European Journal Of Oncology Nursing[JOURNAL]
Sun
200 papers
How to bring nurse-led eHealth symptom monitoring in daily care: the Belgian SMILe integrated care model for allogeneic stem cell transplantation adaptation project.
Arnahoutova K, Goris K, De Geest S … +11 more , Leppla L, Mielke J, Croes F, Zink L, Houbracken L, Bosmans V, Maertens J, Beckers M, Teynor A, Valenta S, Schoemans H
Eur J Oncol Nurs · 2026 Apr · PMID 41830870 · Publisher ↗
The SMILe (allogeneic SteM cell transplantation faciLitated by eHealth) integrated care model (ICM) offers a transformative approach to routine transplantation care by combining eHealth technology (a patient-facing App f...
The SMILe (allogeneic SteM cell transplantation faciLitated by eHealth) integrated care model (ICM) offers a transformative approach to routine transplantation care by combining eHealth technology (a patient-facing App for home symptom registration) with monitoring, self-management support and care coordination carried out by an advanced practice nurse (APN) team. Implementing the SMILe-ICM in a setting with an existing eHealth infrastructure and APN support requires context-specific adaptations. Our aim was to adapt the SMILe-ICM to our local setting, guided by a prior context analysis. We followed the ADAPT guidelines, with stakeholder involvement from patients, informal caregivers and the local clinical, IT and legal teams. Using the Framework for Reporting Adaptations and Modifications-Expanded (FRAME), we documented key adaptations. We used the Expert Recommendations for Implementing Change (ERIC) taxonomy to select promising implementation strategies. Key required adaptations included using the local electronic eHealth platform to enhance usability and enable multiple provider access to patient documented data and reducing APN intervention sessions from 12 to six during the first year post-alloSCT to address financial constraints. Minor adaptations included revising content and simplifying language. Further, we selected 20 tailored implementation strategies focused on understanding the local context, involving key stakeholders, preparing a pilot trial, and training healthcare providers and patients for implementation. Real-world adaptation requires balancing the intervention's core components with the technical, regulatory, and resource constraints of the local context. Structured adaptation and strategic implementation planning were essential to support long-term sustainability.
Developing a feasible exercise program for patients undergoing hematopoietic stem cell transplantation: An action research approach.
Yen MS, Wu LM, Feng YH … +1 more , Chen MD
Eur J Oncol Nurs · 2026 Apr · PMID 41818950 · Publisher ↗
PURPOSE: To develop and evaluate a feasible exercise program for patients undergoing hematopoietic stem cell transplantation (HSCT) during the transplantation period. METHODS: This study was conducted in two strategic ph...
PURPOSE: To develop and evaluate a feasible exercise program for patients undergoing hematopoietic stem cell transplantation (HSCT) during the transplantation period. METHODS: This study was conducted in two strategic phases. The first phase established a foundational program through a systematic literature review and expert consultation with physical therapists, alongside the development of evidence-based evaluation tools. The second phase utilized seven cycles of action research for first-time HSCT patients to refine the intervention. By synthesizing quantitative and qualitative data at each stage, the program underwent continuous optimization, resulting in a robust, feasible exercise protocol specifically tailored to the unique physiological demands of transplant patients. Qualitative data were analyzed thematically in accordance with SRQR guidelines. RESULTS: The final exercise program required a minimum of three days per week, comprising at least 20 min per session of low-intensity aerobic, breathing, stretching, and resistance exercises. Critically, no adverse events were reported. The average satisfaction was 3.8 (SD = 0.4), and adherence reached 124.2% (range: 66.7%-188.9%), indicating frequent self-initiated exercise. Qualitative findings highlighted positive experiences, improved habits, and enhanced family connections. High patient motivation facilitated sustained participation despite persistent physical and psychological barriers inherent to the HSCT process. CONCLUSIONS: This flexible, caregiver-assisted exercise program was feasible, safe, and highly acceptable for patients undergoing HSCT. Medical team and caregiver support promoted implementation. The demonstrated safety and high adherence rates provide a strong clinical rationale for integrating this structured protocol into the standard care pathway as a proactive intervention to enhance patient functional capacity.
Effectiveness of an interactive E-book versus traditional education for foundational cancer sleep management training: A cluster randomized controlled trial.
Wu MJ, Tsou YC, Gautama MSN … +1 more , Huang TW
Eur J Oncol Nurs · 2026 Apr · PMID 41806507 · Publisher ↗
PURPOSE: Sleep disturbances affect approximately 60% of cancer patients, with significant impacts on quality of life and treatment outcomes. While Brief Behavioral Treatment for Insomnia (BBTI) offers evidence-based mana...
