Seminars in Oncology Nursing最新文献

{"title":"Psychosocial Distress Among Cancer Patients: A Concept Analysis.","authors":"Jingyue Xie, Lu Cui, Qianqian Du, Ni Zhang, Xiaoxuan Wang, Chen Yuan, Xiaodan Wu, Meifen Zhang","doi":"10.1016/j.soncn.2025.152014","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.152014","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the literature to clarify the concept of psychosocial distress and to conceptualize it in cancer patients.</p><p><strong>Methods: </strong>The Walker and Avant concept analysis approach was applied for this review. A comprehensive search of studies published from inception to March 2024 was searched in PubMed, EMBASE, Cochrane Library, Web of Science, and PsycINFO, utilizing the PRISMA 2020 reporting checklist. Additional studies were included by manually reviewing the reference lists from relevant research. A total of 5,941 studies were identified in the initial search, and 36 articles were ultimately included for further analysis and synthesis.</p><p><strong>Results: </strong>Four attributes of psychosocial distress in terms of cancer were identified: role dysfunction, negative self-perception, disrupted daily life, and unpleasant emotion. Antecedents of psychosocial distress were cancer-related stress and the inability to cope. The consequences were identified as negative health-related behaviors and unhealthy outcomes.</p><p><strong>Conclusions: </strong>The four identified attributes of psychosocial distress in cancer patients provide healthcare providers with a more comprehensive framework for assessment and recognition than existing instruments, which often focus only on anxiety and depression. It will aid researchers and healthcare providers in understanding the concept, guiding the development of suitable assessment instruments and the design of targeted psychosocial interventions.</p><p><strong>Implications for nursing practice: </strong>Through clarifying the concept, this study may enhance health professional's understanding of the nature of psychosocial distress and improve their awareness of periodically assessing and managing individuals' psychosocial distress.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"152014"},"PeriodicalIF":2.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994095","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":"Factors Related to Long-Term Caregiving Burden Among Chimeric Antigen Receptor (CAR) T-Cell Recipients and Their Informal Caregivers.","authors":"Lucy P Andersen, Ryan J Quinn, Heather Difilippo, Alfred L Garfall, David L Porter, Salimah H Meghani, Jie Deng","doi":"10.1016/j.soncn.2025.151999","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151999","url":null,"abstract":"<p><strong>Context: </strong>Caregivers are essential in the care of CAR T-cell patients, especially immediately before and after CAR T-cell therapy. However, the long-term CAR T-cell therapy caregiving implications are understudied.</p><p><strong>Objectives: </strong>We aimed to characterize long-term caregiver health-related quality of life (HRQoL) and caregiving burden and understand the relationship between long-term caregiving burden and patient-reported HRQoL, cognitive function, and symptom burden.</p><p><strong>Methods: </strong>This cross-sectional study included patients (≥18 years of age) who had received CAR T-cell therapy for B-cell lymphoma or multiple myeloma in the past one to five years and were in remission. Participating patients identified their current caregiver or the individual who was their caregiver at the time of infusion. Patients completed a survey with measures of HRQoL, cognitive function and symptom burden, while caregivers completed measures of HRQoL and caregiving burden. Linear regression was used to identify predictors of caregiving burden.</p><p><strong>Results: </strong>In total, 58 patients and 31 caregivers participated. Caregiver HRQoL was similar to population norms, and 26% of caregivers reported mild to moderate caregiving burden. Caregiver age, and patient mental HRQoL, cognitive function, and symptom burden were significantly associated with caregiving burden in bivariate analyses (P < .05). Caregiver age was a significant predictor of caregiving burden in the linear regression analysis.</p><p><strong>Conclusion: </strong>Caregivers of patients in sustained remission 1 to 5 years after CAR T-cell therapy report good HRQoL and minimal caregiving burden. However, clinicians should be aware that younger caregivers and caregivers of patients with worse symptom burden, cognitive function and HRQoL may experience increased caregiving burden.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151999"},"PeriodicalIF":2.