Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"CAR T-cell therapy in cancer: Integrating nursing perspectives for enhanced patient care","authors":"Ashna Gupta ,&nbsp;Gunjan Dagar ,&nbsp;Mohd Umar Rehmani ,&nbsp;Chandra Prakash Prasad ,&nbsp;Deepak Saini ,&nbsp;Mayank Singh ,&nbsp;Abhishek Shankar","doi":"10.1016/j.apjon.2024.100579","DOIUrl":"10.1016/j.apjon.2024.100579","url":null,"abstract":"<div><p>Chimeric antigen receptor (CAR) T-cell therapy represents a significant advancement in cancer treatment, particularly for hematologic malignancies. Various cancer immunotherapy strategies are presently being explored, including cytokines, cancer vaccines, immune checkpoint inhibitors, immunomodulators monoclonal antibodies, etc. The therapy has shown impressive efficacy in treating conditions such as acute lymphoblastic leukemia (ALL), diffuse large B-cell lymphoma (DLBCL), and multiple myeloma, often leading to complete remission in refractory cases.</p><p>However, the clinical application of CAR T-cell therapy is accompanied by challenges, notably severe side effects. Effective management of these adverse effects requires meticulous monitoring and prompt intervention, highlighting the critical role of nursing in this therapeutic process.</p><p>Nurses play a crucial role in patient education, monitoring, symptom management, care coordination, and psychosocial support, ensuring safe and effective treatment. As research advances and new CAR T-cell therapies are developed, the role of nursing professionals remains pivotal in optimizing patient outcomes. The continued evolution of CAR T-cell therapy promises improved outcomes, with nursing professionals integral to its success.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 10","pages":"Article 100579"},"PeriodicalIF":2.4,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524002014/pdfft?md5=5f6048cf422c39093cdc3b74d682197e&pid=1-s2.0-S2347562524002014-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232223","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":"Experiences and barriers in downward referral decision-making for palliative care patient caregivers under China's three-tiered linkage model: A qualitative study","authors":"Yahui Liu ,&nbsp;Yanan Xu ,&nbsp;Yubiao Kang ,&nbsp;Ligui Wu ,&nbsp;Yujie Zhou ,&nbsp;Ling Yuan","doi":"10.1016/j.apjon.2024.100578","DOIUrl":"10.1016/j.apjon.2024.100578","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore hospice caregivers’ downward referral decision-making experiences and barriers under the triadic linkage model in China and to analyze the deeper social dynamics of hospice referral choices.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with caregivers handling hospice referrals from two primary hospice agencies in Nanjing, China. The themes were analyzed and summarized using the Colaizzi 7-step analysis.</div></div><div><h3>Results</h3><div>Four themes and nine subthemes were extracted: multidimensional caregiver psychological experience (Dilemma and Guilt, Emotional Support and Psychological Adaptation), perceived disparities between referral organizations (convenience and affordability in the home community, perceived lack of primary health care resources), limitations of caregiver decision-making (cognitive comprehension bias, difficulty in information seeking, and passive acceptance of decision making), and limitations of health care referral support (lack of health care referral guidance, inadequate referral handoffs).</div></div><div><h3>Conclusions</h3><div>Feedback from caregivers of hospice-referred patients reveals many barriers to hospice referral decision making and referral implementation. Overcoming these barriers entails efforts to change the cognitive misunderstandings regarding hospice referrals from patients' perspective, clarify the distribution of responsibilities among hospice agencies, and provide information support and decision-making assistance. These measures must be employed to improve the implementation of hospice referral, realize the multiple benefits of hierarchical diagnosis and treatment, boost patients’ satisfaction with the referrals, and ensure the rational and efficient distribution of hospice resources.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100578"},"PeriodicalIF":2.4,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880965","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":"Descriptors and factors affecting patients’ symptom experiences for symptom self-management throughout palliative radiotherapy for advanced lung cancer: A systematic review","authors":"Saengrawee Thanthong ,&nbsp;Grigorios Kotronoulas ,&nbsp;Bridget Johnston","doi":"10.1016/j.apjon.2024.100577","DOIUrl":"10.1016/j.apjon.2024.100577","url":null,"abstract":"<div><h3>Objective</h3><div>Palliative thoracic radiotherapy is a key treatment option for symptom management in advanced lung cancer. Continuous symptom monitoring is critical to ensuring optimal therapeutic outcomes and preserving patients’ well-being. This systematic review aimed to explore patients’ symptom experiences during palliative thoracic radiotherapy for advanced lung cancer.