European Journal Of Oncology Nursing[JOURNAL]
Sun
200 papers
Exploring difficulties, dropout causes, and professional involvement in applying dignity therapy for palliative care patients: a scoping review.
Fernández-Araque A, Sapiña-Beltrán E, Llorente Alonso M … +3 more , Verde Z, Ramírez-Torres CA, García-Navarro EB
Eur J Oncol Nurs · 2026 Apr · PMID 41653558 · Publisher ↗
PURPOSE: To explore and summarize the published literature on the most common causes of dropout and the challenges in implementing Dignity Therapy (DT) in terminally ill patients, as well as the training of the professio...
PURPOSE: To explore and summarize the published literature on the most common causes of dropout and the challenges in implementing Dignity Therapy (DT) in terminally ill patients, as well as the training of the professionals involved. METHODS: A systematic scoping review was conducted following the methodology of the Joanna Briggs Institute (JBI) for scoping reviews, using the PAGER framework. The databases consulted included PUBMED, CINAHL, PsycINFO, and SCOPUS. Two independent reviewers applied the established criteria. The PRISMA-ScR guidelines were followed for reporting. RESULTS: The review identified twenty-seven published articles, highlighting three key themes: reasons for dropout and/or recruitment issues, challenges and limitations in studies on Dignity Therapy, and the professionals who implement it, along with their training. These themes prompted reflection on the pre-methodological preparation for patient and family recruitment, as well as therapy continuity. While Dignity Therapy is beneficial, it presents challenges in terms of follow-up and efficacy. CONCLUSIONS: Refusal or dropout from Dignity Therapy in palliative care is associated with emotional, cultural, physical, and contextual factors. Understanding these factors is crucial to improving communication and adapting the therapy, thereby promoting its acceptance. Dignity Therapy faces challenges related to patient health, costs, cultural diversity, and staff training. The shortage of trained professionals and the lack of detailed information on therapist training are key limitations that must be addressed for effective implementation.
Suicide risk and influencing factors among cancer patients: A mixed-methods study.
Sarıbudak TP, Üstün B, Cihan S … +1 more , Yıldırım B
Eur J Oncol Nurs · 2026 Apr · PMID 41650696 · Publisher ↗
PURPOSE: Suicide probability is higher in cancer patients than in the general population, yet evidence remains limited, especially in Türkiye. This study examined suicide risk and influencing factors using a mixed-method...
PURPOSE: Suicide probability is higher in cancer patients than in the general population, yet evidence remains limited, especially in Türkiye. This study examined suicide risk and influencing factors using a mixed-methods approach for a comprehensive understanding. METHODS: This sequential explanatory mixed-methods design was conducted between October 2024-August 2025. 383 patients receiving chemotherapy for breast, lung, or colon cancer at a city hospital in İstanbul participated. Quantitative data were collected using a Personal Information Form and the Suicide Probability Scale, and analyzed using multistage linear regression. For the qualitative phase, patients with the highest and lowest scores were purposively sampled, and data were analyzed using Colaizzi's method. RESULTS: The mean Suicide Probability Scale score was 63.13. Regression analysis identified lower social support, longer cancer duration, lack of health insurance, and psychiatric comorbidities as predictors of higher risk. Qualitative analysis yielded five themes. The dominant themes-'Traces of the Disease' and 'Risk and Protective Factors'-showed how cancer's physical, psychological, and social consequences, together with individual risk and protective mechanisms, shaped patients' suicidal thoughts, behavior, overall distress, and resilience levels. CONCLUSIONS: Suicide risk in cancer patients is multidimensional and individualized, shaped by social, clinical, and psychological factors. Holistic support addressing both risk and protective factors is critical. Oncology nurses are pivotal in early risk detection and psychosocial support. Empathetic, patient-centered care, reinforcing protective factors, and integrating structured psychological interventions enhance resilience, reduce suicide risk, and improve quality of life. System-level measures, including accessible psychological services and social support, are also essential.
Mediating roles of cancer stigma and resilience in the relationship between type D personality and quality of life among patients with breast cancer undergoing chemotherapy.
