European Journal Of Oncology Nursing[JOURNAL]
Sun
200 papers
The effect of therapeutic play on anxiety and fear levels in 6-12-year old children undergoing central venous catheter insertion in a pediatric hematology-oncology unit: A randomized controlled trial.
Taşpinar P, Uysal G, Açikgöz A
Eur J Oncol Nurs · 2026 Feb · PMID 41325693 · Publisher ↗
PURPOSE: Central venous catheters (CVCs) insertion is an invasive procedure that may provoke fear and anxiety in children. This randomized controlled trial aimed to determine the effect of therapeutic play on anxiety and...
PURPOSE: Central venous catheters (CVCs) insertion is an invasive procedure that may provoke fear and anxiety in children. This randomized controlled trial aimed to determine the effect of therapeutic play on anxiety and fear levels in 6-12-year-old children undergoing CVCs insertion in a pediatric hematology-oncology unit. METHODS: The study was conducted between October 2022 and August 2023 with 80 children diagnosed with cancer and scheduled for CVCs insertion were included and randomly assigned to two groups: the intervention group (n = 40), which received education using therapeutic play before the procedure, and the control group (n = 40), which received routine clinical care only. RESULTS: Eighty children were randomized to the intervention (n = 40) or control (n = 40) group. The intervention group had significantly lower anxiety (CAS-S) and fear (CFS) scores than the control group at all three measurement points (p < 0.01). Heart rate was also significantly lower in the intervention group immediately before and 2 h after the procedure (p = 0.005 and p = 0.001, respectively), and respiratory rate was lower immediately before the procedure (p = 0.001). No significant between-group differences were found for blood pressure or oxygen saturation. Inter-rater reliability between child, parent, and nurse assessments was excellent (ICC = 0.904-0.980, p < 0.001). CONCLUSION: Therapeutic play administered before CVC procedures effectively reduced children's fear and anxiety, supporting its use by nurses to enhance psychological comfort and preparation for invasive procedures, particularly in hematology-oncology settings.
Perceptions of safety in hospital at home following allogeneic haematopoietic stem cell transplantation: A qualitative study.
Tinglum Skøyeneie SC, Wik HS, Tjønnfjord GE … +4 more , Fauske L, Gedde-Dahl T, Solvang G, Myhre AE
Eur J Oncol Nurs · 2026 Feb · PMID 41325692 · Publisher ↗
PURPOSE: Hospital at Home (HaH) is an innovative care model designed to provide hospital-equivalent care at home substituting traditional inpatient care. Previous research has demonstrated the clinical safety of HaH, but...
PURPOSE: Hospital at Home (HaH) is an innovative care model designed to provide hospital-equivalent care at home substituting traditional inpatient care. Previous research has demonstrated the clinical safety of HaH, but there is limited qualitative knowledge about the experiences of safety among those who attend. As patients become severely immunocompromised and require close monitoring following allogeneic haematopoietic stem cell transplantation (HSCT), safety perceptions are important. This study aimed to explore how patients and informal caregivers perceived safety in HaH following HSCT. METHODS: A qualitative exploratory design with a phenomenological hermeneutical approach was used. Semi-structured interviews were conducted with 16 patients and 14 informal caregivers. Data were analysed using reflexive thematic analysis. RESULTS: (1) From ambivalence to attendance. Participants were initially ambivalent. However, comprehensive preparatory information, the option to withdraw, and flexibility to return to hospital at any time were key factors influencing their decision to participate. (2) The organisation and practice shaped the perceptions of safety. Participants perceived HaH as safe due to structured care and consistent follow-up they received. Continuity, competence, and availability of the healthcare team provided reassurance. (3) Prepared for the expected. Participants felt prepared for potential health deterioration and the possibility of readmission, drawing on previous treatment experiences and proactive preparation. CONCLUSIONS: Participants perceived HaH as a safe alternative to inpatient care, emphasising clear organisational structures, preparatory information, and continuous support. Predictability, trust in the professional competence of the care team, and flexible options for readmission were crucial to their sense of safety. These findings underscore the importance of structured follow-up and adequate preparation in the successful implementation of HaH programs. The findings highlight the importance of risk assessment, thorough training and preparation, flexible hybrid care models, and team continuity.
Preoperative intrinsic capacity phenotypes forecast adverse physical resilience trajectories following surgery in older bladder cancer patients.
Liu S, Zheng J, Sun J
Eur J Oncol Nurs · 2026 Feb · PMID 41325691 · Publisher ↗
PURPOSE: This study assessed the predictive value of preoperative intrinsic capacity (IC) phenotypes for physical resilience (PR) trajectories in older adults undergoing elective bladder cancer surgery. METHODS: A prospe...
