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    Nursing School
    Nursing education
    After 100 Years, Nursing School Is Both Different Yet Still the Same
    September 22, 2017
    Vicky Reiser
    Compassion fatigue
    How Peer-to-Peer Mentoring Can Reduce Compassion Fatigue
    August 29, 2017
    Oncology Nurses Can Have a Global Impact—in Bhutan and Beyond
    Oncology nursing community
    Oncology Nurses Can Have a Global Impact—in Bhutan and Beyond
    August 24, 2017
    HPV Vaccination
    Cancer prevention
    The Importance of HPV Vaccination for Your Patients
    August 01, 2017
    Leah Alair
    Oncology nurse-patient relationship
    Walls and a Blue Ribbon
    July 18, 2017
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    dangers in nursing
    Health Policy

    Nursing Is One of America’s Most Dangerous Professions; Uninsured Rates Fall to 8.8%; Senate Authorizes Five-Year CHIP Deal

    Nursing isn’t always just about treating illness. At times, patients are unruly, combative, and even downright dangerous to staff. Nurses are the ones standing front and center when an upset patient erupts, and it happens more often than the uninitiated public may think. A recent article in the Washington Post, catalogs some of the harrowing violence nurses have seen in the line of duty, dubbing it one of the most dangerous professions in the United States. Patients aren’t always the sole source of danger either—as illustrated by the recent assault of a Utah nurse, Alex Wubbels, by a Salt Lake City police detective.

    September 18, 2017
    capitol building
    Affordable Care Act (ACA)

    Governors Push Senators for 2018 ACA Funding; NCI Requests Input on Bioethics in Cancer Research; Congress Braces for Full September Agenda

    Summer 2017 saw several attempts to repeal and replace the Affordable Care Act (ACA), none of which were successful. Now that the dust has started to settle—and Congress is slowly moving on to other issues—many are still dealing with the uncertainty left in the wake of the nation’s healthcare debate. This includes many concerned governors who are lobbying for funds to address their states’ current needs.

    September 11, 2017
    Sheila Prindiville
    Oncology clinical trials

    How Do You Find Clinical Trials Through the NCI’s Advanced Clinical Trials Search?

    As part of the National Cancer Moonshot Initiative and in collaboration with the Presidential Innovation Fellows, the National Cancer Institute (NCI) developed and launched a new website in 2016. It provides user-friendly access to the repository of abstracts of cancer clinical trials that NCI supported.

    September 05, 2017
    oncology clinical trial nurses impact cancer care
    Oncology clinical trials

    Oncology Nurses Drive Change In Cancer Care With Clinical Trials

    Clinical trials are responsible for discovering new treatments for cancer as well as the continued evolution of standards of care in clinical practice. Nationally, less than 5% of all eligible adult patients with cancer enroll in clinical trials. Additionally, it takes a drug an average of six to eight years from when it is first introduced in trials to become fully available to all patients who could benefit from it.

    September 05, 2017
    Manage Pain in Patients With Cancer
    Pain management

    Manage Pain in Patients With Cancer With These Tools and Resources

    One distinct, uniquely personal symptom unifies almost all patients with cancer: pain. It can be as wildly varied and different as each patient it affects. It can be acute, sudden experiences of pain, or the symptoms can be chronic and perpetual. Patients undergoing the treatments associated with cancer often suffer varying degrees of pain through their cancer journeys, which leads to significant physical and psychosocial burdens. This can decrease their quality of life and potentially impact their overall outcomes. A 2015 National Comprehensive Cancer Network report suggested that the evidence suggests a clear link between improved survival outcomes and adequate symptom management.

    September 01, 2017
    Capitol Hill Roundup
    Affordable Care Act (ACA)

    Former HHS Secretaries Urge Trump to Support ACA; Every U.S. County Will Have ACA Marketplace Option; Government May Look to Continuing Resolution to Prevent Shutdown

    The Affordable Care Act (ACA), better known as Obamacare, is likely here to stay. After previous attempts to repeal and replace the nation’s healthcare legislation, the Senate has finally moved on to other issues. However, this hasn’t stopped President Trump from attempting to undercut some of the financial components of the ACA. Recently, former Health and Human Services (HHS) secretaries from both the Democrats and Republicans urged Trump to support ACA subsidies that could affect the cost of more than 10 million American’s healthcare plans.

    August 28, 2017
    Oncology Nurses Can Have a Global Impact—in Bhutan and Beyond
    Oncology nursing community

    Oncology Nurses Can Have a Global Impact—in Bhutan and Beyond

    Oncology nursing has certain universal truths: Your patients are going to need care. They’re going to need advocates, educators, and support systems to help them face their cancer diagnoses. Whether you work in a town that’s as American as apple pie or the Kingdom of Bhutan in the Eastern Himalayas, oncology nurses are at the ground level providing patient-centered care that leads to positive outcomes.

