Seminars in Oncology Nursing最新文献

{"title":"Competency-Based Orientation for Pediatric Hematology-Oncology Nurses: A Scoping Review for Developing Standards.","authors":"Monnie Abraham, Paola Viveros Lamas, Tammy Rampton, Yan Yin Lim, Angela Massouh, Khairunnissa Hooda, Majeda A Al-Ruzzieh","doi":"10.1016/j.soncn.2025.151960","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151960","url":null,"abstract":"<p><strong>Objectives: </strong>A competency-based orientation program provides a supportive environment for new pediatric hematology-oncology nurses, facilitating their transition and skill development. Despite evidence of its benefits, such programs lack global standardization, particularly in low- and middle-income countries. A standardized and adaptable program could significantly benefit hospitals worldwide. This study aimed to explore current literature on competency-based orientation programs and their practical applications to develop standards for implementation pediatric hematology-oncology nursing.</p><p><strong>Method: </strong>This study used a scoping review to explore orientation programs in the literature and existing competency-based orientation programs at pediatric hematology-oncology facilities within the St. Jude Global Alliance member institutions.</p><p><strong>Results: </strong>Fourteen articles and four institutions with competency-based orientation programs from Jordan, Lebanon, Pakistan, and Singapore were reviewed. No articles reported on competency-based orientation programs for pediatric hematology-oncology units and there were limited articles from low- and middle-income countries. The authors found a lack of consistency in orientation timing, competency assessment, preceptorships, and coordination with key stakeholders.</p><p><strong>Conclusions: </strong>Inconsistent orientation practices do not sufficiently prepare nurses who are new to pediatric hematology-oncology units for independent patient care. The authors recommend standardizing competency-based orientation programs for pediatric hematology-oncology units.</p><p><strong>Implications for nursing practice: </strong>Creating a standardized competency-based orientation program adaptable to any pediatric hematology-oncology units worldwide would set new nurses up for success and improve patient outcomes.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151960"},"PeriodicalIF":2.3,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805318","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":"Effectiveness of Physical Exercise on Hematopoietic Stem Cell Transplantation: An Umbrella Review.","authors":"Menghua Ye, Yan Xu, Ting Liu, Yang Qiu, Xiaopei Mao, Xiaolan Zhang, Binlian Yao, Min Xu","doi":"10.1016/j.soncn.2025.151956","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151956","url":null,"abstract":"<p><strong>Objectives: </strong>To systematically evaluate and synthesize the available evidence regarding whether physical exercise is effective on improving outcomes in patients undergoing hematopoietic stem cell transplantation (HSCT).</p><p><strong>Study design: </strong>There were altogether 10 databases adopted for retrieving systematic reviews till March 2024. The Measurement Tool to Assess Systematic Reviews II (AMSTAR-II) statement and the Grading of Recommendations Assessment, Development and Evaluation system were employed for assessing, summarizing, and grading the evidence. Study duplication was measured by the corrected covered area.</p><p><strong>Results: </strong>There were 10 studies enrolled, and they had poor level of evidence and overall methodological quality, among which, eight had extremely low methodological quality, whereas two reviews had low methodological quality. We then assessed the evidence quality of 41 primary outcome measures; as a result, 17, 14, and 10 pieces of evidence were rated as moderate, low, and critically low quality separately.</p><p><strong>Conclusions: </strong>Physical exercise benefits HSCT patients by improving quality of life and reducing fatigue. Evidence quality is moderate to critically low, requiring cautious interpretation.</p><p><strong>Implications for nursing practice: </strong>Physical exercise helps to reduce fatigue, improving quality of life, and should be included in the standard of care for patients undergoing HSCT.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151956"},"PeriodicalIF":2.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796059","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":"Pediatric Theory of Unpleasant Symptoms: A Multi-level Symptom Theory for Pediatric Cancer.","authors":"Kathleen E Montgomery, Cynthia A Gerhardt, Pamela S Hinds, Micah A Skeens","doi":"10.1016/j.soncn.2025.151955","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151955","url":null,"abstract":"<p><strong>Background: </strong>Children with cancer often experience significant symptom burden and toxicities associated with cancer treatment. Advancing pediatric symptom science through theory-guided research is essential to inform targeted interventions that ameliorate suffering and enhance quality of life. However, current symptom theories do not reflect the complex relationships between the child, family, and clinician. This highlights the need for a new framework encompassing the child's experience, while also integrating family and clinician perspectives.