PURPOSE: This study assessed the predictive value of preoperative intrinsic capacity (IC) phenotypes for physical resilience (PR) trajectories in older adults undergoing elective bladder cancer surgery. METHODS: A prospective study was conducted from October 2024 to March 2025 on 327 elderly patients (mean age 69.71 ± 6.96 years) who underwent elective bladder cancer surgery. Latent class analysis (LCA) was used to identify different intrinsic capacity types based on the five domains: vitality, locomotion, cognition, psychology, and sensory. Latent class growth model (LCGM) was applied to identify different trajectories of physical resilience over time. Multiple correspondence analysis (MCA) and multivariate logistic regression were used to study the association between intrinsic capacity types and physical resilience trajectories. RESULTS: LCA identified three intrinsic capacity phenotypes: High intrinsic capacity (35.2 %), Moderate intrinsic capacity-Low Vitality (28.4 %), and Low intrinsic capacity-Low Mobility and Cognition (36.4 %). LCGM identified four physical resilience trajectories: Moderate-Stable (30.6 %), Moderate-Increasing (31.2 %), High-Increasing (28.1 %), and Low-Stable (10.0 %). A significant association was found between intrinsic capacity phenotypes and physical resilience trajectories. After adjustment, the Low Mobility-Cognition and Low Vitality phenotypes were associated with significantly higher risks of adverse recovery trajectories. Poorer self-rated health, lower BMI, and lower education level also predicted worse resilience. CONCLUSIONS: Preoperative intrinsic capacity phenotypes, particularly those characterized by deficits in mobility, cognition, and vitality, independently predict physical resilience trajectories in older adults after bladder cancer surgery. Assessing these phenotypes enables early identification of high-risk patients and supports targeted prehabilitation strategies.
The impact of social determinants of health on mental and behavioral health trajectories of breast cancer survivors: A longitudinal cohort study.
Franco-Rocha OY, Fuentes-Balderrama J, Sun B … +6 more , Smits JAJ, Magnuson A, Kesler SR, Van Dyk K, Moore RC, Henneghan AM
Eur J Oncol Nurs · 2026 Feb · PMID 41319526 · Full text
PURPOSE: Social determinants of health (SDOH) influence cancer outcomes such as symptom burden, quality of life, and mortality. However, their long-term impact on the health trajectories of breast cancer survivors (BCS)...
PURPOSE: Social determinants of health (SDOH) influence cancer outcomes such as symptom burden, quality of life, and mortality. However, their long-term impact on the health trajectories of breast cancer survivors (BCS) remains poorly understood. We aimed to examine how various SDOH, including experiences of discrimination, neighborhood conditions (traffic safety, perceived crime, and access to recreational activities), financial toxicity, and food insecurity, affect the mental and behavioral health of BCS over eight months. METHODS: Sixty-four BCS completed valid and reliable self-report assessments of SDOH, anxiety symptoms, cognitive function, fatigue, and sleep quality at baseline (T1), two months (T2), and eight months (T3). Multilevel models examined associations between SDOH, time, and mental and behavioral outcomes, adjusting for clinical and sociodemographic factors. RESULTS: Over time, participants reported increased anxiety symptoms (b = 0.37, p = 0.01). Higher levels of financial toxicity were associated with greater overall fatigue (b = 1.30, p = 0.01) and cognitive (b = -1.16, p = 0.03) scores. Poorer access to recreational activities was also associated with greater scores in overall anxiety (b = -2.31, p = 0.02). No significant interactions between SDOH and time were observed (p > 0.05). CONCLUSION: Financial toxicity and limited neighborhood resources negatively impact BCS' mental and behavioral health. Larger studies with extended follow-ups are needed to better understand how SDOH influence survivorship outcomes throughout the cancer continuum.
Effectiveness of a resilience model-based cancer prehabilitation program in patients with newly diagnosed colorectal cancer: A randomized controlled trial.
Chou YJ, Lee YH, Lin BR … +4 more , Tu YK, Chiu YC, Yang HY, Shun SC
Eur J Oncol Nurs · 2026 Feb · PMID 41319525 · Publisher ↗
PURPOSE: This study aimed to develop a resilience model-based cancer prehabilitation program and evaluate its effects on resilience, symptoms, and spiritual well-being in patients with newly diagnosed colorectal cancer....
