy by enabling accessible, coordinated and person-centred cancer care.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001054/pdfft?md5=aa122873e038863fa21d938b4975a092&pid=1-s2.0-S1462388924001054-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141025375","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":"Evaluation of patient satisfaction of receiving Systemic Anti-Cancer Therapy prescribed by nurse Non-Medical Prescribers","authors":"Sarah McCauley , Sheena Stothers , Cherith Semple","doi":"10.1016/j.ejon.2024.102597","DOIUrl":"10.1016/j.ejon.2024.102597","url":null,"abstract":"<div><h3>Purpose</h3><p>To evaluate patient satisfaction of patients receiving Systemic Anti-Cancer Treatment prescribed by nurse Non-Medical Prescribers as a new model of care at a Cancer Unit in Northern Ireland, United Kingdom.</p></div><div><h3>Methods</h3><p>A cross-sectional survey design, with a convenience sample of patients from five tumour groups who received Systemic Anti-Cancer Therapy by nurse Non-Medical Prescribers, across a 3-month period in 2022 was employed. Anonymised data were collected via postal survey, which incorporated a minimally modified version of the 45-item Leeds Satisfaction Questionnaire (LSQ).</p></div><div><h3>Results</h3><p>One-hundred and sixteen surveys were returned, yielding a 36% response rate. Overall patients’ satisfaction levels with nurse non-medical prescribing of systemic anti-cancer therapy were high across all six subscales of the modified LSQ corroborated by qualitative free-text comments. Eighty-five percent of participants indicated they were happy to continue being prescribed systemic anti-cancer therapy by the nurse non-medical prescribers.</p></div><div><h3>Conclusion</h3><p>Overall patient satisfaction of Systemic Anti-Cancer Treatment prescribed by nurse Non-Medical Prescribers was positively rated; with high standards of compassionate, person-centred care reported, demonstrating an acceptable transformation in care delivery from a consultant-led model. Nonetheless, there was scope for improved health literacy to enhance patients’ understanding and compliance with treatment.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141057796","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}
Anjali Chamika Rathnayaka Mudiyanselage , Rashi Saini , Elisabeth Coyne
{"title":"Evaluation of the understandability, actionability and reliability of YouTube videos for brain, head, and neck cancer information","authors":"Anjali Chamika Rathnayaka Mudiyanselage , Rashi Saini , Elisabeth Coyne","doi":"10.1016/j.ejon.2024.102605","DOIUrl":"10.1016/j.ejon.2024.102605","url":null,"abstract":"<div><h3>Purpose</h3><p>Online videos accessed via YouTube are a popular method to provide health education. Videos need to be critically evaluated for educational qualities as the information could influence health outcomes. The present study aimed to evaluate the understandability, actionability and reliability of videos available on YouTube regarding brain, head, and neck cancer information.</p></div><div><h3>Methods</h3><p>A scoping review was conducted with a specific search strategy and inclusion/exclusion criteria based on previous studies. For each video, video characteristics and user engagement activities were recorded. Videos were evaluated using the PEMAT-A/V and modified DISCERN criteria. Spearman's rank correlation, Kruskal-Wallis test and Mann-Whitney <em>U</em> test were used for analysis.</p></div><div><h3>Results</h3><p>Out of 200 retrieved videos, 37 were included and analysed. The median length of the video was 3 min and 33 s. The majority of videos were published by health institutional and private channels (43.2%, n = 16). Health institutional channels received the highest actionability (Md = 37.5, p = 0.049), while private channels resulted in lower views/day (Md = 0.46, p = 0.001) and likes/day (Md = 0.01, p = 0.002). Animated and narrated videos acquired the highest understandability score (Md = 92.31, p < 0.001). Videos with professional transcripts reported higher actionability (Md = 62.5, p = 0.004), reliability (Md = 3.33, p = 0.028), views/day (Md = 29.31, p = 0.026), and likes/day (Md = 0.272, p = 0.023).</p></div><div><h3>Conclusion</h3><p>YouTube videos pertaining to brain and head and neck cancer have low understandability, low actionability and moderate reliability. It is beneficial to have a stronger representation of trustworthy and credible organisations for sharing essential health information via YouTube. Including animations and professional video transcripts may improve their overall quality and consumer engagement.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001030/pdfft?md5=c124cc7b5a4d82126de3e43d32b2ab27&pid=1-s2.0-S1462388924001030-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141050906","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}