Kim S, Kim S, Park HJ
Eur J Oncol Nurs · 2026 Apr · PMID 41650695 · Publisher ↗
PURPOSE: To determine the statistically mediating roles of cancer stigma and resilience in the relationship between Type D personality and quality of life (QoL) in patients with breast cancer undergoing chemotherapy. MET...
PURPOSE: To determine the statistically mediating roles of cancer stigma and resilience in the relationship between Type D personality and quality of life (QoL) in patients with breast cancer undergoing chemotherapy. METHODS: This cross-sectional correlational study included 129 inpatients with breast cancer recruited from a university hospital-affiliated cancer center ward. Participants completed questionnaires assessing their Type D personality, cancer stigma, resilience, and QoL. Data were analyzed using Pearson's correlation, hierarchical regression, and PROCESS Macro-mediation analysis (Model 4, 50,000 bootstrap samples). RESULTS: Type D personality negatively correlated with resilience (r = -0.493, p < 0.001) and QoL (r = -0.407, p < 0.001) and positively correlated with cancer stigma (r = 0.387, p < 0.001). Cancer stigma negatively correlated with resilience (r = -0.257, p = 0.003) and QoL (r = -0.455, p < 0.001). Meanwhile, resilience was positively associated with QoL (r = 0.514, p < 0.001). Regression analysis showed that cancer stigma and resilience significantly predicted QoL (β = -0.305, p < 0.001; β = 0.326, p < 0.001), accounting for 26.4% of the variance. Bootstrapped mediation analysis indicated that cancer stigma and resilience explained the link between type D personality and QoL (B = -0.0128, 95% BootCI [-0.0194, -0.0070]). Two significant indirect pathways between type D personality and QoL were identified: perceived cancer stigma (B = -0.0058, 95% BootCI [-0.0104, -0.0018]) and resilience (B = -0.0070, 95% BootCI [-0.0130, -0.0025]). CONCLUSION: Reducing cancer stigma and enhancing resilience may help improve QoL among patients with breast cancer receiving chemotherapy, particularly those with Type D personality. These findings underscore the importance of targeted psychosocial nursing interventions.
Corrigendum to "Study of a supportive application with integrated patient-reported outcomes in patients with advanced pancreatic or lung cancer (BetterEveryDay)" [Eur. J. Oncol. Nurs. 76C [2025] 102898].
Rolin L, Hald C, Nielsen D … +9 more , Theile S, Christiansen AB, Oksen MS, Lundstedt B, Tesfaldet M, Belli SL, Horsted CB, Johansen JS, Chen IM
Eur J Oncol Nurs · 2026 Apr · PMID 41644314 · Publisher ↗
Abstract loading — click title to view on PubMed.
Equity-by-design and trajectory-sensitive ePROMs in breast cancer follow-up: methodological clarifications on "dual impact".
Umasugi MT, Fitriasari E, Umamity S
Eur J Oncol Nurs · 2026 Apr · PMID 41644313 · Publisher ↗
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Mediation effect of depression and health-promoting lifestyle between social isolation and frailty in elderly patients with colorectal cancer in China: A cross-sectional study.
Zhong M, Wu X, Li X … +5 more , Xie J, Wang X, Du Q, Yuan C, Zhang M
Eur J Oncol Nurs · 2026 Apr · PMID 41643332 · Publisher ↗
PURPOSE: Social isolation can affect frailty in elderly colorectal cancer patients. Despite previous research indicating significant correlations between social isolation, depression, health-promoting lifestyles, and fra...