PURPOSE: This study aimed to develop a resilience model-based cancer prehabilitation program and evaluate its effects on resilience, symptoms, and spiritual well-being in patients with newly diagnosed colorectal cancer. METHODS: A randomized controlled trial recruited 128 patients from a medical center in northern Taiwan. Patients were randomized to an intervention group (n = 63; 12-week resilience model-based cancer prehabilitation program plus standard care) or a control group (n = 65; standard care). Outcomes were assessed at five time points: prior to surgery and 1, 2, 6, and 12 months post-surgery. RESULTS: Groups did not differ at baseline. Intention-to-treat analysis showed the intervention group had higher levels of self-reliance at T4 (β = 2.167, 95 % CI [0.367, 3.968], p = 0.018, Cohen's d = 0.23). Per-protocol analysis demonstrated higher overall resilience at 12 months (β = 11.723, 95 % CI [4.100, 19.347], p = 0.003). Domain-specific improvements were observed in self-reliance, equanimity, purpose, and authenticity. Fear of cancer recurrence and spiritual well-being also improved. CONCLUSIONS: The resilience model-based cancer prehabilitation program empowered patients to actively engage in recovery and sustain physical and psychological adaptation over time. Integrating physical and psychological components within a resilience model-based cancer prehabilitation program is an effective approach to promote holistic recovery and long-term well-being. Future studies should explore strategies to enhance adherence and examine the generalizability of these findings.
Perceived quality of patient-centered care predictors in a sample of Greek cancer survivors with solid cancer.
Volakakis N, Raftopoulos V, Pylli M … +3 more , Xanthos T, Kyrkou G, Deltsidou A
Eur J Oncol Nurs · 2026 Feb · PMID 41319524 · Publisher ↗
PURPOSE: The purpose of this study was to examine the association between patients' characteristics and the subscales of the Perceived Quality of Patient-centered Care scale (QPCC). METHODS: A sample of 400 cancer patien...
PURPOSE: The purpose of this study was to examine the association between patients' characteristics and the subscales of the Perceived Quality of Patient-centered Care scale (QPCC). METHODS: A sample of 400 cancer patients was recruited from a large hospital in Athens between September 2023 and March 2024. The inclusion criteria were willingness to participate, ability to speak and understand Greek, and self-reported physical and mental health status. Multiple linear regression analysis was performed to identify predictors of QPCC. RESULTS: The mean total QPCC score was 1.79 (±0.34) [range 1 (high)-4 (low)] with subscales ranging from 1.15 (±0.33) to 2.78 (±0.80). Subscales such as respectful communication, provision of clear disease and treatment information, and treatment delivery received the highest means scores, while timely care and equitable care received the lowest. Patients self-assessed their physical condition and mental health, with a median score of 7 (interquartile range: 5-8). Age, living conditions, educational level, residence, ECOG-PS status, and prior therapies were significantly associated with the subscales of QPCC. Among these, educational level and living conditions were the strongest predictors of QPCC total score. CONCLUSIONS: Healthcare providers should routinely assess the experiences of cancer survivors, identify gaps in care, and design tailored interventions to enhance the quality of services provided across the healthcare continuum.
Strengthening theory-driven approaches to cancer pain management in older adults with cognitive decline.
Nurjaman I, Inayah I, Setiawati … +1 more , Nurzaeni I
Eur J Oncol Nurs · 2026 Feb · PMID 41319523 · Publisher ↗
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Towards integrated palliative care for cancer patients: A qualitative study of case management using the Chronic Care Model.
Tirandaz SY, Valizadeh L, Zamanzadeh V … +2 more , Rassouli M, Akbari ME
Eur J Oncol Nurs · 2026 Feb · PMID 41317438 · Publisher ↗
PURPOSE: Although palliative care plays a vital role in improving the quality of life for cancer patients and their caregivers, its delivery often involves considerable complexity. Case management has been recommended as...
PURPOSE: Although palliative care plays a vital role in improving the quality of life for cancer patients and their caregivers, its delivery often involves considerable complexity. Case management has been recommended as a systematic and collaborative approach. Understanding experiences and perceptions of case management in palliative cancer care can provide valuable insights for the development of coordinated, continuous, and patient-centered interventions. METHODS: A qualitative study was conducted based on the Chronic Care Model framework. Data were collected through semi-structured, in-depth interviews with 40 participants, including patients, family caregivers, care providers, and policymakers in the field of cancer care. They were analyzed using the directed content analysis approach described by Hsieh and Shannon (2005) and coded using MAXQDA 10 software. RESULTS: Analysis of the interviews guided by the Chronic Care Model components yielded six main categories comprising 16 subcategories: community policies and resources; self-management support; decision support; delivery system design; clinical information systems; and healthcare organizations. CONCLUSIONS: The findings indicate that all Chronic Care Model components are essential for a 'palliative care case management' framework. This study provides a conceptual extension of the Chronic Care Model and can be used as a sound reference for the development of cancer-related policies and interventions in the healthcare system.
