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Clinical Journal of Oncology Nursing

Ryan Malibiran, Joseph D Tariman, Kim Amer
An appraisal of the evidence on the efficacy of bibliotherapy on anxiety, distress, and coping in patients with cancer is lacking in the literature. Bibliotherapy is a self-help intervention using a variety of tools, such as self-help workbooks, pamphlets, novels, and audiobooks, to improve mental health. This review identified nine original research articles that examined bibliotherapy as an intervention to alleviate the psychological issues associated with a cancer diagnosis. Data synthesis from these studies provides preliminary evidence that bibliotherapy is an acceptable and beneficial adjunct therapy for patients with cancer experiencing anxiety, depression, and ineffective coping...
August 1, 2018: Clinical Journal of Oncology Nursing
Pamela S Herena, Glenna Paguio, Bernadette Pulone
A staff shortage of clinical research nurses leaves a few to cover the jobs of many, and heavy workloads lead to decreased quality care and practices. A new plan of hiring inexperienced nurses was implemented at a comprehensive cancer center to help quickly fill roles; however, challenges arose with training. In response, the research nurse leadership team created a course using the clinical research nursing scope and standards of practice. The results validated the need for this course and supported plans to continue to provide the course to new hires...
August 1, 2018: Clinical Journal of Oncology Nursing
Joylyn Estrella, Hilary Sullivan, Imelda Febryani, Jessica Vaughn, Colleen Villamin, Ginny Bowman
The clinical nurse leader (CNL) role has evolved since the American Association of Colleges of Nursing published a white paper on the role in 2007. Since then, various publications have evaluated the role of CNLs in enhancing quality outcomes for patients. The introduction of the CNL role in the oncology setting, although occurring with variability across the United States, provides a unique opportunity to explore the benefits of this role in cancer care outcomes.
August 1, 2018: Clinical Journal of Oncology Nursing
Andrea Fry
Not until I had experienced my own mother's illness and death did I appreciate the complexity of end-of-life decision making. As an oncology nurse practitioner, I had been trained in advance directives. I understood the importance and why they were needed. However, my own family's experience taught me that such planning does not always prevail over the spectrum of emotions, family dynamics, and other realities that accompany death.
August 1, 2018: Clinical Journal of Oncology Nursing
Alexandra Meyer, Chelsea Moran, Tanya Fitzpatrick, Jochen Ernst, Annett K├Ârner
BACKGROUND: The impact of support work on volunteers with a personal history of cancer has rarely been examined, despite the possibility that supporting distressed individuals may become a psychological burden for someone who has faced a life-threatening disease themselves. OBJECTIVES: The purpose of this study is to compare compassion, self-compassion, self-coldness, and psychological well-being of oncology volunteers to the general population and clinical samples...
August 1, 2018: Clinical Journal of Oncology Nursing
Sarah Merkle, Susan S Tavernier
BACKGROUND: Legalization efforts in many states have heightened awareness of the medicinal uses of cannabis, and oncology nurses are more frequently caring for patients who have used or are using cannabis. Significant epidemiologic data on the prevalence of cannabis use in patients with cancer are not yet available, and not much is known about the effects of cannabis on cancer treatment. OBJECTIVES: This article describes the effects cannabis may have on the lungs, reviews indications for cannabis use in patients with cancer, and explores an atypical case of progressive pulmonary toxicity in a young patient with a history of Hodgkin lymphoma and cannabis use...
August 1, 2018: Clinical Journal of Oncology Nursing
Anna S Lucas, Mario Lacouture, Susan M Schneider
BACKGROUND: Patients with breast cancer undergoing radiation therapy can experience dermatologic adverse events. Oncology nurses can advocate for radiation dermatitis (RD) prophylaxis to minimize dermatologic adverse events. OBJECTIVES: This quality improvement project was conducted to evaluate the effect of implementing an RD prevention protocol. The objectives of this study were to (a) improve clinicians' knowledge of screening, assessment, and prevention of RD in patients with breast cancer and (b) decrease the incidence of RD by 10% at a tertiary care cancer center...
