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Oncology Nursing

Oncology Nursing Organisations and Resources
Oncology Nursing Journals
Recent Research
General Nursing Organisations and Resources
Disease Specific Resources
Supportive Care

Oncology Nursing Organisations and Resources (17 links)

Oncology Nursing Journals (9 links)

See also: Oncology Journals

Recent Research

Ghaljeh M, Iranmanesh S, Nayeri ND, et al.
Compassion and care at the end of life: oncology nurses' experiences in South-East Iran.
Int J Palliat Nurs. 2016; 22(12):588-597 [PubMed] Related Publications
BACKGROUND: End of life (EOL) care is newly established in the Iranian context. Context, in this case, refers to the internal and external manifestation of the nurse values, norms and experiences that are learnt throughout life.
AIM: The aim of this study was to explore nurses' experiences of caring for dying patients in Iran.
METHODS: A phenomenological hermeneutic approach, influenced by the philosophy of Ricoeur, was used to analyse 10 oncology nurses' experiences of caring for dying persons.
FINDINGS: Three themes emerged from the analysis: 1) seeing the patient as unique person, 2) being present and open to seeing patients as unique persons and 3) personal and professional development as a result of closeness between nurse and patient. Caring for dying persons means assisting them at the end of their lives.
CONCLUSION: Caring relationships underlie professional palliative care and are essential in EOL care. Proper palliative education and professionally led supervision should be included in the Iranian nursing curriculum.

Dempsey L, Orr S, Lane S, Scott A
The clinical nurse specialist's role in head and neck cancer care: United Kingdom National Multidisciplinary Guidelines.
J Laryngol Otol. 2016; 130(S2):S212-S215 [PubMed] Free Access to Full Article Related Publications
This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It discusses the role of the clinical nurse specialist in the head and neck cancer patient journey and provides recommendations on the clinical nurse specialist led assessments and interventions for this group of patients receiving cancer care. Recommendations • All cancer patients should meet a clinical nurse specialist at the point of diagnosis. (R) • Clinical nurse specialists must act as gate keeper to the patients' cancer pathway to provide a seamless journey. (R) • Holistic needs assessment should be completed at different stages of the patient's pathway to reflect the changes of the patients' needs. (R) • Clinical nurse specialists to be part of local and national initiatives for health promotion and raising awareness in the public domain. (G) • Clinical nurse specialists should lead in redesigning of services and policies to ensure they are responsive to patient's needs for the future. (G) • Treatment summaries should become part of practice to provide good communication between primary and secondary care to enable continuity of care for the patient. (G).

Morgan S, Soanes L
Nursing young people with cancer: What is "different" about it?
Bull Cancer. 2016; 103(12):999-1010 [PubMed] Related Publications
Nursing Adolescents and Young Adults (AYA) with cancer is a relatively new specialty, with much work having been undertaken across Europe. As this evolving specialty develops, nurses are required to develop networks, learn from each other and help to shape services across countries. Describing the cancer journey, this paper looks at the literature and, merging it with over 20years of experience, describes 'what is different' about looking after this group of young people. Looking at the specific issues about caring for AYA, including those issues that are pertinent in this age range: i.e. education/employment, fertility, body image, peers, family relationships, it discusses the development of specific services for this cohort of patients; one that is centred around the young person and their friends and families. Taking into account the need to develop multidisciplinary teams, it also highlights the needs of nurses who work in these teams, the education, skills and attributes needed to develop gold standard services for these challenging young people. The further development of nursing networks internationally is urged in order to share practice and expertise, nurture teams and bring the AYA with cancer into sharp focus.

Santos NA, Santos AT, Silva RP
Coping strategies of nurses in the care of patients with head and neck neoplasms.
Rev Esc Enferm USP. 2016 Jul-Aug; 50(4):569-578 [PubMed] Related Publications
OBJECTIVE: To understand and describe the experience of the development of coping strategies during the professional life of nurses providing care to patients with facial image alteration.
METHOD: Descriptive qualitative study with a hermeneutic-dialectic framework conducted in the head and neck ward of a reference hospital in Rio de Janeiro, with the participation of eight nurses and data produced through semi-structured interviews conducted between June and August 2013.
RESULTS: Three major impressions were found: initial estrangement and complexity, consisting in the care given to patients with facial image alteration; a threshold between estrangement and coping, corresponding to the emergence of coping strategies during care; and image-likeness as a (re)cognition of the individual with facial image alteration in the development and consolidation of coping strategies during care.
CONCLUSION: Among other contributions, the identification and understanding of coping strategies may contribute to better qualify nursing education and care.
OBJETIVO: Compreender e descrever a experiência de desenvolvimento de estratégias de enfrentamento durante a vida profissional de enfermeiras no cuidado aos pacientes com imagem facial alterada.