Binbin Wang , Chunfeng Wang , Jiejie Yu , Yanfang Lin , Hongmei Wen , Yong Wu , Rong Hu
{"title":"How adult children experience and cope with their parents’ diagnosis of multiple myeloma: A qualitative exploration","authors":"Binbin Wang , Chunfeng Wang , Jiejie Yu , Yanfang Lin , Hongmei Wen , Yong Wu , Rong Hu","doi":"10.1016/j.ejon.2024.102604","DOIUrl":"10.1016/j.ejon.2024.102604","url":null,"abstract":"<div><h3>Purpose</h3><p>The aim of this study was to understand and explore the caregiving experience of adult children of patients with multiple myeloma (MM) during diagnosis and initial treatment based in Chinese filial piety culture.</p></div><div><h3>Methods</h3><p>A descriptive phenomenology study was conducted to investigate semi-structured interview responses from the adult children (N = 22) of MM patients within three months after diagnosis. Colaizzi's descriptive analysis framework was employed to analyze data. This study was reported following the COREQ checklist.</p></div><div><h3>Results</h3><p>Four themes and twelve subthemes were identified from the interviews. (1) Commitment to filial piety. Participants subconsciously fulfilled their commitment to filial piety by supporting their parents, obeying their wishes, providing emotional comfort, and protecting them from harm. (2) Experiencing multiple dilemmas. They faced challenges such as difficult treatment decisions, insufficient caregiving preparation, emotional distress, and role conflict. (3) Benefiting from setbacks. The caregiving experience allowed participants to cherish the present more and to establish a new view of life. (4) Adaptive coping. Family supports and self-adaptation are effective coping strategies to achieve their good psychosocial adaptation.</p></div><div><h3>Conclusions</h3><p>Our study provides a culturally sensitive perspective on the caregiving experience of adult children of patients with MM. This study found that Chinese culture, especially filial piety culture, influenced the experiences and coping strategies of MM caregivers. Healthcare providers should focus on the challenges faced by adult children and develop various strategies to help them cushion the burden and adjust to caregiving roles, such as supportive care programs, meaning-centered psychotherapy, and family-centered medical communication interventions.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141055593","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":"Cancer patients’ perceptions of nursing: Expectations & realities, a phenomenological study","authors":"Tuğba Pehlivan Sarıbudak , Besti Üstün","doi":"10.1016/j.ejon.2024.102603","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102603","url":null,"abstract":"<div><h3>Purpose</h3><p>Determining the perception and expectations of cancer patients will inform nurses' understanding of how to conduct nursing care to meet patients' needs. Studies have mainly used quantitative methods to understand nursing image from the perspective of the public and the profession, and there are no recent studies to date on nursing image from the perspective of cancer patients. The aim of this qualitative study was to explore cancer patients' experiences and perceptions of nursing within the conceptual framework of Watson's Human Care Theory.</p></div><div><h3>Methods</h3><p>In total, 19 phenomenological semi-structured interviews were conducted with cancer patients between November 2022 and January 2023. Data were analyzed using Assarroudi et al.'s content analysis.</p></div><div><h3>Results</h3><p>Three themes emerged from the phenomenological analysis of the interviews: (1) nursing image, (2) expectations, and (3) realities. Patients stated that nurses act as assistants and that health services cannot be provided without them. Under the main theme of ‘expectations,’ five subthemes emerged: psychosocial care, physical care, ethics, individual characteristics, and no expectations, while the theme of ‘realities’ contained two subthemes: (1) satisfaction with nurse behaviors, and (2) dissatisfaction with nurse behaviors.</p></div><div><h3>Conclusions</h3><p>Our study provides important insight for nurses working with cancer patients in the management of patient care and treatment. Empowering cancer nurses will increase patient care satisfaction. We recommend the implementation of programs designed to support nurses and improve nursing communication skills. We also recommend that the technical and psychosocial aspects of nursing care should be considered as a whole.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140951750","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}