August 1, 2018: Clinical Journal of Oncology Nursing
Carissa Laudati, Caroline Clark, Andrea Knezevic, Zhigang Zhang, Margaret Barton-Burke
BACKGROUND: Strategies to reduce hypersensitivity reaction (HSR) incidence with rituximab include premedications and slow titration. Literature is lacking on the priming method used when preparing rituximab IV lines and the potential impact on HSR incidence. OBJECTIVES: The primary objective is to evaluate HSR incidence in titrated first-dose rituximab infusions when priming IV lines with rituximab, as compared to priming with diluent. METHODS: A retrospective, comparative, descriptive study with two arms (rituximab- versus diluent-primed) was conducted...
August 1, 2018: Clinical Journal of Oncology Nursing
Kathy A Keener, Elizabeth J Winokur
BACKGROUND: Prechemotherapy information is overwhelming, and retention of critical information can be challenging. Patients from a Southern California infusion clinic had varying degrees of retention when nurses used traditional one-on-one teaching with supplemental handouts. OBJECTIVES: The intent of this article is to determine the effectiveness of standardized, digitally recorded education as an alternative teaching method for increasing knowledge recall and decreasing anxiety in English- and Spanish-speaking patients receiving first-time chemotherapy...
August 1, 2018: Clinical Journal of Oncology Nursing
Jace D Johnny
BACKGROUND: The endocrine system contributes to numerous physiologic processes. Compensatory mechanisms are in place that can assist when endocrine dysfunction occurs, which may make it difficult to identify pathologic states. OBJECTIVES: The case study in this article presents a 74-year-old woman with diffuse large B-cell lymphoma who was admitted to an oncology critical care unit with neutropenic fevers and suspicion of gastrointestinal bleeding. She was placed on NPO status (no oral intake) overnight and quickly developed hypernatremia...
August 1, 2018: Clinical Journal of Oncology Nursing
Jessica Hamilton, Heather Kruse, Lauren Holcomb, Ronald Freche
BACKGROUND: Patients with cancer have increased rates of clinical distress compared to healthy individuals. Programs are needed to screen patients for distress and make appropriate psychosocial referrals. OBJECTIVES: The purpose of this study was to describe the distress levels and psychosocial needs of a large, diverse sample of patients with cancer. METHODS: More than 1,200 adult patients, attending their second appointment with a medical or radiation oncologist, were screened for distress and psychosocial needs...
August 1, 2018: Clinical Journal of Oncology Nursing
Mary Beth Steck
Competent genetic and genomic nursing practice requires the incorporation of various ethical approaches, or tools, into patient decision making. Using different decision-making approaches, which converge to answer an ethical issue, nurses can be confident that their judgment is justified. A lack of convergence can signal a need to reexamine the nurse's ethical decision-making skills. This article describes four approaches that nurses can use to facilitate ethical decision making, which is a skill that must be learned and practiced; these will then be applied to a genomic case study...
August 1, 2018: Clinical Journal of Oncology Nursing
Colleen Flaherty, Kristin Fox, Donald McDonah, Jennifer Murphy
BACKGROUND: The palliative care needs of hospitalized patients often go unmet, resulting in unrelieved symptoms and a lack of understanding about advance care planning. OBJECTIVES: This article analyzes the 10-item Palliative Assessment Screening Tool (PAST) to determine if the PAST aids in the identification of hospitalized patients with palliative care needs and facilitates completion of advance directives. METHODS: A systematic review of studies published from 2012-2016, as well as a retrospective chart review, were used to analyze the PAST...