PURPOSE: Social isolation can affect frailty in elderly colorectal cancer patients. Despite previous research indicating significant correlations between social isolation, depression, health-promoting lifestyles, and frailty, the mechanisms of interaction remain unclear. The purpose of this study is to investigate the multiple sequential mediating effects of depression and health-promoting lifestyles on the relationship between social isolation and frailty among elderly patients with colorectal cancer. METHODS: A cross-sectional survey was conducted with 280 colorectal cancer patients from a tertiary hospital. Participants completed questionnaires assessing general characteristics, frailty (Tilburg Frailty Scale), social isolation (Lubben Social Network Scale-6), depression (Hospital Depression Scale), and health-promoting lifestyles (Health-Promoting Lifestyle Profile II). Descriptive analysis, correlation, hierarchical multiple regression, and mediation analysis with the PROCESS macro were used. RESULTS: The results showed that 46.8 % of patients were frail. Depression and health-promoting lifestyles accounted for 31.43 % and 13.63 %, respectively, of the total effect of social isolation on frailty. Additionally, the chain mediation effects of depression and health-promoting lifestyles (4.61 %) were also significant. CONCLUSION: This study found that social isolation can directly predict frailty in elderly patients and indirectly predict frailty through the mediating effects of depression and health-promoting lifestyles, as well as the chain mediation effects of depression and health-promoting lifestyles. Therefore, reducing social isolation and improving depression and health-promoting lifestyles in elderly colorectal cancer patients may help prevent the onset of frailty.
Feasibility, acceptability, and preliminary efficacy of Tai Chi versus mindful yoga on psycho-spiritual distress in patients with advanced cancer: A mixed-method pilot randomized controlled trial.
Takemura N, Kwok JY, Chan WL … +1 more , Fong DY
Eur J Oncol Nurs · 2026 Feb · PMID 41628552 · Publisher ↗
PURPOSE: Psycho-spiritual distress is prevalent and distressing among advanced cancer patients. While mind-body exercises have shown promise in alleviating psychological distress, their effectiveness in advanced cancer p...
PURPOSE: Psycho-spiritual distress is prevalent and distressing among advanced cancer patients. While mind-body exercises have shown promise in alleviating psychological distress, their effectiveness in advanced cancer patients is still being explored. This study aimed to explore the feasibility and acceptability, and preliminary efficacy of two mind-body exercises-Tai Chi and mindful yoga-each rooted in distinct philosophies, compared to control among patients with advanced cancer. METHODS: We conducted a three-armed mixed-method pilot randomized control trial. Participants were randomized into Tai Chi, mindful yoga, or control groups. Over 12-week, 60-min Tai Chi classes were held twice a week, 120-min mindful yoga classes weekly, and control group received written exercise guidelines. Feasibility outcomes were assessed through questionnaires and semi-structured interviews at 12-week. Effect outcomes were assessed by questionnaire and physical functioning test at baseline, 12-week (post-intervention), and 24-week (12-week post-intervention). RESULTS: Forty-six patients with advanced cancer, with a mean age 61 years, were enrolled. Both Tai Chi and mindful yoga demonstrated satisfactory feasibility and acceptability, with attendance rates exceeding 86%, satisfactory levels of self-practice, and high satisfaction and credibility. Compared with control group, Tai Chi and mindful yoga groups showed preliminary reductions in depression and improvements in balance ability at 12 and 24 weeks. Additionally, mindful yoga showed additional preliminary enhancements in mindfulness and spiritual outcomes at 24-week. Qualitative interviews revealed three themes that contextualize and may underpin the improvements in depression, mindfulness, spiritual well-being, and physical functioning. CONCLUSION: Tai Chi and mindful yoga were feasible, well-accepted, and showed promising trends in psycho-spiritual, mindfulness, and physical outcomes. A large-scale trial is warranted to confirm these findings.
Occupational safety performance in handling chemotherapy drugs and their association with self-efficacy, risk perception, workplace safety, and work-related barriers among oncology nurses: A multicenter cross-sectional study.
Razi M, Ramezanzade Tabriz E, Golmakani N … +2 more , Khosravi F, Kavoosi F
Eur J Oncol Nurs · 2026 Feb · PMID 41628551 · Publisher ↗
BACKGROUND: Chemotherapy drugs, due to their cytotoxic properties, pose significant occupational health risks to nurses. Despite the availability of established safety guidelines, evidence suggests that adherence to prot...