PURPOSE: Sleep disturbances affect approximately 60% of cancer patients, with significant impacts on quality of life and treatment outcomes. While Brief Behavioral Treatment for Insomnia (BBTI) offers evidence-based management, implementation requires foundational training for oncology nurses. This study compared interactive e-books with traditional education for cancer sleep management training. The purpose of this study was to evaluate knowledge acquisition, confidence enhancement, and learning satisfaction between formats, and examine confidence as a mediator. METHODS: Cluster randomized controlled trial with 142 clinical nurses from nine wards assigned to interactive e-book (n = 75) or traditional education (n = 67) groups. Outcomes assessed at baseline and one-week post-intervention using validated instruments (Cronbach's α = 0.862-0.980). Structural equation modeling examined mediation effects, controlling for baseline differences. RESULTS: Both groups showed significant confidence improvements (e-book: d = 0.51; traditional: d = 0.36) with no between-group difference (p = 0.263). Knowledge gains were modest and non-significant in both groups. Learning satisfaction was high in both groups (83% vs. 81% of maximum score, p = 0.365). Confidence significantly mediated the knowledge-satisfaction relationship (indirect effect = 0.051, 95% CI [0.006-0.096]), accounting for 24.5% of the total effect. Feasibility indicators were favorable with 100% retention. CONCLUSIONS: Interactive e-books and traditional methods showed comparable effectiveness for foundational BBTI training. Limited knowledge gains suggest brief theoretical instruction alone is insufficient, supporting multi-component training programs. Confidence emerged as a key mediator, indicating educational programs should incorporate explicit confidence-building strategies. Interactive e-books offer scalable alternatives when traditional training is impractical.
Effectiveness of qigong on subjective cognitive function in cancer survivors: A systematic review and meta-analysis.
Ho MH, Takemura N, Ho KY … +6 more , Lin YK, Cheung DST, Wang L, Xin G, Zhang Q, Lin CC
Eur J Oncol Nurs · 2026 Apr · PMID 41806506 · Publisher ↗
PURPOSE: Qigong has shown potential as an intervention to improve cognitive function. However, research aimed at investigating its effectiveness on the management of cancer-related cognitive impairment in cancer survivor...
PURPOSE: Qigong has shown potential as an intervention to improve cognitive function. However, research aimed at investigating its effectiveness on the management of cancer-related cognitive impairment in cancer survivors is scarce. To summarize and critically evaluate the effectiveness of qigong on managing cancer-related cognitive impairment among cancer survivors. METHODS: A comprehensive search of six databases was conducted from inception to 12 May 2025. Eligible studies were independently screened and selected, and their methodological quality was evaluated using the Cochrane Risk of Bias Assessment Tool 2.0. A meta-analysis was performed to summarize the overall effect size (Hedges' g) of qigong on subjective cognitive function. Subgroup, leave-one-out, and meta-regression analyses were conducted. RESULTS: Nineteen studies were included in the review, and sixteen in the meta-analysis. Evidence on objective cognitive function is lacking. The overall effect size of qigong was significantly large compared to the conventional control in improving subjective cognitive function (Hedge's g = 1.22; 95% CI: 0.47, 1.97; p < 0.001) with robustness. The heterogeneity of 96.64% warrants cautious interpretation of the results, despite the statistically significant moderator of follow-up period after intervention (coefficient = 0.116, p = 0.003). CONCLUSION: The significant effect size indicates that qigong has a strong potential to improve subjective cognitive function in cancer patients. Qigong can be an effective non-pharmacological strategy for managing cancer-related cognitive impairment.
Mechanisms of psychosocial correlates on posttraumatic growth patients with gastrointestinal cancer: A cross-sectional survey of patient-caregiver dyads.
Xu W, Li Y, Chen Y … +6 more , Sun J, Xu M, Gao Y, Zhi X, Zhang L, Du S
Eur J Oncol Nurs · 2026 Apr · PMID 41793785 · Publisher ↗
PURPOSE: To investigate the mechanisms through which psychosocial correlates influence posttraumatic growth in gastrointestinal cancer patients. METHODS: A convenience sample of 356 patient-caregiver dyads were recruited...
PURPOSE: To investigate the mechanisms through which psychosocial correlates influence posttraumatic growth in gastrointestinal cancer patients. METHODS: A convenience sample of 356 patient-caregiver dyads were recruited at a tertiary hospital in eastern China. Both patients and caregivers independently completed measures of self-efficacy, family intimacy, and social support. Patients alone completed measures of family resilience and posttraumatic growth. Structural equation modelling was used to test hypothesized pathways. RESULTS: Higher levels of patient and caregiver self-efficacy, family intimacy, and social support were each positively associated with greater family resilience in patients. Family resilience was positively associated with patient posttraumatic growth. Both patient and caregiver psychosocial factors had direct and indirect effects on posttraumatic growth through family resilience. CONCLUSION: Posttraumatic growth in patients with gastrointestinal cancer is influenced by both individual and family psychosocial resources, with family resilience as a key mediator. Nursing interventions that enhance self-efficacy, family intimacy, and social support may strengthen family resilience and support posttraumatic growth in cancer patients.