Identifying gender-specific treatment targets for depression in cancer survivors: Evidence from NHANES.
Deng Y, Chen F, Xiong Y … +5 more , Li S, Zhang Q, Knobf MT, Li J, Ye Z
Eur J Oncol Nurs · 2026 Feb · PMID 41260041 · Publisher ↗
PURPOSE: Depression is a prevalent and heterogeneous symptom among cancer survivors, yet gender-specific differences in symptom patterns remain underexplored. This study aims to characterize gender-specific depressive-sy...
PURPOSE: Depression is a prevalent and heterogeneous symptom among cancer survivors, yet gender-specific differences in symptom patterns remain underexplored. This study aims to characterize gender-specific depressive-symptom networks in cancer survivors and identify optimal intervention targets via computer-simulated interventions. METHODS: In this cross-sectional study of 2141 cancer survivors from seven National Health and Nutrition Examination Survey (NHANES) cycles, we compared Patient Health Questionnaire-9 (PHQ-9) scores by gender. We used Gaussian graphical models to identify core symptoms, applied Bayesian network analysis to map symptom activation pathways, and conducted computer-simulated interventions to pinpoint gender-specific treatment targets. RESULTS: Overall, the average PHQ-9 scores were relatively low, suggesting very mild reported depressive symptoms. In men's networks, three central nodes, specifically "depressed mood", "anhedonia", and "psychomotor changes" emerged. "Worthlessness" was identified as the primary driver of "suicidal ideation", with "worthlessness" and "fatigue" as the potential intervention targets. In women's networks, "depressed mood" served as the only core symptom driving "concentration difficulties", with "depressed mood" and "psychomotor changes" as the potential intervention targets. CONCLUSION: Distinct gender-specific differences in core depressive emerged in cancer survivors' symptom networks. These findings provide direction for targeted psychosocial interventions in oncology care.
Post-embolisation syndrome trajectories and predictors in patients with hepatocellular carcinoma undergoing transarterial chemoembolisation: A retrospective study.
Kim MS
Eur J Oncol Nurs · 2025 Dec · PMID 41253022 · Publisher ↗
PURPOSE: Although post-embolisation syndrome (PES) is a well-known adverse effect, little is known about its trajectory across repeated transarterial chemoembolization (TACE) sessions. This study aimed to examine longitu...
PURPOSE: Although post-embolisation syndrome (PES) is a well-known adverse effect, little is known about its trajectory across repeated transarterial chemoembolization (TACE) sessions. This study aimed to examine longitudinal changes in PES occurrence across repeated TACE sessions and to explore whether the predictors of PES vary depending on the treatment session. METHODS: This study comprised a retrospective review of 1491 records of TACE from a single tertiary hospital. Clinical data including tumour characteristics, procedural details, and laboratory parameters were extracted. Descriptive statistics, chi-square tests, analysis of variance (ANOVA) with Scheffé post-hoc tests, and Pearson correlations analyses were performed. A generalised linear mixed model with random intercepts was applied and sensitivity analyses were conducted to test the robustness of the model. RESULTS: PES occurrence remained stable up to the eighth session but showed greater variability and a resurgence in frequency after the 14th TACE. Elevated post-TACE alanine aminotransferase (ALT) levels were consistently associated with increased odds of PES across all treatment phases, with a five-fold higher risk observed after the 14th session (OR = 5.17, p = .27). Overall, liver enzyme and immune-inflammatory markers such as ALT and C-reactive protein (CRP)-to-lymphocyte ratio were the primary determinants influencing PES trajectory. CONCLUSIONS: This study identified the longitudinal trajectory and predictors of PES across repeated TACE sessions, showing increased incidence after the 14th session and consistent associations with hepatic and immune-inflammatory markers. These findings highlight the need for phase-specific, nurse-led monitoring and hepatoprotective care to manage evolving PES risks throughout the TACE trajectory.
Breast cancer in the cycle of hope and hopelesness: A qualitative research.
Çalışkan BB, Şengün İnan F, Doğan R … +1 more , Nazlı Y
Eur J Oncol Nurs · 2025 Dec · PMID 41242224 · Publisher ↗
PURPOSE: Hope is a crucial psychological resource that influences adaptation and coping during the cancer journey. This study aimed to explore the lived experiences of hope and hopelessness among breast cancer survivors....
