Seminars in Oncology Nursing最新文献

{"title":"Experiences with a Shared Position Between Specialized and Basic Palliative Care: A Qualitative Study.","authors":"Helle Nordestgaard Matthiesen, Josefine Maria Bruun, Mette Asbjoern Neergaard, Louise Engelbrecht Buur, Pernille Christiansen Skovlund","doi":"10.1016/j.soncn.2026.152247","DOIUrl":"https://doi.org/10.1016/j.soncn.2026.152247","url":null,"abstract":"<p><strong>Objectives: </strong>To strengthen palliative care trajectories and enhance nursing competencies, it may be both relevant and beneficial to establish shared nursing positions between specialized and basic inpatient palliative care units. Despite the potential advantages, little is known about how such shared positions are experienced in practice. The aim of the study is to explore and describe experiences with a shared nursing position between a specialized palliative care unit and a basic palliative care unit.</p><p><strong>Methods: </strong>Field notes and qualitative interviews were conducted in 2021 with a specialized palliative care nurse (n = 1), managers (n = 2), and colleagues (n = 5). The collected material was analyzed using Kvale and Brinkmann's qualitative analysis approach, allowing for an in-depth understanding of experiences across different organizational levels.</p><p><strong>Results: </strong>Mutual learning was experienced across the two units. Patient trajectories were experienced to improve when the specialized nurse followed patients across both settings, ensuring greater continuity, collaboration, and coherence in care. In such cases, the nurse reported professional satisfaction and a sense of meaning in her work. However, several challenges were also identified. A lack of continuity was reported especially in the specialized palliative care unit. The dual affiliation was experienced as energy-draining and demanding, often leading to role conflicts, feelings of inadequacy, and limited co-determination.</p><p><strong>Conclusions: </strong>The study points to both opportunities and limitations in shared nursing positions across palliative care units. While mutual learning and patient continuity were strengthened, the dual role also introduced professional strain.</p><p><strong>Implications for nursing practice: </strong>Based on the findings, we need to consider whether the responsibility for shared learning and the optimization of palliative trajectories should be placed exclusively on individual staff members through shared positions. In addition, systematic, targeted models for collaboration between basic and specialized palliative care could be developed and tested to optimize palliative care pathways.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152247"},"PeriodicalIF":2.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Role of Depressive Symptoms in the Association Between Pain and Self-Reported Cognitive Failures Among Gynecological Cancer Patients Undergoing Brachytherapy.","authors":"Dilek Yildirim, Vildan Kocatepe, Ayşegül Türkmenoğlu, Funda Çam, Ünal Önsüz","doi":"10.1016/j.soncn.2026.152248","DOIUrl":"https://doi.org/10.1016/j.soncn.2026.152248","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine the mediating role of depression in the relationship between pain and self-reported cognitive symptoms among gynecological oncology patients undergoing brachytherapy.</p><p><strong>Methods: </strong>The present study employed a descriptive, cross-sectional, correlational design. The present study sample comprised 130 gynecological cancer patients receiving brachytherapy at a city hospital. The data were collected using the following instruments: the Participant Information Form, the Pain Frequency Intensity and Burden Scale (P-FIBS), the Cognitive Failures Questionnaire (CFQ; a self-report measure of cognitive failures), and the Beck Depression Inventory (BDI). In order to evaluate the potential mediating effect of depression, correlation analyses and regression-based mediation path analysis with bootstrapping were applied.</p><p><strong>Results: </strong>The mean scores of the participants were 12.11 ± 4.44 for P-FIBS, 51.62 ± 13.89 for CFQ, and 38.44 ± 9.37 for BDI, indicating high levels of pain, self-reported cognitive failures, and depressive symptoms. A significant positive correlation was identified between pain and depression, as well as between cognitive failures and depression (P < .01). Mediation analysis showed evidence consistent with partial mediation, with depression accounting for approximately 17% of the total effect of pain on cognitive symptoms. Regression analyses indicated a statistically significant association between pain and depression (B = 0.68, P < .001), and between depression and cognitive symptoms (B = 0.30, P = .015).</p><p><strong>Conclusions: </strong>The findings suggest that depression may represent an important pathway linking pain and cognitive symptoms in gynecological oncology patients undergoing brachytherapy. However, these results should be interpreted cautiously due to the cross-sectional study design and the reliance on self-report measures. Addressing depressive symptoms alongside pain management may be clinically important in this population.</p><p><strong>Implications for nursing practice: </strong>Nurses play a central role in identifying and monitoring pain, depression, and cognitive changes. Incorporating systematic screening, psychoeducation, and psychosocial support into nursing care may improve treatment adherence, enhance quality of life, and foster holistic, patient-centered care in gynecological oncology settings.