The effect of Reiki therapy performed on children with leukemia between the ages of 5-7 years on pain, vital signs and quality of life: A randomized controlled study.
Demir D, Mutlu B, Türkkan E
Eur J Oncol Nurs · 2026 Apr · PMID 41793784 · Publisher ↗
PURPOSE: The study was conducted to determine the effect of Reiki performed on children with leukemia between the ages of 5-7 years on pain, vital signs, oxygen saturation, and quality of life. METHODS: The research was...
PURPOSE: The study was conducted to determine the effect of Reiki performed on children with leukemia between the ages of 5-7 years on pain, vital signs, oxygen saturation, and quality of life. METHODS: The research was a double-blind, pre-test-post-test randomized controlled experimental study. The research sample consisted of 66 children with leukemia aged 5-7 years who were hospitalized in pediatric oncology wards of a university hospital between December 2020 and November 2021. The balanced block randomization method was used for randomization. The data were collected using Information Form, Wong-Baker FACES Pain Scale (W-BPS), Vital Signs Follow-up Form, The Pediatric Quality of Life Inventory (PedsQL) 3.0 Cancer Module. Reiki was performed to the Reiki group for 20-30 min once per day, for 3 consecutive days and pseudo-Reiki was applied to the pseudo-Reiki group by an independent nurse during the same application period. RESULTS: There was no statistically significant difference in vital signs (heart rate, respiratory rate, body temperature) and SpO values among the groups (p > 0.05). However, both children's and mothers' evaluations on days 1, 2, and 3 after the intervention showed that pain scores in the Reiki group were significantly lower than in the pseudo-Reiki and control groups (p < 0.001), and quality of life was significantly higher (child:p < 0.001; mother:p < 0.01) compared to the pseudo-Reiki and control groups. CONCLUSION: Reiki did not affect the vital signs of the children but was effective in reducing pain and increasing the quality of life compared with the pseudo Reiki and control groups. It is recommended that Reiki therapy be used in addition to medical treatment to reduce pain and improve quality of life in children with leukemia aged 5-7 years.
Effects of individualized music listening on cognitive function in colorectal cancer patients with cancer-related cognitive impairment: A pilot study.
Teng L, Sun J, Dong Y … +3 more , Yang Y, Zhou Z, Wang T
Eur J Oncol Nurs · 2026 Apr · PMID 41785651 · Publisher ↗
PURPOSE: Cancer-related cognitive impairment (CRCI) significantly affects colorectal cancer patients. Individualized music listening offers a theoretically grounded approach that may alleviate cognitive symptoms, though...
PURPOSE: Cancer-related cognitive impairment (CRCI) significantly affects colorectal cancer patients. Individualized music listening offers a theoretically grounded approach that may alleviate cognitive symptoms, though its efficacy in colorectal cancer patients with CRCI remains unexplored. This pilot study aimed to evaluate the feasibility and preliminary efficacy of a nurse-led, individualized music-listening intervention, designed using the Capacity, Opportunity, Motivation-Behavior and Behavior Change Wheel models, for improving cognitive function in colorectal cancer patients with CRCI. METHODS: Seventy patients were block-randomized to receive either a 9-week intervention or routine care. The intervention was personalized using music preference questionnaires and interviews to tailor playlists and listening schedules. The primary outcome was perceived cognitive impairments (PCI), while secondary outcomes included perceived cognitive abilities, immediate memory, delayed memory, attention, executive function, anxiety, depression, sleep quality, fatigue, and self-efficacy. Data were analyzed using linear mixed-effects models. RESULTS: Sixty-one participants completed the study. Significant time × group interactions were found for PCI, perceived cognitive abilities, depression, sleep quality, and self-efficacy (P < 0.001, P < 0.001, P < 0.001, P = 0.001, P = 0.007). The intervention group showed significant improvements in PCI at 6 and 9 weeks (Cohen's d = 1.143 and 1.382, respectively; both P < 0.001). Positive trends were observed for depression and self-efficacy. CONCLUSIONS: This study demonstrated feasibility and preliminary efficacy in improving cognitive impairment in this population. This nurse-led approach may serve as a practical, low-cost strategy to support cognitive health in oncology nursing.
