European Journal Of Oncology Nursing[JOURNAL]
Sun
200 papers
Analysis of factors influencing changes in patient-reported quality of life among patients with bladder cancer.
Kang Y, Zhong G, Lv A … +4 more , Zhang Y, Chang Z, Huang M, Bai X
Eur J Oncol Nurs · 2026 Jun · PMID 42061181 · Publisher ↗
PURPOSE: To analyze changes in patient-reported health-related quality of life and its influencing factors among bladder cancer patients at 3months postoperatively, and to provide evidence for improving patients' quality...
PURPOSE: To analyze changes in patient-reported health-related quality of life and its influencing factors among bladder cancer patients at 3months postoperatively, and to provide evidence for improving patients' quality of life. METHODS: A prospective observational study was conducted at a tertiary Grade A hospital in Shaanxi Province, China, enrolling 218 bladder cancer patients using convenience sampling. Clinical and sociodemographic data were collected during hospitalization. Health-related quality of life (HRQoL) was assessed at baseline and 3months postoperatively using the Functional Assessment of Cancer Therapy-Bladder. Coping style, social support, and social comparison were evaluated at 3months postoperatively. Paired t-tests were used to compare changes in HRQoL over time. Multiple linear regression analyses were conducted in SPSS 27.0 to identify predictors of HRQoL. RESULTS: At 3months postoperatively, patients exhibited higher scores on the physical well-being and bladder cancer-specific subscales, and lower scores on social/family well-being, emotional well-being, functional well-being, and total HRQoL. Significant changes were observed in social/family well-being (P < 0.001), emotional well-being (P = 0.043), and bladder cancer-specific subscale (P < 0.001). Multiple linear regression showed that positive coping, social comparison, and social support were associated with baseline HRQoL, whereas negative coping, social comparison, and social support were associated with 3-month HRQoL. CONCLUSION: Postoperative bladder cancer patients require targeted interventions to improve their HRQoL. Clinical medical staff can carry out personalized interventions from the dimension of social support by guiding patients to form adaptive social comparison patterns, alleviating negative coping styles, and ultimately improving the overall HRQoL of patients.
Nurse-led telephone triage in colorectal cancer screening: Evaluation of patient experience and clinical outcomes.
Sanna T, Pizzi L, Bastia M … +10 more , Squillace L, Tempesta D, Turlà R, Pierantoni C, Polifemo A, Bertold I, Nanni A, D'Avenia R, Mezzetti F, Chiereghin A
Eur J Oncol Nurs · 2026 Jun · PMID 42055486 · Publisher ↗
PURPOSE: To evaluate the effectiveness and patient experience of a nurse-led telephone triage service managing access to second-level colorectal cancer (CRC) screening, and to explore the relationship between subjective...
PURPOSE: To evaluate the effectiveness and patient experience of a nurse-led telephone triage service managing access to second-level colorectal cancer (CRC) screening, and to explore the relationship between subjective satisfaction and objective clinical outcomes. METHOD: A cross-sectional study was conducted across four endoscopy units within the Bologna Local Health Authority, Italy. Between April and July 2024, patients undergoing telephone triage for colonoscopy (following a positive Faecal Immunochemical Test [FIT] or surveillance) were consecutively recruited. Patient experience was assessed via a structured telephone interview, while clinical outcomes (colonoscopy participation, Boston Bowel Preparation Scale, and examination completeness) were retrieved from the screening database. RESULTS: Among 355 participants, overall satisfaction was high (99.2%), accompanied by 93.0% colonoscopy participation and 94.8% adequate bowel preparation. However, satisfaction was comparatively lower regarding bowel preparation information (72.4%) and appointment management (81.6%). No statistically significant association was found between patient-reported satisfaction and objective clinical outcomes (bowel preparation quality and examination completeness) (all p > 0.05). FIT-positive patients reported lower satisfaction levels compared to surveillance patients, and the logistics of bowel preparation kit collection emerged as a critical barrier. CONCLUSION: Nurse-led telephone triage proves to be a robust standard in the CRC screening pathway, balancing operational efficiency with high patient acceptance and clinical quality. The observed dissociation between satisfaction and preparation adequacy underscores the complex interplay between subjective perception and behavioural action, rather than a failure of communication. Future optimization requires standardizing best practices, resolving logistical barriers, and implementing tailored, multimodal education, ensuring a pathway that is truly remote and patient-centred.
Contact nurses require improved organisational conditions to provide comprehensive patient care after cancer treatment: A qualitative study.
Marklund S, Baxter R, Isaksson U … +2 more , Fransson P, Hajdarevic S
Eur J Oncol Nurs · 2026 Jun · PMID 42055485 · Publisher ↗
PURPOSE: Support after cancer treatment can improve health-related quality of life for cancer survivors. Contact nurses play a key role in patient care following cancer treatment. The contact nurse is responsible for pro...
