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\"Mindfulness: A Kindly Approach to Being with Cancer offers people with cancer a means to bring mindfulness and kindliness into their lives, to help them cope with the challenge of a life-threatening illness. Adapts Mindfulness-Based Cognitive Therapy (MBCT), an approach with a strong evidence base for people with recurrent depression, for the needs and challenges of people with cancer Presents the standard 8-week course of MBCT for cancer in a flexible format that is designed to suit each readers own particular timescale, context and situation Based on more than 15 years of program development and clinical application by the author, and the work and experience of mindfulness teachers in other cancer centres around the world. Provides specific practices and approaches tailored to support the different phases of a cancer experience from diagnosis and treatment to living with uncertainty and managing life with cancer Features five extended stories from people personally affected by cancer who have used mindfulness-based practices to support them in their own experience of illness, life and treatment\"-- Provided by publisher.

ABSTRACT Objective: to analyze how the process of implementing an onco-hematology nursing service at a pediatric hospital in Rio de Janeiro took place. Methods: a historical, qualitative study. Sources included written and oral documents, produced through semi-structured interviews, carried out between August 2022 and February 2023 with nurses who worked on implementing the service, represented by 40 minutes, nine care protocols and eight reports from the hospital’s internal website. Results: nursing staff reorganization and investment in professional improvement, through courses and graduate courses, culminated in the establishment of protocols, committees and nursing indicators, which enabled the implementation of a service with quality and safety. Final considerations: the implementation of a nursing service in pediatric onco-hematology was successful and, while highlighting the importance of nursing, also delivered quality service to society, strengthening the Brazilian Health System. RESUMEN Objetivo: analizar cómo se desarrolló el proceso de implementación del servicio de enfermería de oncohematología en un hospital pediátrico de Río de Janeiro. Métodos: estudio histórico, cualitativo. Las fuentes incluyeron documentos escritos y orales, elaborados a partir de entrevistas semiestructuradas, realizadas entre agosto de 2022 y febrero de 2023 con enfermeros que trabajaron en la implementación del servicio, representados por 40 minutos, nueve protocolos de atención y ocho informes del sitio web interno del hospital. Resultados: la reorganización del equipo de enfermería y la inversión en superación profesional, a través de cursos y posgrados, culminaron en el establecimiento de protocolos, comités e indicadores de enfermería, que permitieron implementar un servicio con calidad y seguridad. Consideraciones finales: la implementación del servicio de enfermería en oncohematología pediátrica fue exitosa y, al tiempo que destacó la importancia de la enfermería, también entregó un servicio de calidad a la sociedad, fortaleciendo el Sistema Único de Salud. RESUMO Objetivo: analisar como se deu o processo de implantação do serviço de enfermagem em onco-hematologia de um hospital pediátrico no Rio de Janeiro. Métodos: estudo histórico, qualitativo. Fontes incluíram documentos escritos e orais, produzidos por entrevistas semiestruturadas, realizadas entre agosto de 2022 e fevereiro de 2023 com enfermeiras que atuaram na implantação do serviço, representados por 40 atas, nove protocolos assistenciais e oito reportagens do site interno do hospital. Resultados: a reorganização da equipe de enfermagem e o investimento no aprimoramento profissional, por meio de cursos e pós-graduações, culminaram na instituição de protocolos, comissões e indicadores de enfermagem, os quais possibilitaram a implantação de um serviço com qualidade e segurança. Considerações finais: a implantação do serviço de enfermagem em onco-hematologia pediátrica foi exitosa e, ao tempo que evidenciou a importância da enfermagem, também entregou à sociedade um serviço de qualidade, fortalecendo o Sistema Único de Saúde.

PurposeA randomised controlled trial was conducted to evaluate the effectiveness of a nurse-delivered Head and Neck Cancer Survivor Self-Management Care Plan (HNCP) for patients who had completed treatment for head and neck cancer (HNC).MethodsTen oncology nurses were trained to deliver the HNCP. The HNCP consisted of one face-to-face hour-long meeting in which the patient’s treatment was recorded, as were contact details of health professionals involved in their care and follow-up schedules. Patients were guided to nominate up to three goals for their future well-being and assisted to devise an action plan to achieve these. The HNCP was given to the patient and a copy was forwarded to their primary care physician. One hundred and nine patients were randomised after definitive curative intent treatment, 36 to HNCP, 36 to receive information about survivorship, and 37 to usual care. The primary outcome, analysed by intention-to-treat, was change in quality of life measured by the FACT-H&N from baseline to 6-month follow-up.ResultsQuality of life of all groups decreased at 3 months but was close to baseline at 6 months. Compared with the usual care group, the only statistically significant mean difference at 6 months was for the information group on the physical well-being domain (mean difference 0.4, 95% − 1.8, 2.6, p < 0.05).ConclusionsA single-session nurse-delivered intervention is insufficient to improve the quality of life in HNC survivors compared with usual care. Provision of detailed written information about HNC survivorship is associated with improved physical well-being.Trial registrationACTRN12613000542796