</div></div><div><h3>Methods</h3><div>Following PRISMA guidelines, we conducted a comprehensive search of MEDLINE, EMBASE, CINAHL, Cochrane, and PsycINFO from database inception through August 31, 2023. Eligible studies included those examining the prevalence and severity of symptoms and side effects experienced by adult patients undergoing palliative thoracic radiotherapy for advanced lung cancer, regardless of treatment duration or dosage. Methodological quality was assessed using the standardized QualSyst tool, and data were synthesized narratively.</div></div><div><h3>Results</h3><div>A total of 8 studies met the inclusion criteria. Thirteen symptoms were reported prior to radiotherapy, with cough being the most common (62%). Symptom severity ranged from mild to severe, with dyspnoea recording the highest average score. Distress was not measured during this phase. Post-radiotherapy, fatigue was the most prevalent symptom (69%), followed by cough (64%) and dyspnoea (50%). Symptom severity varied across studies, with improvements noted in cough, dyspnoea, chest pain, and haemoptysis. Moderating factors influencing symptom prevalence and variation included performance status, weight loss, cancer stage, objective tumour response, and radiation-induced pulmonary changes.</div></div><div><h3>Conclusions</h3><div>Symptom control through palliative thoracic radiotherapy demonstrates variability in both frequency and severity of symptoms. Systematic monitoring is essential for identifying persistent symptoms and determining the need for more targeted supportive care interventions.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 10","pages":"Article 100577"},"PeriodicalIF":2.4,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142327221","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":"Dyadic coping and related factors among couples with colorectal cancer: A latent profile analysis","authors":"Tingting Wei ,&nbsp;Qiao Feng ,&nbsp;Tingting A ,&nbsp;Shaohua Hu ,&nbsp;Ping Ni ,&nbsp;Dongmei Zhuang ,&nbsp;Shihui Yu","doi":"10.1016/j.apjon.2024.100571","DOIUrl":"10.1016/j.apjon.2024.100571","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to identify latent subgroups of dyadic coping (DC) among colorectal cancer (CRC) patients and their spousal caregivers, and to explore the factors associated with these subgroups.</p></div><div><h3>Methods</h3><p>We conducted a cross-sectional study involving 268 pairs of CRC patients and their spousal caregivers. Participants completed the General Information Questionnaire, the Dyadic Coping Inventory, the Cancer-Related Communication Problems Scale, and the Fear of Progress Questionnaire-Short Form. Latent profile analysis (LPA) of DC among CRC couples was performed using Mplus 8.3. We compared couple illness communication, fear of cancer recurrence (FCR), and demographic characteristics between the identified subgroups and conducted ordinal logistic regression analysis to examine factors associated with these subgroups.</p></div><div><h3>Results</h3><p>The 268 pairs of CRC patients and their spousal caregivers were classified into four subgroups based on their coping levels: low-DC group (12.3%), low common-DC group (7.1%), moderate-DC group (52.6%), and high-DC group (28.0%). Disease stage, couple illness communication, and spouse's FCR were significantly associated with the four subgroups.</p></div><div><h3>Conclusions</h3><p>There is considerable variability in DC levels among CRC patients and their spousal caregivers. Patients with advanced disease stages, inadequate communication between spouses, and severe RCR exhibit lower levels of DC. These findings provide a theoretical basis for nursing personnel to develop personalized intervention strategies tailored to the characteristics of these subgroups.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 10","pages":"Article 100571"},"PeriodicalIF":2.4,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001938/pdfft?md5=1f8cc0ae1b57bb018333485a886cb569&pid=1-s2.0-S2347562524001938-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142095377","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":"Evidence summary of prevention strategies for catheter-related infections among cancer patients with home parenteral nutrition","authors":"Yu Zhong ,&nbsp;Xiaoqin Chen ,&nbsp;Shuai He ,&nbsp;Ping Zhang ,&nbsp;Yingchun Zeng","doi":"10.1016/j.apjon.2024.100570","DOIUrl":"10.1016/j.apjon.2024.100570","url":null,"abstract":"<div><h3>Objective</h3><p>To provide a comprehensive summary of evidence on prevention strategies for catheter-related infections among cancer patients with home parenteral nutrition.