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Learn How to Conduct Mock Code Simulations

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Advanced Practice Nursing (APRN)

An Oncology Provider’s Guide to Patient Use of Medical Cannabis During Cancer Care

August 10, 2023

Advanced Practice Nursing (APRN)

Oncology APRNs’ Role in Communicating With Older Adults With Cancer

Prepare for the silver tsunami—experts predict that the number of older adults with cancer, those aged 65 and older, will double by 2035. Oncology APRNs have a pivotal role in their care, understanding patients’ values and preferences to facilitate informed decision-making. But communication can be difficult when patients have comorbid geriatric syndromes such as cognitive deficits, delirium, and depression.

Special Populations

Delivering Holistic Cancer Care Requires Oncology Providers to Weave Spirituality in Their Practice

Spiritual care is an essential component of cancer care. Representing an individual’s “sense of peace, purpose, and connection to others and beliefs about the meaning of life, spirituality is not synonymous with religion, which is “a set of beliefs and practices that center on questions about the meaning of life and may involve the worship of a supreme being.” Several healthcare organizations such as the National Comprehensive Cancer Network, American Society of Clinical Oncology, Multinational Association of Supportive Care in Cancer, and the Joint Commission recommend including spiritual care in cancer care guidelines.

Advanced Practice Nursing (APRN)

Oncology Providers Can Transform the Trajectory of Financial Toxicity

The complexity of cancer care may affect patients’ financial toxicity more than we’ve realized. Many patients struggle with the economic burden of out-of-pocket spending for cancer care, including insurance copayments, transportation, and reduced income, as well as their psychological burden of worry and coping with less funds for food and medications. Multimodality treatments, maintenance and ongoing therapies for metastatic disease, and geographic factors such as travel for clinical trials and specialized services or paying for out-of-network care can put patients’ finances in a deeper hole. The adverse implications are significant: decreased quality of life, increased anxiety and depression, lower adherence to prescribed medications and oncology care, and reduced survival.

February 09, 2023

Advanced Practice Nursing (APRN)

Oncology APRNs Are Change Agents for Tobacco Cessation

Whether by cigarette, pipe, cigar, or vaping device, tobacco use is a major risk factor for the development of many cancers; increases cancer mortality, risk of recurrence, and second primary cancers; adversely affects treatment outcomes for surgery, radiation, and chemotherapy; and affects other chronic health conditions. Initiating smoking cessation at the time of a lung cancer diagnosis improves overall survival by 30%–40%, yet 40%–50% of smokers continue to use tobacco after diagnosis.

December 27, 2022

Advanced Practice Nursing (APRN)

New Technology Tools Help Oncology APRNs Improve Patient Outcomes

Clinical decision support systems are tools integrated into electronic health records that include reminders for preventive care, evidence-based clinical practice guidelines, order sets, and alerts for drug prescribing. In health care, artificial intelligence converts data into knowledge to guide clinical decisions. When combined, the two technologies can guide advanced practice RNs and other providers with predictions and suggestions that go beyond human accuracy and specificity.

August 11, 2022

Care coordination

Oncology Care Model Created New Opportunities for APRNs to Transform Cancer Care

Launched in 2016 as a pilot program from the Centers for Medicare and Medicaid Services Innovation Center to develop new payment and delivery system models, the Oncology Care Model had a lofty goal: drive improvements in providing high-quality and cost-effective care.

Advanced Practice Nursing (APRN)

APRN Roles Evolve to Address Cancer Screening, Treatment Adherence, and Public Health

Responses to pandemic-related screening and treatment delays have created new opportunities for oncology advanced practice RNs (APRNs), too. In both their institutions and communities, APRNs are guiding patients and providers to reverse the increases in late cancer diagnoses, morbidity, and mortality—ultimately improving outcomes.

Advanced Practice Nursing (APRN)

Boards and Committees Need Oncology APRN Voices. Will You Step Up to the Challenge?

In response to the 2010 Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, the Nurses on Boards Coalition launched an initiative to increase the number of nurses in decision-making leadership capacities with a goal to place 10,000 nurses on corporate, health-related, and other panels, boards, and commissions. Yet today, we still have more work to do to advance nurses into those positions and to educate the public about nurses’ role in providing high-quality, safe patient care.

February 17, 2022

Palliative care

APRNs Can Lead by Example When Integrating Palliative Care in Practice

Early and regular integration of palliative care (PC) improves patient and caregiver outcomes in symptom management, quality of life, psychosocial health, communication, shared decision-making, overall satisfaction—and even survival. Health systems also benefit through reduced emergency department visits, hospitalizations, and intensive care stays; increased completion of advanced directives; and improved quality of end-of-life care. Both the Centers for Medicare and Medicaid Services’ (CMS’s) Oncology Care Model and many oncology organizations, including ONS, support the approach for patients with cancer.

November 11, 2021

Advanced Practice Nursing (APRN)

Interprofessional Collaboration Helps Improve Cancer Care

Much of the care we provide is complex and requires the contributions of many knowledgeable and experienced professionals. To satisfy the National Academy of Medicine recommendations of providing safe, timely, effective, efficient, equitable, and patient-centered care, healthcare professionals must function as highly collaborative teams.

October 14, 2021

Advanced Practice Nursing (APRN)

APRN Leaders Mentor Students to Tackle Clinical Practice Issues

Nursing is among the top careers for job growth, with an estimated 7% increase in the nursing workforce by 2029. As new students train to enter or advance in the profession, advanced practice RNs (APRNs) must mentor and empower them to integrate evidence-based practice (EBP) into their care.

August 12, 2021

Survivorship care plans

APRNs Are Essential in Survivorship Programs

As the number of cancer survivors continues to grow in the United States, so too does the need for cancer survivorship programs. Oncology advanced practice RNs (APRNs) are essential team members as institutions develop and deliver comprehensive and holistic programs to meet survivors’ needs.

Advanced Practice Nursing (APRN)

Onboarding and Supporting New Providers Are Your Responsibilities as an APRN Leader

Contributing to the orientation and onboarding of new advanced practice RN (APRN) providers supports optimal patient outcomes, professional satisfaction, and nurse retention. Orientation involves working through the hospital’s training program, policies and procedures, organizational structures, and mission or vision statements, whereas onboarding builds engagement and relationships in the organization over many weeks to months. Some institutions have formalized, detailed processes for orientation and onboarding, but others may offer very little structure and support.

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.

Jan Tipton DNP, APRN-CNS, AOCN®

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