[...]initiatives include support and training from twinning programmes,1 short-term in-country training,2,3 and online teaching programmes.4,5 However, until there is a serious commitment from governments in LMICs to fund and support the development of health-care infrastructure, including personnel (physicians, surgeons, nurses, pharmacists, and radiotherapists) and to address the material and resources (eg, intravenous pumps, personal protective equipment, and chemotherapy) required, there is little hope that major improvements can be made in the current mortality statistics in these countries--72-75% of patients with cancer in LMICs will die from the disease.6 Nurses are a crucial component of any country's cancer control programme.

Occupational burnout poses a persistent threat to nurses' mental health and the quality of patient care. Emerging evidence indicates that burnout is not a uniform phenomenon but manifests in distinct psychological patterns. Yet, how these diverse burnout experiences interact with safety-related factors is insufficiently understood. Network analysis offers a systems-level perspective to uncover interconnections among psychological and safety variables and to pinpoint potential bridge nodes for targeted interventions. This study sought to map the network architecture linking psychological and safety-related factors among nurses across different burnout profiles, to identify profile-specific central and bridge nodes, and to examine their associations with safety behaviors. A total of 2092 nurses were included. This study was a secondary analysis based on a previously established dataset in which three distinct burnout profiles were identified using latent profile analysis: the High Achievement Stable Group (Class 1, 70.3%), the High Efficiency Contradictory Group (Class 2, 6.6%), and the High Pressure Adaptive Group (Class 3, 23.1%). Psychological-safety networks were estimated for both the overall sample and each subgroup using the EBICglasso model. Centrality and bridging indices were computed via expected influence and bridge expected influence, followed by network comparison tests to evaluate structural variations across profiles. In the overall network, \"skills\" (B4) exhibited the greatest centrality, whereas \"personal accomplishment\" (A3) and \"knowledge\" (B1) consistently functioned as pivotal bridge nodes across profiles. Although bridge configurations differed slightly among classes, A3 and B1 remained the principal connectors integrating psychological and safety communities. Significant structural differences were detected between Classes 2 and 1 (M test, p < 0.001) and between Classes 3 and 1 (M test, p < 0.001; S test, p = 0.002), with pronounced discrepancies in the edge patterns surrounding A3 and B1. The burnout-safety networks revealed distinct structural configurations across nurse subgroups. Identifying profile-specific bridge nodes offers practical guidance for precision interventions that enhance safety behaviors and foster occupational resilience.

Aim The aims of this study were to examine whether professional identity mediates the association between burnout and missed nursing care (MNC), and to test whether psychological capital moderates this mediation model. Design A cross‐sectional study. Methods The Oncology Missed Nursing Care Self‐rating Scale (OMNCS), Maslach Burnout Inventory (MBI), Professional Identification Scale (PIS) and Psychological Capital Scale (PCS) were used to assess 446 neuro‐oncology nurses from 10 Grade A oncology hospitals in six Chinese provinces between April and June 2024. Mediation and moderated mediation models were constructed using structural equation modelling. Results The incidence of MNC among 446 neuro‐oncology nurses was 36.4%. The mean score on the OMNCS was 104.95 ± 26.70 (note: the OMNCS is reverse‐scored, with higher scores indicating fewer missed care occurrences). MBI showed a negative association with MNC (total effect: β = −0.605, p < 0.001), with a significant direct effect (β = −0.256, p < 0.001). PIS partially mediated this relationship (indirect effect: β = −0.349, p < 0.001), accounting for 57.7% of the total effect, through the paths ‘burnout → professional identity’ (β = −0.646, p < 0.001) and ‘professional identity → MNC’ (β = 0.540, p < 0.001). PCS moderated all three paths (β = −0.015, p < 0.001; β = −0.018, p < 0.05; β = 0.071, p < 0.05). As psychological capital increased from low to high, the indirect effect diminished in magnitude from −0.23 to −0.12. The moderated mediation model demonstrated good fit (GFI = 0.98, CFI = 0.97, RMSEA = 0.06, χ2/df = 4.8). Conclusion The direct correlation between burnout and heightened risk of MNC was evident, with burnout also exhibiting an indirect connection to MNC through the enhancement of professional identity in neuro‐oncology nurses. Psychological capital was identified as a potential moderator in offsetting the mediating impact of professional identity and in regulating the association between burnout and MNC. Future intervention strategies aimed at mitigating MNC among neuro‐oncology nurses experiencing burnout may benefit from enhancing professional identity and psychological capital. Such approaches could potentially improve care quality and patient outcomes. Patient or Public Contribution No patient or public involvement occurred in the design, conduct, or reporting of this study. The study participants were neuro‐oncology nurses, and the research focused on their experiences and perceptions.