"Learning to live with the pouch": perceptions of people living with an intestinal stoma expressed on X (Twitter).
Macedo LFR, Lopes CT
Eur J Oncol Nurs · 2026 Apr · PMID 41780331 · Publisher ↗
BACKGROUND: Intestinal stoma formation is a life-sustaining surgical intervention frequently associated with cancer treatment and entails significant physical, emotional, and social challenges. While previous studies hav...
BACKGROUND: Intestinal stoma formation is a life-sustaining surgical intervention frequently associated with cancer treatment and entails significant physical, emotional, and social challenges. While previous studies have explored these experiences in clinical settings, limited evidence exists on how people living with an intestinal stoma spontaneously express their perceptions and experiences in digital social media environments. AIM: To analyze discourses published on X (formerly Twitter) regarding the perceptions and experiences of people living with an intestinal stoma. METHODS: A qualitative, exploratory, and descriptive study was conducted using lexical analysis of social media content. Forty public posts written in Portuguese by individuals living with an intestinal stoma were collected from X in November 2025. The textual corpus was analyzed using IRaMuTeQ software, employing Descending Hierarchical Classification and similarity analysis. RESULTS: Three central lexical classes emerged: (1) the stoma as a challenging and adaptive process, encompassing acceptance, stigma, and re-signification; (2) the oncological treatment trajectory, in which the stoma is integrated into narratives of illness, faith, and, at times, gratitude; and (3) the immediate bodily experience of living with a stoma, characterised by pain, daily pouch management, bodily adaptation, and impacts on self-esteem. Similarity analysis highlighted emotional, identity-related, and technical dimensions of the experience. CONCLUSION: Discourses shared on X demonstrate that living with an intestinal stoma is a multidimensional experience involving bodily, therapeutic, and psychosocial adaptation, particularly within the context of cancer. Social media platforms function as legitimate spaces for expressing and processing health experiences and may offer valuable insights to inform person-centered oncology nursing care, supporting technical competence, emotional support, and stigma reduction.
Octopus arms: A phenomenological study on radiotherapy experiences of patients with lung cancer.
Karakuş Z, Muslu L, Özer Z … +3 more , Kartöz F, Koca T, Korcum AF
Eur J Oncol Nurs · 2026 Apr · PMID 41780330 · Publisher ↗
PURPOSE: Describing radiotherapy experiences of patients with lung cancer is essential for early recognition and effective management of these side effects. This study was conducted to describe the radiotherapy experienc...
PURPOSE: Describing radiotherapy experiences of patients with lung cancer is essential for early recognition and effective management of these side effects. This study was conducted to describe the radiotherapy experiences of patients with lung cancer. METHODS: A descriptive phenomenological approach was used in the study. A total of 26 patients with lung cancer were included. Semi-structured interviews were conducted in the radiation oncology unit of a university hospital between April and September 2024. Data were analyzed using descriptive and thematic analysis. The study was prepared in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. RESULTS: Six themes emerged from interviews of 26 patients with lung cancer: daily life activities arm, physical arm, psychological arm, social arm, economic arm, and meaning of RT. Of these six themes, only the "psychological arm" theme contained subthemes. These were a) trust in healthcare professionals, b) hope, c) mood change and d) faithful acceptance. This qualitative study, based on six themes, provides comprehensive data that allows us to better understand the radiotherapy experiences of patients with lung cancer. CONCLUSIONS: The study revealed that radiotherapy experiences of patients with lung cancer were complex, involving changes in daily life activities as well as physical, psychological, social, and economic aspects. It is recommended that all healthcare professionals, especially nurses, constantly consider that the RT experiences of patients with lung cancer may be multifaceted and affect them in different aspects. It is also recommended that healthcare professionals plan early programs to address the needs of patients.
Different exercise modalities and their effects on the inflammatory mediator repertoire in breast cancer survivors: A systematic review with Bayesian network meta-analysis and dose-response analysis.
Yuan Y, Chen HB, Yuan Y … +8 more , Chen BA, Xu SH, Yang QH, Zhang JH, Liu HR, Yang Z, Ban WK, Wang RC
Eur J Oncol Nurs · 2026 Apr · PMID 41775232 · Publisher ↗
PURPOSE: This study compares the effects of different exercise modalities on inflammatory mediators in breast cancer survivors, evaluating aerobic exercise (AE), resistance training (RT), combined exercise (CE), and low-...