PURPOSE: Hope is a crucial psychological resource that influences adaptation and coping during the cancer journey. This study aimed to explore the lived experiences of hope and hopelessness among breast cancer survivors. METHODS: A descriptive qualitative design was employed. Semi-structured, in-depth interviews were conducted with 19 women who had completed their hospital-based treatment for breast cancer within the past 3-5 years. Data were collected via Zoom and analyzed using inductive content analysis. The study was reported by the COREQ checklist. RESULTS: Four main themes emerged from the data: (1) The cycle of hope (fluctuations across diagnosis, treatment, and post-treatment); (2) Sources of hope (acceptance, positive appraisal of treatment, social and professional support); (3) Factors threatening hope (association with death, symptom burden, stigma, emotional isolation, caregiving responsibilities, and lack of professional support); and (4) Strategies to sustain hope (faith, remaining connected to life, cognitive reframing, treatment adherence, and redefining suffering as a shared human experience). Participants described hope as a shifting and vital internal force that helped them navigate uncertainty, while hopelessness was triggered by a lack of control, negative bodily changes, and unsupportive interactions with healthcare professionals. CONCLUSION: Hope and hopelessness coexist as dynamic and fluctuating experiences in breast cancer survivors. These emotional responses are shaped by personal meaning-making, social context, and the quality of care interactions. Nurses should assess hope-related risks and offer targeted interventions. Hope-focused communication, emotional acknowledgment, and tailored psychosocial support can reduce hopelessness and improve survivors' well-being.
Experiences of exercise and its significance for the quality of life among patients with advanced cancer - A qualitative study.
Nikkinen E, Harju E, Hakulinen A … +3 more , Murtola TJ, Sormunen J, Haavisto E
Eur J Oncol Nurs · 2025 Dec · PMID 41242223 · Publisher ↗
PURPOSE: To explore the experiences of patients with advanced cancer regarding exercise and its significance for their quality of life. METHODS: A total of 17 patients participated in the study and were individually inte...
PURPOSE: To explore the experiences of patients with advanced cancer regarding exercise and its significance for their quality of life. METHODS: A total of 17 patients participated in the study and were individually interviewed using semi-structured thematic interviews between April 2023 and April 2025. The interview data were subjected to inductive content analysis. RESULTS: Most patients with advanced cancer exercised several times weekly, for several hours each week. Patients engaged actively in aerobic activities, but the number of muscle-strengthening activities and stretching was limited. Following the onset of advanced cancer, patients' ability to exercise declined, while their perceived importance of exercise increased. According to the experiences of patients with advanced cancer, exercise facilitated the preservation of health and contributed to the preservation of overall well-being. CONCLUSION: At the onset of advanced cancer, healthcare professionals should discuss patients' exercise habits and ensure that both the quantity and type of exercise are appropriate. If necessary, patients should be offered informational and practical support for implementing healthier exercise habits. Moreover, based on the experiences of patients with advanced cancer, exercise is perceived to have exclusively beneficial consequences for quality of life.
Strategies for improving healthcare provider communication with cancer patients about fertility preservation: a scoping review.
Chen YX, Zhou Y, Ye FY … +2 more , Zhang XL, Xu M
Eur J Oncol Nurs · 2025 Dec · PMID 41240814 · Publisher ↗
PURPOSE: This study seeks to consolidate practices that improve healthcare practitioners' communication about fertility preservation with cancer patients. Through a scoping review, we seek to inform the development and i...
PURPOSE: This study seeks to consolidate practices that improve healthcare practitioners' communication about fertility preservation with cancer patients. Through a scoping review, we seek to inform the development and implementation of effective strategies moving forward. METHODS: Nine databases were searched, including PubMed, CINAHL, Web of Science, ProQuest, Cochrane Library, Embase, China National Knowledge Infrastructure, Wanfang Data, and VIP Database. The most recent search occurred on September 13, 2024. The inclusion criteria were established based on the PCC (Participants, Concept, Context) framework. The protocol for this scope review was unregistered. RESULTS: A total of 22 studies were included in this study, using 19 strategies to improve fertility preservation communication. These strategies were categorized into three main areas: educational tools, communication tools, and educational training. Educational tools comprised clinician instruction manuals, patient and family brochures, fertility risk assessment tools, fertility preservation option grids, educational videos, international guideline lists, checklists, and referral checklists. Communication tools included discussion scripts, stress eggs, automated reminder and recording systems, and the Frank narrative method. Educational training methods encompassed presentations, case studies, role play, video instruction, feedback and coaching, professional lectures, educational group meetings, and hands-on exercises. CONCLUSION: Strategies for communicating fertility preservation enhanced healthcare practitioners' knowledge, communication abilities, satisfaction, and self-efficacy, while also improving the quality and frequency of communication. The results of this study hold considerable significance for healthcare practitioners in delivering oncologic reproductive support, enhancing patient quality of life and the quality of fertility preservation choices.