PurposeSymptoms associated with COVID-19 infection have made the assessment and triage of cancer patients extremely complicated. The purpose of this paper is to describe the development and implementation of a COVID-19 screening tool for oncology telephone triage.MethodsAn Ambulatory Oncology Clinical Nurse Educator and three faculty members worked on the development of an oncology specific triage tool based on the challenges that oncology nurses were having with the generic COVID triage tool. A thorough search of the published literature, as well as pertinent websites, verified that no screening tool for oncology patients was available.ResultsThe screening tool met a number of essential criteria: (1) simple and easy to use, (2) included the most common signs and symptoms as knowledge of COVID-19 infection changed, (3) was congruent with the overall screening procedures of the medical center, (4) included questions about risk factors for and environmental exposures related to COVID-19, and (5) assessed patient’s current cancer history and treatment status. Over a period of 3 weeks, the content and specific questions on the tool were modified based on information obtained from a variety of sources and feedback from the triage nurses.ConclusionWithin 1 month, the tool was developed and implemented in clinical practice. Oncology clinicians can modify this tool to triage patients as well as to screen patients in a variety of outpatient settings (e.g., chemotherapy infusion units, radiation therapy departments). The tool will require updates and modifications based on available resources and individual health care organizations’ policies and procedures.

This fourth edition of Clinical Manual for the Oncology Advanced Practice Nurse is an incomparable resource to guide nursing professionals.Each chapter is presented in an outline format and is extensively cross-referenced to allow easy identification of symptoms to determine a medical diagnosis.

To investigate the feasibility and preliminary effects of a simultaneous stage-matched exercise and diet (SSED) intervention in breast cancer survivors. Randomized, controlled trial. Oncology outpatient treatment clinics at the National Cancer Center in South Korea. 45 women with breast cancer who completed their cancer therapy. Participants were assigned to the SSED intervention group (n = 23) or a control group (n = 22). Participants in the SSED group received a 12-week individualized intervention promoting prescribed exercise and a balanced diet through stage-matched telephone counseling and a workbook. Program feasibility, behavioral outcomes (stage of motivational readiness for exercise and diet, physical activity, and diet quality), and quality-of-life (QOL) outcomes (functioning and global QOL, fatigue, anxiety, and depression). Participant evaluations of the SSED intervention indicated that it was feasible and acceptable. All women felt that the overall intervention contents were appropriate, and 95% believed that the intervention helped to promote healthy behaviors. Objective data also supported the SSED intervention's feasibility (i.e., 91% completed the trial and 100% of intervention calls were received). When compared to control, the SSED intervention group showed significantly greater improvement in motivational readiness for exercise and diet, emotional functioning, fatigue, and depression. Preliminary results suggest that the SSED intervention delivered via telephone counseling and workbook is feasible and beneficial for positive behavioral and QOL outcomes. Nurse-led lifestyle interventions may improve QOL for cancer survivors.

To evaluate the safety and efficacy of aromatherapy on symptom burden and associated outcomes. 92 inpatients who underwent hematopoietic stem cell transplantation on hematology-oncology units in an academic hospital. Participants in this pilot randomized controlled trial received essential oil-infused or blank aromatherapy patches and completed a symptom journal. Mixed-model analysis of variance was used to analyze chemotherapy-induced nausea, vomiting, and retching (CINVR) and anxiety symptoms. A t test was used to analyze medications administered for CINVR. Descriptive statistics were used to analyze additional study aims. There was no significant difference in mean symptom scores or medications administered between the intervention and control groups. On a 1-10 rating scale (10 = extremely satisfied/extremely likely), aromatherapy was rated 8 or higher for satisfaction (n = 50) and likeliness to use again (n = 53). Aromatherapy can be used for holistic symptom management to improve the patient experience.