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978533","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":"Factors Associated with Visiting Nurses' Palliative Care Practices for Japanese Patients with Cancer and Noncancer Illnesses: A Cross-Sectional Study.","authors":"Kakei Iwahara, Mayumi Mizutani, Susumu Tanimura, Ritsuko Nishide","doi":"10.1016/j.soncn.2025.151998","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151998","url":null,"abstract":"<p><strong>Objectives: </strong>Enhancing home-based palliative care provided by visiting nurses is a strategic priority in Japan. This study aimed to identify factors associated with visiting nurses' palliative care practices that address physical, psychological, social, and spiritual distress in patients with cancer and noncancer illnesses.</p><p><strong>Methods: </strong>A questionnaire survey was conducted in 2021 among 294 visiting nurses in Mie Prefecture, Japan, to assess their individual and organizational attributes alongside their palliative care practices. The prevalence ratios were estimated using modified Poisson regression models, with palliative care practices targeting the four distress domains in both patient groups as the objective variables.</p><p><strong>Results: </strong>The palliative care provided by the included nurses primarily addressed physical distress, followed by psychological, social, and spiritual distress in both patient groups. Collaboration with nurse specialists (certified nurse specialists or certified nurses) improved palliative care for physical (cancer, APR 1.21; noncancer, APR 1.23), psychological (cancer, APR 1.23; noncancer, APR 1.25), and social distress (cancer, APR 1.36; noncancer, APR 1.40) in both patient groups. Moreover, a well-defined perception of palliative care was associated with better palliative care for social (cancer, APR 1.68; noncancer, APR 1.49) and spiritual distress (cancer, APR 2.62; noncancer, APR 2.20).</p><p><strong>Conclusions: </strong>The study suggests the crucial role of collaboration with nurse specialists and need for a better understanding of palliative care to improve the quality of care provided by visiting nurses to patients with cancer and noncancer illnesses.</p><p><strong>Implications for nursing practice: </strong>Enhancing palliative care quality requires targeted education for visiting nurses on the effective collaboration with nurse specialists and a clear understanding of palliative care. This approach will enable nurses to address the multifaceted needs of patients with cancer and noncancer illnesses, ultimately improving their physical, psychological, social, and spiritual well-being.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151998"},"PeriodicalIF":2.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978544","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":"Bridging the Gap: An Updated Systematic Integrative Review of Palliative Care Integration in Hematological Malignancies.","authors":"Deborah Moreno-Alonso, Beatriz García García, Clara Madrid-Alejos, Georgina Morón-Cazalilla, Sílvia Llorens-Torromé, Iris Crespo, Miguel Ángel Álvarez Juárez, María Argüello Marina, Marta Callejas Charavia, Ana Facal-Malvar, Daniel Gainza-Miranda, Cistina Monforte-Royo","doi":"10.1016/j.soncn.2025.151962","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151962","url":null,"abstract":"<p><strong>Objectives: </strong>To update our previous systematic review by assessing gaps and changes in palliative care for patients with hematological malignancies ten years on, to identify emerging themes in palliative care delivery and to provide recommendations for enhancing palliative care integration within hematology services.</p><p><strong>Methods: </strong>We comprehensively searched PubMed, CINAHL, Cochrane, Scopus and Web of Science for articles published from 1 July 2015 to 30 December 2024, then extracted and synthesized the data using the integrative method described by Whittemore and Knafl. To enable us to focus on changes in practice and emerging trends over the 10 years elapsed since the period covered by our previous review, we excluded the 99 articles analyzed previously.</p><p><strong>Results: </strong>Of 1605 articles identified, 68 were included in our final analysis. We identified six themes: access and referral to palliative care; end-of-life care; symptom burden and clinical management; home care; emotional and psychological support; and miscellaneous aspects of palliative care. Patients with hematological malignancies have a similarly high or higher symptom burden as those with solid tumors, yet palliative care for hematological patients remains underutilized. Access barriers to palliative care for this high-risk population include misconceptions about the role of palliative care, lack of communication between palliative and hematological teams, clinician's own shortcomings with respect to their knowledge, experience and training, and institutional barriers. Where palliative care is used, consultations tend to happen when the patient is already in the late stages of disease.