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Clinical Journal of Oncology Nursing

Susan Yackzan, Stacy Stanifer, Sara Barker, Belinda Blair, Alena Glass, Holly Weyl, Peggy Wheeler
BACKGROUND: Satisfaction with care is a reported outcome of patient navigation. Assessment methods vary, as do navigation programs, including the use of oncology nurse navigators (ONNs). OBJECTIVES: The purpose of this study is to evaluate the effect of contact with an ONN on patient satisfaction. METHODS: A retrospective review of oncology Press Ganey outpatient satisfaction surveys was conducted. Groups with and without ONN contact were compared on responses to survey items relevant to ONN roles...
February 1, 2019: Clinical Journal of Oncology Nursing
Elaine Wittenberg, Joy Goldsmith, Haley Buller, Sandra L Ragan, Betty Ferrell
BACKGROUND: Oncology nurses are responsible for communication-aimed prognosis, patient education about cancer care and treatment, survivorship, and care coordination. Communication difficulties and uncomfortable communication topics put nurses at risk for compassion fatigue. OBJECTIVES: Supporting nurse communication skills requires institutional policies and structures to foster patient-centered communication. This study reports on communication training needs for oncology nurses to inform future development of communication curricula and institutional training...
February 1, 2019: Clinical Journal of Oncology Nursing
Heather Ugolini, Jennifer Bryan, Meliessa Hennessy, Howard L Kaufman, Sandra D'Angelo
BACKGROUND: Metastatic Merkel cell carcinoma (mMCC) is a rare skin cancer with poor prognosis. Avelumab is the first approved treatment option for patients with mMCC. Immune checkpoint inhibitors, such as avelumab, are associated with unique toxicities that can be effectively addressed with prompt recognition and appropriate management. OBJECTIVES: This article discusses the use of avelumab for the treatment of mMCC and management of associated toxicities. METHODS: Literature on mMCC disease state and clinical trial data for avelumab were reviewed...
February 1, 2019: Clinical Journal of Oncology Nursing
Rebecca D Suttle, Heather M Buffington, Wendy T Madden, Martha A Dawson
BACKGROUND: Central line-associated bloodstream infections (CLABSIs) are associated with an increased risk of mortality, prolonged hospitalizations, and inflated cost of care. Patients in the hematology-oncology specialty unit are at greater risk of developing CLABSIs because of their immunocompromised state and high number of central line (CL) days. OBJECTIVES: The aim of the EPIC2 project was to reduce CLABSI rates on a hematology-oncology specialty unit with historically high CLABSI rates despite prior quality improvement efforts...
February 1, 2019: Clinical Journal of Oncology Nursing
Deborah A Boyle
Most Americans prefer their home as a place of death, but most die in the hospital acute care setting. Nurses are the major providers of hospital-based end-of-life care; therefore, it is imperative to identify family preferences for nursing support during the end of life. An initiative was undertaken to create a blueprint for operationalizing research findings that identified family preferences for nursing support during the peri-death experience of a loved one within acute care. Seven components of an acute bereavement support protocol were delineated: developing room signage, assessing family prioritization parameters of support measures, offering advice on saying goodbye, performing an honoring ceremony, creating a memory keepsake, escorting the family out of the hospital, and sending a sympathy card following the loved one's death...
February 1, 2019: Clinical Journal of Oncology Nursing
Vania Rohsig, Poliana Silva, Rosane Teixeira, Elisiane Lorenzini, Rubia Maestri, Taiana Saraiva, Aline Souza
BACKGROUND: Nurse navigators play a major role in the care provided to patients with cancer within the healthcare system. OBJECTIVES: This study aims describe the outcomes of a pioneering nurse navigation program established in a breast cancer center in a private, nonprofit hospital in Porto Alegre, Brazil. METHODS: This is a cross-sectional, retrospective, descriptive study based on electronic health records. Descriptive statistics were used for data analysis...
