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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

Major depressive disorder severely impairs the quality of life of patients with medical disorders such as cancer, but evidence to guide its management is scarce. We aimed to assess the efficacy and cost of a nurse-delivered complex intervention that was designed to treat major depressive disorder in patients who have cancer. We did a randomised trial in a regional cancer centre in Scotland, UK. 200 outpatients who had cancer with a prognosis of greater than 6 months and major depressive disorder (identified by screening) were eligible and agreed to take part. Their mean age was 56·6 (SD 11·9) years, and 141 (71%) were women. We randomly assigned 99 of these participants to usual care, and 101 to usual care plus the intervention, with minimisation for sex, age, diagnosis, and extent of disease. The intervention was delivered by a cancer nurse at the centre over an average of seven sessions. The primary outcome was the difference in mean score on the self-reported Symptom Checklist-20 depression scale (range 0 to 4) at 3 months after randomisation. Analysis was by intention to treat. This trial is registered as ISRCTN84767225. Primary outcome data were missing for four patients. For 196 patients for whom we had data at 3 months, the adjusted difference in mean Symptom Checklist-20 depression score, between those who received the intervention and those who did not, was 0·34 (95% CI 0·13–0·55). This treatment effect was sustained at 6 and 12 months. The intervention also improved anxiety and fatigue but not pain or physical functioning. It cost an additional £5278 (US$10 556) per quality-adjusted life-year gained. The intervention—Depression Care for People with Cancer—offers a model for the management of major depressive disorder in patients with cancer and other medical disorders who are attending specialist medical services that is feasible, acceptable, and potentially cost effective. Cancer Research UK.

[...]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.

To identify distinct subtypes of emotional labor among Chinese oncology nurses; explore the heterogeneous network structures linking emotional labor, change fatigue, and burnout across subgroups; and explore potential intervention targets via computer simulation. Oncology nurses face three key occupational challenges: inherent emotional labor demands, frequent organizational changes inducing change fatigue, and subsequent burnout risk. Although emotional labor is essential for quality care, its misregulation-especially the resource-intensive deep acting-depletes psychological resources per conservation of resources theory. Yet, existing research often overlooks heterogeneity in nurses' emotional labor strategy use. This study enrolled 924 nurses from a tertiary-level specialized cancer hospital in Zhejiang Province, assessing them using scales for emotional labor, burnout, and change fatigue. First, latent profile analysis identified distinct subgroups based on emotional labor indicators. Subsequently, network analysis constructed symptom networks for the overall cohort and subgroups. Finally, computer simulation technology compared the effects of activating or inhibiting network nodes on overall symptom burden. LPA revealed three profiles: \"Efficient Type-Proactive Regulation\" (C1), \"Stressed Type-Natural Expression\" (C2), and \"Exhausted Type-Dysregulated Regulation\" (C3). In the total sample network, deep acting (E14) emerged as the most central and influential bridge symptom. Significant interprofile differences in network structure and global strength were observed, with unique core symptoms for each profile: professional efficacy (M10) for C1, overwhelming change (F1) for C2, and morning exhaustion (M3) for C3. Computer simulation identified potential core risk targets (M14, F1) and mitigation targets (E4, E8), with E8 showing cross-profile robustness. Oncology nurses exhibit distinct emotional labor subtypes, and their burnout and change fatigue display significant, profile-specific associative patterns. Simulation analysis highlights potential intervention targets: managing excessive work engagement and organizational evaluation pressure, while simultaneously promoting adaptive emotional regulation. This suggests that customized, systemic intervention strategies should be adopted, integrating individual skill development with organizational policy adjustments. The findings of this study advocate for nursing managers to adopt evidence-based, typology-specific management strategies. For C1, professional recognition should be leveraged to enhance their sense of professional efficacy, while optimizing performance evaluations to reinforce adaptive regulation patterns. For C2, management should focus on buffering organizational change stress and leveraging the protective role of equitable evaluation through measures such as establishing flexible feedback mechanisms. For C3, immediate psychological support and short-term leave resources are needed to alleviate physical and mental exhaustion and curb excessive work engagement. At the organizational level, systematically revising performance evaluation systems to reduce instrumental stress and embedding psychological resource support modules into change management processes is recommended. Concurrently, establishing a dynamic monitoring mechanism focused on core bridging symptom E14 facilitates early identification of high-risk individuals.

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 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.