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152248"},"PeriodicalIF":2.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of a Mobile Health Application Developed Based on Transformative Learning Theory on Grief Reaction and Posttraumatic Growth in Women Diagnosed with Breast Cancer.","authors":"Serap Alkaş, Şengül Yaman Sözbir","doi":"10.1016/j.soncn.2026.152244","DOIUrl":"https://doi.org/10.1016/j.soncn.2026.152244","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine the associations between counseling and supportive care delivered through a nurse-led mobile health application, theoretically informed by Mezirow's Transformative Learning Theory, and changes in grief-related emotional responses and posttraumatic growth among women diagnosed with breast cancer.</p><p><strong>Methods: </strong>This single-center, parallel-group randomized controlled trial included 56 women who had completed mastectomy and were at the beginning of the survivorship period. A mobile application titled Breast Cancer Support (BCS) was developed, and women in the intervention group used the application for eight weeks. Grief-related responses were measured using the Psychological Responses to Grief Before Loss of Health Scale, and posttraumatic growth was assessed using the Posttraumatic Growth Inventory (PTGI).</p><p><strong>Results: </strong>The intervention group demonstrated significantly greater improvements in Positive Attitude Toward Illness scores at post-test and follow-up compared with the control group (P < .05; 95% CI: -1.195 to -0.120), with significant group × time interaction effects (P < .001). Although unadjusted PTGI scores did not significantly differ between groups (P > .05), ANCOVA analyses adjusting for baseline scores indicated significant between-group differences at post-test and follow-up (P < .001; partial η² = .707; 95% CI: 65.191-69.269).</p><p><strong>Conclusions: </strong>The findings provide preliminary evidence of associations between a nurse-led, theory-informed mobile health intervention and changes in grief-related emotional responses and posttraumatic growth during breast cancer survivorship. Transformative Learning Theory served as a guiding framework for intervention design rather than as an empirically measured outcome, and the results should not be interpreted as evidence that transformative learning occurred.</p><p><strong>Implications for nursing practice: </strong>Theory-informed mobile health applications may represent a feasible and accessible approach to delivering supportive care during the post-treatment period. Nurses may facilitate patient engagement with such tools by supporting access to informational and reflective resources; however, further rigorous trials are required before conclusions regarding effectiveness or routine implementation can be drawn.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152244"},"PeriodicalIF":2.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care Experiences and Well-being of Asian Immigrant Cancer Survivors Living in Countries of the Western World Ranked as Very High on the Human Development Index: A Systematic Review of International Evidence.","authors":"Lin Cheng, Grigorios Kotronoulas, Deborah Cairns","doi":"10.1016/j.soncn.2026.152246","DOIUrl":"https://doi.org/10.1016/j.soncn.2026.152246","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Cultural diversity is a defining feature of very high Human Development Index countries of the Western world. Asian immigrants represent a growing demographic in these countries and are a vulnerable group at risk of experiencing health disparities, including individuals surviving cancer. We synthesized available research evidence to evaluate the unmet needs, cancer care experience and factors affecting health-related quality of life of Asian immigrant cancer survivors living in countries in the Western world ranked as very high Human Development Index.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This systematic review is reported in accordance with Preferred Reporting Item for Systematic Reviews and Meta-Analyses guidelines. Three electronic databases (MEDLINE, EMBASE, and CINAHL) were systematically searched in September 2023 and again in May 2024 to identify research studies of any design. Predefined inclusion criteria were applied, and findings from the included studies were synthesized narratively.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of 515 records identified, 31 studies met the inclusion criteria: 19 qualitative, 10 quantitative, and two mixed-methods studies. Thirty studies reported on samples of Chinese origin (25 studies with exclusive focus on Chinese immigrants). Six studies reported on samples of Arab origin (one study with exclusive focus on Arab immigrants). Frequently reported unmet needs for both Chinese and Arab immigrants included access to high-quality information, psychological and social support services, and professional interpreter services. Communication with healthcare professionals was often reported as problematic. Psychological burden was commonly reported and negatively affected health-related quality of life in both groups. Cultural beliefs strongly influenced cancer experiences, particularly among Chinese immigrants, who often reported experiencing stigma.