February 1, 2019: Clinical Journal of Oncology Nursing
Barbara B Rogers, Terri Cuddahy, Caralyn Briscella, Nicole Ross, Anthony J Olszanski, Crystal S Denlinger
BACKGROUND: Oxaliplatin is used extensively for the treatment of gastrointestinal cancer and other malignancies, with increased frequency of use in recent years. Hypersensitivity reactions (HSRs) can pose a major problem in clinical practice because they can limit the use of oxaliplatin in the care of malignancies in which it has proven efficacy. Nurses play an integral role in the administration of oxaliplatin; therefore, they need to be well educated in the prevention, detection, and management of HSRs...
February 1, 2019: Clinical Journal of Oncology Nursing
Kari Mau, Rochelle Ringer
Breast cancer treatment for women aged 70 years and older can be complicated by existing comorbidities, a shorter lifespan, and a greater risk of side effects from treatments such as chemotherapy. Identifying and continually assessing appropriate breast cancer treatment strategies in older women is important. This article highlights an approach to surgical treatment that demonstrates that age may not be the most important factor in surgical treatment for early-stage breast cancer.
February 1, 2019: Clinical Journal of Oncology Nursing
Joyce Neumann, Valerie Counts, Colleen Jernigan
Ethical challenges are inherent in oncology clinical practice. Ranging from transitions in care to code status and treatment decisions, these ethical challenges can have an acute effect on nurses, with well-established connections to moral distress and other psycho-emotional sequelae. The availability of a nurse ethicist can provide invaluable resources to support nurses in awareness of ethical challenges and support for ethical decision making in practice.
February 1, 2019: Clinical Journal of Oncology Nursing
Mariah Prince, Deborah Allen, Sarah Chittenden, Joey Misuraca, Marilyn J Hockenberry
BACKGROUND: Transitional care from inpatient to outpatient settings is a high-risk time for medical errors and missed follow-up appointments. Discharge checklists and handoffs are effective tools that lead to improved quality of care and outcomes. OBJECTIVES: The purpose of this project was to implement an evidence-based discharge checklist and handoff template to improve and standardize transitional care from hospital to home for patients with hematologic malignancies...
February 1, 2019: Clinical Journal of Oncology Nursing
Jennifer M Pierle, Suzanne M Mahon
BACKGROUND: Providing timely access to quality genetic counseling is becoming necessary as the awareness and availability of high-risk screening and genetic testing increase. The results of genetic testing directly influence treatment decisions and recommendations for cancer screening and prevention. Evolving service delivery models of genetic counseling can lessen patient and system barriers to comprehensive genetic care. OBJECTIVES: The aim of this article is to note known barriers to accessing genetic care, review strategies and delivery models to enhance access to the genetic counseling process, and discuss how oncology nurses can play a supportive role in facilitating the genetic counseling process...
February 1, 2019: Clinical Journal of Oncology Nursing
Elizabeth J Parks-Stamm, Erin M Ferrell
BACKGROUND: Visual art and music have been found to improve the emotions and moods of patients and healthcare staff, and attendance of live performances has been shown to foster social interaction. OBJECTIVES: The aim of the study was to explore the effects of a visual artist on patients and nursing staff in an outpatient chemotherapy treatment environment. METHODS: During an eight-week period, an artist painted in an outpatient chemotherapy treatment room, either interacting with patients (six weeks) or quietly painting while wearing headphones (two weeks)...
February 1, 2019: Clinical Journal of Oncology Nursing
Jason Mott, Bonnie Schmidt, Brent MacWilliams
BACKGROUND: More than 16 million men in the United States are acting in the role of family caregiver. Men are usually viewed as not being caring simply because they provide care differently than women. However, this is not the case. OBJECTIVES: This article explores male caregiving from the perspective of family and professional roles. METHODS: A review of the literature related to men in the caregiving role was conducted. This review included only men providing care to a family member and was limited to men caring for an adult...