Arcuri L
Oncology nurse honors pediatric caregivers and patients.
Hosp Health Netw. 2016; 90(7):28, 2 [PubMed] Related Publications
Dunbar, a registered nurse at Presbyterian Hospital in Albuquerque, N.M., knows firsthand the struggles patients and their families endure during cancer treatment. Her son underwent a bone marrow transplant at age 22. In 2011, Dunbar organized an annual race to raise funds for families who have children with cancer.

Vila C, Reñones C, Ferro T, et al.
Advanced breast cancer clinical nursing curriculum: review and recommendations.
Clin Transl Oncol. 2017; 19(2):251-260 [PubMed] Free Access to Full Article Related Publications
PURPOSE: The needs and concerns of patients with advanced breast cancer are changing at every phase of the care intervention. Management and coordination of hospital resources and services are also steadily evolving. The objective of the present expert report is to define a new oncology nursing role specialising in advanced breast cancer, to help guide patients throughout the whole healthcare itinerary.
METHODS: A group of eight experts in oncology nursing and medical oncology defined the content index of the curriculum document. A systematic review of bibliography was carried out, and the relevant contents were extracted. Based on these contents and the participants' experience, recommendations were formulated and validated through a Delphi questionnaire and a participative meeting.
RESULTS: The advanced breast cancer clinical nurse (ABCCN) should develop a clinical, psychosocial role focused on coordinating patients in the healthcare network. The nurse would be in charge of evaluating and supervising the care administered and the healthcare resources used. The ABCCN should be aware and participate in the protocols and available resources, be able to solve conflicts, deal with burn-out signs and have clinical, coaching and team-working abilities. The proposed curriculum provides a specific process for the care of patients, as well as an implementation process.
CONCLUSIONS: The ABCCN's role is crucial to assume the best care and the optimisation of available resources. This review and consensus document provides the required tools for the implementation in hospitals.

Sabo B, Johnston G
Understanding the challenges to improve transition to palliative care: An issue for the primary malignant brain tumour population.
Can J Neurosci Nurs. 2016; 38(1):48-55 [PubMed] Related Publications
UNLABELLED: Reports highlight the growing unmet need for palliative care as it applies to all cancers, yet the system and health care professionals (HCP) appear slow to respond. The following discussion paper highlights the current state of palliative care within the context of the primary malignant brain tumour (PMBT) population and argues for a shift in the current health care system's approach, which continues to place greater emphasis on cure over care.
METHODS: An exploration of extant literature over the past 10 years.
RESULTS: The current literature demonstrates that timely referrals to palliative care consult teams and access to community-based resources have been associated with fewer hospitalizations and visits to emergency departments and a decrease in the initiation of invasive, aggressive treatment at end of life. Timely referral to palliative care has also been shown to reduce distress, enhance quality of life and, in some cases, increase life expectancy.
CONCLUSION: Earlier referral to palliative care has yet to become a reality for many patients diagnosed with life-limiting illnesses and, in particular, those with a PMBT. More research is needed to uncover and challenge the barriers to early transition including communication issues among professionals, patients and families around palliative care.