    August 24, 2017
    Addressing Hypersensitivity Reactions to Chemotherapy
    Safety

    Time Is Short When Addressing Hypersensitivity Reactions to Chemotherapy

    Between administering antineoplastic agents, monitoring patient vitals, and preparing patients for treatment, oncology nurses are required to balance their attention between many intricate tasks. Chief among the division of duties is that oncology nurses closely monitor their patients for hypersensitivity reactions (HSRs) to prescribed agents.

    August 17, 2017
    opioid epidemic
    Pain management

    Trump Declares Opioid Crisis a National Emergency; Recent Poll Shows Health Care, Government Most Important to Americans; FDA Launches Campaign to Fight Youth E-Cigarette Use

    Experts currently estimate that opioid addiction kills nearly 100 Americans every day, and the scale of the problem is continuing to grow. In response, President Trump to unofficially declared the opioid crisis a national emergency during a public statement from his golf resort in Bedminster, NJ, on August 10, 2017.

    August 14, 2017
    Childhood Cancer Treatments
    U.S. Food and Drug Administration (FDA)

    Senate Passes Bill to Focus on Childhood Cancer Treatments

    A new bill passed in the U.S. Senate last week will provide measures to ensure that drug companies are developing treatments for children with cancer. The RACE for Children Act is part of the U.S. Food and Drug Administration (FDA) Reauthorization Act of 2017, which aims to speed up the approval process for new treatments and medical devices and is expected to be signed into law by President Trump.

    August 07, 2017
    Ethan Basch
    Patient reported outcomes (PROs)

    What Does the Evidence Show About Patient-Reported Outcomes, Quality of Life, and Survival?

    Patients know their own experiences best. Evidence has shown that providers are unaware of about half of patients’ symptoms during cancer care. When patients directly report their symptoms using online questionnaires, it can help close this gap in communication. Bringing the patient voice into practice using patient-reported outcomes (PROs) can not only make us aware of their symptoms—enabling earlier interventions—but can also make care delivery more patient-centered.

    August 01, 2017
    improving oncology care through patient reported outcomes
    Patient reported outcomes (PROs)

    Improving Cancer Care Through Patient-Reported Outcomes

    Technology can—at times—seem miraculous, especially as it evolves in healthcare settings. Simple technologic tools have been able to lower costs, increase efficiency, minimize delays in treatment times, and even provide new, lifesaving procedures for cancer treatment.

    August 01, 2017
    Capitol Roundup
    Affordable Care Act (ACA)

    Republicans May Aim to Repeal ACA Without a Replacement Plan; Majority of Americans Support Government Health Care; Q&A With New Jersey State Nurses Association CEO

    After failing to garner support for the GOP’s healthcare bill in the Senate—known as the Better Care Reconciliation Act of 2017—Senate Majority Leader Mitch McConnell (R-KY) noted that the next strategy for repealing and replacing the Affordable Care Act (ACA) would be to repeal the legislation without any concrete healthcare bill to replace it. In 2015, the Senate already successful voted to repeal the ACA, but it was vetoed by former President Obama. According to McConnell, the 2017 repeal effort would provide a two-year window to ensure a stable transition.

    July 24, 2017
    Oncology and ICU Nurses Working Together
    Interdisciplinary teams

    How Can Oncology and ICU Nurses Work Together to Treat Critically Ill Patients With Cancer?

    Nurses in the intensive care unit (ICU) generally see patients with cancer only when they are extremely sick—not throughout the extensive cancer journey they go through before they get to the ICU. Educating and familiarizing ourselves, as ICU nurses, with a patient’s oncology plan, goals, and history can improve overall care. Learning at which points in the process of cancer treatment certain issues are more likely to arise, such as tumor lysis syndrome during high-dose induction, when a patient is most likely to be neutropenic during a stem cell transplant, and other general facts about oncology, can help improve the care we give. It helps us understand our patients as a whole. The oncology population is a huge part of medical intensive care, and encouraging critical care nurses and oncology nurses to collaborate can help improve the continuity of care and eliminate errors in the ICU.

    July 01, 2017
    Critical Care for Patients With Cancer
    Clinical practice

    Critical Care for Patients With Cancer

    Five to Ten Percent of patients with cancer will need to visit the intensive care unit (ICU) for a life-threatening condition. In fact, estimates suggest that nearly 30% of patients with esophageal cancer or acute leukemia and those undergoing allogenic stem cell transplantation will need ICU care.

    July 01, 2017
    Repeal and Replace
    Health Policy

    Senate Republicans Unveil Replacement Healthcare Bill; Single-Payer Healthcare System Would Have High Price Tag; FDA Commissioner Comments on 2016 Youth Tobacco Survey Results

    On June 22, 2017, Republican senators unveiled their version of the bill repeal and replacement bill for the Affordable Care Act, known to most as Obamacare. The Senate bill looks similar to the House-backed healthcare bill passed in May 2017. Central to the Senate’s bill are proposed cuts to Medicaid expansion, along with eliminating a net investment income tax that impacts higher earners. The proposed bill provides more tax subsidies for lower-income individuals than its sister bill from the House of Representatives, but it’s still expected to raise costs for poorer Americans.

