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Clin J Oncol Nurs [journal]
- Emerging Issues on the Impact of Smoking on Health-Related Quality of Life in Patients With Lung Cancer and Their Families. [JOURNAL ARTICLE]
- Clin J Oncol Nurs 2014 Feb 17.:A1-A11.
Compelling evidence exists that continued smoking after a diagnosis of lung cancer adversely affects treatment effectiveness, survival, risk of recurrence, second malignancy, and health-related quality of life (HRQOL). The importance of HRQOL to patients with cancer and their families has been well documented. Because of increasing evidence of the benefits of smoking cessation, more research has focused on the impact of smoking on HRQOL. Smoking is a behavior that clusters in families; patients who smoke are likely to have family members who smoke, and together they experience impaired HRQOL. This article describes the evidence regarding HRQOL measurement in individuals diagnosed with lung cancer and their family members who smoke and explores the implications for nursing practice. Oncology nurses are in a critical position to advocate for the integration of HRQOL assessment into clinical settings, monitor patient and family member smoking status and environmental tobacco smoke exposure, and support development of smoking cessation interventions to enhance HRQOL.
- Working together. [Journal Article]
- Clin J Oncol Nurs 2014 Feb 1; 18(0):45-8.
Standards released by the American College of Surgeons Commission on Cancer program in 2012 call for all patients with cancer to have access to palliative care and for institutions to provide skilled and coordinated care as patients traverse through multiple healthcare settings. Many healthcare providers do not understand what palliative care can provide, or how it differs from hospice or end-of-life care. Oncology nurses and advanced practice nurses play an important role in educating healthcare providers, patients, and families about the role of palliative care and implementing it in the care of patients with cancer.
- The Role of the Acute Care Nurse Practitioner in the Implementation of the Commission on Cancer's Standards on Palliative Care. [Journal Article]
- Clin J Oncol Nurs 2014 Feb 1; 18(0):39-44.
As valuable members of the oncology team, acute care nurse practitioners (ACNPs) are in the perfect position to deliver high-quality palliative care. They are instrumental in coordinating the palliative care needs of their patients. Through proper training, ACNPs are able to assess, plan, implement, and evaluate palliative care interventions. Along with oncology-certified nurses, ACNPs help their patients navigate the complexities of the healthcare system. The skills that the American College of Surgeons Commission on Cancer identified in its standard for palliative care are skills possessed by ACNPs, making them the perfect fit to carry out these standards in healthcare institutions around the United States.
- Implementing the new commission on cancer standard on palliative care services. [Journal Article]
- Clin J Oncol Nurs 2014 Feb 1; 18(0):37-8.
Oncology nurses know that improving quality of life is essential for patients with cancer. Optimizing quality of life requires excellence in symptom management, such as relief from physical symptoms (e.g., pain), as well as addressing the psychosocial and spiritual needs of patients and their families. Improving quality of life and relieving suffering are priorities across the disease spectrum from diagnosis, treatment, survivorship, and end-of-life care to bereavement support for families. Interdisciplinary teams are needed to address the multiple dimensions of physical, psychological, and spiritual care. Nurses are integral members of cancer care teams, and their inclusion in the new accreditation standards for cancer centers highlights the contributions of the profession and the specialties of oncology nursing and palliative care. Different approaches to implementing the new standard for palliative care services are described in the next two articles. Each article explores the roles of oncology nurses and advanced practice nurses (APRNs) on palliative care teams. The articles describe how oncology nurses, by virtue of their education and clinical expertise, need to be involved in the Commission on Cancer (CoC) standard implementation regarding palliative care across hospital and community settings.
- Implementing distress management guidelines in ambulatory oncology. [Journal Article]
- Clin J Oncol Nurs 2014 Feb 1; 18(0):31-6.
Distress assessment and referral to psychosocial services is an essential component of evidence-based oncologic nursing care. Oncology nurses have an opportunity to address patient distress needs through leadership of implementation programs and support for the positive outcomes that engaging in psychosocial services provides. This quality improvement project was conducted to evaluate the feasibility and utility of the National Comprehensive Cancer Network's distress management clinical practice guidelines in ambulatory oncology. A theoretical framework guided the process design that included staff education, screening, and management in a cohort implementation project with historical control.