Comparative efficacy of exercise interventions for managing cancer-related symptoms and enhancing quality of life: A systematic review and network meta-analysis.
Wang Y, Wang Y, Cui Y … +2 more , Su W, Xue Y
Eur J Oncol Nurs · 2025 Dec · PMID 41240813 · Publisher ↗
PURPOSE: The objective of this study was to evaluate and compare the efficacy of available exercises for cancer-related symptoms in cancer survivors to provide references for healthcare professionals and clinicians. METH...
PURPOSE: The objective of this study was to evaluate and compare the efficacy of available exercises for cancer-related symptoms in cancer survivors to provide references for healthcare professionals and clinicians. METHODS: This study was registered on PROSPERO. PubMed, Cochrane Library, Web of Science, EMBASE, and PsycInfo were searched from their inception to 16 August 2024. Reference lists of included trials and related reviews, the U.S. National Library of Medicine Clinical Trial Registry Platform and the World Health Organization International Clinical Trials Registry Platform were also searched. Study selection, data extraction and risk of assessment were independently performed by two researchers. STATA software version 16.0 was adopted to conduct the network meta-analysis. RESULTS: A total of 277 trials with 21,018 participants were included. The surface under the cumulative ranking curve values indicated that the best exercise intervention for fatigue was aerobic exercise (75.6 %), for quality of life (84.5 %) and pain (77.2 %) was resistance exercise, for anxiety was mind-body exercise (89.6 %), for depression was multi-component exercise (93.3 %). Values of the Surface Under the Cumulative Ranking Curve indicated that the best exercise for fatigue was aerobic exercise (75.6 %); for quality of life (84.5 %) and pain (77.2 %), it was resistance exercise; for anxiety, it was mind-body exercise (89.6 %); and for depression, it was multi-component exercise (93.3 %). CONCLUSIONS: Resistance exercise has the highest probability of being the optimal exercise type for reducing quality of life and sleep disturbances. In the future, more strictly designed trials are needed to verify the conclusions of this network meta-analysis.
Effect of emotional intelligence and organizational culture on clinical reasoning competence among oncology nurses.
Gu M, Kim Y, Shin H
Eur J Oncol Nurs · 2025 Dec · PMID 41237456 · Publisher ↗
PURPOSE: Clinical reasoning (CR) is an essential competency that enables nurses to make effective decisions. However, limited research has explored the factors influencing the CR competence of oncology nurses. Therefore,...
PURPOSE: Clinical reasoning (CR) is an essential competency that enables nurses to make effective decisions. However, limited research has explored the factors influencing the CR competence of oncology nurses. Therefore, this study aimed to examine the effect of emotional intelligence (EI) and organizational culture (OC) on CR competence among oncology nurses, providing empirical evidence to guide the development of educational interventions designed to strengthen CR competence in oncology nursing. METHODS: A cross-sectional, correlational design was employed in this study. A total of 168 nurses caring for patients with cancer at Seoul National University Hospital completed a structured online questionnaire. Data were collected from September 1 to 30, 2024 and analyzed using IBM SPSS Statistics for Windows, version 30.0. Descriptive statistics, t-tests, analysis of variance, Scheffé's test, Pearson's correlations, and hierarchical regression were performed. Post hoc mediation and moderation analyses were conducted using the SPSS PROCESS macro. RESULTS: Participants demonstrated moderate levels of EI, OC, and CR, with all three variables showing positive correlations. EI showed significant variation according to age, educational level, religion, total clinical experience, and department transfer, while CR differed based on educational level. In the final regression model, higher education and EI levels emerged as significant predictors of CR. CONCLUSION: EI significantly influences CR among oncology nurses. These findings underscore the need for structured educational interventions aimed at enhancing EI, supported by a positive OC. Such efforts may contribute to improved CR competency and reduce inconsistencies in patient outcomes by bridging current gaps in formal training within oncology nursing practice.
Implementation of an eHealth-facilitated Integrated Care Model in Allogeneic Stem Cell Transplantation: The SMILe-ICM Project Belgium Context Analysis.
Arnahoutova K, Goris K, De Geest S … +6 more , Mielke J, Beckers M, Teynor A, Leppla L, Valenta S, Schoemans H
Eur J Oncol Nurs · 2025 Dec · PMID 41237455 · Publisher ↗
PURPOSE: Allogeneic hematopoietic stem cell transplantation (AlloHSCT) survivors have complex needs and can benefit from eHealth-facilitated integrated care models (ICM), such as the SMILe-ICM (SteM cell transplantation...