PURPOSE: This study compares the effects of different exercise modalities on inflammatory mediators in breast cancer survivors, evaluating aerobic exercise (AE), resistance training (RT), combined exercise (CE), and low-intensity exercise (LA) on biomarkers to inform personalized exercise prescriptions. METHODS: A systematic review and network meta-analysis of 27 randomized controlled trials (RCTs) involving 1925 breast cancer survivors was conducted. Interventions included aerobic exercise (AE), resistance training (RT), combined aerobic and resistance training (CE), and low-activity exercise (LA). Primary outcomes were IL-6, TNF-α, HSCR-P, IL-8, and IL-10. Subgroup analyses by age and exercise dose were performed. RESULTS: CE showed the highest probability of reducing IL-6 (SUCRA, 88.64), IL-8 (85.74), and TNF-α (88.56). AE was most effective in reducing HSCR-P (78.92), while LA increased IL-10 (90.97). HSCR-P and IL-6 declined across most age groups, though TNF-α tended to increase in those >55 years. Dose-response analysis suggested LA was effective at lower volumes, AE at moderate doses, and CE at higher intensities. The optimal weekly dose for inflammation control ranged from 510 to 920 MET-minutes. CONCLUSIONS: CE offers the most comprehensive anti-inflammatory benefits among breast cancer survivors. Tailoring exercise prescriptions by age and hormonal status may enhance safety and therapeutic efficacy in survivorship care.
Perceptions of the term 'cancer survivor' among women with breast cancer: An interpretative phenomenological analysis.
Nargiz Koşucu S, Koçan S, Altın Çetin A … +1 more , Gürsoy A
Eur J Oncol Nurs · 2026 Apr · PMID 41771205 · Publisher ↗
PURPOSE: The study aimed to explore the perceptions, feelings, thoughts, and meanings attributed to the term "survivor" by women with breast cancer. METHOD: This qualitative study employed Interpretative Phenomenological...
PURPOSE: The study aimed to explore the perceptions, feelings, thoughts, and meanings attributed to the term "survivor" by women with breast cancer. METHOD: This qualitative study employed Interpretative Phenomenological Analysis (IPA). Semi-structured interviews were conducted with 23 women with breast cancer who had completed active cancer treatment (surgery, chemotherapy, and/or radiotherapy). Data were transcribed verbatim and analyzed inductively using the IPA approach. RESULTS: Three main themes were identified: "the meaning of survivor for me," "I feel uncomfortable being defined this way," and "I am more than a survivor." Most participants reported that the term "survivor" evoked memories of difficult times and ongoing uncertainty regarding the future. Some participants, however, perceived the term positively, associating it with struggle and success. Overall, the term was unfamiliar to participants and was experienced as a labeling expression that overshadowed their sense of self-identity. The women preferred to be referred to by their names or a more positive and respectful term instead of a predefined label. CONCLUSION: The term "cancer survivor" was perceived as negative and uncomfortable by most women in this study. Findings highlight the importance of culturally sensitive language in oncology care. Nurses and other healthcare professionals should consider individualized preferences and avoid imposing labels that may cause emotional discomfort or identity distress.
Predictors of compassion fatigue and Happiness at Work: Insights from oncology professionals using multivariate regression analysis.
Borges E, Sá S, Silva R
Eur J Oncol Nurs · 2026 Apr · PMID 41771204 · Publisher ↗
PURPOSE: Compassion fatigue (CF) and happiness at work (HW) are crucial determinants of well-being and performance among oncology professionals, who face high emotional demands. This study aimed to identify sociodemograp...
PURPOSE: Compassion fatigue (CF) and happiness at work (HW) are crucial determinants of well-being and performance among oncology professionals, who face high emotional demands. This study aimed to identify sociodemographic and professional predictors of CF and HW among oncology nurses and healthcare support workers. METHOD: A cross-sectional observational study was conducted in the oncology inpatient departments of a hospital in northern Portugal. A total of 285 professionals participated by completing a self-administered questionnaire that included the Professional Quality of Life Scale and the Shortened Happiness at Work Scale. Multiple linear regression analyses were performed to identify predictors of CF and HW dimensions. RESULTS: Leisure activities and older age were found to be protective factors against CF. Working in emotionally demanding departments, such as Bone Marrow Transplant and Paediatrics, was associated with higher levels of burnout and secondary traumatic stress. Fixed work schedules and participation in leisure activities predicted greater job satisfaction and organisational commitment. The regression models accounted for 11 %-16 % of the variance in CF and HW dimensions. CONCLUSIONS: Both individual and workplace factors significantly influence oncology professionals' well-being. Interventions that encourage leisure activities, promote balanced work schedules, and foster supportive work environments can help reduce CF and enhance HW. These strategies may contribute to healthier, more resilient, and sustainable oncology care teams.
Pancreatic cancer quality of care index trends, socioeconomic disparities, and future projections (1990-2035): A global epidemiological study.