</p><p><strong>Objectives: </strong>This narrative review introduces a novel pediatric theory of symptoms developed through a comprehensive synthesis of published literature and existing theory.</p><p><strong>Methods: </strong>The Theory of Unpleasant Symptoms was critically evaluated for empirical gaps and areas for enhancement. Through an iterative process of literature review and theoretical refinement, we developed an adapted theory, called The Pediatric Theory of Unpleasant Symptoms (Pedi-TOUS).</p><p><strong>Results: </strong>The Pedi-TOUS captures the multidimensional symptom experiences of children with cancer. It integrates diverse perspectives on symptom perception and delineates multi-level, influencing factors and performance outcomes associated with symptom experiences. Notably a novel influencing factor regarding relationships is introduced, emphasizing the collaborative role of caregivers and clinicians in shaping the symptom experience.</p><p><strong>Conclusions: </strong>The Pedi-TOUS is a responsive adaptation of existing theory, reflecting emerging trends in pediatric oncology symptom science. It provides a robust conceptual basis for future research aimed at elucidating the comprehensive symptom experiences of children with cancer.</p><p><strong>Implications for nursing practice: </strong>Pedi-TOUS can inform clinical practice by guiding the development of tailored, evidence-based interventions to improve symptom management and patient care in pediatric oncology.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151955"},"PeriodicalIF":2.3,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776919","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":"Lived Experiences of Iranian Oncology Nurses on Missed Nursing Care During a Public Health Crisis: Causes and Emotional Consequences","authors":"Mahsa Pourshaban ,&nbsp;Hadi Hasankhani ,&nbsp;Atefeh Allahbakhshian ,&nbsp;Sarieh Poortaghi","doi":"10.1016/j.soncn.2025.151947","DOIUrl":"10.1016/j.soncn.2025.151947","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;&lt;span&gt;The COVID-19 pandemic posed unprecedented challenges for health care systems worldwide, particularly for oncology nurses in Iran, who grappled with significant issues related to missed &lt;/span&gt;nursing care&lt;span&gt;. These challenges have raised critical concerns regarding their professional roles and emotional health. This study aims to investigate the lived experiences of Iranian oncology nurses, emphasizing the emotional ramifications of missed nursing care and the underlying factors that contributed to this phenomenon during the pandemic.&lt;/span&gt;&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This research adopted a qualitative approach grounded in Heidegger’s hermeneutic phenomenology. The study involved 12 oncology nurses employed in various departments across five public hospitals in Tehran and Tabriz. Data collection spans from February 2023 to December 2024, utilizing in-depth, semi-structured interviews to garner rich, qualitative insights. Interviews were conducted until data saturation was reached, ensuring a comprehensive understanding of the participants’ experiences. The simultaneous analysis of the data follows the methodological framework established by Diekelmann et al. (1989).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Through a detailed phenomenological analysis of the interviews, four primary themes emerged, accompanied by sixteen subthemes: “Existential Fatigue,” “Difficult Emotions,” “Nurse Assumptions,” and “Role Ambivalence.” The first two themes illuminate the emotional distress experienced by nurses as a direct outcome of the challenges posed by missed nursing care. Conversely, the latter themes shed light on the factors contributing to these instances of missed care amid the pandemic’s unique challenges.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Oncology nurses often grapple with intense emotional challenges as they strive to meet the demanding nature of their caregiving roles. This emotional strain can hinder their ability to fully connect with patients, leading to missed nursing opportunities that create a harmful cycle affecting both the well-being of the nurses and the outcomes for patients. This scenario highlights the deep link between emotional health and the quality of nursing practice. Additionally, biases and a sense of futility regarding certain interventions complicate their experiences, especially during crises, while the duality of their roles introduces conflicting expectations. This interplay underscores the complexities inherent in nursing, particularly in demanding situations.