</p></div><div><h3>Methods</h3><p>A systematic literature search was conducted for identifying prevention strategies for catheter-related infections among cancer patients with home parenteral nutrition, including clinical decisions, guidelines, best practices, expert consensus, evidence summaries, and systematic reviews. The search period includes publications from January 2000 to April 2024.</p></div><div><h3>Results</h3><p>Seven articles were included in the review, comprising four guidelines, one expert consensus, and two systematic reviews. This resulted in the identification of five evidence themes and 33 best evidence statements, addressing safety and monitoring, team and education training, hand hygiene and aseptic techniques, catheter and exit site selection, and catheter care and protection.</p></div><div><h3>Conclusions</h3><p>This evidence summary identifies the prevention of catheter-related infections in home parenteral nutrition, and offers valuable resources for clinical application and guidance for preventing infections among cancer patients receiving home parenteral nutrition.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 10","pages":"Article 100570"},"PeriodicalIF":2.4,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001926/pdfft?md5=c82231c27e4adb5524c9e4c2231f780c&pid=1-s2.0-S2347562524001926-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142136092","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":"Development and psychometric assessment of a health action process approach (HAPA) inventory for home nutritional behavior among postoperative gastric cancer patients","authors":"Xiaohan Jiang ,&nbsp;Jiamin Chen ,&nbsp;Xiuhong Yuan ,&nbsp;Yonghe Chen ,&nbsp;Qian Sun ,&nbsp;Hui Zhao ,&nbsp;Peirong Xu ,&nbsp;Ting Luo ,&nbsp;Junsheng Peng","doi":"10.1016/j.apjon.2024.100569","DOIUrl":"10.1016/j.apjon.2024.100569","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to develop and validate a health action process approach (HAPA) inventory for measuring cognitive belief factors influencing home nutritional behavior among postoperative gastric cancer patients.</p></div><div><h3>Methods</h3><p>Item pool of the inventory was constructed based on the HAPA, literature review, and qualitative interview. Expert consultations were used for item improvement. Then postoperative gastric cancer patients (<em>n</em> = 404) were surveyed to conduct item analysis, reliability and validity test of the inventory. Reliability was evaluated through internal, split-half, and test–retest reliability. Validity was assessed through content and construct validity.</p></div><div><h3>Results</h3><p>Starting with 44 items in the item pool, the final inventory comprised 23 items. The exploratory factor analysis identified six dimensions—namely, risk perception, outcome expectancy, self-efficacy, intention, action planning, coping planning. And the cumulative variance contribution rate was 70.676%. Confirmatory factor analysis showed the model fits well (χ² = 370.794, <em>df</em> = 214, and χ²/<em>df</em> = 1.733, root mean square of approximation error = 0.054, comparative fit index = 0.943, Tucker–Lewis index = 0.933, and incremental fitting index = 0.944). The item and scale level content validity were 0.83–1.00, and 0.98, which was considered good. The reliability was acceptable (Cronbach's α = 0.922, split-half reliability = 0.781, test–retest reliability = 0.716).</p></div><div><h3>Conclusions</h3><p>The developed inventory was valid and reliable to assess HAPA-based cognitive belief factors of home nutritional behavior of postoperative gastric cancer patients. Future research is needed to examine the applicability of the inventory in patients across diverse cultural backgrounds and healthcare systems.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 10","pages":"Article 100569"},"PeriodicalIF":2.4,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001914/pdfft?md5=3996cfbbfa30ef8ccf8c06e7da506ed1&pid=1-s2.0-S2347562524001914-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142095378","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":"Childhood cancer care beyond the ‘six common and curable types’: A comparative case series on acute myeloid leukemia in Kenya and the Netherlands","authors":"Noa Wijnen ,&nbsp;Larissa Klootwijk ,&nbsp;Alice Gichemi ,&nbsp;Lilian Apadet ,&nbsp;Festus Njuguna ,&nbsp;Kim Klein ,&nbsp;Minke Huibers ,&nbsp;Bianca F. Goemans ,&nbsp;Saskia Mostert ,&nbsp;Gertjan Kaspers","doi":"10.1016/j.apjon.2024.100565","DOIUrl":"10.1016/j.apjon.2024.100565","url":null,"abstract":"<div><p>Annually, over 400,000 children develop cancer, with the majority living in low- and middle-income countries (LMICs). Survival rates in high-income countries (HICs; ≥ 75%–80%) significantly exceed those in LMICs (&lt; 30%). Acute myeloid leukemia (AML) is a childhood cancer with high mortality rates in LMICs and is not included in the World Health Organization (WHO)’s ‘six common and curable types of cancer’. This case report explores two pediatric AML cases in Kenya (LMIC) and the Netherlands (HIC), highlighting differences and similarities in both patient journeys. The first case is a 15-year-old Kenyan boy who initially experienced dizziness and fatigue. After repeated blood transfusions without a definitive diagnosis, AML was confirmed via bone marrow aspiration (BMA) 63 days later, and treatment followed the SIOP PODC AML guidelines for LMICs. The second case is a 6-year-old Dutch boy with fatigue and malaise. Initially diagnosed with post-viral bone marrow failure, a BMA performed 61 days after symptom onset revealed AML, and treatment followed the NOPHO-DBH AML-2012 protocol. Both patients faced frequent febrile neutropenia, managed per local guidelines, illustrating the balance between anti-cancer treatment and supportive care. Despite challenges, both boys completed treatment and are in complete remission. This case series highlights the potential for effective AML treatment in resource-constrained settings and underscores the need to address cancers beyond the ‘six common and curable types’.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 10","pages":"Article 100565"},"PeriodicalIF":2.4,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001872/pdfft?md5=0446608eac30f026dbac4ce6b60e6655&pid=1-s2.0-S2347562524001872-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142272719","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":"Preoperative inter-arm differences and normative-based thresholds for lymphedema in Chinese breast cancer patients: Insights from a large cohort study","authors":"Aomei Shen ,&nbsp;Xin Li ,&nbsp;Hongmei Zhao ,&nbsp;Jingming Ye ,&nbsp;Hongmeng Zhao ,&nbsp;Yujie Zhou ,&nbsp;Yue Wang ,&nbsp;Zhongning Zhang ,&nbsp;Jingru Bian ,&nbsp;Liyuan Zhang ,&nbsp;Peipei Wu ,&nbsp;Wanmin Qiang ,&nbsp;Qian Lu","doi":"10.1016/j.apjon.2024.100567","DOIUrl":"10.1016/j.apjon.2024.100567","url":null,"abstract":"<div><h3>Objective</h3><p>Early detection and diagnosis of lymphedema are crucial for effective treatment and prevention of its progression. Normative-based diagnostic thresholds can enhance diagnostic accuracy in the absence of preoperative measurements. This study aimed to investigate preoperative inter-arm differences and the associated factors, as well as to determine normative-based thresholds for lymphedema in Chinese breast cancer patients.</p></div><div><h3>Methods</h3><p>This study utilized baseline data from a large cohort of Chinese breast cancer patients. Bilateral arm circumferences were measured at the wrist and at 10 cm intervals proximally up to 40 cm. Arm volumes were calculated using the truncated cone formula. Paired <em>t</em> test, repeated measures analysis of variance, and regression analysis were performed.</p></div><div><h3>Results</h3><p>A total of 1707 breast cancer patients were included. Paired <em>t</em> tests showed that the dominant arm circumferences and volumes were significantly larger than those of the nondominant arm (<em>P</em> &lt; 0.001). Regression analysis and repeated measures analysis of variance revealed that hand dominance was the influencing factor of inter-arm differences (<em>P</em> &lt; 0.05). Normative-based thresholds determined by two standard deviations above the mean inter-arm volume ratio were 1.057 for the dominant arm and 1.079 for the nondominant arm.</p></div><div><h3>Conclusions</h3><p>The absolute and relative normative-based thresholds for Chinese breast cancer patients differed slightly from the commonly used diagnostic criteria and those reported in Western populations and among Chinese healthy women. The normal variability and asymmetry associated with arm dominance underscore the importance of preoperative baseline assessments. Implementing normative-based diagnostic thresholds can facilitate more accurate lymphedema diagnosis when preoperative measurements are unavailable.</p></div><div><h3>Trial registration</h3><p>Registration No. ChiCTR2200057083.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 10","pages":"Article 100567"},"PeriodicalIF":2.4,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001896/pdfft?md5=3d2baf35dfdd3ae05593f8319b5197d3&pid=1-s2.0-S2347562524001896-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142129824","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":"Perspectives and needs for fertility preservation decision-making in childbearing-age patients with breast cancer: A qualitative study","authors":"Mengying Sun ,&nbsp;Chunlei Liu ,&nbsp;Peng Zhang ,&nbsp;Yanru Song ,&nbsp;Ying Bian ,&nbsp;Sangsang Ke ,&nbsp;Yanjuan Lu ,&nbsp;Qian Lu","doi":"10.1016/j.apjon.2024.100548","DOIUrl":"10.1016/j.apjon.2024.100548","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the perspectives and needs related to fertility preservation decision-making in patients of childbearing age with breast cancer.