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Clinical Journal of Oncology Nursing

Eric Zack
BACKGROUND: With the advent of biosimilars into the U.S. healthcare market, knowledge deficits exist for nurses and patients regarding the regulatory approval process and key nursing considerations for each of these new medications. OBJECTIVES: This article provides essential clinical information for oncology nurses who are directly involved in patient care who will be administering U.S. Food and Drug Administration (FDA)-approved biosimilars for oncologic use. Oncology nurses must be informed on their therapeutic uses, mechanisms of action, and administration considerations...
October 1, 2018: Clinical Journal of Oncology Nursing
Joseph D Tariman
BACKGROUND: Biosimilars provide opportunities for improving healthcare access and outcomes and reducing overall healthcare costs for patients with cancer. OBJECTIVES: The purpose of this article is to explore the history of biosimilars, regulatory pathways, and barriers to biosimilar approval. This article also aims to describe the patient and clinician barriers to biosimilars use and the progress that has been achieved since the first biosimilar approval in Europe in 2006 and in the United States in 2015...
October 1, 2018: Clinical Journal of Oncology Nursing
Jazel Sugay
BACKGROUND: The development of biosimilars is occurring more rapidly as patents on biologics expire. Oncology nurses will have an integral role in the new era of biosimilars regarding administration and education. OBJECTIVES: The purpose of this article is to review the role of the oncology nurse during biosimilar clinical trials, including regulatory guidelines, comparability exercise, clinical trial designs, and extrapolation of clinical trial data. This article also reviews pharmacovigilance...
October 1, 2018: Clinical Journal of Oncology Nursing
Lisa Sowinski-Raff
BACKGROUND: Following approval of the Biologics Price Competition and Innovation Act of 2009, biosimilars are gradually entering the market in the United States. With the introduction of more biosimilars into the marketplace, all healthcare providers should be familiar with the approval and evaluation process, the naming convention applied to these agents, and the importance of accurate pharmacovigilance. OBJECTIVES: This article aims to describe the approval process of biosimilars, including extrapolation, and to help healthcare providers understand when a biosimilar may be interchanged for the reference biologic and the naming convention used for biosimilars...
October 1, 2018: Clinical Journal of Oncology Nursing
Laura Mitchell, Seline Tam, Abha A Gupta
Adolescents and young adults (AYAs) with cancer aged 15-39 years have unique medical, psychosocial, and informational needs. At the time of diagnosis, they are often going through important life milestones, such as establishing their independence, attending school or work, and maintaining romantic and/or family relationships. This article describes some of the critical time points for AYAs with cancer and the resources available to support the nursing profession in meeting the unique care needs of this population...
October 1, 2018: Clinical Journal of Oncology Nursing
Chelsea Bostelman
Vapocoolant sprays are used in some facilities to manage pain associated with accessing totally implanted venous access devices (TIVADs). They are neither indicated nor contraindicated, and literature supporting safe and effective use within this process is lacking. The purpose of this article is to evaluate the use of vapocoolant sprays within the TIVAD access process and to facilitate best practice accounting for product use and safety, institutional policy, and individual patient needs.
October 1, 2018: Clinical Journal of Oncology Nursing
Ruth Frankenfield, Kathrynn Thompson, Amy Lindsey, Amy Rettig
Compassion fatigue and burnout are well-established experiences for oncology nurses, often resulting in distress and reduced job satisfaction and prompting nurses to leave the profession altogether. Multiple interventions have been developed to better support nurses experiencing these phenomena, with varying success.
October 1, 2018: Clinical Journal of Oncology Nursing
Julie R Beck
The best gift a patient ever gave me was a recipe. It was handwritten on a small piece of lined paper, all in capital letters. The recipe was for zucchini bread and was given to me by Mr. S, a lung cancer survivor in his early 80s who I had been following in the cancer survivorship clinic that I started at the VA where I work in New England. He came to see me every three to six months for clinic visits and computed tomography scans to monitor for recurrence of his lung cancer.
October 1, 2018: Clinical Journal of Oncology Nursing
Chelsea Passwater, Joanne Itano
BACKGROUND: Most patients with cancer experience financial, emotional, and logistical barriers to care that significantly affect their adherence to and successful completion of treatment. However, patients with hematologic malignancies, particularly those who live in rural settings, must also contend with additional challenges. OBJECTIVES: This article aims to synthesize the literature about barriers to timely access to care and to coordination of this care for patients with hematologic malignancies, particularly those in rural settings, as well as identify strategies to improve cancer care delivery for those patients...
October 1, 2018: Clinical Journal of Oncology Nursing
Lisa Nemchek
BACKGROUND: Although men make up a small percentage of those diagnosed with breast cancer, they are usually diagnosed at a later stage than women, increasing their chance of mortality. The reasons for this gender disparity require additional study. OBJECTIVES: This article examines current literature on male breast cancer, including reasons for the gender disparity and interventions that may help to address it. METHODS: An integrative review was conducted, and 12 studies were selected for inclusion...
October 1, 2018: Clinical Journal of Oncology Nursing
Robin Muñoz, Leyla Farshidpour, Uzair B Chaudhary, Amir H Fathi
BACKGROUND: Patients with cancer often experience prominent deficiencies in cancer care in the immediate period following initial cancer diagnosis. OBJECTIVES: This article aims to determine whether the inclusion of a gastrointestinal (GI) oncology nurse navigator (ONN) on the multidisciplinary cancer care team is associated with improved quality of care for patients. METHODS: This retrospective study compared randomly selected patients with GI cancer with and without an ONN...