August 1, 2018: Clinical Journal of Oncology Nursing
Bilja Sajith
Respiratory depression is a complication that often follows cancer-related surgery and can result in life-threatening consequences. Oncology nurses caring for postoperative patients must monitor for respiratory complications and implement measures to prevent respiratory depression. A review of postoperative respiratory depression risk factors, clinical findings, and monitoring will be presented in this article using a case study.
August 1, 2018: Clinical Journal of Oncology Nursing
Maria Nix, Daphne Caldwell
Natural disasters cause challenges for healthcare organizations because of circumstances such as limited communication, restricted transportation, and the emotional toll of the devastation. For oncology nurses and providers, disasters present unique challenges, like maintaining chemotherapy treatment schedules and adhering to research protocols for clinical trial participants. To ensure continuity of care, nurses can provide patients with critical medical information that will be needed if they are displaced, use electronic health records, maintain current copies of patient contact lists and treatment schedules, and stock up on supplies and medications...
August 1, 2018: Clinical Journal of Oncology Nursing
Sung A Poblete
Nurses represent the heart, soul, and future of the movement to end cancer. We are the ultimate collaborators. We interact across the spectrum of healthcare professionals, and we know the patients better than anyone. As the first line in the inpatient setting and the primary contact in the outpatient world, we often are the first to identify and document patient responses and the first to realize that something is off for a patient or family member. We do all of this while our patients face some of the biggest crises of their lives...
August 1, 2018: Clinical Journal of Oncology Nursing
Jeffery Miller
As a new nurse, I was aware of how judging or stereotyping someone based on religion, gender, culture, or other bias can inhibit a caring nurse-patient relationship. Expectations or preferences of my patients and their family members in certain caregiving scenarios influenced our interactions, and, as a male healthcare professional, I learned how cultural context, interactions with unrelated people of the opposite gender, modesty, and masculinity could become barriers if not addressed. My own experience, beginning as a nurse and progressing to a nurse practitioner, has offered opportunities for me to expand the horizons of myself and my patients...
August 1, 2018: Clinical Journal of Oncology Nursing
Kathleen Clifford, Amanda Copeland, Gregory Knutzen, Ellen Samuelson, Laurie Grove, Karen Schiavo
BACKGROUND: Brentuximab vedotin (BV) is an antibody-drug conjugate that targets CD30-expressing cells. OBJECTIVES: This article assesses the occurrence and management of the most frequent and clinically relevant BV-associated adverse events (AEs), with a focus on Hodgkin lymphoma and systemic anaplastic large cell lymphoma trials, and shares practical tips that may help decrease occurrence and severity. METHODS: Peer-reviewed literature was surveyed to collect safety data from sponsored clinical trials of BV and to compile associated management guidelines...
August 1, 2018: Clinical Journal of Oncology Nursing
Carlin Callaway, Craig Cunningham, Shawna Grover, Kenneth R Steele, Andrea McGlynn, Vorachai Sribanditmongkol
BACKGROUND: Bedside handoffs, the teach-back method, and discharge bundles have been shown to contribute to empowering patients to actively engage in their treatment. OBJECTIVES: The objectives were to identify patient activation scores, patient readmission rates, and nursing staff satisfaction before and after implementing bedside handoffs, the teach-back method, and discharge bundles on an inpatient oncology unit at a large military treatment facility. METHODS: A series of three cycles using the Plan-Do-Study-Act framework guided implementation of the multifaceted approach...
August 1, 2018: Clinical Journal of Oncology Nursing
Amber Thomassen
Newly graduated advanced practice nurses (APNs) often accept positions equipped only with brief, limited training and are expected to primarily learn on the job. APN fellowship programs, such as the oncology fellowship program at Sylvester Comprehensive Cancer Center (SCCC) in Florida, may be a solution to this problem; they provide in-depth training to APNs, offer support through open communication with preceptors, grant APNs opportunities to develop skills and confidence, and allow APNs the time to earn the trust of others at the institution and take on additional responsibilities...
August 1, 2018: Clinical Journal of Oncology Nursing
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