Walker S, Zubrinic M, Massey C, et al.
A prospective study of patient-centred outcomes in the management of malignant pleural effusions.
Int J Palliat Nurs. 2016; 22(7):351-8 [PubMed] Related Publications
BACKGROUND: In a patient population with a limited life expectancy, malignant pleural effusion can significantly impact quality of life (QoL). Different treatment options are available, each with its own effect on QoL. To date, satisfaction with treatment options has not been evaluated.
PURPOSE: To evaluate QoL and satisfaction with treatment using patient-reported outcomes for four different treatment strategies.
DESIGN: A prospective, cohort study that compared four treatment options: indwelling pleural catheter (IPC); video assisted thoracic surgery (VATS) and IPC; chest tube and talc slurry; and VATS talc poudrage.
SETTING: A total of 104 participants were treated across four acute care teaching hospitals in a large Canadian city.
MEASUREMENTS: Patient-reported outcomes were assessed using functional assessment of chronic illness therapy-palliative (FACIT-PAL), London Chest Activity of Daily Living scale and FACIT-treatment satisfaction questionnaires.
RESULTS: No significant difference was identified between the four treatments based on patient-reported outcomes. VATS talc poudrage provided the most durable improvement. At the 6-week post-treatment time point, the highest patient satisfaction was noted in patients who received VATS and talc pleurodesis, lowest satisfaction in patients with chest tube and talc pleurodesis; however, the differences were not statistically significant (p=0.20). VATS and talc pleurodesis had the highest scores at 6 weeks for recommendation of treatment to others; however, the comparison with other treatment groups was not statistically significant (p=0.22). For FACIT-PAL, total scores when analysed as one group, there was a statistically significant increasing trend (indicating improvement) (p<0.0001). Breathlessness, measured using the London Chest Activity of Daily Living scale, indicated a statistically decreasing trend, suggesting an improvement (p=0.0003). There was no statistically significant difference in trends over time between the four treatment groups.
CONCLUSIONS: While all treatment options addressed the patients' symptoms and relieved dyspnoea, an IPC offered effective treatment with minimal discomfort and time in hospital yet still high satisfaction.

Veldhuisen H, Zweers D, de Graaf E, Teunissen S
Assessment of anxiety in advanced cancer patients: a mixed methods study.
Int J Palliat Nurs. 2016; 22(7):341-50 [PubMed] Related Publications
BACKGROUND: Anxiety is a risk for reduced quality of life in advanced cancer patients. However, it is an overlooked symptom without routine use of instruments to assess anxiety.
AIM: To gain insight into the use of instruments by nurses to assess anxiety in advanced cancer patients and the rationale behind it.
METHODS: Data with regard to nurses' use of instruments were collected from medical records of 154 patients in three settings. Additionally, 12 nurses were interviewed.
FINDINGS: Four instruments were used to assess anxiety. The frequency of assessed anxiety differed among settings. The application of instruments guided patient care and improved communication. Lack of knowledge was the main reason not to use instruments.
CONCLUSIONS: Application was influenced by patient and environmental factors, knowledge, attitudes and beliefs of nurses. Multifaceted strategies, leadership and education of nurses in the assessment and analysis of anxiety are needed to improve symptom management in advanced cancer patients.

Percival N, George A, Gyertson J, et al.
The integration of BRCA testing into oncology clinics.
Br J Nurs. 2016; 25(12):690-4 [PubMed] Related Publications
PURPOSE: The PARP inhibitor, Olaparib, is approved for women with BRCA-mutated ovarian cancer. Therefore there is an urgent need to test patients and obtain results in time to influence treatment. Models of BRCA testing, such as the mainstreaming oncogenetic pathway, involving oncology health professionals are being used. The authors report on the establishment of the extended role of the clinical nurse specialist in consenting women for BRCA testing in routine gynaecology-oncology clinics using the mainstreaming model.
METHODS: Nurses undertook generic consent training and specific counselling training for BRCA testing in the form of a series of online videos, written materials and checklists before obtaining approval to consent patients for germline BRCA1 and BRCA2 mutations.
RESULTS: Between July 2013 and December 2015, 108 women with ovarian cancer were counselled and consented by nurses in the medical oncology clinics at a single centre (The Royal Marsden, UK). This represented 36% of all ovarian cancer patients offered BRCA testing in the oncology clinics at the centre. Feedback from patients and nurses was encouraging with no significant issues raised in the counselling and consenting process.
CONCLUSION: The mainstreaming model allows for greater access to BRCA testing for ovarian cancer patients, many of whom may benefit from personalised therapy (PARP inhibitors). This is the first report of oncology nurses in the BRCA testing pathway. Specialist oncology nurses trained in BRCA testing have an important role within a multidisciplinary team counselling and consenting patients to undergo BRCA testing.

