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Learn How to Conduct Mock Code Simulations

Clinical practice

Learn How to Conduct Mock Code Simulations

August 18, 2023

Nurse-Led QI Project Standardizes Transplant and Cellular Therapy Nurse Coordinator Visit Scheduling

Quality of care

Nurse Practitioner's QI Project Standardizes Transplant and Cellular Therapy Nurse Coordinator Visit Scheduling

August 03, 2023

Nurse-Created Apps Help Pediatric Patients Find Their Voice and Navigate Their Cancer Journey

Patient Support

Nurse-Created Apps Help Pediatric Patients Find Their Voice and Navigate Their Cancer Journey

Certification Was a Critical Step Along My Oncology Nursing Career Journey

Oncology nursing community

Certification Was a Critical Step Along My Oncology Nursing Career Journey

Learn How to Read a Germline Genomic Testing Report

Genetics & genomics

Learn How to Read a Germline Genomic Testing Report

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Interprofessional issues

Learn When to Use Authoritative and Collaborative Communication in Your Patient Education Encounters

Both collaborative and authoritative communication approaches have value in educating and engaging patients. When deciding which style to use with each patient, oncology nurses must evaluate the individual, situation, and decision-making dynamics.

September 18, 2023

Oncology nurse-patient relationship

Motivate Your Patients to Make Healthy Choices With This Communication Approach

The physical and emotional side effects of cancer treatments can force patients to make undesired lifestyle changes. After treatment ends, their friends and family may expect them to resume their former roles and activities, yet long-term effects can leave patients discouraged. When compared with healthy peers, cancer survivors experience higher levels of pain, depression, and anxiety, which can decrease their motivation to make healthy choices. Culture, coping style, and socioeconomic status may further compound the issue.

Nursing education

Add Meaning to Your Communication With This Key Element

Meaningful communication involves more than just words traded between people. By asking open-ended questions, affirming a person’s strengths, offering reflections, and providing a summary of the conversation, you can engage others in meaningful conversation.

Patient Education

Use Motivational Interviewing to Tailor Your Conversations to Your Patients’ Unique Needs

People encounter significant changes after being diagnosed with cancer. Oncology nurses can help patients and caregivers adapt by using motivational interviewing–based communication strategies.

February 02, 2023

Use Active Listening to Engage More Deeply in Patient Discussions

In your day-to-day conversations with patients, colleagues, or even friends and family at home, are you merely hearing what others tell you or are you actively listening to them? When we actively listen to what someone is saying, we intreat curiosity about their words and the emotions they are communicating with their tone and body language. Active listening engages a whole-person connection, whereas passive listening relies on the brain’s ability to catch the main points of a conversation.

January 24, 2023

Cancer treatments

Overcome Inequalities in Cancer Treatment Options Across the Ages

Larry is an 83-year-old rancher who was diagnosed with pancreatic adenocarcinoma and treated with gemcitabine and nab-paclitaxel. A three-month follow-up scan reveals recurrent disease. Larry’s son tells you he wants to explore clinical trials but is frustrated that several promising trials do not accept patients older than 70 years. He asks you why a person’s chronologic age is a major exclusion factor and their performance status is only considered after they meet the age criteria. He also asks you whether his father’s age influenced the choice between first-line therapy with FOLFIRINOX or gemcitabine and nab-paclitaxel.

December 13, 2022

Sexual/reproductive issues

Communication Models Help Nurses Confidently Address Sexual Concerns in Patients With Cancer

Sexual dysfunction is one of the most common side effects of cancer treatment, yet oncology professionals often under address patients’ sexuality and sexual dysfunction concerns. Providers cite lack of time, training, and resources as barriers to initiating important discussions about sexual side effects, and studies show that patients’ age and prognosis are additional hindering factors.

October 18, 2022

Oncology clinical trials

Balance Hope and Quality of Life for Phase I Clinical Trials

Leita, a 42-year-old patient with locally advanced pancreatic cancer, was treated with 5-fluorouracil, irinotecan, and oxaliplatin followed by capecitabine and radiation therapy. After she completed initial treatment, a computed tomography scan conducted in preparation for a possible surgical resection revealed metastatic liver lesions. Leita’s surgery was cancelled, and she began second-line therapy with gemcitabine and nab-paclitaxel.