</p><p><strong>Conclusions: </strong>The evidence for the benefits of palliative care for hematological patients points overwhelmingly to improved symptom management and better emotional and psychological support for those nearing the end of life. Initiatives are needed to tackle the negative connotations of the term \"palliative\" so that patients may gain access to palliative care sooner. Gaps in clinicians' own knowledge and experience should be addressed through comprehensive training and awareness-raising programs to remove barriers to accessing palliative care.</p><p><strong>Implications for nursing practice: </strong>Nursing insights have highlighted the challenges of caring for patients with hematological malignancies within a healthcare system primarily focused on cure. As nursing professionals are uniquely positioned to bridge the gap between curative and palliative approaches, they carry out multidimensional assessments and prioritize interdisciplinary collaboration in patient care. Strengthening collaboration between nurses and hematology specialists could support improved long-term planning and timely access to palliative care for patients with hematological malignancies.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151962"},"PeriodicalIF":2.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978477","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":"Mapping the Future of Haemato-Oncology Nursing.","authors":"Karen Campbell, Maura Dowling","doi":"10.1016/j.soncn.2025.151987","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151987","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151987"},"PeriodicalIF":2.3,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978610","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 Five Phases of Patients' Recovery and Rehabilitation After a Stem Cell Transplantation: A Qualitative Study.","authors":"Mariska C M van der Lans, AnneLoes van Staa, Heleen A van der Stege, Wendy H Oldenmenger","doi":"10.1016/j.soncn.2025.151959","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151959","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to refine the Five Phases of Recovery and Rehabilitation model in allogeneic hematopoietic stem cell transplantation (HSCT) patients and autologous HSCT patients during the first-year post-transplant.</p><p><strong>Methods: </strong>Two focus groups were conducted, one with allogeneic HSCT patients (n = 8) and one with autologous HSCT patients (n = 8). Participants reflected on their experiences during the first-year post-transplant. Data were audiotaped, anonymized, transcribed verbatim, and analyzed using Directed Content Analysis.</p><p><strong>Results: </strong>Both allogeneic HSCT patients and autologous HSCT patients followed the successive five phases of the Five Phases of Recovery and Rehabilitation model. Over time, the focus shifted from physical recovery to phases psychological, social, and spiritual well-being. Additionally, this study demonstrated the need for support from both formal and informal caregivers. As patients progressed through rehabilitation, their need for professional healthcare support gradually transitioned to greater reliance on family caregivers. Formal support from cancer nurses remained essential throughout.</p><p><strong>Conclusions: </strong>This study reinforces the evidence for the Five Phases of Recovery and Rehabilitation model, highlighting the complex survivorship needs of HSCT patients.</p><p><strong>Implementations for nursing practice: </strong>The refined model provides a structured framework for organizing complex cancer care, empowering cancer nurses to take a leading role in guiding patients and their families through the challenges of recovery, helping them to navigate the transition beyond HSCT treatment.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151959"},"PeriodicalIF":2.3,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978574","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":"Twenty Years of Nurse-Led Research in Hemato-Oncology: A Mapping Review.","authors":"Maura Dowling, Orlaith Hernon, Vanessa Boland, Ciara Nic Giolla Chomhaill, Teresa Meenaghan, Sarah Connolly, Fidelma Hackett, Caroline McCaughey, Barry Quinn, Tracy King, Bethany Maynard, Stavroula Chante, Geraldine Walpole, Orlaith Cormican, Karen Campbell","doi":"10.1016/j.soncn.2025.151958","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151958","url":null,"abstract":"<p><strong>Objectives: </strong>Nurse-led research in hemato-oncology is diverse, but its nature and extent are unknown. This review aimed to identify and map nurse-led research in hemato-oncology over 20 years (2004-2024) to highlight under-researched gaps, describe methodological and topic trends, and allow comparison between geographical regions.