Argyle C
Caring for carers: how community nurses can support carers of people with cancer.
Br J Community Nurs. 2016; 21(4):180-4 [PubMed] Related Publications
There are more than 1 million people in the UK looking after a family member or friend with cancer, but half the number of these carers do not receive support to care. Providing this care significantly affects cancer carers emotionally, physically, and financially. Community and district nurses have a vital role to play in reaching out to these hidden carers and signposting them to the correct support. This article provides tips on identifying carers, including who they are, the challenges they face, and how health professionals can approach and speak to them. It also provides guidance on signposting carers to national and local sources of support in the UK.

Lopes-Júnior LC, Olson K, de Omena Bomfim E, et al.
Translational research and symptom management in oncology nursing.
Br J Nurs. 2016 May 26-Jun 8; 25(10):S12, S14, S16 passim [PubMed] Related Publications
In recent years, translational research (TR) has become a new approach for bridging basic research and clinical practice. This article examines studies in which the authors used TR to learn more about the underlying causes of selected symptoms, and to discuss these results in the context of cancer nursing and symptom management. A literature review was undertaken, plus critical analysis of the authors. TR conducted by cancer nursing scholars has been relatively limited in the past, but is becoming more common as nurses complete additional academic work in the basic sciences and develop research teams with colleagues of those areas of knowledge. The goal in these studies is to show how a set of variables explains differential interventional effects. The availability of TR provides new evidence for the management of symptoms experienced by individuals with cancer, which could lead to improvements in the care of cancer patients across the world.

Anderson B
Cancer management: the difficulties of a target-driven healthcare system.
Br J Nurs. 2016 May 12-25; 25(9):S36-40 [PubMed] Related Publications
This article gives a reflective overview on cancer management from a urological perspective. It is based on anecdotal evidence and observations of local practice, and highlights some of the inherent difficulties of delivering a robust service in a target-driven healthcare system. Cancer is a complex disease. It is crucial that stringent measures are used to ensure those affected by it receive care that is of the highest quality, delivered in a timely manner, and tailored to meet the individual's needs. In 2000, the Government's attempt to increase competition among healthcare providers in the delivery of care, and thereby healthcare quality and efficiency, resulted in a number of healthcare reforms being introduced in the UK. Central to these were the NHS Cancer Waiting Time standards, which were designed to fast-track care delivery in the management of cancer patients. The multidisciplinary teams play a pivotal role in this process and their contribution is imperative to achieving the desired outcomes. It is acknowledged that targets can be beneficial, but there are clear unintended consequences as well. Increases in urgent referrals result in significant screening demands and, consequently, newly diagnosed cancers. This, combined with factors such as patient choice and costs, put added pressure on NHS establishments and health professionals to deliver care within the target specifications.

Farrow J
Beginnings. 2016; 36(1):15 [PubMed] Related Publications
Nonverbal communication is essential with children. Nurses are challenged when answers to assessment questions include shoulder shrugs and descriptions of 'ouchies' and pain all over that feels 'bad.' Pediatric nursing requires creativity and eliciting expression of emotions nonverbally. One way our patients express themselves is through art therapy. The art therapist on our unit uses masks with children who choose not to express themselves with words. I chose to create a mask as sculpture to nonverbally share my values, feelings, and compassion, just like my pediatric patients. As I worked with the mask, many faces of nursing emerged.

Scully A, Cheung I
Colorectal Cancer Screening: Fecal Occult Blood Test Literature Review for Occupational Health Nurses.
Workplace Health Saf. 2016; 64(3):114-22; quiz 123 [PubMed] Related Publications
Colorectal cancer (CRC) is the third most commonly diagnosed cancer worldwide. It is a potentially preventable disease and ideally suited to a screening program. CRC screening is an early detection strategy for occupational health nurses to offer in the workplace. Education and outreach are key components of this intervention. Many test options are available for CRC screening. This article is an integrative literature review that summarizes evidence to support colorectal screening in the workplace, offers screening recommendations from authoritative agencies, and provides guidance for occupational health nurses who plan to implement a screening program. Current screening limitations using fecal occult blood tests are addressed and an inventory of CRC screening activities in select countries is included.

Thornton J
A lifeline for cancer patients in Africa.
Nurs Stand. 2016; 30(27):22-3 [PubMed] Related Publications
In Rwanda, many people with cancer are diagnosed too late because of low awareness of the disease coupled with a lack of specialist facilities and staff. The opening of a specialist centre in the northern part of the country is extending and saving lives.