February 1, 2019: Clinical Journal of Oncology Nursing
Leeat Granek, Ora Nakash, Samuel Ariad, Shahar Shapira, Merav Ben-David
BACKGROUND: Oncology nurses have an important role in identifying mental health distress; however, the research to date indicates that oncology nurses often do not accurately detect this distress. OBJECTIVES: The aim of this study is to explore oncology nurses' perspectives on indicators of distress in patients, the strategies they use in identifying these signs of distress, and the barriers they face in recognizing these indicators. METHODS: Twenty oncology nurses were interviewed...
February 1, 2019: Clinical Journal of Oncology Nursing
Laurie M Connors
The National Comprehensive Cancer Network now recommends BRCA1/2 genetic testing in men with metastatic prostate cancer. The purpose of this article is to provide a review of principles of genetic testing in prostate cancer and highlight the significance of clinical genetic testing of BRCA1/2 and other genes (CHEK2, HOXB13, PALB2), including Lynch syndrome genes (MLH1, MSH2, MSH6, and PMS2) in men with metastatic prostate cancer. The potential impact of genetic testing on systemic treatments and the significance of the pathogenic results for at-risk family members is discussed...
February 1, 2019: Clinical Journal of Oncology Nursing
Ellen Carr
As an oncology nurse and lifelong beneficiary of libraries and librarians, I know that libraries provide a solid foundation to frame our points of view, practice strategies, and policies. Even in this age of "just Google that," any sturdy, scholarly response is rooted in the literature, relying on libraries or, in this day and age, information resources. But, let's face it, the most robust access to any library system is not possible without the help of an expert navigator: a librarian who knows how to mine information and package it for our own needs...
February 1, 2019: Clinical Journal of Oncology Nursing
Carolyn J Friedland
Patients with head and neck cancer (HNC) are at high risk for developing depressive symptoms and a major depressive disorder as comorbidities. Depression can affect quality of life (QOL), with data indicating an associated increased risk of recurrence and mortality for patients with HNC. The purpose of this article is to urge oncology nurses to consider depression as an important comorbidity in the care plan for patients with HNC. Resources allocated for depression prevention and screening can decrease symptoms, the incidence of suicidal ideation, and healthcare-associated costs while improving QOL and mortality...
February 1, 2019: Clinical Journal of Oncology Nursing
Jessica Bay, Yangden Yangden, Nima Sherpa, Ambika Luitel
The rise in noncommunicable diseases and initiation of cancer treatment in Bhutan, combined with a global recognition of the need for palliative care, led the country's Ministry of Health to identify the need for palliative care. A team of nurses at Jigme Dorji Wangchuck National Referral Hospital in Thimphu were recruited to launch the country's first homecare palliative program. The Bhutan Cancer Society contributed financially to this effort, and other nongovernment organizations and faculty at the Khesar Gyalpo University of Medical Sciences of Bhutan School of Nursing contributed on the academia front...
February 1, 2019: Clinical Journal of Oncology Nursing
Amity Parker
The challenges faced in my first year as a new oncology nurse included learning the beauty of small victories and understanding loss. Family and friends often mention how sad and hard this profession is. It is hard to explain how much I love this job to those who view it as somewhat depressing. The victories are the small moments: shortness of breath improving because the tumor shrank, attending a granddaughter's graduation, seeing a new baby born, or celebrating another birthday. Those moments keep us coming to work every day and help our patients make it another month...
February 1, 2019: Clinical Journal of Oncology Nursing
Cynthia Cantril, Deb Christensen, Elizabeth Moore
BACKGROUND: Since the introduction of patient navigation, challenges persist in standardizing the oncology nurse navigator (ONN) role, educational preparation, and scope of work. OBJECTIVES: With a goal of systemwide understanding of navigation services, two healthcare institutions examined the educational preparation, responsibilities, and understanding of the ONN role. METHODS: Two nurse leaders in navigation concurrently used surveys, focus groups, and interprofessional discussions to assess the current state of navigation within their comparable organizations...
February 1, 2019: Clinical Journal of Oncology Nursing
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