PURPOSE: Support after cancer treatment can improve health-related quality of life for cancer survivors. Contact nurses play a key role in patient care following cancer treatment. The contact nurse is responsible for providing support, encouraging patient participation in care, and assessing and managing individual needs throughout the cancer trajectory. This study aims to explore contact nurses' perceptions of how organisational conditions influence patient care provision after cancer treatment. METHODS: A descriptive qualitative study design was used. Semi-structured individual interviews were conducted with 12 contact nurses from seven hospitals in northern Sweden, between February 2022 and January 2024. Data was analysed using qualitative content analysis. RESULTS: Contact nurses perceive that they are: working around resource limitations, navigating unclear responsibilities, pursuing inter-professional collaboration and envisioning integrative follow-up. The results highlight the challenges that contact nurses face when maneuvering between the formal and informal boundaries they perceived within the organisation. They struggled to work according to their job descriptions and felt hindered by existing structures. CONCLUSION: Contact nurses experienced that organisational prerequisites hindered their ability to fulfil their role when providing care to patients after cancer treatment. They strived to adopt a person-centred approach and improve patient support, but felt hindered by unclear structures within the organisation. By addressing these challenges, organisational conditions for contact nurses may be enhanced to improve patient care after cancer treatment.
Greater material, psychological, and behavioural financial toxicity among young and middle-aged patients versus older patients with cancer: A multicentre cross-sectional study.
Xu B, So WKW, Choi KC
Eur J Oncol Nurs · 2026 Jun · PMID 42034006 · Publisher ↗
PURPOSE: Although financial toxicity (FT) is a crucial dimension of cancer care, differences in its psychological, material, and behavioural manifestations with age remain underexplored in China. This study examined age...
PURPOSE: Although financial toxicity (FT) is a crucial dimension of cancer care, differences in its psychological, material, and behavioural manifestations with age remain underexplored in China. This study examined age differences in multidimensional FT among patients with cancer. METHODS: Data for this secondary analysis were obtained from a multicentre cross-sectional survey of 1208 adult patients with cancer recruited from 12 hospitals across three Chinese provinces between February and October 2022. Psychological, material, and behavioural domains of FT were assessed using validated instruments. Patients were categorised as young (18-39 years), middle-aged (40-59 years), or older (≥60 years). The FT domains were compared across age groups using multiple linear and binary logistic regression analyses adjusted for sociodemographic and clinical covariates. RESULTS: Young and middle-aged patients reported significantly greater psychological FT than older adults, as indicated by lower comprehensive FT scores. Compared with older patients, young patients faced the highest risk, with increased odds ratios (ORs) of 2.17 (95% confidence interval [CI]: 1.10 to 4.30) and 2.76 (95% CI: 1.49 to 5.13) for material and behavioural FT, respectively. Middle-aged patients also demonstrated higher odds of behavioural FT (OR = 1.57, 95% CI: 1.06 to 2.33) relative to older patients, despite no significant difference in material FT. CONCLUSION: FT varies with age among Chinese patients with cancer, with young patients experiencing the greatest multidimensional burden. Integrating age-sensitive FT screening into routine oncology nursing practice and designing tailored interventions may help to mitigate FT and improve supportive care outcomes across the cancer trajectory.
Dyadic coping and factors associated with latent profiles among Chinese nasopharyngeal carcinoma patients and their spouses: A latent profile analysis.
Jiang J, Fan YY, Cheng Y … +1 more , Zhang JE
Eur J Oncol Nurs · 2026 Jun · PMID 42030765 · Publisher ↗
PURPOSE: Nasopharyngeal carcinoma (NPC) imposes significant psychosocial challenges on patients and their spouses, yet dyadic coping (DC) patterns and their determinants remain underexplored. This study aimed to assess D...
PURPOSE: Nasopharyngeal carcinoma (NPC) imposes significant psychosocial challenges on patients and their spouses, yet dyadic coping (DC) patterns and their determinants remain underexplored. This study aimed to assess DC levels and classify latent coping profiles among Chinese NPC patient-spouse dyads, and to identify factors associated with profile membership. METHODS: A cross-sectional study recruited 223 NPC patient-spouse dyads in Guangzhou, China, from September 2022 to May 2023. Participants completed the Dyadic Coping Inventory, the Perceived Stress Scale, and the General Self-Efficacy Scale. Latent profile analysis was performed using Mplus 8.3. Hierarchical multinomial logistic regression with the Balanced group as reference was conducted to determine factors associated with profiles. RESULTS: Three DC profiles were identified: Strained group (23.7%), Balanced group (65.5%), and Harmony group (10.8%). In Model 1, which excluded psychological factors, education level, intimate relationship quality, and source of income were significantly associated with profile membership. After adding psychological variables in Model 2, Strained group membership was associated with higher patient perceived stress, lower spouse self-efficacy, and poorer intimate relationship quality. Harmony group membership was associated with higher patient self-efficacy, higher patient perceived stress, and cancer stage. CONCLUSIONS: These findings reveal the heterogeneity of DC patterns in Chinese NPC couples. Spouse self-efficacy protects against coping deterioration, while patient self-efficacy drives optimal harmony. Tailored interventions addressing gender-specific caregiving burdens and self-efficacy enhancement may improve dyadic coping in NPC populations.