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;While our findings apply predominantly to Chinese and Arab immigrant cancer survivors, it is evident that wealthy living environments and well-developed healthcare systems/services are not panacea. Addressing the unique needs of immigrant cancer survivors, as well as barriers experienced in accessing supportive cancer care in the host country is essential to promoting equitable cancer care. Improving accessibility, navigation, and health literacy are key strategies to optimize outcomes for these populations, together with a need to re-shape supportive care approaches to suit cultural norms and preferences.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for nursing practice: &lt;/strong&gt;To promote equity, nurses are required to demonstrate cultural sensitivity and proactive awareness of how immigrant status might influence how cancer as a personal and family illness can be experienced. Nurses should carefully assess the specific needs of immigrant cancer survivors and enable bespoke navigation within the health care system and in the commu","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152246"},"PeriodicalIF":2.3,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse-Led Health Education Interventions for Women with Primary Breast Cancer Initiating Treatment: A Scoping Review.","authors":"Sara Sánchez-Castro, María Pueyo-Garrigues, Navidad Canga-Armayor, Cristina Alfaro-Díaz, Maria Lavilla-Gracia, Nuria Esandi","doi":"10.1016/j.soncn.2026.152242","DOIUrl":"https://doi.org/10.1016/j.soncn.2026.152242","url":null,"abstract":"<p><strong>Objectives: </strong>To provide an overview by systematically mapping the evidence on nurse-led health education interventions for women with primary breast cancer beginning oncological treatment. It explores their effectiveness and feasibility and relevant experiences.</p><p><strong>Methods: </strong>A comprehensive search was conducted of five databases (PubMed, CINAHL, PsyINFO, Cochrane Library, and Web of Science for published studies) and three repositories (Open AIRE EXPLORE, Trove, and ProQuest). This review was conducted in accordance with the theoretical framework proposed by JBI. The search strategy was implemented by applying the predefined filters: publication date (10 years), language (English and Spanish), age (adults), and sex (woman). The protocol was registered in the Open Science Framework.</p><p><strong>Results: </strong>From 313 potential studies, 14 articles were included. Nurse-led health education interventions varied in terms of their focus, content, pedagogical methods and resources, and format and the number and duration of sessions. These interventions were effective for improving physical, psychological, and social health outcomes, as well as for improving knowledge, self-efficacy, self-care and quality of life. Acceptability and adherence were high, although few studies evaluated these parameters. Women valued receiving clear information and highlighted the importance of balancing information needs with emotional well-being. They reported an increased sense of control and safety.</p><p><strong>Conclusions: </strong>Nurse-led educational interventions for women with primary breast cancer most frequently focused on providing information and developing cognitive skills related to the side effects of chemotherapy and healthy lifestyles. Future interventions should prioritize holistic approaches to encompass the complex circumstances of this population.</p><p><strong>Implications for nursing practice: </strong>Holistic health education programs addressing the biological, psychological, social and spiritual spheres are essential for supporting women with breast cancer throughout their treatment journeys.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152242"},"PeriodicalIF":2.3,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial Impact of Childhood Cancer Survivorship: Experiences of Adolescent and Young Adult Survivors and Their Families.","authors":"Rhyquelle Rhibna Neris, Ana Carolina Andrade Biaggi Leite, Fernanda Machado Silva-Rodrigues, Cristina Garcia-Vivar, Lucila Castanheira Nascimento","doi":"10.1016/j.soncn.2026.152240","DOIUrl":"https://doi.org/10.1016/j.soncn.2026.152240","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the psychosocial impact of childhood cancer survivorship from the perspectives of survivors and their family members.</p><p><strong>Methods: </strong>This qualitative interpretive study followed COREQ guidelines and used purposive sampling with a hybrid recruitment strategy to include adolescent and young adult survivors of childhood cancer and their family members in Brazil. Participants completed individual online, semistructured interviews. Interviews were audio-recorded, fully transcribed, and analyzed using reflexive thematic analysis supported by MAXQDA software.</p><p><strong>Results: </strong>Thirty participants were included: 19 survivors (aged 14-28 years) and 11 parents. Four themes were identified: first, the persistent shadow of prejudice, shaping survivors' interactions and relationships; second, stigma in education and employment, with barriers to recruitment, job retention, and school performance linked to late effects and follow-up; third, social reintegration and feelings of inadequacy, marked by insecurity, isolation, and challenges in intimate relationships; and fourth, family support, overprotection, and judgments, where encouragement coexisted with restrictions to autonomy. Together, these subthemes formed a broader theme underscoring the psychosocial repercussions of survivorship.