Brown M, Hardy K
Delirium: assessment and treatment of patients with cancer. PART 2.
Br J Nurs. 2016 Feb 25-Mar 9; 25(4):S4, S6, S8-9 [PubMed] Related Publications
Delirium at the end of life may present significant ethical dilemmas in clinical practice: whether to simply treat it in order to maximise symptom relief, with the resulting side effect being palliative sedation, or to attempt to reverse delirium and risk prolonging suffering. Determining whether the delirium can be reversed involves comprehensive assessment using established tools, which may or may not provide the answer to the question posed. This article examines the evidence surrounding several assessment tools that have been suggested as effective in identifying delirium, and the consequences of various approaches to the management of delirium in a patient with a cancer diagnosis. It also considers the impact delirium may have on the health professional and those close to the patient.

Beck SL, Bialous S, Ben-Gal Y
The International Society of Nurses in Cancer Care: Position Statements Can Aid Nurses to Think Globally and Act Locally.
Oncol Nurs Forum. 2016; 43(2):253-5 [PubMed] Related Publications
The number of new cases of cancer is expected to rise by about 70% during the next two decades, and people living in low- and middle-income countries will experience a disproportionate burden of this increase. Oncology nurses are positioned to take the lead in addressing this looming health crisis. Such efforts will gain momentum and have a greater impact if nurses around the world collaborate. The purpose of this article is to describe the role of the International Society of Nurses in Cancer Care in leading this effort, with a particular focus on three specific position statements that nursing societies and nurse leaders can use to advance cancer prevention and control in their own institution or country.

Mahon SM
Whole Exome Sequencing: The Next Phase of Genetics Care.
Oncol Nurs Forum. 2016; 43(2):249-52 [PubMed] Related Publications
Exome sequencing is a technique for sequencing all of the genes that code for functioning proteins in the genome. It is now being used to identify mutations in families with suspected hereditary cancer syndromes where single-gene testing or testing for a panel of genes has not been able to detect a mutation. Oncology nurses need to anticipate that more patients and families will be undergoing this testing and be prepared to explain basic concepts about this new technology.

Davis ME
Ocular Toxicity of Tyrosine Kinase Inhibitors.
Oncol Nurs Forum. 2016; 43(2):235-43 [PubMed] Free Access to Full Article Related Publications
PURPOSE/OBJECTIVES: To review common tyrosine kinase inhibitors, as well as their ocular side effects and management.
DATA SOURCES: A comprehensive literature search was conducted using CINAHL®, PubMed, and Cochrane databases for articles published since 2004 with the following search terms.
DATA SYNTHESIS: Tyrosine kinase inhibitors can cause significant eye toxicity.
CONCLUSIONS: Given the prevalence of new tyrosine kinase inhibitor therapies and the complexity of possible pathogenesis of ocular pathology, oncology nurses can appreciate the occurrence of ocular toxicities and the role of nursing in the management of these problems.
IMPLICATIONS FOR NURSING: Knowledge of the risk factors and etiology of ocular toxicity of targeted cancer therapies can guide nursing assessment, enhance patient education, and improve care management. Including a review of eye symptoms and vision issues in nursing assessment can enhance early detection and treatment of ocular toxicity.

Dawn S, Légaré F
Engaging patients using an interprofessional approach to shared decision making.
Can Oncol Nurs J. 2015; 25(4):455-69 [PubMed] Related Publications
Many cancer treatment and screening decisions are difficult given that they rely upon patients' informed preferences. Interprofessional shared decision making is when two or more health care professionals collaborate with a patient to reach an agreed-upon decision. To support patients' engagement in shared decision making, effective interventions include patient decision aids and/or decision coaching. Patient decision aids are typically written or video-based resources, while decision coaching is provided by trained health care professionals who are supportive but non-directive. Both interventions make explicit the decision, provide balanced information on options based on the best available evidence, and help patients consider what matters most. The overall aim is to discuss how oncology nurses can engage in an interprofessional approach to shared decision making.