Xi W, Deng Y, Bai X … +3 more , Shi W, Feng Y, Yang A
Eur J Oncol Nurs · 2026 Apr · PMID 41764799 · Publisher ↗
PURPOSE: Pancreatic cancer remains a significant global health challenge with a poor prognosis. Assessing the quality of care is crucial for improving outcomes and reducing disparities. This study aims to evaluate the gl...
PURPOSE: Pancreatic cancer remains a significant global health challenge with a poor prognosis. Assessing the quality of care is crucial for improving outcomes and reducing disparities. This study aims to evaluate the global, regional, and national quality of care for pancreatic cancer from 1990 to 2021 and project future trends to 2035. METHODS: We utilized data from the Global Burden of Disease (2021). Quality of care index (QCI) was constructed using principal component analysis on four key ratios: mortality-to-incidence, DALYs-to-prevalence, prevalence-to-incidence, and YLLs-to-YLDs. We analyzed trends by socio-demographic Index (SDI) and assessed inequalities using the slope index of inequality (SII) and concentration index (CI). An exponential smoothing model was used to project QCI scores to 2035. RESULTS: Globally, the QCI for pancreatic cancer increased from 25.4 in 1990 to 45.4 in 2021. However, significant disparities exist. In 2021, high-SDI countries had the highest QCI (75.8), while low-SDI countries had the lowest (4.8). Socio-economic inequality in QCI widened from 1990 to 2021, with the SII increasing from 9.78 to 21.56 and the CI increasing from 0.19 to 0.25. While the global QCI was slightly higher for females (47.5 vs 43.7), gender disparity analysis revealed a widespread male advantage at the national level, with females receiving a lower quality of care in 92.65% (189/204) of countries. Projections suggest that the global QCI will decline to 66.5 by 2035. CONCLUSION: The quality of care for pancreatic cancer has improved modestly worldwide but is marked by significant socioeconomic disparities.
Identity transformation after breast cancer: A qualitative study informed by attention reorientation.
Li C, Li J, Rosenzweig MQ … +1 more , Liu JE
Eur J Oncol Nurs · 2026 Apr · PMID 41764798 · Publisher ↗
PURPOSE: To explore patterned processes of identity transformation among Chinese women living with breast cancer. METHOD: An interpretive description qualitative study was conducted using in-depth narrative interviews wi...
PURPOSE: To explore patterned processes of identity transformation among Chinese women living with breast cancer. METHOD: An interpretive description qualitative study was conducted using in-depth narrative interviews with 18 Chinese women. Participants were recruited from multiple provinces across China through a tertiary oncology department and a survivor-led non-profit organization. Purposive and snowball sampling were used. Data were collected between June 2024 and March 2025 and analyzed using Braun and Clarke's reflexive thematic analysis (RTA). RESULTS: Four themes and twelve subthemes were identified, capturing women's experiences of identity transformation following breast cancer: Identity Fracture at Diagnosis, Awakening of the Inner Self, Active Reconstruction of Self, and Identity Integrating and Expanding. This process was characterized by a dynamic pattern of attention reorientation, shifting from habitual other-focused absorption shaped by caregiving expectations, to forced and intentional self-focused attention, and in some narratives, to a meaning-driven re-engagement with others. CONCLUSIONS: Breast cancer survivorship among Chinese women involves more than physical recovery. Women described ongoing processes of meaning reconstruction and identity realignment. Attention reorientation provides a culturally grounded explanation mechanism for understanding how women navigate identity reconstruction. These findings underscore the importance of attention-informed and culturally responsive nursing care that supports identity reconstruction and psychosocial adaptation across the survivorship continuum.
Dissimilarities of illness perception among breast cancer patients and spouses: a longitudinal exploration of relations to dyads' illness management behaviors.
Li M, Xie Y, Qiu Y … +6 more , Li X, Zhao M, Mei J, Chen J, Yan J, Lukkahatai N
Eur J Oncol Nurs · 2026 Apr · PMID 41747398 · Publisher ↗
PURPOSE: Breast cancer patients and their spouses often encounter emotional and physical challenges after surgery that shape how they perceive and manage the illness. Guided by the Self-Regulation Model, this study exami...