PURPOSE: Allogeneic hematopoietic stem cell transplantation (AlloHSCT) survivors have complex needs and can benefit from eHealth-facilitated integrated care models (ICM), such as the SMILe-ICM (SteM cell transplantation faciLitated by eHealth) which combines eHealth monitoring and support from an advanced practice nurse (APN). Originally developed in a Swiss/German context, it showed promising outcomes regarding mortality, rehospitalization and cost-effectiveness. Implementing the SMILe-ICM into a new setting with an existing electronic patient health record and APN support requires adaptations and selection of appropriate implementation strategies to fit the local practice. We aimed to perform a context analysis to identify barriers and facilitators to implementation and inform the effective transition of the SMILe-ICM to a different setting. METHODS: We performed a context analysis using the Basel Approach for coNtextual ANAlysis (BANANA). Based on implementation science principles, we took a mixed-methods multi-stakeholder approach to understand our local practice patterns, stakeholder expectations and needs regarding eHealth-based and nurse-led integrated post-alloHSCT care. RESULTS: The majority of alloHSCT patients were open to eHealth technologies and remote data-collection but patients struggled with issues related to shared-decision making, coping with daily life issues, self-management and health literacy. Healthcare providers emphasized the importance of providing appropriate training to both patients and healthcare staff regarding the SMILe-ICM, leveraging existing eHealth infrastructure, and ensuring cost-effective, sustainable implementation. The supplemental burden of eHealth data for both HCPs and patients was a key concern. CONCLUSION: Our rigorous context-based approach proposes a blueprint highlighting key context insights to facilitate the implementation of eHealth ICMs in alloHSCT care.
Family-based belief interventions to enhance resilience in breast cancer patients undergoing chemotherapy: A qualitative study.
Retnaningsih D, Nursalam, Nihayati HE … +2 more , Efendi F, Triharini M
Eur J Oncol Nurs · 2025 Dec · PMID 41237454 · Publisher ↗
PURPOSE: This study aimed to explore the mechanisms and perceived impact of faith-based family interventions on psychological resilience among breast cancer patients undergoing chemotherapy. METHODS: This study employed...
PURPOSE: This study aimed to explore the mechanisms and perceived impact of faith-based family interventions on psychological resilience among breast cancer patients undergoing chemotherapy. METHODS: This study employed a qualitative methodology with a phenomenological design to investigate how relatives of patients with breast cancer have dealt with offering faith-based support throughout chemotherapy. Twenty family members of patients, purposefully chosen, participated in semi-structured interviews to gather the data. Field notes, an interview guide, and a demographic data questionnaire are among the study tools. Face-to-face interviews were conducted, videotaped with consent, and subjected to thematic analysis using NVivo software. Peer debriefing, member verification, triangulation, and audit trail recording all help preserve the authenticity of the data. RESULTS: In this study, 20 family members of patients with breast cancer receiving chemotherapy participated. Four major themes emerged from the data analysis: information requirements, family resilience, caregiving obstacles, and types of family support (emotional, informational, instrumental, esteem, and spiritual). These themes highlight the importance of families playing an active role in supporting patients with their treatment. CONCLUSIONS: Interventions based on family beliefs are crucial for enhancing breast cancer patients' quality of life and resilience during chemotherapy. Integrating faith-based family support into oncology nursing practice is crucial for improving the quality of life and resilience of patients with breast cancer by including their families in their treatment.
Effect of gum chewing on the return of bowel sounds, time to first flatus, and defecation after colorectal cancer surgery: A prospective, randomized controlled trial.
Gezer D, Alptekin D, Yalav O … +1 more , Eray İC
Eur J Oncol Nurs · 2025 Dec · PMID 41232231 · Publisher ↗
PURPOSE: The aim of this study was to evaluate the effectiveness of chewing gum in reducing the time taken for bowel sounds to return, the time taken for the first passage of flatus and defecation, and nausea and vomitin...
PURPOSE: The aim of this study was to evaluate the effectiveness of chewing gum in reducing the time taken for bowel sounds to return, the time taken for the first passage of flatus and defecation, and nausea and vomiting following colorectal cancer surgery. METHODS: A prospective, two-arm (1:1), single-blind, randomized controlled trial was conducted with 84 patients who underwent colorectal cancer surgery. Patients were randomly assigned to either the gum-chewing group (n = 42) or the control group (n = 42). The gum-chewing group began chewing gum on the first postoperative day, chewing one piece for 15 min three times daily, while the control group received standard care. Recovery of bowel function was assessed by monitoring bowel sounds (every 2 h by the same investigator), patient-reported first passage of flatus, and documented first defecation. Data were collected using an individual information form, the Eastern Cooperative Oncology Group performance score, and relevant clinical records. RESULTS: Significant differences were found between groups. The gum-chewing group had a shorter time to return of bowel sounds (8.94 ± 0.98 h vs. 15.86 ± 1.14 h), first passage of flatus (15.43 ± 4.48 h vs. 24.86 ± 13.90 h), and first defecation (22.86 ± 8.85 h vs. 30.74 ± 20.20 h) compared with the control group (p < 0.05). CONCLUSION: Gum chewing effectively accelerated the recovery of bowel function after colorectal cancer surgery by reducing the time to return of bowel sounds, first passage of flatus, and first defecation. REGISTRATION: www. CLINICALTRIALS: gov NCT06029790.