Fighting alone: Caregiving burden and coping strategies among the Chinese only-child "sandwich generation" facing parental cancer.
Bao S, Chen Y, Cheng S
Eur J Oncol Nurs · 2026 Jun · PMID 42019348 · Publisher ↗
PURPOSE: Caregiving in the context of shrinking family structures presents unique challenges for the "sandwich generation." This study aimed to explore the caregiving burden, sources of stress, and coping strategies of C...
PURPOSE: Caregiving in the context of shrinking family structures presents unique challenges for the "sandwich generation." This study aimed to explore the caregiving burden, sources of stress, and coping strategies of Chinese only children caring for parents with cancer. METHODS: A sequential two-phase qualitative study design using multi-source data was employed. Semi-structured interviews were conducted with 20 only-child caregivers at a tertiary hospital in southern China. Additionally, 833 relevant posts from social media platforms (Weibo and Xiaohongshu) were collected. Data were integrated and analyzed using reflexive thematic analysis. RESULTS: Four core themes were identified: (1) the pressure of solitary caregiving and decision-making, which stems from the lack of sibling sharing and spousal absence; (2) sacrifices in career development and parenting responsibilities, where caregivers are forced to make trade-offs between personal development and intergenerational duties; (3) illness concealment and emotional labor, characterized by a combination of rational disease management and high-intensity emotional performance; and (4) real-world support gaps and online community compensation, where anonymous online spaces become channels for information and emotional venting, partially addressing the limitations of real-world kinship support. CONCLUSION: Only-child caregivers face systemic tensions between shrinking family structures and complex caregiving demands. Their burden stems not only from physical exhaustion but also from the exclusivity of decision-making responsibilities and multiple role conflicts. Professionals should adopt family-centered care to identify high-risk families, offering targeted decision aids and communication guidance on disease disclosure. Furthermore, integrating professional support into online communities is essential for enhancing caregiver well-being.
Relationship between anticipatory grief and dyadic coping in advanced cancer patients and their spouses: An examination based on the actor-partner interdependence model.
He Y, Chen F, Huang GT … +1 more , Lan Y
Eur J Oncol Nurs · 2026 Jun · PMID 41996769 · Publisher ↗
PURPOSE: This study investigates the associations between anticipatory grief and dyadic coping among advanced cancer patients and their spouses, aiming to provide empirical evidence for the development of family-centered...
PURPOSE: This study investigates the associations between anticipatory grief and dyadic coping among advanced cancer patients and their spouses, aiming to provide empirical evidence for the development of family-centered dyadic interventions. METHODS: A total of 230 dyads, consisting of advanced cancer patients and their spouses, were enrolled via convenience sampling from three hospitals in Guangdong Province between June and September 2025. Data acquisition was conducted utilizing a sociodemographic questionnaire, the Dyadic Coping Inventory (DCI), and the Anticipatory Grief Scale (AGS) tailored for patients and spouses. Subsequently, the Actor-Partner Interdependence Model (APIM) was constructed to analyze dyadic interactions, with all statistical estimations performed using Mplus software (version 8.3). RESULTS: Based on the results of the Actor-Partner Interdependence Model (APIM), significant actor effects were identified, wherein higher levels of anticipatory grief were found to be negatively associated with individual dyadic coping for both patients and spouses (P < 0.001). Furthermore, significant partner effects were established; specifically, patients' dyadic coping was negatively linked to spousal anticipatory grief, and spousal dyadic coping was similarly associated with patients' anticipatory grief (P < 0.001). CONCLUSION: An interdependent association is identified between the levels of anticipatory grief and dyadic coping patterns within advanced cancer patient-spouse dyads. Accordingly, the implementation of comprehensive assessments and the formulation of collaborative intervention strategies are advocated for the optimization of mental health and coping capacities for both members of the dyad.
Suicidal risk screening: Oncology nurses' barriers and leverages.
Duflot Boukobza A, Mathivon D, Abbas M … +9 more , Puglisi V, Fasse L, Di Palma M, Dauchy S, Le Provost JB, Vaz Duarte Luis I, Scotte F, Dimpre M, Boinon D
Eur J Oncol Nurs · 2026 Jun · PMID 41985200 · Publisher ↗
PURPOSE: Suicide is a major issue around the world. Cancer is now well known as a higher risk of suicide. Guidelines recommend that patients need to be screened for suicidal ideation to be referred early to appropriate s...