September 20, 2022

Patient Support

Support Impaired Patients’ Medical Decision-Making Capacity

John is a 58-year-old patient who was diagnosed with glioblastoma two years ago. He initially responded well to radiation, temozolomide, and a tumor-treating fields device. His cancer recurred 18 months after diagnosis, and John underwent a second craniotomy that was complicated by a stroke. He became unable to verbally communicate, but John and his partner had previously discussed his desire to participate in clinical trials to help extend his life. The medical oncologist says that John will not qualify for a clinical trial because John is unable to give an informed consent, and John’s partner is frustrated that she can’t speak for him and respect his wishes.

August 16, 2022

Oncology nurse education

Use Conversational Assessments to Deliver Whole-Person Care

Whole-person care involves evaluating a patient’s physical, emotional, spiritual, and social health. A conversational assessment can help oncology nurses foster an open dialogue about the patient as a person, not just their physical or health needs.

Ethics in nursing

Support Patients’ Autonomy and Cultural Choices

You are the oncology nurse caring for Maria, who has been diagnosed with non-small cell lung cancer (NSCLC). She says she doesn’t understand how she developed lung cancer because she has always lived a clean lifestyle according to her religious practices. You notice that although Maria is initially conversant with you, she allows her husband to speak for her whenever he is present. When you mention your observation to Maria, she tells you that in her religious culture, medical decisions are deferred to the high elders of the church.

Oncology nurse-patient relationship

Use the Evidence to Integrate Ethics in Teleoncology Care

Emily manages a rural clinic associated with an academic cancer center. Patients initially have an in-person consultation with their treating oncologists at the main campus but then use telehealth for subsequent visits. To support patients during teleoncology visits, Emily wants to initiate a plan to collaborate with the clinic staff to identify and address the ethical principles for oncology care using telehealth.

Oncology nurse-patient relationship

Anticipate and Address Anxiety in Survivorship Care

Some people may be overjoyed at the prospect of completing their cancer treatment and returning to normal life, but for many others, fear and anxiety can overshadow feelings of elation. The survivorship phase of a cancer journey can be confusing and uncertain. Comments like, “I don’t know what is next” and “The responsibility for care is now up to me” can alert oncology nurses that patients need additional communication and strategies to transition into healthy survivorship.

Ethics in nursing

Advocate for Equal Access for Next Generation Sequencing and Clinical Trials

Janice is an oncology nurse in a rural community cancer center. Only one of the three oncologists in the practice discusses clinical trials with their patients and typically not until after patients complete two to three lines of therapy. Also, the practice does not have a process for when to order next generation sequencing (NGS). Janice feels it is not ethical that the patients coming to the clinic do not have equal access to those important services.

Oncology nurse-patient relationship

Master the Essentials of Effective Communication

Communication is central to an oncology nurse’s role—with patients and families, within the unit, and across interprofessional teams. The Joint Commission identified poor communication as a causative factor in 80% of medical errors, particularly during caregiving handoffs. Effective communication skills are both a science and an art, but oncology professionals can use a variety of tools and techniques to enhance their practice.

February 15, 2022

Oncology clinical trials

The Case of the Clinical Trials Consultation

Don, age 72, was diagnosed with borderline resectable pancreatic adenocarcinoma more than a year ago. Genetic testing indicated a BRCA2 variant. He completed 12 cycles of FOLFIRINOX followed by a pancreaticoduodenectomy (Whipple procedure). He had no evidence of disease for six months until a liver lesion seen on surveillance imaging tested positive for metastatic pancreatic cancer. His medical oncologist suggests a clinical trial targeting the BRCA2 variant.

December 21, 2021

Nurse well-being

Live a Life in Balance

Although you may not always believe it, living a balanced life is not out of reach. Nurses have a variety of ways to achieve daily balance and well-being, both informally and through dedicated programs. Today, institutions and nursing organizations alike are prioritizing initiatives to support and strengthen nurses’ well-being.