PURPOSE: Breast cancer patients and their spouses often encounter emotional and physical challenges after surgery that shape how they perceive and manage the illness. Guided by the Self-Regulation Model, this study examined whether discrepancies in illness perceptions between partners predict their respective illness management behaviors three months after surgery. METHODS: The descriptive longitudinal study was conducted with 295 breast cancer patient-spouse dyads recruited by convenience sampling between August 2021 and April 2023. Illness perceptions were assessed during hospitalization by using the Chinese version of the Revised Illness Perception Questionnaire for Breast Cancer (CIPQ-R-BC) (patient/spouse version), and illness management behaviors were measured three months later using the Cancer Self-Management Assessment Scale (CSMAS) for patients and the Caregiver Contribution to Cancer Patient Self-Management Scale (CC-CPSMS) for spouses. Paired t-tests were used to examine perception differences, and pathway analyses explored how these discrepancies predicted illness management behaviors. RESULTS: Patients reported more negative emotions, less overall illness understanding, and confidence in their own efforts on the prognosis than their spouses. Discrepancies within patient-spouse dyads regarding timeline acute/chronic, treatment control, illness coherence, and timeline cyclical negatively predicted patients' illness management behaviors. Conversely, differences in perceived causes (metabolic comprehensive, environmental/immune, and uncontrolled factors) were the positive predictors of dyads' illness management behaviors. Additionally, greater dissimilarities in emotional representations were associated with poorer behavioral outcomes within dyads. CONCLUSION: Perceptual discrepancies significantly influence illness management behaviors among breast cancer patient-spouse dyads. Dyadic interventions should target these gaps to improve outcomes. Targeting the perceptual gaps through dyadic, theory-based interventions may enhance the behavioral outcomes for both members of the breast cancer patient-spouse dyad during the oncology clinical settings.
Substantive theory of family resilience among couples dealing with prostate cancer: A grounded theory study.
Chien CH, Huang XY
Eur J Oncol Nurs · 2026 Apr · PMID 41740560 · Publisher ↗
PURPOSE: Family resilience is a dynamic process through which families rebound from adversity and restore or reestablish equilibrium. As family resilience is shaped by cultural factors, this study aimed to develop a subs...
PURPOSE: Family resilience is a dynamic process through which families rebound from adversity and restore or reestablish equilibrium. As family resilience is shaped by cultural factors, this study aimed to develop a substantive theory of family resilience among Taiwanese couples facing prostate cancer. METHODS: Guided by grounded theory methodology and theoretical sampling, this qualitative study conducted individual semi-structured interviews with prostate cancer patients and their spouses from August 2023 to January 2025. Interviews were conducted sequentially, with patients interviewed first, followed by their spouses. The data analysis process involved repeated reading and constant comparison to identify emerging meanings. Transcripts were analyzed through open coding, axial coding, and selective coding to develop the substantive theory. Interviewing and data analysis were performed concurrently and continued until theoretical saturation was achieved. RESULTS: Seventeen couples participated in the study. The core category identified was "The Process of Family Resilience: Activation, Reinforcement, and Adjustment." This core category connected five major categories: "seeking medical care and diagnosis," "adverse impacts," "outcomes," "influencing factors," and "context." The family resilience of couples dealing with prostate cancer is strongly affected by context and influencing factors. CONCLUSIONS: This study proposes a substantive theory of family resilience in the context of prostate cancer, offering healthcare professionals deeper insight into family resilience processes and guiding the development of targeted care strategies. The findings further highlight how cultural norms and family roles shape family resilience processes among Taiwanese couples with prostate cancer.
The mediating role of the intimate relationship between dyadic coping and reproductive concerns in couples of childbearing age facing breast cancer: A cross-sectional study.
Cui L, He X, Liu C … +4 more , Bian Y, Song Y, Li H, Lu Q
Eur J Oncol Nurs · 2026 Apr · PMID 41730826 · Publisher ↗
PURPOSE: To identify the associations between dyadic coping, intimate relationship, and reproductive concerns among women of childbearing age with breast cancer, and explore whether intimate relationship serve as a media...
PURPOSE: To identify the associations between dyadic coping, intimate relationship, and reproductive concerns among women of childbearing age with breast cancer, and explore whether intimate relationship serve as a mediator between dyadic coping and reproductive concerns. METHODS: A cross-sectional study was conducted from March 2023 to February 2024 in a tertiary hospital in China. Using convenience sampling, 180 couples (people living with breast cancer of childbearing age and their spouses) were recruited. Data were collected using general information questionnaires, the Dyadic Coping Inventory, the Marital Adjustment Scale, and the Reproductive Concerns After Cancer Scale. The Actor-Partner Interdependence Mediation Model was utilized to analyze the dyadic data. Statistical analyses were completed utilizing SPSS 25.0 and AMOS 28.0 software. RESULTS: Dyadic coping of people living with breast cancer and their spouses positively associated with their own and each other's intimate relationship. Spousal dyadic coping and intimate relationship of people living with breast cancer negatively associated with reproductive concerns. Additionally, the intimate relationship of people living with breast cancer mediated associated between dyadic coping of couples and reproductive concerns. CONCLUSIONS: The study highlights the significant association between couples' dyadic coping and patients' reproductive concerns. In a supportive and collaborative environment, couples tend to better address reproductive health challenges, and this is associated with greater psychological well-being and relationship satisfaction. Further research is needed to explore how dyadic coping impacts reproductive outcomes and to develop customized interventions for couples facing reproductive challenges.