PURPOSE: Suicide is a major issue around the world. Cancer is now well known as a higher risk of suicide. Guidelines recommend that patients need to be screened for suicidal ideation to be referred early to appropriate supportive care. Nurses are primary professional resources. Despite this role in many international studies, oncology nurses felt unable, lacked skills, and feared to deal with suicidal patients. We lack data concerning the care practices of French nurses. This study aims to describe the barriers and facilitators to screen suicidal risk in adult cancer patients by nurses working in a French cancer center. METHODS: This study was conducted through a focus group with oncology nurses. Three domains were explored: nurses' current practice in patient suicide risk screening, barriers and facilitators to identify suicidal and their training needs. A thematic analysis on the transcripts was performed through an inductive approach. RESULTS: The results of the focus group (n = 11) showed that nurses don't screen systematically for suicidal risk. We identified three main barriers (organizational, cognitive, protection mechanism) and four leverages (organizational, training, therapeutic alliance, back to disciplinary fundamentals). DISCUSSION: The lack of systematic screening for suicidal risk appears to be due to several factors, such as the fact that suicide is an act of autonomy or that there is a lack of both time and theoretical and practical knowledge. The nurses report that their views are not heard due to a pyramidal organizational structure. These barriers need to be considered in training content, particularly emotional ones.
Education moderates the structural architecture and plasticity of post-traumatic stress disorder symptoms in breast cancer survivors: A network analysis.
Li H, Xiong Y, Zhang Q … +8 more , Chen Q, Wu S, Deng Y, Huo Z, Wen L, Tong W, Li J, Ye Z
Eur J Oncol Nurs · 2026 Jun · PMID 41962526 · Publisher ↗
PURPOSE: Many breast cancer survivors develop post-traumatic stress disorder (PTSD) symptoms. Educational level has been associated with differences in mental health outcomes, but its role in the structure and plasticity...
PURPOSE: Many breast cancer survivors develop post-traumatic stress disorder (PTSD) symptoms. Educational level has been associated with differences in mental health outcomes, but its role in the structure and plasticity of PTSD symptom networks remains unclear. To compare PTSD symptom network structure and network plasticity between breast cancer patients with low versus high educational attainment. METHODS: In this cross-sectional study (n = 677) drawn from the "Be Resilient to Breast Cancer" project, participants were classified into low-education (n = 323) and high-education (n = 354) groups. Network structure, global strength, and network plasticity were compared between low- and high-education groups using the Network Comparison Test. Bayesian network analysis was conducted to examine potential causal relationships. RESULTS: In the low-education group, "ongoing thoughts triggered by various things" was the most central symptom (Str = 2.000), whereas "unintentional thoughts" showed the highest centrality in the high-education group (Str = 0.826). The low-education group exhibited higher plasticity (plasticity index = 0.158), while the high-education group had lower plasticity (plasticity index = 0.147, p = 0.073, ES = 2.794). CONCLUSIONS: Educational level moderates plasticity of PTSD symptom networks among breast cancer survivors. Lower education is associated with higher network plasticity, more negative connections, and a different pattern of central and potentially causal symptoms compared with higher education.
Supporting patient preparedness for self-care in allo-HCT using a Swedish dialogue tool: A mixed methods interventional study.
Holmberg K, Bergkvist K, Winterling J … +3 more , Kisch AM, Wengström Y, Hagelin CL
Eur J Oncol Nurs · 2026 Jun · PMID 41955761 · Publisher ↗
PURPOSE: To investigate how patients undergoing allo-HCT experience preparedness for self-care and the transition to post-hospital recovery, after using the Assessment of Rehabilitation Needs Checklist (ARNC) in combinat...
PURPOSE: To investigate how patients undergoing allo-HCT experience preparedness for self-care and the transition to post-hospital recovery, after using the Assessment of Rehabilitation Needs Checklist (ARNC) in combination with a conversation in a nurse-led intervention. METHODS: Patients were recruited between March and September 2023, at two allo-HCT centres in Sweden. A convergent parallel mixed-methods design with quantitative (The Self-Care of Chronic Illness Inventory-4 and the Care Transitions Measure) and qualitative data (individual interviews, 6-8 weeks post allo-HCT), were collected in parallel for integrated analysis. Descriptive statistics and a deductive content analysis, guided by the Middle Range Theory of Self-Care of Chronic Illness, were used. RESULT: Self-care scores for the 12 patients were generally high and stable over time, with a slight decrease in self-care management at follow-up. However, some reported low scores for self-care. Patients experienced the ARNC enhancing motivation, being a reminder, and improved self-care habits. Support from family and caregivers and access to care facilitated self-care, although patients expressed a desire for earlier dialogue. Preparedness for the care transition was highly scored, and patients reported that using the ARNC and conversation contributed to their preparedness. CONCLUSION: This study provides initial exploration of patients' preparedness for self-care behaviours and perceived self-efficacy. Self-care, particularly self-care management, appeared challenging, highlighting the need for individualised education and support. Patients felt prepared for the transition from hospital to home and indicated that the structured ARNC, and conversation with a nurse were important factors in supporting their preparedness for self-care.