</p><p><strong>Methods: </strong>A mapping review was undertaken following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, Scoping Review (PRISMA-ScR) checklist. Five databases were systematically searched: Medline (Ovid), CINAHL (EBSCOhost), Embase (Elsevier), ProQuest, and Scopus (Elsevier). Independent screening and data extraction were undertaken on the web-based platform Covidence.</p><p><strong>Results: </strong>A total of 1,916 sources were included (n = 1,618 journal publications; n = 262 published conference abstracts; n = 36 doctoral dissertations). The most common methodology was non-experimental (60.5%), followed by qualitative (19.2%), experimental (12.5%), evidence syntheses (6.3%), and mixed methods (1.5%). Most of the studies were undertaken by nurses working in the USA, followed by nurses in China, Türkiye, Canada, Australia and Iran. Studies in pediatric, adolescent, and young adult settings represented 42.4% of the included studies. A high number of studies undertaken in hematopoietic stem cell transplant settings were found.</p><p><strong>Conclusions: </strong>The number of research studies led by nurses in hemato-oncology settings, particularly in the USA, is upward. Most of the research undertaken has adopted a descriptive quantitative methodology. More interventional research is needed to contribute meaningfully to scientific knowledge that enhances the quality of care for individuals affected by blood cancer across the disease trajectory.</p><p><strong>Implications for nursing practice: </strong>To support more nurse-led interventional research, strategic investment in mentorship, protected research time, interdisciplinary collaboration, structured clinical-academic posts, and funding pathways is needed.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151958"},"PeriodicalIF":2.3,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859919","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":"Development and Validation of an Instrument to Measure Intention of Cancer Surveillance Among Patients With Hereditary Colorectal Cancer on the Basis of Theory of Planned Behavior.","authors":"Qianqian Du, Lu Cui, Jingyue Xie, Xiaodan Wu, Xiaoxuan Wang, Chen Yuan, Meifen Zhang","doi":"10.1016/j.soncn.2025.151988","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151988","url":null,"abstract":"<p><strong>Objective: </strong>Patients with hereditary colorectal cancer (HCRC) require consistent surveillance for both intestinal and extra-intestinal cancers. This study aims to develop a scale to measure variables associated with the intention of cancer surveillance behavior among patients with HCRC based on the Theory of Planned Behavior.</p><p><strong>Methods: </strong>The preliminary scale was constructed using direct measures derived from a literature review, and belief-based indirect measures generated through a belief elicitation study involving 23 patients with HCRC. Then a sample of 134 patients was recruited to evaluated the validity and reliability of the scale.</p><p><strong>Results: </strong>The finalized scale comprises 37 items with 4 subscales. The I-CVI ranged from 0.875 to 1.000, while the S-CVI/Ave for each subscale varied between 0.964 and 1.000. The Cronbach's α for the direct measures of each subscale ranged from 0.819 to 0.940. The intraclass correlation coefficient was between 0.609 and 0.893. Exploratory factor analysis revealed that the direct measures accounted for 80.133% of the variance. Convergent validity was established between the direct measures and the indirect measures (attitudes r = 0.469, P < .001; subjective norms r = 0.374, P < .001; perceived behavioral control r = 0.353, P < .001).</p><p><strong>Conclusion: </strong>The scale demonstrates adequate construct validity, predictive validity, internal consistency reliability and test-retest reliability, making it a valuable tool for assessing beliefs regarding cancer surveillance in patients with HCRC.</p><p><strong>Implications for nursing practice: </strong>This newly developed scale will provide critical insights into how intentions influence actual cancer surveillance behavior among patients with HCRC. This understanding will facilitate the design of nursing interventions aimed at enhancing surveillance behaviors and long-term health outcomes.