- Translating research on the distress thermometer into practice. [Journal Article]
- Clin J Oncol Nurs 2014 Feb 1; 18(0):26-30.
Distress is commonly experienced by people with cancer. The National Comprehensive Cancer Network (NCCN) developed a guideline for screening and managing distress in 1999 and has updated the guideline on an annual basis ever since. Using the five-phase framework for translational research, this article summarizes research findings related to the guideline and associated distress thermometer for each phase of translational research. The NCCN Distress Management Guideline is a useful tool to screen for and manage distress. However, additional research is needed, particularly in the areas of impact on outcomes of importance to patients.
- Screening and evidence-based interventions for distress in patients with cancer: nurses must lead the way. [Journal Article]
- Clin J Oncol Nurs 2014 Feb 1; 18(0):23-5.
Oncology nurses have known for a long time that survivorship can be wrought with psychological and physical effects for both the patient and family from the time of diagnosis onward. We all have worked with patients who seem to be in significant distress-some patients may be teary eyed, confused, perhaps angry, or even withdrawn. And we also have worked with patients who seem to manage everything with little outward indication of distress. Every patient is different, with each individual possessing his or her own coping mechanisms. But one thing is true, cancer takes an emotional toll on the patient and their caregivers. This emotional toll deserves better focus and oncology nurses are in a perfect position to do something about it.
- Implementing the commission on cancer standards for survivorship care plans. [Journal Article]
- Clin J Oncol Nurs 2014 Feb 1; 18(0):15-22.
The number of adult cancer survivors in the United States has exceeded 13 million and continues to rise, yet care for these survivors continues to be poorly coordinated and their needs remain inadequately addressed. As one solution to this growing problem, the Institute of Medicine in 2006 recommended the delivery of a survivorship care plan (SCP) to each patient completing active treatment. The American College of Surgeons Commission on Cancer subsequently published its Program Standard 3.3, requiring accredited programs to implement treatment summaries and SCPs by 2015, to help improve communication, quality, and coordination of care for cancer survivors. As practices and cancer centers around the country have undertaken SCP implementation efforts, myriad barriers to their preparation and delivery have emerged, with time and human resource burden top among these, in addition to a lack of proven outcomes. Fortunately, a growing number of publications document practical and feasible delivery models, and an increasingly robust body of research on stakeholder preferences is available to focus SCP implementation efforts.
- Navigating the seasons of survivorship in community oncology. [Journal Article]
- Clin J Oncol Nurs 2014 Feb 1; 18(0):9-14.
Nurses have an important role in the development, implementation, and evaluation of cancer survivorship programs. Growing numbers of cancer survivors challenge community oncology practices to incorporate survivorship care according to new standards and guidelines. In response, one community-based oncology clinic created an advanced practice nurse (APN)-led survivorship program using the concept of Seasons of Survival as a guide. Survivorship care, when based on a more expansive definition of survivorship as beginning at the time of diagnosis, encompasses holistic nursing and multidisciplinary care. The APN assesses each patient's concerns and quality of life using a validated measure to tailor survivorship and supportive care. This article reviews the foundation and structure of the program in detail, describes program implementation using case studies, and outlines the program evaluation process and results.
- Survivorship care plans: necessary but not sufficient? [Journal Article]
- Clin J Oncol Nurs 2014 Feb 1; 18(0):7-8.
The Institute of Medicine's (IOM's) report From Cancer Patient to Cancer Survivor: Lost in Transition (Hewitt, Greenfield, & Stovall, 2006) was a seminal event for survivorship care, drawing attention to the myriad issues survivors face once treatment ends. The report included 10 recommendations, and one of them focused on survivorship care plans (SCPs), which include a treatment summary and follow-up care plan (IOM, 2005). This was a consensus-based recommendation to facilitate coordination of cancer care between specialists and primary care providers, an essential component of survivorship care (IOM, 2005). Since then, the implementation of this recommendation has been sporadic at best, being adopted by some practices and providers for some patients some of the time (Birken, Mayer, & Weiner, 2013; Forsythe et al., 2013). Reasons for poor adoption have included the length of time it takes to complete SCPs, lack of systems to make the process easier, and lack of reimbursement.