Mechanisms underlying the effect of nurse-led enhanced supportive care for advanced cancer patients: A mediation analysis of randomized controlled trial data.
Hong B, Choi YY, Lee HS … +1 more , Lee J
Eur J Oncol Nurs · 2026 Jun · PMID 41946322 · Publisher ↗
PURPOSE: A nurse-led enhanced supportive care intervention integrating the Bandura's mastery enhancement and the acceptance and commitment therapy approach as an early primary palliative care was effective in improving c...
PURPOSE: A nurse-led enhanced supportive care intervention integrating the Bandura's mastery enhancement and the acceptance and commitment therapy approach as an early primary palliative care was effective in improving coping, self-efficacy for coping with cancer, and role functioning. This study examined the mechanisms through which the intervention improved role functioning in patients with advanced cancer, focusing on the mediating roles of coping and self-efficacy for coping with cancer. METHODS: A secondary analysis was conducted (N = 182). Active coping, self-efficacy for maintaining activity and independence, and role functioning were measured using the Brief COPE, the Cancer Behavior Inventory 3.0, and the EORTC QLQ-C30. Descriptive, correlation, and mediation analyses were conducted using IBM SPSS 27 and PROCESS macro Models 4 and 6. RESULTS: In the serial mediation analysis, the intervention demonstrated statistically significant total effect on role functioning (effect = 8.89, SE = 3.21, 95% CI [2.54, 15.23]). The direct effect of the intervention remained significant after accounting for active coping and self-efficacy in maintaining activity and independence as mediators (effect = 6.19, SE = 3.08, 95% CI [0.12, 12.27]). The sequential pathway suggested by the conceptual model was statistically significant (effect = 0.78, SE = 0.46, 95% CI [0.11, 1.90]) and explained 8.8% of the total effect. CONCLUSION: The nurse-led enhanced supportive care improved role functioning via the serial mediation of active coping and self-efficacy for maintaining activity and independence. The results highlight the importance of coping and self-efficacy in enhancing role functioning and provide direction for future palliative care interventions. TRIAL REGISTRATION: NCT04407013.
Understanding oncology nurses' experiences with virtual care and interprofessional collaboration in Canada: A mixed-method study.
Lee CT, Ng F, Mirzadeh P … +9 more , Borycki EM, Buick C, Newton L, Lounsbury J, Wong J, Moura S, Kweon A, Marcelo K, Fitch M
Eur J Oncol Nurs · 2026 Jun · PMID 41926834 · Publisher ↗
INTRODUCTION: Virtual and hybrid oncology care are now embedded across many cancer systems, reshaping how oncology nurses deliver supportive care and collaborate across teams. However, limited evidence describes oncology...
INTRODUCTION: Virtual and hybrid oncology care are now embedded across many cancer systems, reshaping how oncology nurses deliver supportive care and collaborate across teams. However, limited evidence describes oncology nurses' practices and experiences in this evolving environment. This study explored Canadian oncology nurses' experiences with virtual care and their contributions within interprofessional teams. METHODS: This mixed-methods sequential explanatory study began with a survey of Canadian ambulatory oncology nurses (N = 73), assessing confidence and comfort with virtual nursing practice, perceived interprofessional collaboration, adequacy of preparation, and barriers and facilitators to virtual care. Descriptive statistics and independent t-tests were used. In phase two, semi-structured interviews were conducted (N = 10) to elaborate on survey findings. A qualitative descriptive approach with reflexive thematic analysis was used. Integration occurred through side-by-side comparison and a joint display. RESULTS: Nurses rated interprofessional collaboration (M = 4.32 ± 0.05) and understanding of their role (M = 4.34 ± 0.99) highly. Ratings were lower for perceived ability to enact virtual nursing practice (M = 3.97 ± 0.60) and neutral for adequacy of preparation (M = 3.12 ± 1.25). No significant differences were found between nurses who received training and those who did not. Interviews further revealed uneven preparation, challenges with virtual assessment and increased coordination workload. Integration showed that while conceptual role clarity was strong, role enactment was constrained by organizational, technological and educational factors. CONCLUSION: Although oncology nurses reported strong role understanding and interprofessional values, interviews showed that role enactment in virtual care was constrained by uneven preparation, assessment limitations, and increased coordination demands. Virtual care can enhance access and family engagement, but standardized, competency-based preparation and system-level support is needed to align oncology nursing role expectations with the realities of virtual care delivery.
Exploring supportive care needs and future research directions in pancreatic cancer: A focus group study with patients, caregivers and health care professionals.