Trevillion K, Singh-Carlson S, Wong F, Sherriff C
An evaluation report of the nurse navigator services for the breast cancer support program.
Can Oncol Nurs J. 2015; 25(4):409-21 [PubMed] Related Publications
The purpose of this quality improvement project was to evaluate the effectiveness of breast cancer care support provided by breast cancer care navigators (BCCN) for women attending the breast health clinic (BHC). This evaluative process examined patients' satisfaction with the nurse navigator program that focused on addressing breast cancer patients' informational needs, emotional support, and guidance through the cancer trajectory. A survey approach using Likert-type scales and open-ended questions was utilized to gather data. Patients seen at the BHC between July 2011 and July 2013 were sent the surveys by mail. The 154 responses constituted a 69% response rate. More than 90% of participants understood the information provided by the BCCN and were satisfied with the information that had been received. Psychosocial support from patient/family counselling services at the agency and in the community were among the most common request for resources. Recommendations include contacting patients directly after their initial meeting at the clinic and at least once after their treatments began, to ensure continuity and support. BCCN role was identified as being valuable with a positive effect on patients' experience.

Thavarajah N, Menjak I, Trudeau M, et al.
Towards an optimal multidisciplinary approach to breast cancer treatment for older women.
Can Oncol Nurs J. 2015; 25(4):384-408 [PubMed] Related Publications
The treatment of breast cancer presents specifc concerns that are unique to the needs of older female patients. While treatment of early breast cancer does not vary greatly with age, the optimal management of older women with breast cancer often requires complex interdisciplinary supportive care due to multiple comorbidities. This article reviews optimal approaches to breast cancer in women 65 years and older from an interdisciplinary perspective. A literature review was conducted using MEDLINE and EMBASE, choosing articles concentrated on the management of older breast cancer patients from the point of view of several disciplines, including geriatrics, radiation oncology, medical oncology, surgical oncology, psychooncology, palliative care, nursing, and social work. This patient population requires interprofessional collaboration from the time of diagnosis, throughout treatment and into the recovery period. Thus, we recommend an interdisciplinary program dedicated to the treat ment of older women with breast cancer to optimize their cancer care.

Bowler M, Nash P
Learning disabilities: improved bowel screening.
Nurs Times. 2015 Dec 2-15; 111(49-50):14-6 [PubMed] Related Publications
Bowel cancer is the second most common cause of cancer death in the UK but it can be successfully treated if detected at an early stage. In 2006 the NHS Bowel Cancer Screening Programme was introduced to everyone aged 60-74 years in England. This article describes how South Tyneside NHS Foundation Trust community Learning Disability Service addressed the bowel screening needs of those people with a learning disability in Gateshead and South Tyneside. A project was developed to improve and increase the uptake of bowel screening for this population group.

Kagan SH
The Future of Gero-Oncology Nursing.
Semin Oncol Nurs. 2016; 32(1):65-76 [PubMed] Related Publications
OBJECTIVES: To project the future of gero-oncology nursing as a distinct specialty, framed between analysis of current challenges and explication of prospective solutions.
DATA SOURCES: Peer-reviewed literature, policy directives, web-based resources, and author expertise.
CONCLUSION: Oncology nursing faces several challenges in meeting the needs of older people living with cancer. Realigning cancer nursing education, practice, and research to match demographic and epidemiological realities mandates redesign. Viewing geriatric oncology as an optional sub-specialty limits oncology nursing, where older people represent the majority of oncology patients and cancer survivors. The future of gero-oncology nursing lies in transforming oncology nursing itself.
IMPLICATIONS FOR NURSING PRACTICE: Specific goals to achieve transformation of oncology nursing into gero-oncology nursing include assuring integrated foundational aging and cancer content across entry-level nursing curricula; assuring a gero-competent oncology nursing workforce with integrated continuing education; developing gero-oncology nurse specialists in advanced practice roles; and cultivating nurse leadership in geriatric oncology program development and administration along with expanding the scope and sophistication of gero-oncology nursing science.

Van Cleave JH, Kenis C, Sattar S, et al.
A Research Agenda for Gero-Oncology Nursing.
Semin Oncol Nurs. 2016; 32(1):55-64 [PubMed] Related Publications
OBJECTIVES: The global challenge of accessible, affordable cancer care for all older adults requires a new research agenda for gero-oncology nursing to guide investigator skill development, identify priority areas for investigation, and direct resource distribution.
DATA SOURCES: Published peer-reviewed literature and web-based resources.
CONCLUSION: A cross-cutting theme of the research agenda is the need to determine the gero-oncology nursing care that will preserve economic resources, promote function, provide symptom management, and incorporate patient preferences.
IMPLICATIONS FOR NURSING PRACTICE: In partnership with interprofessional colleagues, gero-oncology nurse scientists are poised to conduct global research that improves access to quality cancer care.