November 25, 2021

End of life (EOL)

The Case of the End-of-Life Evaluation

Ron, your 73-year-old patient, decides to transition to hospice care after receiving lung cancer treatment for three years. His partner finds Ron’s decision to move to hospice difficult to accept and encourages him to look for a clinical trial or try alternative treatments. You suggest that the couple speaks with a hospital chaplain, and Ron agrees. His surprised partner says, “Why do you want to talk with a chaplain? We’ve never been religious!”

October 19, 2021

Nurse well-being

Can Compassion Bust Burnout and Restore Resilience?

Stress is a normal and necessary part of life. However, prolonged emotional tension takes stress to a new level for many people, including oncology nurses. But what is the antidote to cumulative pressure? The evidence for compassion’s benefits during stress is compelling.

September 30, 2021

The Case of the Triple-Negative Breast Cancer Targeted Treatment

Ophelia is a 42-year-old patient who has been diagnosed with triple-negative breast cancer (TNBC). She completed neoadjuvant chemotherapy with dose-dense doxorubicin and cyclophosphamide, followed by paclitaxel and carboplatin. Her postsurgical pathology shows residual disease in the tumor (3.5 cm down from 4 cm) and 12 out of 18 lymph nodes that are positive for cancer. Ophelia tells you that she is very discouraged and expected a better treatment outcome.

September 21, 2021

Nurse well-being

The Seven Dimensions of Rest

Sleep and rest are two different concepts. Society focuses on sleep, but rest is just as important, and not just for the physical body. Rest allows us to nurture our physical, mental, emotional, sensory, creative, social, and spiritual self. Each of those dimensions needs to be consciously rested for a person to truly feel restored.

The Case of the Mysterious Myalgia

Randi is a 57-year-old patient who identifies as female. She was diagnosed with clear cell metastatic renal cell carcinoma (mRCC), and her past medical history includes mild hypertension managed with amlodipine and a two-year history of transient musculoskeletal pain managed with tramadol. She reports a family history of cardiovascular disease and rheumatoid arthritis (RA). Her primary care physician suspects Randi is at the beginning stages of fibromyalgia but has not made a conclusive diagnosis because she hasn’t experienced additional symptoms.

Clinical practice

The Case of the Weight Loss Wishes

Craig was diagnosed with colorectal cancer after a routine colonoscopy and subsequent colectomy. He meets with Lacey, the oncology nurse, to discuss managing the side effects of his FOLFOX chemotherapy. Lacey notes that Craig’s age is 71, weight is 255 lbs., and body mass index (a body fat ratio based on weight and height) is 38. Craig describes his activity level as “walking to the mailbox and exercising my fingers on the remote control. This cancer treatment will help me knock off some of this extra weight.”

Patient Support

The Case of the Transgender Considerations for Cancer Screening

Sally, a nurse practitioner in a cancer survivorship clinic, is preparing to discuss screening and surveillance guidelines with Jonah, a 32-year-old survivor of Hodgkin lymphoma. Sally reviews Jonah’s patient history form and notes that Jonah uses he and him pronouns. His gender identity is male and sex assigned at birth was female. Jonah’s surgical history includes gender-affirming surgery on chest tissue (also known as top surgery), and his current medications include supplemental testosterone. Jonah also specifies that he is transmasculine—an umbrella term used to indicate that Jonah feels a connection with masculinity.

Nurse well-being

Don’t Get Trapped in the Pitfalls of Perfectionism

Having high expectations can motivate you to achieve your very best. In the extreme, however, aiming for perfection can be dangerous to your mental health. In a 2015 TED Talk, self-proclaimed perfectionist Petra Kolber passionately revealed that despite being at the top in her field in the fitness industry, she felt her best was never good enough and she lived a joyless life.

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To discuss the information in this article with other oncology nurses, visit the ONS Communities.

To report a content error, inaccuracy, or typo, email pubONSVoice@ons.org.

Deborah Christensen MSN, APRN, AOCNS®

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