The differential effects of social support on quality of life in head and neck cancer patients in the United States and China.
Ratcliff CG, Ahn A, Custodio AL … +7 more , Garcia MK, Meng Z, Rosenthal DI, Shen Y, Chambers MS, Hu C, Cohen L
Eur J Oncol Nurs · 2026 Apr · PMID 41723882 · Publisher ↗
PURPOSE: Culture informs the conceptualization, use, and impact of social support (SS), yet most research on SS in cancer populations has been conducted in individualistic cultures. This study examines differences in SS...
PURPOSE: Culture informs the conceptualization, use, and impact of social support (SS), yet most research on SS in cancer populations has been conducted in individualistic cultures. This study examines differences in SS at the start of radiotherapy (RT) for head and neck (H&N) cancer patients in China and the United States (US) and the difference in the impact of pre-RT SS on 1-year post-RT quality of life (QOL) by country. METHODS: This secondary analysis included H&N patients undergoing radiotherapy in the US (n = 124) and China (n = 153). Pre-RT and 1 year post-RT, participants completed the Medical Outcomes Study Social Support Scale (MOS-SSS) and the Functional Assessment of Cancer Therapy-General (FACT-G). RESULTS: US patients reported greater pre-RT SS on all subscales compared to patients in China (p 's < .001). The associations of pre-RT SS total scores and the subscale scores of emotional/information support, positive supportive interaction, and tangible support with 1-year QOL depended on country. Specifically, pre-RT emotional/information SS was positively associated with 1-year FACT-G for participants in the US (p = .003) but negatively associated with 1-year FACT-G for participants in China (p = .030). Pre-RT total SS, positive supportive interaction, and tangible support were negatively associated with 1-year FACT-G for participants in China (p's < .02) but not associated with FACT-G for participants in the US. CONCLUSION: This study suggests cross-cultural differences on the impact of SS on QOL among cancer patients. Understanding culturally specific factors associated with QOL can guide treatment options for cancer patients. TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT01266044, registered December 24, 2010.
Developing religious and healthcare-sensitive palliative care guidelines for Muslim inpatients: A scoping review.
Lampinley A, Filmalter CJ, Orogun D … +2 more , Morerwa SJ, Ofosu-Poku R
Eur J Oncol Nurs · 2026 Apr · PMID 41719789 · Publisher ↗
PURPOSE: This scoping review synthesised evidence on religious and healthcare considerations in delivering palliative care to Muslim inpatients in tertiary hospital settings. The aim was to inform the development of Isla...
PURPOSE: This scoping review synthesised evidence on religious and healthcare considerations in delivering palliative care to Muslim inpatients in tertiary hospital settings. The aim was to inform the development of Islamic-sensitive palliative care guidelines tailored to Ghana and other Sub-Saharan African contexts. METHODS: The review followed the Joanna Briggs Institute methodology for scoping reviews and was reported in accordance with the PRISMA-ScR checklist. A comprehensive three-step search strategy was implemented across ProQuest, Scopus, PubMed, EBSCOhost, and Web of Science. Two reviewers independently screened and extracted data. A framework synthesis was conducted using Saunders' Total Pain Model and the WHO Health System Responsiveness Framework. RESULTS: Of 706 records screened, 45 studies were included. Findings revealed five key themes: (1) Religious coping practices such as prayer and Qur'an recitation served as essential strategies for spiritual and emotional relief; (2) Family governance shaped care decisions, often at the cost of patient autonomy; (3) Imams played pivotal roles in spiritual care and ethical mediation, though their involvement lacked institutional consistency; (4) System-level barriers including lack of Islamic-sensitive policies, and inadequate training compromised compassionate care; and (5) Sub-Saharan Africa was significantly underrepresented, limiting evidence transferability to African contexts. CONCLUSIONS: Spiritual care is essential to holistic palliative care for Muslim patients. The development of Islam-sensitive palliative guidelines and the structured integration of imams into care teams is urgently needed. Greater investment in African-led research is critical.
Reply to the Letter to the Editor "Equity-by-design and trajectory-sensitive ePROMs in breast cancer follow-up: methodological clarifications on 'dual impact'".
Hansen ST, Jørgensen L, Schmidt VJ … +2 more , Ørsted LG, Piil K
Eur J Oncol Nurs · 2026 Apr · PMID 41714256 · Publisher ↗
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