Investigation of the effect of active cycle of breathing techniques on respiratory distress symptom cluster in patients with lung cancer: A randomised controlled trial.
Ulcay D, Eroglu SA
Eur J Oncol Nurs · 2025 Dec · PMID 41232230 · Publisher ↗
PURPOSE: This two-centre, randomised controlled, pre-test-post-test design study aimed to evaluate the effect of Active Cycle of Breathing Techniques (ACBT) on dyspnoea, cough, and fatigue, which comprise the Respiratory...
PURPOSE: This two-centre, randomised controlled, pre-test-post-test design study aimed to evaluate the effect of Active Cycle of Breathing Techniques (ACBT) on dyspnoea, cough, and fatigue, which comprise the Respiratory Distress Symptom Cluster (RDSC) in patients with lung cancer. METHODS: The sample included 73 patients with non-small cell lung cancer (NSCLC) undergoing their first cycle of chemotherapy (36 intervention, 37 control). Data were collected using the Cancer Dyspnoea Scale (CDS), Leicester Cough Questionnaire (LCQ), and Hirai Cancer Fatigue Scale (HCFS). The intervention group received ACBT training and performed exercises twice daily with the support of a video. Follow-up calls were made weekly (days 7, 14, 21). Pre-test assessments were conducted on the first day of chemotherapy; post-tests were completed on day 28. RESULTS: Demographic and clinical characteristics did not differ significantly between the two groups. In the intervention group, significant improvements were observed in dyspnoea and fatigue, as indicated by decreased CDS and HCFS scores, and in cough-related quality of life, as reflected by increased LCQ scores (p = 0.000). Additionally, strong and significant correlations were found among the total and subscale scores of the CDS, LCQ, and HCFS within the intervention group (p = 0.000), supporting the pre. sence of a RDSC. CONCLUSIONS: ACBT demonstrated a positive impact on dyspnoea, cough, and fatigue in lung cancer patients. Integrating ACBT into routine nursing care is recommended to support the management of the RDSC in patients with lung cancer.
Symptom network analysis of fear of recurrence and burden in postoperative lung cancer: A simulation-based intervention study.
Liu M, Mi X, Xu M … +4 more , Zhao Y, Li W, Wu J, Ma F
Eur J Oncol Nurs · 2025 Dec · PMID 41232229 · Publisher ↗
PURPOSE: Fear of cancer recurrence (FCR) and self-perceived burden (SPB) are common in postoperative lung cancer patients, yet their mutual interactions and potential causal pathways remain unclear. This study aimed to e...
PURPOSE: Fear of cancer recurrence (FCR) and self-perceived burden (SPB) are common in postoperative lung cancer patients, yet their mutual interactions and potential causal pathways remain unclear. This study aimed to explore the symptom network characteristics of FCR and SPB, and to identify potential targets for intervention. METHODS: A total of 336 patients with postoperative lung cancer were recruited. The Fear of Progression Questionnaire-Short Form and the Self-Perceived Burden Scale were administered to assess key psychological symptoms. Gaussian graphical modelling was applied to identify central symptoms and bridging nodes that link the two syndromes. Bayesian network analysis was applied to explore potential causal pathways, followed by a simulation study to identify intervention targets within the symptom network. RESULTS: In the Gaussian graphical model, "Worried about undergoing major treatments"exhibited the highest bridge centrality (1.163), serving as the main conduit between the FCR and SPB clusters. The Bayesian network identified "Worried about losing ability to pursue hobbies" and "Worried caregiver does too much" as parent nodes. Simulation analysis revealed that alleviating "Worried caregiver does too much" resulted in the greatest reduction in global network strength (from 8.68 to 4.16). CONCLUSIONS: SPB may exacerbate persistent FCR through interconnected key symptoms, particularly concerns about major treatments and caregiver overburden. Prioritizing interventions that target caregiver-related distress, especially reducing worries about excessive caregiver workload, may generate synergistic effects in alleviating both psychological burden and recurrence fear, providing a promising target for postoperative psychological care.
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