Lynch MP, DeDonato DM, Kutney-Lee A
Geriatric Oncology Program Development and Gero-Oncology Nursing.
Semin Oncol Nurs. 2016; 32(1):44-54 [PubMed] Related Publications
OBJECTIVES: To provide a critical analysis of current approaches to the care of older adults with cancer, outline priority areas for geriatric oncology program development, and recommend strategies for improvement.
DATA SOURCES: Published articles and reports between 1999 and 2015.
CONCLUSION: Providing an interdisciplinary model that incorporates a holistic geriatric assessment will ensure the delivery of patient-centered care that is responsive to the comprehensive needs of older patients.
IMPLICATIONS FOR NURSING PRACTICE: Nursing administrators and leaders have both an opportunity and responsibility to shape the future of geriatric oncology. Preparations include workforce development and the creation of programs that are designed to meet the complex needs of this population.

Morgan B, Tarbi E
The Role of the Advanced Practice Nurse in Geriatric Oncology Care.
Semin Oncol Nurs. 2016; 32(1):33-43 [PubMed] Related Publications
OBJECTIVES: To describe how the Advanced Practice Nurse (APN) is uniquely suited to meet the needs of older adults throughout the continuum of cancer, to explore the progress that APNs have made in gero-oncology care, and make suggestions for future directions.
DATA SOURCE: Google Scholar, PubMed, and CINAHL. Search terms included: "gero-oncology," "geriatric oncology," "Advanced Practice Nurse," "Nurse Practitioner," "older adult," "elderly," and "cancer."
CONCLUSION: Over the last decade, APNs have made advances in caring for older adults with cancer by playing a role in prevention, screening, and diagnosis; through evidence-based gero-oncology care during cancer treatment; and in designing tailored survivorship care models. APNs must combat ageism in treatment choice for older adults, standardize comprehensive geriatric assessments, and focus on providing person-centered care, specifically during care transitions.
IMPLICATIONS FOR NURSING PRACTICE: APNs are well-positioned to help understand the complex relationship between risk factors, geriatric syndromes, and frailty and translate research into practice. Palliative care must expand beyond specialty providers and shift toward APNs with a focus on early advanced care planning. Finally, APNs should continue to establish multidisciplinary survivorship models across care settings, with a focus on primary care.

Burhenn PS, Perrin S, McCarthy AL
Models of Care in Geriatric Oncology Nursing.
Semin Oncol Nurs. 2016; 32(1):24-32 [PubMed] Related Publications
OBJECTIVES: To review models of care for older adults with cancer, with a focus on the role of the oncology nurse in geriatric oncology care. International exemplars of geriatric oncology nursing care are discussed.
DATA SOURCE: Published peer reviewed literature, Web-based resources, professional society materials, and the authors' experience.
CONCLUSION: Nursing care for older patients with cancer is complex and requires integrating knowledge from multiple disciplines that blend the sciences of geriatrics, oncology, and nursing, and which recognizes the dimensions of quality of life.
IMPLICATIONS FOR NURSING PRACTICE: Oncology nurses can benefit from learning key skills of comprehensive geriatric screening and assessment to improve the care they provide for older adults with cancer.

Bridges J, Wengström Y, Bailey DE
Educational Preparation of Nurses Caring for Older People with Cancer: An International Perspective.
Semin Oncol Nurs. 2016; 32(1):16-23 [PubMed] Related Publications
OBJECTIVES: To review the education available in Europe and the US for nurses caring for older people with cancer.
DATA SOURCES: Nursing literature, published guidelines, and professional nursing organizations Websites.
CONCLUSION: The educational needs of nurses caring for older cancer patients have not been well defined to date, resulting in a mixed international picture of preparation.
IMPLICATION FOR NURSING PRACTICE: As the number of older people with cancer grows, the resulting complexities of patient and family care needs have significant implications for the role of nursing.

General Nursing Organisations and Resources (7 links)

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