Mikkelsen MK, Hald C, Piil K … +3 more , Rolin L, Reimer J, Pii KH
Eur J Oncol Nurs · 2026 Jun · PMID 41903416 · Publisher ↗
PURPOSE: Pancreatic cancer entails poor prognosis and high physical and psychosocial burden for patients and their caregivers. Supportive care needs remain insufficiently addressed. This study aimed to identify supportiv...
PURPOSE: Pancreatic cancer entails poor prognosis and high physical and psychosocial burden for patients and their caregivers. Supportive care needs remain insufficiently addressed. This study aimed to identify supportive care needs and potential directions for future research based on perspectives of patients, caregivers, and healthcare professionals. METHODS: A qualitative design was applied using focus group interviews. Participants were patients with pancreatic cancer receiving chemotherapy ((neo)adjuvant and palliative), caregivers, and HCPs (oncologists, nurses, physiotherapists, and dieticians). Six focus group interviews were conducted, audio-recorded, transcribed, and analyzed. Identified themes were categorized, described and translated into potential research questions. RESULTS: Nine patients, eight caregivers, and eight health care professionals participated. Twenty-one themes were identified, organized, and consolidated into 10 themes representing patient and caregiver needs. These included: 1) Nutritional guidance beyond generic advice, 2) Information and guidance for self-management of side effects, 3) Supporting caregivers' self-care, 4) Clear information on treatment trajectory and prognosis, 5) Peer support and network, 6) Support for exercise, 7) Existential support, 8) Support and facilitation of family communication, 9) Navigating the treatment trajectory, and 10) Supporting energy management. These themes informed the development of exploratory and interventional research questions intended to guide future supportive care research. CONCLUSION: The findings highlight a broad range of supportive care needs among patients with pancreatic cancer and their caregivers. While exploratory in nature, the study identifies potential areas for future research and underscores the importance of addressing caregiver burden and family communication within supportive care interventions.
Post-traumatic growth among young and middle-aged family caregivers of patients with advanced cancer in China: A theory-guided thematic analysis using the ABC-X model.
Xiong H, Chen L, Gu Q … +4 more , Tian X, Zhou L, Huang Y, Xiao W
Eur J Oncol Nurs · 2026 Apr · PMID 41875796 · Publisher ↗
PURPOSE: To explore the experiences and influencing factors of post-traumatic growth among young and middle-aged family caregivers of patients with advanced cancer. METHODS: Data were collected through semi-structured, f...
PURPOSE: To explore the experiences and influencing factors of post-traumatic growth among young and middle-aged family caregivers of patients with advanced cancer. METHODS: Data were collected through semi-structured, face-to-face interviews with 20 participants recruited via purposive sampling from the oncology department of a hospital, between December 2024 and February 2025. Audio-recorded interviews were transcribed verbatim and analyzed in NVivo 13 software using thematic analysis guided by the ABC-X model. RESULTS: Five themes were identified. Themes 1-4 represent sequential stages, including diagnostic shock, facing the reality, physical and psychological exhaustion, and personal growth. These themes illustrate the dynamic trajectory from trauma to growth among young and middle-aged family caregivers. Themes 1-3 encompass specific stressors (Factor A) and perceptions (Factor C). Through the interaction of these factors, young and middle-aged family caregivers eventually achieve post-traumatic growth (Factor X), as reflected in Theme 4. Theme 5 represents cross-stage coping resources (Factor B), which provide protective support to mitigate stressors (Factor A) and, together with perceptions (Factor C), influence post-traumatic growth (Factor X). CONCLUSION: This study revealed the dynamic trajectory from trauma to growth among young and middle-aged family caregivers, underscoring the need for interventions that are tailored to specific stages and implemented at multiple levels. Integrating early education and screening, coping skills training, policy support, and psychosocial interventions may collectively alleviate distress, strengthen positive perceptions, optimize the use of resources, and foster post-traumatic growth.
Criteria of sustainable working conditions for cancer survivors: A scoping review.
Swierczynski G, Fadel M, Porro B … +2 more , Bodin J, Roquelaure Y
Eur J Oncol Nurs · 2026 Apr · PMID 41864102 · Publisher ↗
PURPOSE: Cancer survivors often face significant challenges when returning to work, as they must manage both the long-term and fluctuating side effects of cancer treatment and the job demands. Supporting return-to-work a...