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151988"},"PeriodicalIF":2.3,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849638","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":"Beyond the Pandemic: A Cross-Sectional Study of Hematology Cancer Patients' Unmet Needs and Experiences of Cancer Care in Ireland and the UK.","authors":"Vanessa Boland, Liz O'Connell, Orlaith Cormican, Karen Campbell, Maura Dowling, Amanda Drury","doi":"10.1016/j.soncn.2025.151957","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151957","url":null,"abstract":"<p><strong>Objectives: </strong>The rising incidence of hematological cancers, novel treatments, and increased survivorship highlight the need to understand patient needs postpandemic. This study explored the experiences of individuals affected by hematological cancers in Ireland and the UK as COVID-19 restrictions lifted.</p><p><strong>Methods: </strong>A cross-sectional descriptive survey was conducted from March 2023 to March 2024 using validated measures of distress, resilience, and unmet needs. Adults with hematological cancers were recruited online through cancer organizations and networks across Ireland and the UK. Quantitative data were analyzed using descriptive and inferential statistics, and qualitative data through thematic analysis.</p><p><strong>Results: </strong>Ninety-two individuals completed the survey. The top unmet needs were related to tiredness, concerns about appearance, and managing others' expectations to return to \"normal.\" Many continued to feel the pandemic's impact years later. Minimal differences in unmet needs were observed between countries, with participants reporting low distress and moderately high resilience. Thematic analysis of text responses identified three key themes: \"psychological impact and self-care methods,\" \"navigating changing cancer care delivery,\" and \"sourcing social support,\" reflecting the complexities of living with and beyond hematological cancers.</p><p><strong>Conclusions: </strong>People with hematological cancers in Ireland and the UK continue to experience distress despite moderate resilience, indicating the lasting impact of the pandemic.</p><p><strong>Implications for nursing practice: </strong>Persistent unmet needs around fatigue, appearance, and societal expectations remain. The identified themes underscore the need for supportive interventions focusing on psychological coping strategies, continuity in cancer care delivery, and social support to enhance the well-being of individuals living with and beyond hematological cancers.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151957"},"PeriodicalIF":2.3,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838579","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":"Strength in Shared Experiences: A Meta-Synthesis of Qualitative Studies on Peer Support in Haematologic Cancer.","authors":"Merve Gozde Sezgin, Hicran Bektas","doi":"10.1016/j.soncn.2025.151961","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151961","url":null,"abstract":"<p><strong>Objectives: </strong>Peer support can improve the disease and treatment processes of patients with haematologic cancer. This meta-synthesis aimed to systematically synthesize and interpret the qualitative evidence on how patients experience peer support throughout their illness trajectory.</p><p><strong>Methods: </strong>This study employed a systematic qualitative meta-synthesis design, using the thematic synthesis approach described by Thomas and Harden. The databases Web of Science, EBSCOhost/CINAHL Complete, MEDLINE, Cochrane Library, ProQuest, PubMed, Scopus, ScienceDirect, and Springer Link were searched up to February 2025. Eligible studies were appraised using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research.</p><p><strong>Results: </strong>Eight qualitative studies published between 2003 and 2024, with 129 participants across 4 countries, were included. The analysis yielded 4 analytical themes: psychological empowerment, emotional support, provision of information and guidance, and reconstruction of the recovery process.</p><p><strong>Conclusion: </strong>This meta-synthesis suggests that peer support plays an important role in enhancing the emotional and psychological well-being of patients with haematologic cancer. Peer interactions help reduce fear, uncertainty, and loneliness while strengthening resilience, fostering practical coping strategies, and cultivating a sense of community and hope.</p><p><strong>Implications for nursing practice: </strong>Peer support programs provide emotional resilience and practical guidance by alleviating fear, uncertainty, and loneliness among patients with haematologic cancer. The integration of structured peer support interventions into clinical practice may enhance the psychosocial outcomes of patients, promote empowerment, and support long-term survivorship.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151961"},"PeriodicalIF":2.3,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812667","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}