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications for Nursing Practice&lt;/h3&gt;&lt;div&gt;These findings underscore the urgent necessity for comprehensive emotional health support and regular emotional assessments for oncology nurses to enhance their resilience. Creating a supportive and nurturing work environment&lt;span&gt;, coupled with targeted training to address common nurse assumptions and clarify role expectations, is essential. Such measures","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151947"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627731","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":"Oncology Advanced Practice Nurses’ Memorable Patient Care Experiences: A Qualitative Analysis","authors":"Abigail G. Cohen ,&nbsp;Vanessa Battista ,&nbsp;Judith Paice ,&nbsp;Betty R. Ferrell","doi":"10.1016/j.soncn.2025.151910","DOIUrl":"10.1016/j.soncn.2025.151910","url":null,"abstract":"<div><h3>Introduction</h3><div>The purpose of this study was to describe oncology<span> advanced practice nurses’ (APRNs) experiences caring for memorable patients, the meaning derived from patients’ experiences and the influence patients have had on their careers. This study builds on work describing the meaning of oncology nursing practice.</span></div></div><div><h3>Methods/Results</h3><div>Oncology APRNs (N=66) participating in an NCI funded ELNEC course responded to 3 open-ended prompts/questions: (1) Share a story about a memorable patient, (2) Why do you think the memory of this patient is meaningful to you? (3) How do you think caring for this patient has influenced your nursing career? A thematic, qualitative analysis of their responses identified several key themes including:</div><div>(1) Lessons learned: Usually profound, occasionally resulting in career altering impact.</div><div>(2) Admiration: Admiration for patients’ kindness, grace, strength, hope and courage through terminal illness.</div><div>(3) Delivery of high-quality palliative care: The foundation for deep connections and mutually beneficial relationships between APRNs and patients.</div><div>(4) Challenges: Clinical scenarios involving APRNs feeling like they failed; staff distress, trauma, or grief.</div></div><div><h3>Conclusions</h3><div>Oncology nurses described early nursing career experiences of patients as the greatest teachers and shared invaluable and transformative lessons learned about what it means to be human in the face of serious illness.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151910"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188546","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":"Advancing Global Cancer Symptom Science: Insights and Strategies from the Inaugural Cancer Symptom Science Expert Meeting","authors":"Sara Colomer-Lahiguera ,&nbsp;Rachel A. Pozzar ,&nbsp;Carolyn S. Harris ,&nbsp;Jeannine M. Brant ,&nbsp;Yvette P. Conley ,&nbsp;Mary E. Cooley ,&nbsp;Manuela Eicher ,&nbsp;Pamela S. Hinds ,&nbsp;Doris Howell ,&nbsp;Sandra A. Mitchell ,&nbsp;Karin Ribi ,&nbsp;Margaret Quinn Rosenzweig ,&nbsp;Susan W. Wesmiller ,&nbsp;Christine Miaskowski ,&nbsp;Marilyn J. Hammer","doi":"10.1016/j.soncn.2025.151905","DOIUrl":"10.1016/j.soncn.2025.151905","url":null,"abstract":"<div><h3>Objectives</h3><div>The inaugural “Cancer Symptom Science Expert Meeting,” held in Lausanne, Switzerland, on October 11 to 12, 2023, brought together 40 nurse scientists from seven countries. The event aimed to enhance collaboration across the global symptom science community; identify common research interests, gaps in knowledge, and opportunities for research; and develop strategies to address challenges and accelerate symptom science research internationally. This White Paper summarizes the discussions and recommendations deliberated during the meeting and introduces the Global Research Alliance in Symptom Science (GRASS).</div></div><div><h3>Methods</h3><div>This 2-day meeting featured presentations that highlighted critical issues and unanswered questions in cancer symptom science. Four core topic areas based on knowledge gaps were reflected throughout presentations. The co-occurrence of cancer with other chronic conditions (eg, cardiovascular disease, diabetes) that may share similar contributors and underlying mechanisms were included. Four working groups (WGs) were formed to identify gaps and opportunities associated with each topic and to outline strategic directions and essential actions to advance symptom science.</div></div><div><h3>Results</h3><div>WGs developed four recommendations. WG1 explored optimal approaches to collect, analyze, and use symptom data for research and clinical purposes. WG2 addressed the development of a minimum dataset or common data model for symptom science. WG3 focused on enhancement of best practices in implementation science strategies to improve uptake of evidence-based symptom management in routine care. WG4 addressed capacity building and infrastructure for the creation of a GRASS.</div></div><div><h3>Conclusions</h3><div>WGs’ recommendations underscore the commitment of an international coalition of scientists to advance symptom science. The symposium established the groundwork for the development of GRASS, dedicated to symptom science in cancer and other chronic conditions. Future directions include establishing regular scientific meetings, fostering interdisciplinary collaboration, and engaging with symptom scientists.</div></div><div><h3>Implications for Nursing Practice</h3><div>GRASS is an alliance for symptom science and its implementation into clinical practice. Nurses are at the forefront of this work.