Meidi Xiong , Yuping Cheng , Ying Luo , Chao Fang , Hongmei Yao , Qianqian Liu , Fang Lu , Xuan Li , Ziying Bie , Jinbing Bai , Chunhua Zhang
{"title":"The impact of fear of cancer recurrence on the quality of life of breast cancer patients: A longitudinal study of the mediation effect of cortisol and hope","authors":"Meidi Xiong , Yuping Cheng , Ying Luo , Chao Fang , Hongmei Yao , Qianqian Liu , Fang Lu , Xuan Li , Ziying Bie , Jinbing Bai , Chunhua Zhang","doi":"10.1016/j.ejon.2024.102600","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102600","url":null,"abstract":"<div><h3>Objective</h3><p>This longitudinal study sought to explore the impact of cortisol and hope levels on Fear of Cancer Recurrence (FCR) and Quality of Life (QOL) in a cohort of 552 breast cancer patients from three centers in Wuhan City.</p></div><div><h3>Method</h3><p>A longitudinal study involving 552 breast cancer patients from three centers in Wuhan City utilized Chinese versions of the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the Herth Hope Index (HHI), and the Functional Assessment of Cancer Therapy-Breast (FACT-B) scale. Cortisol levels were measured thrice daily, and data was collected longitudinally three times. Data analysis was conducted using SPSS 26.0 and Mplus 8.3, employing a longitudinal path model constructed via the cross-lagged method.</p></div><div><h3>Results</h3><p>The results showed there were significant correlations between FCR, cortisol levels, and QOL at different time points. A significant mediating model was found with outcomes related to hope levels. Specifically, FCR predicted a decrease in hope levels (β = −0.163, p < 0.001), which in turn led to a decrease in overall QOL (β = −0.078, p < 0.001), with a mediation effect accounting for 10.34%. Although there were correlations between FCR, cortisol levels, and QOL at different time points, further analysis revealed that cortisol levels did not exhibit a mediating effect between the two (95% confidence interval: −0.002 to 0.001).</p></div><div><h3>Conclusion</h3><p>This study demonstrated there were significant correlations among FCR, QOL, and hope levels. Considering hope as a crucial mediator between FCR and QOL, potential intervention strategies for optimizing the QOL of breast cancer patients are proposed.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141096173","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}
Chun Xia Zhang , Meng Ru Bu , Xiu Mei Wu , Rong Rong Liao , Jia Hao Wei , Jin Zhou , Zeng Jie Ye
{"title":"Efficacy of acupuncture for a cough-related symptom cluster in patients with lung cancer: A randomized controlled trial","authors":"Chun Xia Zhang , Meng Ru Bu , Xiu Mei Wu , Rong Rong Liao , Jia Hao Wei , Jin Zhou , Zeng Jie Ye","doi":"10.1016/j.ejon.2024.102598","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102598","url":null,"abstract":"<div><h3>Purpose</h3><p>This study was designed to evaluate the effect of acupuncture on cough, expectoration, and shortness of breath in lung cancer patients.</p></div><div><h3>Methods</h3><p>Between December 2021 and June 2022, a total of 130 lung cancer patients were recruited, and they were split into control and intervention groups at random. Routine nursing was provided to the control group, whereas routine nursing with acupuncture using LU7 (Lie Que), LU9 (Tai Yuan), BL13 (Fei Shu), and BL20 (Pi Shu) was administered to the intervention group for 7 days. The severity of cough, expectoration, and shortness of breath was assessed 1 day before and after the interventions using the lung cancer-specific module of the MDASI. A two-way ANOVA was performed for group comparisons.</p></div><div><h3>Results</h3><p>Compared with the control group, the symptoms of cough in the intervention group were significantly improved (<em>F</em> = 5.095, MD = −0.32, 95% CI, −0.59 to 0.04, <em>P</em> = 0.025), while expectoration (<em>F</em> = 0.626, MD = −0.11, 95% CI, −0.38 to 0.16, <em>P</em> = 0.430) and shortness of breath (<em>F</em> = 0.165, MD = −0.05, 95% CI, −0.27 to 0.18, <em>P</em> = 0.685) had no significant change. Cough also identified an obvious interaction effect (<em>P</em> = 0.014), and the post-intervention simple main effect test demonstrated a tangible difference between the two groups (MD = −0.66, 95% CI, −0.99 to 0.33, <em>P</em> < 0.001) post-intervention.</p></div><div><h3>Conclusions</h3><p>Acupuncture using LU7, LU9, BL13, and BL20 can relieve the cough of lung cancer patients, but not relieve expectoration and shortness of breath.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141090238","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}
