Caring for cancer patients with an intellectual disability: Attitudes and care perceptions of UK oncology nurses

In the United States less than 10% of cancer patients engage in clinical trials. Although most oncology nurses have multiple opportunities to discuss clinical trials with patients, barriers including attitudes and social norms may impede these discussions. Guided by the Theory of Planned Behavior, we developed and evaluated measures for attitudes, subjective norms, and perceived behavioral control of nurses for discussing clinical trials with cancer patients. Of the 18,000 Oncology Nurse Society members invited, 1,964 completed the survey. Structural equation modeling and internal consistency reliability were used to evaluate items and constructs. We found that overall model fit and reliability was good: Confirmatory Fit Index (CFI) = 0.91, Root Mean Square Error of Approximation (RMSEA) = 0.05; attitudes, 21 items, alpha = 0.84; perceived behavioral control, 10 items, alpha = 0.85; and subjective norms, 9 items, alpha = 0.89. These measures of attitudes, subjective norms, and perceived behavioral control show good reliability and initial evidence of validity.

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4196 POSTER Psychosocial Support of Cancer Patients Having Children at Home -the Role of Oncology Nurses

European Journal of Cancer ◽

10.1016/s0959-8049(11)71362-4 ◽

2011 ◽

Vol 47 ◽

pp. S307

Author(s):

J.A. Teule ◽

Y.E. Zelders-Steyn ◽

G.A. Huizinga

Keyword(s):

Cancer Patients ◽

Psychosocial Support ◽

Oncology Nurses ◽

At Home

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Pediatric Oncology Nurses' Attitudes Related to Discussing Fertility Preservation With Pediatric Cancer Patients and Their Families

Journal of Pediatric Oncology Nursing ◽

10.1177/1043454207303878 ◽

2007 ◽

Vol 24 (5) ◽

pp. 255-263 ◽

Cited By ~ 69

Author(s):

Susan T. Vadaparampil ◽

Heather Clayton ◽

Gwendolyn P. Quinn ◽

Lindsey M. King ◽

Michael Nieder ◽

...

Keyword(s):

Cancer Patients ◽

Fertility Preservation ◽

Pediatric Oncology ◽

Pediatric Cancer ◽

Oncology Nurses ◽

Pediatric Cancer Patients

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Consequences of Spiritual Care for Cancer Patients and Oncology Nurses: a Qualitative Study

Asia-Pacific Journal of Oncology Nursing ◽

10.4103/apjon.apjon_37_18 ◽

2019 ◽

Vol 6 (2) ◽

pp. 137 ◽

Cited By ~ 2

Author(s):

Camelia Rohani ◽

Soolmaz Moosavi ◽

Fariba Borhani ◽

MohammadEsmaeel Akbari

Keyword(s):

Qualitative Study ◽

Cancer Patients ◽

Spiritual Care ◽

Oncology Nurses

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Oncology Nurses’ Communication Challenges During Caring for Cancer Patients: A Qualitative Content Analysis Study

Modern Care Journal ◽

10.5812/modernc.118425 ◽

2021 ◽

Vol 18 (3) ◽

Author(s):

Mahdieh Poodineh Moghadam ◽

Ahmad Nasiri ◽

Gholamhossein Mahmoudirad

Keyword(s):

Content Analysis ◽

Data Analysis ◽

Qualitative Study ◽

Cancer Patients ◽

Communication Skills ◽

Qualitative Content Analysis ◽

Cognitive Empathy ◽

Oncology Nurses ◽

Care Process ◽

Communication Challenges

Background: Establishing appropriate communication with cancer patients is necessary to make decisions for them and involve them in the care process to prevent the adverse consequences of cancer treatment. Thus, the qualitative study on the challenges experienced by oncology nurses can lead to a better understanding of these challenges and help these nurses acquire advanced communication skills. Objectives: This study was conducted to explain the communication challenges experienced by oncology nurses during providing care to cancer patients by applying a qualitative content analysis approach. Methods: This qualitative study was conducted with the participation of 18 nurses who were selected by the purposive sampling method, working in the oncology departments of Iran’s hospitals in 2021. Semi-structured interviews were held for data collection. After transcribing the interviews, data analysis was performed using the Granheim and Landman (2004) method. The MAXQDA software (2020) was used for data management. The criteria proposed by Lincoln and Guba were used to assure data accuracy and reliability. Results: Thirty subcategories, eight categories, and four themes were extracted following data analysis. The themes included the nurse’s close relationship with cancer patients as a double-edged sword, curvy and sinusoidal professional communication for oncology nurses, relationship with an opposite-gender patient as a missing factor in nursing care, and marginalization of relationships during the coronavirus pandemic. Conclusions: Nurses’ challenges in communicating with cancer patients can be reduced by improving their communication skills via various strategies, including empowering nurses by employing cognitive empathy and using communication models such as the Comfort model.