PURPOSE: Cancer survivors often face significant challenges when returning to work, as they must manage both the long-term and fluctuating side effects of cancer treatment and the job demands. Supporting return-to-work and long-term job retention is essential for restoring normalcy, self-esteem, and social integration, and promoting inclusive employment after a cancer diagnosis. This scoping review maps the literature on working conditions that promote sustained job retention of cancer survivors, reviews the methodologies used, and identifies knowledge gaps. METHODS: A systematic search across four international databases was conducted following PRISMA-ScR guidelines. Studies were included if they were published between 2014 and 2026, involved working-age individuals, focused on survivors and/or stakeholders, and addressed working conditions during return-to-work or job retention. The Eurofound's multidimensional job quality model was used to analyze working conditions and job accommodations post-diagnosis. RESULTS: Of 10 979 records, 43 articles were included. Most did not explicitly refer to the concept of sustained job retention, focusing mainly on factors that hinder or facilitate return-to-work properly said and its quality. Although the main criteria of Eurofound's job quality model have been mentioned in studies, including work intensity, working hours, and working time, few addressed the issue of sustainable working conditions influencing long-term job retention. CONCLUSION: The concept of long-term job retention among cancer survivors is rarely addressed, as is the sustainability of their working conditions. This can be explained by the short- or medium-term objectives of most studies.
Emotional support receipt and health-related quality of life in cancer: Serial mediation through a cognitive-affective pathway.
García-Alonso E, Ubillos-Landa S, Crespo Herrero G
Eur J Oncol Nurs · 2026 Apr · PMID 41864101 · Publisher ↗
BACKGROUND: Emotional support (ES) is a key psychosocial determinant of cancer adjustment. Emotional Support Receipt (ESR) is a nurse-assessable interpersonal resource linked to Health-Related Quality of Life (HRQoL) thr...
BACKGROUND: Emotional support (ES) is a key psychosocial determinant of cancer adjustment. Emotional Support Receipt (ESR) is a nurse-assessable interpersonal resource linked to Health-Related Quality of Life (HRQoL) through a cognitive-affective processes. OBJECTIVE: To examine whether ESR relates to higher HRQoL through proactive coping strategies and lower emotional distress in adults undergoing cancer treatment. METHODS: Cross-sectional study at a tertiary hospital in Spain. Adults with cancer (n = 360) completed validated Spanish versions of Brief-COPE (ESR, active coping, informational support, planning, positive reframing, acceptance, humour), HADS (distress), and EORTC QLQ-C30 (global HRQoL), plus sociodemographic/clinical data. Analyses included descriptive statistics, correlations, hierarchical linear regression (Block 1: clinical covariates; Block 2: proactive coping skills; Block 3: distress), and serial mediation (PROCESS Model 6; 10,000 bias-corrected bootstraps; 95% CI). RESULTS: Positive reframing independently predicted higher HRQoL (Block 2); distress was the strongest negative predictor (Block 3). These variables were included as serial mediators. The total effect of ESR on HRQoL was significant (c = 4.087, p = 0.002), whereas the direct effect was not after including the mediators (c' = 1.713; p = 0.171). The serial processes ESR → positive reframing → emotional distress → HRQoL was significant (B = 1.665; 95% CI [0.980, 2.518]). The model explained 28.3% of HRQoL variance. CONCLUSIONS: ESR related to better HRQoL via a serial cognitive-affective mechanism. Findings highlight scalable targets for nurse-led stepped care: routine screening of ESR and distress, brief training in cognitive reframing, and reinforcement of support networks, with HRQoL monitored as an outcome.
Effect of an electronic antiemetic device (EAD) stimulating the Neiguan acupoint (PC6) on chemotherapy-induced nausea and vomiting in cancer patients: A randomised controlled trial.
Fan D, Wang X, Liu X … +4 more , Song Y, Guo G, Du C, Li W
Eur J Oncol Nurs · 2026 Apr · PMID 41856020 · Publisher ↗
OBJECTIVE: To assess the effectiveness of an electronic antiemetic device (EAD) stimulating the Neiguan acupoint (PC6) in preventing and alleviating chemotherapy-induced nausea and vomiting (CINV) in cancer patients, wit...
OBJECTIVE: To assess the effectiveness of an electronic antiemetic device (EAD) stimulating the Neiguan acupoint (PC6) in preventing and alleviating chemotherapy-induced nausea and vomiting (CINV) in cancer patients, with a particular focus on delayed-phase CINV. The safety of the device was also assessed. METHODS: 126 cancer patients who were scheduled to undergo chemotherapy that was either moderately or highly emetogenic were enrolled in this single-centre, randomised controlled experiment. Block randomisation was used to allocate participants in a 1:1 ratio to either the control group (ondansetron alone) or the experimental group (EAD plus ondansetron). The experimental group received EAD stimulation at the PC6 prior to chemotherapy and continued its use throughout the entire chemotherapy cycle, in addition to ondansetron, whereas the control group received only ondansetron. The complete response rate (CRR) and no emesis rate of acute and delayed CINV, symptom severity, quality of life (QoL), and the incidence of adverse events were assessed. RESULTS: In the intention-to-treat population (n = 126), no significant differences were observed for acute nausea (CRR: ARR = 9.5%, 95% CI -1.0 to 20.0, P = 0.076; no emesis rate: ARR = 11.1%, 95% CI -0.5 to 22.7, P = 0.061). However, the experimental group had significantly higher delayed nausea CRR (ARR = 44.4%, 95% CI 29.8 to 59.1, P < 0.001) and delayed vomiting no emesis rate (ARR = 12.7%, 95% CI 1.2 to 24.2, P = 0.031). FLIE scores were higher in the experimental group during both acute (MD = 10.0, 95% CI -3.5 to 23.5, P = 0.146) and delayed phases (MD = 30.1, 95% CI 18.5 to 41.5, P < 0.001). The incidence of several gastrointestinal and systemic adverse events (CTCAE Grade≥2) was also lower in the experimental group (all P < 0.05). CONCLUSION: Stimulation of the PC6 with an EAD significantly alleviates delayed CINV and lowers the incidence of adverse events, although its efficacy on acute CINV is less pronounced. These findings require validation in blinded, multicentre trials.