</p></div><div><h3>Methods</h3><p>Semistructured face-to-face interviews were conducted in a tertiary hospital in Baoding, China from July to October 2023. Purposive sampling was used to ensure the diversity of samples. The interview guide is based on the literature review and the discussions within the research team. A traditional content analysis approach was used for data analysis.</p></div><div><h3>Results</h3><p>A total of 18 participants were interviewed. Three themes emerged from the data: conflicts between subjective desires and concerns, coexistence of objective benefits and challenges, and decision-making support needs. The conflicts between subjective desires and concerns included five sub-themes, the coexistence of objective benefits and challenges also included five sub-themes, and the decision-making support needs included two sub-themes.</p></div><div><h3>Conclusions</h3><p>Patients faced a difficult trade-off between desires and concerns, benefits, and challenges regarding fertility preservation decisions, with numerous unmet needs. Healthcare professionals should prioritize patients' fertility desires, providing timely fertility preservation information and adequate counseling after a cancer diagnosis. This approach can help alleviate unnecessary concerns, facilitate satisfactory decision-making, and improve patients' quality of life.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 8","pages":"Article 100548"},"PeriodicalIF":2.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001707/pdfft?md5=d47eee7bc8ce8ec9596c5fb3b977a76a&pid=1-s2.0-S2347562524001707-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141954263","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":"Exploring research engagement among nurses in a Magnet®-recognized cancer center: An analysis of knowledge, attitudes, practices, and influencing factors","authors":"Amanda Drury ,&nbsp;Kristen L. Fessele ,&nbsp;Piera Robson ,&nbsp;Ethel Law ,&nbsp;Margaret Barton-Burke ,&nbsp;Bridgette Thom","doi":"10.1016/j.apjon.2024.100545","DOIUrl":"10.1016/j.apjon.2024.100545","url":null,"abstract":"<div><h3>Objective</h3><p>Despite the significance of research in nursing practice and its role in enhancing the quality of life for cancer patients, nurses report limited opportunities to engage with research. Known barriers include limited organizational support, a lack of time, resources, and knowledgeable colleagues/mentors. The study aims to determine research knowledge, attitudes, and practices among cancer nurses and understand factors influencing nurses’ involvement in research.</p></div><div><h3>Methods</h3><p>Registered nurses responded to a cross-sectional questionnaire. Data were collected using a modified version of the Nursing Research Knowledge, Attitudes, and Practices survey and the Barriers to Nurses’ Participation in Research Questionnaire.</p></div><div><h3>Results</h3><p>Three hundred and sixty-six nurses responded, of whom 15% had previously been involved in research. Nurses reported moderate to high research knowledge (<span><math><mrow><mi>μ</mi><mo>=</mo></mrow></math></span> 1.72), attitudes (<span><math><mrow><mi>μ</mi><mo>=</mo></mrow></math></span> 1.92), and practice (<span><math><mrow><mi>μ</mi><mo>=</mo></mrow></math></span> 1.79) scores. The most common barriers to engagement with research included a lack of time (78.0%), lack of incentive or reward (61.4%), lack of knowledge or skills (54.2%), lack of training opportunities (51.4%), and lack of experienced nursing research mentors (44.8%). Holding a specialist, advanced practice, or administrative role, and a postgraduate qualification were associated with higher scores on the knowledge, attitudes and practice subscales. Previous experience of conducting research was associated with higher knowledge and attitudes scores. Previous experience of authoring a paper and submitting a grant were associated with higher knowledge scores.</p></div><div><h3>Conclusions</h3><p>The study reveals a moderate–to-high level of knowledge, attitudes, and practice regarding research among nurses, but low engagement. Barriers include lack of time, incentive, knowledge, training, and mentorship. Nevertheless, attitude scores, reflecting nurses’ willingness to engage in research were high on average. The findings highlight the potentially modifiable nature of barriers to research engagement. Increasing capacity for nursing research may be achieved through investment in research support and training to overcome barriers to research, which may discourage nurses engagement.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 8","pages":"Article 100545"},"PeriodicalIF":2.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001677/pdfft?md5=d48fb8d8efbb026d7414769fb8fec185&pid=1-s2.0-S2347562524001677-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141978339","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}