Yishu Qi, Huiyuan Li, Dorothy Ngo Sheung Chan, Xing Ma, Cho Lee Wong
{"title":"Effects of yoga interventions on the fatigue-pain-sleep disturbance symptom cluster in breast cancer patients: A systematic review","authors":"Yishu Qi, Huiyuan Li, Dorothy Ngo Sheung Chan, Xing Ma, Cho Lee Wong","doi":"10.1016/j.ejon.2024.102594","DOIUrl":"10.1016/j.ejon.2024.102594","url":null,"abstract":"<div><h3>Objective</h3><p>This systematic review aimed to evaluate the effectiveness of yoga intervention on the fatigue-pain-sleep disturbance symptom cluster in breast cancer patients.</p></div><div><h3>Methods</h3><p>Ten electronic databases (Medline, Embase, PubMed, Cochrane Central Register of Controlled Trials, CINAHL, Web of Science, Scopus, British Nursing Index, China National Knowledge Infrastructure, and Wan Fang database) were searched to identify randomized controlled trials from inception to October 2023. Two independent reviewers evaluated study eligibility, extracted data, and assessed the risk of bias using the Cochrane Risk of Bias tool. The findings were synthesized narratively. This systematic review has been registered (PROSPERO ID: CRD42023391269).</p></div><div><h3>Results</h3><p>A total of 1389 studies were identified, and 18 studies were included in this systematic review. Two studies reported significant alleviation of fatigue-pain-sleep disturbance symptoms, and two studies indicated a significant reduction in fatigue-sleep disturbance symptoms compared to the control group. Commonly employed yoga contents included breathing exercise and posture practice. The effective intervention components encompassed the combination of in-person sessions and home-based sessions delivery mode, with intervention sessions lasting 50–120 min each and dosages ranging from once per week to twice daily, spanning 6–16 weeks.</p></div><div><h3>Conclusions</h3><p>Yoga intervention can be beneficial in alleviating the fatigue-pain-sleep disturbance symptom cluster in breast cancer patients. Future research should be tailored to design yoga interventions addressing different treatment stages and preferences of breast cancer patients.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780341","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}
Lena Sharp , Per Fransson , Matthew Fowler , Helena Ullgren
{"title":"Aspects of occupational safety: a survey among European cancer nurses","authors":"Lena Sharp , Per Fransson , Matthew Fowler , Helena Ullgren","doi":"10.1016/j.ejon.2024.102595","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102595","url":null,"abstract":"<div><h3>Purpose</h3><p>Nurses are particularly at risk for occupational exposure to hazardous cancer drugs, risking both acute and chronic health effects. Knowledge on the implemented safety precautions into minimizing these risks is limited.</p></div><div><h3>Methods</h3><p>The European Cancer Nursing Index (ECNI) was developed by the European Oncology Nursing Society (EONS) to illustrate the development and status of this profession. In this study, anonymous online survey data on occupational safety reported by European cancer nurses as part of the ECNI 2022, was analysed.</p></div><div><h3>Results</h3><p>A total of 630 cancer nurses from 29 countries responded to the survey. A majority reported that written guidelines (n = 553, 88%) on safe handling and administration of hazardous drugs, personal protection equipment (PPE) and cytotoxic spillage kits (n = 514, 82%) were available at their workplaces. 130 (21%) nurses reported that wipe testing to assess any residual hazardous drugs on workplace surfaces were conducted systematically at their workplaces. 185 (29%) nurses reported that nurses sometimes or always continued with their regular tasks (including handling hazardous cancer drugs) during pregnancy and breast feeding. 185 (29%) also responded that nurses at their workplaces did not receive an introductory education program before handling hazardous drugs. In total, 346 (55%) of the nurses reported that their workplace had a freedom to speak-up guardian or whistle blower policy for members of staff.</p></div><div><h3>Conclusions</h3><p>Even if most nurses report that there are safety routines in place at their workplaces, the results reveal several serious occupational risks for European nurses handling hazardous cancer drugs. Actions are needed to improve and optimize occupational safety for nursing staff.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924000930/pdfft?md5=d58f6e09d47df49c1efa99c3a103c6ec&pid=1-s2.0-S1462388924000930-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140646547","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}