Looking Back, Looking Forward: Reflections on 23 Years as Editor-in-Chief of the European Journal of Oncology Nursing.
Molassiotis A
Eur J Oncol Nurs · 2026 Apr · PMID 41833493 · Publisher ↗
Abstract loading — click title to view on PubMed.
Response patterns and influencing factors of body image and emotion in postoperative breast cancer patients: A latent profile analysis.
Yang S, Wang Y, Guo G … +3 more , Chu H, Kong D, Chen L
Eur J Oncol Nurs · 2026 Apr · PMID 41831363 · Publisher ↗
PURPOSE: This study uses latent profile analysis to explore the latent characteristics of body image and emotional response in postoperative breast cancer patients and its influencing factors. METHODS: From November 2023...
PURPOSE: This study uses latent profile analysis to explore the latent characteristics of body image and emotional response in postoperative breast cancer patients and its influencing factors. METHODS: From November 2023 to April 2024, a convenience sampling method was used to select 338 postoperative breast cancer patients for the study. A general information section, Chinese version of the Body Image and Relationships Scale, Positive and Negative Affect Scale, Impact on Participation and Autonomy, Social Support Rating Scale, and Medical Coping Mode Questionnaire were used to conduct the survey. Conducted latent profile analysis of body image and emotional response characteristics of postoperative breast cancer patients identified the influencing factors of their latent profiles through univariate and multivariate logistic stepwise regression analyses and combined with back propagation neural network. RESULTS: Three latent categories were identified: mild body image concerns with emotion stability group (37.8%), social-physical distress with emotion containment group (51.8%), and pronounced appearance-social barriers and affect ambivalence group (10.4%). The results of multivariate logistic stepwise regression and BPNN (AUC: 0.743-0.923) showed that the factors influencing the body image and emotional response patterns of postoperative breast cancer patients were, in descending order of importance: confrontation, resignation, social participation, social support, and chemotherapy. CONCLUSIONS: Most postoperative breast cancer patients belonged to the social-physical distress with emotion containment group. Clinical staff should focus on the patients in the pronounced appearance-social barriers and affect ambivalence group, strengthening the core coping patterns of "Confrontation" and "Resignation".
"We are exhausted, but we just love it": A qualitative study exploring burnout and work engagement among advanced practice cancer nurses in Australia.
Rathnayaka Mudiyanselage AC, Bennett PN, Coyne E … +3 more , Hughes L, Tapsall D, Forster E
Eur J Oncol Nurs · 2026 Apr · PMID 41831251 · Publisher ↗
PURPOSE: To explore advanced practice cancer nurses' experiences and perceptions of the factors that contribute to burnout and work engagement, and to understand how advanced practice cancer nurses cope with challenges a...
PURPOSE: To explore advanced practice cancer nurses' experiences and perceptions of the factors that contribute to burnout and work engagement, and to understand how advanced practice cancer nurses cope with challenges and maintain their wellbeing in the working environment. METHODS: A qualitative descriptive study was undertaken between April and May 2025. One-on-one semi-structured interviews were conducted via Microsoft Teams with 23 advanced practice cancer nurses working in Australia. Data were analysed using NVivo 14 and Microsoft Excel, following the reflexive thematic analysis. Rigour was established through peer reviews, thick descriptions, and maintaining a comprehensive audit trail. RESULTS: Four themes and ten sub-themes were generated: (1) Role demands and complexity (roles and responsibilities, workload and task management), (2) Organisational and professional support (teamwork and collaboration, organisational and system-level support), (3) Drivers of engagement (caring as core identity, professional fulfilment and growth, professional identity, recognition and voice), (4) Personal resources and strategies for wellbeing (self-care strategies, coping strategies, personal resources). CONCLUSION: The work environment of advanced practice cancer nurses largely contributes to their experiences of burnout and work engagement. Advanced practice cancer nurses are highly engaged with their work despite experiencing exhaustion. The experience of burnout and work engagement is a result of the dynamic interplay of multiple factors structured across individual, role-related, and organisational layers within a complex work environment.
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