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151905"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828338","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":"Symptom Science in Pediatric Oncology","authors":"Sue Zupanec ,&nbsp;Kathleen E. Montgomery ,&nbsp;Pamela S. Hinds","doi":"10.1016/j.soncn.2025.151902","DOIUrl":"10.1016/j.soncn.2025.151902","url":null,"abstract":"<div><h3>Objectives</h3><div>to describe the historical evolution of symptom science in pediatric oncology from single symptom measurement to standardizing patient- and caregiver-reported outcomes in clinical trials, including underlying theoretical guidance, contributions of advanced analytics, and the state of integration of the science into clinical practice. Developmental considerations are also described.</div></div><div><h3>Methods</h3><div>historical and current peer-reviewed literature including original research reports and reviews as well as clinical practice guidelines were reviewed and findings extracted.</div></div><div><h3>Results</h3><div>Standardized patient-, caregiver-, and clinician-reported symptom and treatment toxicity outcomes are now embedded in certain clinical trials of the largest pediatric oncology cooperative group. Though the 3 reports can be discordant, findings indicate the willingness of patients, caregivers and clinicians to report on symptoms and toxicities. Concurrently, advanced analytics have revealed the existence of patient subgroups in terms of symptom experiences. This latter finding combined with the use of estimated minimally important differences, makes possible the potential of tailoring symptom management. Embedding symptom reports in clinical practice in a standardized manner, including real time reports and care, is a future milestone in pediatric oncology symptom science.</div></div><div><h3>Conclusions</h3><div>Three symptom perspectives, the patient, family caregiver, and clinician, are essential to accurately measure and manage the impact of cancer therapies on patient symptoms, treatment tolerability, function, and quality of life.</div></div><div><h3>Implications for Nursing Practice</h3><div>Standardizing patient, family, and clinician reports will provide important research and clinical care advances. Embedding these 3 perspectives in nursing practice in a standardized approach is the next milestone for symptom science in pediatric oncology.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151902"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337260","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":"State of the “Art” in Precision Health Symptom Science Research","authors":"Christine Miaskowski ,&nbsp;Sara Colomer-Lahiguera ,&nbsp;Yvette P. Conley ,&nbsp;Susan Dorsey ,&nbsp;Marilyn J. Hammer ,&nbsp;Carolyn Harris ,&nbsp;Marques Shek Nam Ng ,&nbsp;Michele Pelter ,&nbsp;Nancy Redeker ,&nbsp;Susan Wesmiller","doi":"10.1016/j.soncn.2025.151906","DOIUrl":"10.1016/j.soncn.2025.151906","url":null,"abstract":"<div><h3>Objectives</h3><div>The purposes of this paper are to provide a historical perspective on precision health symptom science research; discuss current “conundrums” in precision health symptom science research, including gaps in knowledge and opportunities for growth; and highlight potential challenges that could impede the advancement of precision health symptom science research. The paper concludes with critical directions and recommendations for future research.</div></div><div><h3>Methods</h3><div>A narrative review of the literature on symptoms and symptom burden, across common medical conditions (ie, cancer, heart failure, chronic obstructive pulmonary disease, chronic kidney disease, human immunodeficiency virus, type 2 diabetes mellitus, was conducted to provide information on salient topics associated with precision health symptom science research.</div></div><div><h3>Results</h3><div>This paper provides an overview of the field of precision health symptom science research. Some of the conundrums discussed include measurement of single and multiple symptoms; interindividual variability in persons’ symptom experiences; the concept of “time” in the evaluation of symptoms; advantages and disadvantages of various analytic approaches; and the collection of “meaningful” data. Practical research examples and suggestions are included to guide the development and conduct of future studies.</div></div><div><h3>Conclusions</h3><div>The paper summarizes potential challenges and opportunities in precision health symptom science research. The final section of the paper provides a summary of critical directions and recommendations for future research.</div></div><div><h3>Implications for Nursing Practice</h3><div>Precision health symptom science is a relatively young field of scientific inquiry. However, the future of precision health symptom science research is both exciting and challenging. Knowledge gained in this field will result in the identification of risk factors for a higher symptom burden and the development and testing of personalized interventions to prevent and/or treat symptoms across one or more acute or chronic medical conditions.