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Attitudes, Belief, and Barriers of Indonesian Oncology Nurses on Providing Assistance to Overcome Sexuality Problem

Nurse Media Journal of Nursing ◽

10.14710/nmjn.v7i1.15124 ◽

2017 ◽

Vol 7 (1) ◽

pp. 15 ◽

Cited By ~ 5

Author(s):

Yati Afiyanti

Keyword(s):

Quality Of Life ◽

Cancer Patients ◽

Nursing Care ◽

Nurse Educators ◽

Sampling Method ◽

Oncology Nurses ◽

Nursing Profession ◽

Attitudes And Beliefs ◽

Sexual Concerns

Background: Sexuality and problems related to sexuality have been identified as components of nursing care by the nursing profession, nurse educators, other disciplines and patients.Purpose: This study aimed to describe the attitudes and beliefs of the Indonesian oncology nurses towards providing sexual care for the patients with cancer.Methods: The study used a descriptive design. Using convenient sampling method, 135 oncology nurses from three hospitals in Jakarta, Indonesia participated in this study.Results: Over 85% of the nurses believed that discussing sexuality with patients is a taboo and private issue. More than 90% of nurses understood that giving a patient permission to talk about sexual concerns is a nursing responsibility. About 73.3% nurses had beliefs that most hospitalized patients are too sick to be interested in sexuality and agreed that sexuality should be discussed if only the patient initiates it. However, more than 70% of the nurses believed that the patients expect nurses to ask about their sexual concerns.Conclusion: This study revealed that inappropriate attitude and belief of nurses on sexuality aspect of their patients might become a barrier in facilitating the needs of cancer patients to manage the sexuality problem caused by cancer and the treatment. Nurses need to overcome those various barriers so that they can increase the quality of life of the cancer patients.

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Early discussion of patients’ values by oncology nurses.

Journal of Clinical Oncology ◽

10.1200/jco.2018.36.34_suppl.3 ◽

2018 ◽

Vol 36 (34_suppl) ◽

pp. 3-3

Author(s):

Andrew S. Epstein ◽

Kimberly Chow ◽

Kelley Anderson ◽

Molly Okpako ◽

Camila Bernal ◽

...

Keyword(s):

Cancer Patients ◽

High Volume ◽

Clinical Situation ◽

Oncology Nurses ◽

Medical Decision ◽

Cancer Center ◽

Newly Diagnosed ◽

Structured Interviews ◽

Oncology Nurse ◽

Patient Values

3 Background: Optimal advance care planning allows patients to articulate their values as an affirmation of personhood and a touchstone for medical decision-making. Ideally, it occurs when patients are well enough to express themselves thoughtfully, with opportunities for iteration as the clinical situation unfolds. We piloted a novel program of systematic, oncology nurse-led values discussions with patients soon after diagnosis, testing feasibility, and acceptability in high-volume clinics in a dedicated cancer center. Methods: Within an institutional initiative integrating primary and specialist palliative care from diagnosis for all cancer patients regardless of stage or prognosis, specialists trained oncology nurses (90 minutes) to use specific questions ( re living well, hopes, fears, sources of strength, abilities essential for acceptable quality of life) and an empathic communication framework to discuss health-related values with newly-diagnosed patients over two consecutive clinic visits. Nurses summarized discussions on a template for patient verification, oncologist review, and EMR documentation. Documentation was re-reviewed with the patient quarterly (sooner on patient or clinician request). Feasibility and acceptability were evaluated in three clinics for patients with hematologic or gastrointestinal (GI) cancers. Results: Oncology nurses conducted a total of 83 discussions (part 1=38, part 2=29, template review=16) with 15 and 23 newly-diagnosed hematologic and GI cancer patients, respectively. No patient declined participation. Discussions averaged 8 minutes; summaries were reviewed in 4 minutes, and all were verified by patients. Clinic workflow and volume (about 20 patients/clinic day) were maintained. Of 12 patients, all reported feeling comfortable with the process, 92% considered it helpful, 92% would recommend it to others. In structured interviews, patients, families, and clinicians strongly endorsed this process. Conclusions: Early, nurse-led discussions of patient values are feasible and acceptable in high-volume outpatient oncology clinics. Next steps include optimization of EMR accessibility, scalability, and evaluation of impact on other patient-focused and utilization outcomes.

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