</p><p><strong>Conclusions: </strong>Survivorship after childhood cancer is not only a clinical trajectory but also a deeply social and familial phenomenon. Prejudice, stigma, and ambivalent family support continue to shape survivors' lives, limiting educational, occupational, and social opportunities.</p><p><strong>Implications for nursing practice: </strong>Findings highlight the need for survivorship care addressing psychosocial well-being, with strengthened family support, and social and occupational reintegration are essential components of long-term follow-up, particularly in low- and middle-income countries where survivorship care remains limited.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152240"},"PeriodicalIF":2.3,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambivalence Over Emotional Expression and Influencing Factors in Chinese Breast Cancer Patients: A Latent Profile Analysis.","authors":"Xue Rao, Haixin Wang, Bingzi Shi, Jing Zhang","doi":"10.1016/j.soncn.2026.152239","DOIUrl":"https://doi.org/10.1016/j.soncn.2026.152239","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to explore the latent profiles of ambivalence over emotional expression (AEE) in breast cancer patients and its influencing factors.</p><p><strong>Methods: </strong>From July 2024 to June 2025, breast cancer patients were recruited using a convenience sampling method from a tertiary hospital in China. A total of 388 participants completed demographic and clinical characteristic questionnaires, the Ambivalence Over Emotional Expression Questionnaire (AEQ), the Perceived Stress Scale-14 (PSS-14), the Social Support Rating Scale (SSRS), and the Irrational Beliefs Scale (IBS). Latent profile analysis (LPA) was used to identify AEE subgroups, followed by univariate analysis, ANOVA, and multinomial logistic regression to examine associated influencing factors.</p><p><strong>Results: </strong>Based on the level of AEE, breast cancer patients were divided into 3 sub groups: \"low conflict-active disclosure group \" (34.5%), \"moderate conflict-inhibition and regret group \" (46.5%), and \"high conflict-inhibition and regret group \" (19.3%). The multivariate logistic regression analysis showed that retirement status, perceived stress, social support and irrational beliefs were factors influencing participants' AEE (P < .05).</p><p><strong>Conclusion: </strong>There was significant variability in AEE among 3 subgroups of breast cancer patients. Retirement status, perceived stress, social support, and irrational beliefs have an impact on AEE in breast cancer patients. It is crucial for healthcare professionals to promptly identify high-risk groups and implement targeted interventions to improve AEE.</p><p><strong>Implications for nursing practice: </strong>This study can help healthcare providers identify patients at high risk of AEE, enabling early intervention and targeted psychological nursing interventions. Healthcare providers can assist patients in establishing correct beliefs about their illness and alleviating perceived stress, thereby reducing the negative impact of AEE.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152239"},"PeriodicalIF":2.3,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seeking vs Receiving Emotional Support in Cancer: Implications for Psychological Adjustment and Quality of Life.","authors":"Elena García-Alonso, Silvia Ubillos-Landa, Guillermo Crespo Herrero","doi":"10.1016/j.soncn.2026.152241","DOIUrl":"https://doi.org/10.1016/j.soncn.2026.152241","url":null,"abstract":"<p><strong>Background: </strong>Emotional support (ES) is central to cancer care, yet its associations with health-related quality of life (HRQoL) and psychological outcomes remain inconsistent. A key source of heterogeneity may be the frequent conflation of ES seeking (ESS) and ES receipt (ESR), which represent distinct psychosocial processes.</p><p><strong>Objectives: </strong>(1) Identify sociodemographic and clinical correlates of ESS and ESR; (2) examine associations of ESS, ESR, and their equilibrium (ES-Eq = ESR - ESS) with coping and psychological adjustment; (3) assess their relationships with HRQoL and distress; (4) compare outcomes across three ES-Eq profiles (seek > receive, balanced, receive > seek); and (5) test whether ESS, ESR, and ES-Eq are independently associated with HRQoL after covariate adjustment.</p><p><strong>Methods: </strong>Cross-sectional study conducted in a tertiary oncology day unit (Spain). Adult cancer outpatients (N = 360; mean age = 63.4 years; 54.2% women) completed EORTC QLQ-C30, Hospital Anxiety and Depression Scale, Mini-MAC, and Brief-COPE. ESS and ESR were assessed using separate Brief-COPE items. Analyses included nonparametric tests, Spearman correlations, ES-Eq profile comparisons, and hierarchical regressions.</p><p><strong>Results: </strong>ESR exceeded ESS. Higher ESS was associated with poorer functioning, greater symptom burden, and distress. ESR and positive ES-Eq were related to better HRQoL, lower anxiety/depression, and more adaptive coping/adjustment. Patients with ES-Eq > 0 showed favorable profiles. In adjusted regressions, ESR and ES-Eq were independently associated with higher HRQoL.