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151906"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227626","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 Musical Starry Sky Projector on Fatigue, Sleep, and Quality of Life in Pediatric Oncology Patients: A Randomized Controlled Trial","authors":"Remziye Semerci Şahin ,&nbsp;Tuba EREN ,&nbsp;Aycan Kucukkaya ,&nbsp;Polat Goktas ,&nbsp;Gülcan AVCI ,&nbsp;Filiz Savran","doi":"10.1016/j.soncn.2025.151911","DOIUrl":"10.1016/j.soncn.2025.151911","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate the effect of an Ocean Wave and LED Starry Sky Projector on fatigue, sleep, and quality of life (QoL) in pediatric oncology patients.</div></div><div><h3>Methods</h3><div><span>This randomized controlled trial included 60 pediatric oncology patients aged 8 to 18 years who were newly diagnosed with cancer and undergoing chemotherapy. Participants were randomly allocated into two groups: intervention (</span><em>n</em> = 30) and control (<em>n</em><span> = 30). The intervention group received standard care plus nightly exposure to an Ocean Wave and LED Starry Sky Projector for 30 minutes before sleep, over a period of 1 week. The control group received standard care only. Data were collected using the Adolescent Information Form, Pediatric Quality of Life Scale, Visual Sleep Scale, and Fatigue Intensity Scale. Fatigue and sleep quality were assessed daily, while QoL was evaluated on the first and seventh days.</span></div></div><div><h3>Results</h3><div>The descriptive characteristics of children in the intervention and control groups were found to be homogeneously distributed. Although no statistically significant difference was observed in sleep quality between the groups on the first day (<em>P</em> &gt; .05), significant differences favoring the intervention group were found from the second to the seventh day (<em>P</em> &lt; .05). Similarly, no significant differences were found in fatigue levels between the two groups throughout the week (<em>P</em> &gt; .05). There was no statistically significant difference in the mean scores of the “Pediatric Quality of Life Scale” between the groups (<em>P</em> &gt; .05).</div></div><div><h3>Conclusions</h3><div>This study found that the ocean wave and LED starry sky projector significantly improved sleep quality over time in pediatric oncology patients but had no significant effect on fatigue or QoL.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses can use musical projectors as a noninvasive, cost-effective tool to improve sleep quality in pediatric oncology patients during treatment.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151911"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227632","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 Cost-Effectiveness of Nursing Interventions in Cancer Care: Systematic Review","authors":"İlknur Yazıcıoğlu ,&nbsp;Gülcan Bağçivan ,&nbsp;Anica Kolic","doi":"10.1016/j.soncn.2025.151907","DOIUrl":"10.1016/j.soncn.2025.151907","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to comprehensively examine the studies evaluating the cost impact of nursing intervention in cancer care.</div></div><div><h3>Methods</h3><div><span>PubMed, Scopus, Web of Science, MEDLINE, </span>Cochrane Library<span>, and CINAHL<span><span> were searched between 2001 and 2024 for randomized controlled trials examining the cost-effectiveness of nursing intervention in cancer care. The search strategy and selection process was done following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Studies were included if they (1) involved nursing intervention (nurse-led or nurse involved), (2) were conducted with adult patients with cancer, (3) reported cost-effectiveness outcome, and (4) were randomized controlled trials. The study selection process was performed on the Rayyan program. The Consolidated Health </span>Economic Evaluation<span> Reporting Standards (CHEERS) checklist was used for quality assessment of included studies.</span></span></span></div></div><div><h3>Results</h3><div>Twenty-four studies met the criteria and were analyzed. More than half of the studies (18/24) were classified as moderate quality. The types of interventions were nursing care<span> including follow-ups, home visits and needs assessment (n = 11, 46%), education program (n = 2, 8%), telephone follow-up (n = 6, 25%), psychosocial support<span> (n = 1, 4%), group medical consultations (n = 1, 4%), and Geriatric Assessment Management (n = 1, 4%). Seventeen of the interventions were led by the nurse and five were performed by the health care team including a nurse.</span></span></div></div><div><h3>Conclusions</h3><div>In this systematic review, many of the included studies showed the cost-reducing effect of nurse care. Cost-effectiveness can be demonstrated as a way to convince health care system decision-makers to integrate an intervention into care services; in this respect, this result is significant.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses are one of the key factors in the structure of health care delivery, including financing, cost-effectiveness, and resource management. In terms of cancer care, considering the high treatment costs in the world, there is a need to make the situation cost-effective. As providers of health care services, nurses should provide evidence of cost-reducing interventions.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 4","pages":"Article 151907"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250862","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}