October 1, 2018: Clinical Journal of Oncology Nursing
Ros Idayu Mat Nawi, Ping Lei Chui, Wan Zamaniah Wan Ishak, Caryn Mei Hsien Chan
BACKGROUND: Evidence remains mixed on the benefits of oral cryotherapy in the prevention of oral mucositis and pain associated with fluorouracil-based chemotherapy. OBJECTIVES: The intent of this article is to evaluate the effect of oral cryotherapy on the prevention of oral mucositis and pain among patients with colorectal cancer undergoing fluorouracil-based chemotherapy. METHODS: Using an experimental study design, the authors randomly assigned 80 patients to either the intervention (n = 40) or usual care group (n = 40)...
October 1, 2018: Clinical Journal of Oncology Nursing
Heather Mackey, Kimberly Noonan, Lisa Kennedy Sheldon, Marybeth Singer, Tamika Turner
BACKGROUND: Oncology nurse practitioners (ONPs) are advanced practice RNs prepared at the graduate level with high-level knowledge and skills in oncology. Because of challenges in educational programs and variability in the scope of practice at the state and institutional level, many ONPs are challenged to practice to the full extent of their education, certification, and licensure. OBJECTIVES: The purpose of this article is to review issues affecting the education and practice patterns of ONPs and to identify solutions to address the challenges that exist for ONPs...
October 1, 2018: Clinical Journal of Oncology Nursing
Mehdi Nematbakhsh
An article by Duffy, Fitzgerald, Boyle, and Rohatgi (2018) was published in the April issue of the Clinical Journal of Oncology Nursing. Based on review, the authors suggested some clinical recommendations to protect the kidneys against cisplatin-induced nephrotoxicity, including hydration or supplementation of magnesium or mannitol during cisplatin administration. In addition to clinical findings, the related basic sciences data may be helpful in formulating treatment guidelines in cisplatin therapy. This letter will present several suggestions for future clinical studies based on laboratory findings...
October 1, 2018: Clinical Journal of Oncology Nursing
Robert Knoerl, Celia Bridges, Gloria L Smith, James J Yang, Grace Kanzawa-Lee, Ellen M L Smith
BACKGROUND: Chemotherapy-induced peripheral neuropathy (CIPN) is often inadequately assessed and managed by advanced practice providers. OBJECTIVES: The aim is to explore the impact of CIPN assessment training and electronic care planning system (CPS) use on CIPN assessment documentation and guidelines adherence. METHODS: The authors used a pre-/post-test, prospective design with two retrospective chart reviews. Six providers received CIPN assessment training and used the CPS to manage CIPN for 75 women receiving neurotoxic chemotherapy...
October 1, 2018: Clinical Journal of Oncology Nursing
Brianna I Katzman, Rita John
BACKGROUND: The psychological distress caused by cancer can remain long after remission. With advanced curative treatments, many pediatric patients continue to have late complications that interfere with neurologic, physical, and social development. OBJECTIVES: The aim of this article is to analyze nine published articles that focus on adolescent cancer survivors (ACSs) and the incidence and risk factors of post-traumatic stress disorder (PTSD) and post-traumatic stress symptoms (PTSSs)...
October 1, 2018: Clinical Journal of Oncology Nursing
Mary Beth Steck
Oncology nurses are advocates for the ethical and legal use of patients' genetic information. However, this information may be used to discriminate against individuals when they share it while participating in workplace wellness programs. Amendments to federal genetic discrimination laws may lead employees to being financially penalized for nondisclosure of their genetic information. This article stresses the importance of nurses being aware of these laws and pushing for policy revision to protect sensitive genetic information...
October 1, 2018: Clinical Journal of Oncology Nursing
Ellen Carr
More and more community cancer care centers are shifting the model of delivery. In two years, 423 individual clinic treatment sites have closed, 658 oncology practices have been acquired by hospital systems, and 359 practices have struggled financially. These statistics represent an 11.3% increase in the number of community cancer clinic closings and an 8% increase in the number of facility consolidations into hospital settings. Overall, since 2008, 13.8 practices per month have been affected by closings, hospital acquisitions, and corporate mergers...
October 1, 2018: Clinical Journal of Oncology Nursing
Erica Fischer-Cartlidge, Mikel Ross, Karen Hernández, Ashley Featherstone, Curt Haase
BACKGROUND: Chemotherapy-induced alopecia is a well-known side effect of some types of cancer treatments. With U.S. Food and Drug Administration clearance of two scalp cooling machines, patients with cancer now have the opportunity to minimize this hair loss. However, multiple barriers can exist for organizations when establishing a scalp cooling program. OBJECTIVES: This article describes the experience of a large multisite organization that implemented a machine-based scalp cooling program...
October 1, 2018: Clinical Journal of Oncology Nursing
Beth Faiman, Sandra Kurtin, Jocelyn Timko, Linda Gracie-King
BACKGROUND: Understanding aspects of multiple myeloma (MM) from drug delivery to side effect management and survivorship are critical to patient management. The Advanced Clinical Educator (ACE) program in MM combined live and web-based activities to educate nurses to gain mastery of content and achieve ACE status. OBJECTIVES: The primary objectives were to improve ACE candidates' practice skills and knowledge of MM and prepare them to educate others. METHODS: 20 ACE candidates were paired with an advisor and educated through a structured learning program...
October 1, 2018: Clinical Journal of Oncology Nursing
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