</p><p><strong>Conclusions: </strong>ES is not a unitary construct. Distinguishing ESS from ESR and evaluating their equilibrium clarifies heterogeneous findings and identifies clinically meaningful vulnerability/protection profiles.</p><p><strong>Implications for nursing practice: </strong>Routine assessment of ESS, ESR, and ES-Eq may detect unmet psychosocial needs and guide patient-centered supportive care.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152241"},"PeriodicalIF":2.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Virtual Reality Glasses Application on Anxiety, Comfort, and Complication Development During Transrectal Ultrasound-Guided Prostate Biopsy: A Randomized Controlled Study.","authors":"Gamze Bozkul, Elife Kettas Dölek, Gülay Altun Uğraş, Murat Bozlu","doi":"10.1016/j.soncn.2026.152225","DOIUrl":"https://doi.org/10.1016/j.soncn.2026.152225","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this investigation was to assess how the implementation of virtual reality glasses (VRG) influences anxiety levels, patient comfort, and the occurrence of complications among individuals undergoing transrectal ultrasound-guided prostate biopsy (TRUS-PB).</p><p><strong>Methods: </strong>This prospective randomized controlled trial with two parallel arms (1:1 allocation) enrolled 70 TRUS-PB patients. Participants were allocated randomly into VRG (n = 35) and control (n = 35) groups. The VRG group viewed three-dimensional nature-based video content via VRG throughout the biopsy, whereas the control group received conventional clinical management. Data collection instruments included the \"Demographic Information Form,\" \"State Anxiety Inventory,\" and \"Comfort Level Determination Form\" administered pre and postprocedure, alongside a \"Complication Monitoring Form\" completed 24 hours following the intervention.</p><p><strong>Results: </strong>Preprocedural anxiety and comfort measurements showed no statistically meaningful differences between groups (P > .05). Postprocedurally, the VRG group demonstrated markedly reduced anxiety compared to controls (P < .001), accompanied by substantially elevated comfort levels (P < .001). While complications during the initial 24-hour postprocedural period were evaluated in both groups, statistical significance between groups emerged solely for urinary retention (P = .027), while no statistically significant differences were found for the other complications.</p><p><strong>Conclusion: </strong>This investigation determined that integrating VRG into TRUS-PB procedures reduced patient anxiety and improved comfort, while urinary retention was observed less frequently in the VRG group, with no significant differences in other complications.</p><p><strong>Implications for nursing practice: </strong>VRG is a safe, effective and cost-effective intervention that can be administered by nurses during TRUS-PB procedures.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152225"},"PeriodicalIF":2.3,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“The Nurse's Role in Genetic Counseling for Hereditary Neoplastic Syndromes: A Scoping Review”","authors":"Silvana Maria Barros de Oliveira ,&nbsp;Paulyne Souza Silva Guimarães ,&nbsp;Márcia Mirian Rosendo Aleluia ,&nbsp;Alda Graciele Claudio dos Santos Almeida ,&nbsp;Patrícia de Carvalho Nagliate ,&nbsp;Alda Galdino dos Santos","doi":"10.1016/j.soncn.2025.152037","DOIUrl":"10.1016/j.soncn.2025.152037","url":null,"abstract":"<div><h3>Objective</h3><div>To map the professional roles of nurses in genetic counseling (GC) for hereditary neoplastic syndromes (HNS).</div></div><div><h3>Methods</h3><div>A scoping review was conducted following the JBI methodological framework. The search involved three stages—strategy validation, database querying, and reference tracking—and included SCOPUS, Medline via PubMed, CINAHL, and Web of Science, between March and April 2024.</div></div><div><h3>Results</h3><div>From 1,089 identified records, 18 studies met the inclusion criteria. Most were conducted in the United States (12/66.6%). The roles of nurses in GC included risk assessment, pre- and post-test counseling, and patient follow-up. Fewer studies reported nurse-led coordination of GC services, reflecting a gap in leadership and institutional autonomy. The scope of practice varied depending on professional training, national regulations, and local protocols.</div></div><div><h3>Conclusion</h3><div>This scoping review substantiates nurses’ central role in GC for HNS. However, their autonomy is constrained by policies and inequities. Enhanced education and standardized nurse-led protocols can strengthen GC, reduce disparities, and expedite prevention.</div></div><div><h3>Implications for Nursing Practice</h3><div>To meet the rising demand for oncology genetic services, policymakers should fund nurse education and training, clarify professional roles, and expand nurses’ decision-making autonomy in GC. Scaling nurse-led, standardized risk-assessment and screening—particularly in primary care and underserved settings—can accelerate preventive access. Establishing nurse-led regional networks will improve equity, reduce disparities, and align cancer genetics services with local health-system contexts by addressing structural barriers.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"42 2","pages":"Article 152037"},"PeriodicalIF":2.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}