    June 26, 2017
    Patient communication
    Affordable Care Act (ACA)

    ACA Could Potentially Become Expanded Medicaid; Smoking More Prevalent in Low Socioeconomic Individuals; Provider, Patient Communication Still Needs Improvement

    In Washington, DC, the healthcare debate rages on. Currently, Republican senators are working behind closed doors to modify and change the House-passed American Health Care Act (AHCA). As it stands, the AHCA is the replacement plan for the Affordable Care Act (ACA), known to most Americans as Obamacare. While legislators continue to debate in Washington, the insurance marketplace carries on. United Healthcare recently announced its departure from the ACA’s marketplace exchange, another in list of insurance companies that have chosen to leave.

    June 20, 2017
    CancerLinQ
    Clinical practice

    How ONS and Oncology Nursing Are Helping to Define Big Data and Cancer Care

    For oncology nurses, physicians, and care professionals, the importance of implementing tools to collect and analyze big data cannot be understated. Through collaboration and multidisciplinary tactics, data can help drive improvements in the way patients are treated.

    June 15, 2017
    Capitol Hill Roundup
    National Cancer Institute (NCI)

    UNC’s Norman Sharpless Named NCI Director; Senators Back to Work on Healthcare Bill; National Institutes of Health Director to Remain

    On June 12, 2017, President Trump named Norman Sharpless, MD, as director of National Cancer Institute (NCI). Sharpless, formerly the director of the Lineberger Comprehensive Cancer Center at the University of North Carolina, is a practicing oncologist and cancer researcher. He will take over as for Doug Lowry, MD, who has been the NCI’s acting director since 2015.

    June 12, 2017
    Breast Cancer Screening
    Health Policy

    ONS Lobbies for Breast Cancer Screening Act in Congress

    Alongside congressional representatives Debbie Wasserman Schultz and Susan Brooks, ONS and other organizations are lobbying for support of the Protecting Access to Lifesaving Screenings (PALS) Act. This legislation would push insurance companies—along with the Veterans Health Administration—to provide access and coverage to breast cancer screenings for women aged 40–49.

    June 08, 2017
    Pam Ginex
    Immunotherapy

    Cultivate Your Immunotherapy Education With ONS Resources

    Cancer centers across the country, especially those in larger medical centers, are seeing many immunotherapy agents in standard care now. Patients are hearing about advancements in immunotherapies, they’re excited by the possibilities, and the U.S. Food and Drug Administration is approving new drugs or indications almost every month. Although many patients still don’t recognize the distinction between standard treatment options and immunotherapy, it’s vital for nurses to stay educated and understand how these treatments work differently from traditional care options.

    June 06, 2017
    Medication Pricing
    U.S. Food and Drug Administration (FDA)

    FDA Commissioner Aims to Address Drug Pricing Issues; House Republicans Propose 12-Bill Appropriations Omnibus; Adults Don’t Recognize Harm of Vaping Around Kids

    Since the campaign trail prior to the presidential election, Donald Trump has been drawing focus to the issue of high drug prices in the United States. In an effort combat the pricing issues, Trump appointed U.S. Food and Drug Administration (FDA) Commissioner Scott Gottlieb, MD, who recently announced the creation of the “drug competition action plan.” The plan would reduce the high cost of drugs in U.S. healthcare market by increasing the efficiency of approving generic medications of name-brand drugs.

    June 05, 2017
    immunotherapy for cancer treatment
    Immunotherapy

    How the Evolution of Immunotherapy Will Impact Oncology Nurses

    Immunotherapy is one of the fastest-evolving areas of oncology to date. Previously, it could take years for some cancers to see new treatment options; today, the U.S. Food and Drug Administration is approving new immuno-oncology agents or new indications for those agents every few weeks. It’s a boon and a challenge to medical professionals. On the one hand, potentially life-changing treatments are making way to patients who need them—patients who have exhausted first-line treatments and now have limited options. On the other hand, healthcare professionals may struggle to stay current with the emerging trends, cutting-edge science, and evolving treatment plans for their patients.

    June 01, 2017
    Nursing Workforce Shortage
    Health Policy

    Nursing Workforce Faces Looming Shortage; Budget Proposal Cuts $636 Billion From HHS Agencies; CBO Issues Evaluation on AHCA

    With an increasing number of baby boomers—both leaving the nursing profession and finding themselves in need of care—a workforce shortage is continuing to challenge the nursing industry. Recent reports have also indicated that educators in nursing programs have dropped off, leading to fewer nursing graduates. Some educational institutions are seeking accelerated programs to meet the demands of the growing healthcare market.

    May 31, 2017
    Capitol Roundup
    Health Policy

    Senate Obamacare Working Group Expands; Gottlieb, MD, Named FDA Commissioner; Bipartisan Commitment to Healthcare Delivery System Reform

    As legislation to repeal the Affordable Care Act works its way into the Senate, a new working group is attempting tackle the issue through tax breaks that would potentially ease healthcare costs. However, when the working group was formed, some Republican Senators were left out of the discussion—namely women senators in the GOP. After receiving flack for the decision, the working group officially opened its doors to anyone in the Republican convention.

    May 22, 2017
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    Chris Pirschel ONS Staff Writer
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