BACKGROUND: Chemotherapy drugs, due to their cytotoxic properties, pose significant occupational health risks to nurses. Despite the availability of established safety guidelines, evidence suggests that adherence to protective standards among oncology nurses remains suboptimal. This study aimed to assess safe handling practices and their associated factors among oncology nurses working in hospitals in Mashhad, Iran. METHODS: This multicenter cross-sectional descriptive study was conducted among 252 nurses employed in oncology wards of six hospitals in Mashhad, Iran, between May and December 2024. Data were collected using a structured questionnaire covering demographic characteristics, safe performance, knowledge, self-efficacy, workplace safety, and work-related barriers. Statistical analyses were performed using SPSS version 25, including independent t-tests, one-way ANOVA, Pearson correlation coefficients, and multivariate regression analyses. RESULTS: Overall, 81.7% of nurses reported having experienced skin contact with chemotherapy drugs, while only 23% demonstrated optimal safe performance. Significant positive correlations were observed between safe performance and psychological factors, including self-efficacy (r = 0.516, p < 0.001) and workplace safety (r = 0.493, p < 0.001). In contrast, work-related barriers showed significant negative correlations with all dimensions of performance. The association between knowledge and safe performance was weak and statistically significant only in the domains of safety in the drug preparation room and cytotoxic waste management. CONCLUSION: The findings indicate a substantial gap in the safe handling of chemotherapy drugs among oncology nurses. Theoretical training alone, without addressing self-efficacy, organizational support, environmental infrastructure, and workplace barriers, is insufficient to improve safety performance. Implementing comprehensive training programs, strengthening organizational and managerial support, and enhancing psychological factors may contribute to improved occupational safety among nurses.
The effect of arm massage on the success of peripheral intravenous catheter insertion in breast cancer patients undergoing chemotherapy: A randomized controlled study.
Eren H, Karacan Y
Eur J Oncol Nurs · 2026 Feb · PMID 41619401 · Publisher ↗
PURPOSE: Peripheral intravenous catheter access becomes difficult in patients diagnosed with breast cancer who receive chemotherapy treatment because vein visibility decreases. The study aims to determine the effect of a...
PURPOSE: Peripheral intravenous catheter access becomes difficult in patients diagnosed with breast cancer who receive chemotherapy treatment because vein visibility decreases. The study aims to determine the effect of arm massage on the success of peripheral intravenous catheter insertion in breast cancer patients undergoing intravenous chemotherapy. METHODS: This randomized controlled study included 60 breast cancer patients undergoing intravenous chemotherapy (experimental = 30, control = 30). The patients in the experimental group received arm massage before the procedure, while those in the control group did not receive any intervention. Data were collected using a record form for peripheral intravenous chemotherapy administration. RESULTS: Vein visibility was significantly improved in the massage group (p < 0.001). The effect size was calculated as Cohen's d = 1.24, with a 95 % confidence interval of [0.60, 1.46]. Successful peripheral intravenous catheter insertion time was statistically shorter in the experimental group (p = 0.000). Post-procedure anxiety levels were significantly lower in the experimental group (p = 0.000). While the level of satisfaction with the procedure increased statistically significantly in the experimental group (p = 0.000), it decreased statistically significantly in the control group (p = 0.012). The nurses in the groups stated that arm massage facilitated catheter insertion in 90 % of the procedures. CONCLUSION: Massage shortened the peripheral intravenous catheter insertion process and positively affected the patients' anxiety of and satisfaction with the procedure. Cost-effective arm massage was recommended for use in patients undergoing intravenous chemotherapy.
Meaning-making through digital storytelling: Experiences of children and adolescents with cancer within Peplau's theory and a hermeneutic approach.
Erdoğan B, Altay N
Eur J Oncol Nurs · 2026 Feb · PMID 41616491 · Publisher ↗
PURPOSE: This study aimed to explore the meaning-making processes of children and adolescents with cancer through Digital Storytelling (DS), grounded in Peplau's Interpersonal Relations Theory and a hermeneutic approach....
PURPOSE: This study aimed to explore the meaning-making processes of children and adolescents with cancer through Digital Storytelling (DS), grounded in Peplau's Interpersonal Relations Theory and a hermeneutic approach. METHODS: A qualitative study was conducted using a philosophical hermeneutic design in the pediatric hematology and oncology units of a university hospital in western Türkiye. A purposive sample of 17 children/adolescents (n = 17), aged 7-18 years and having received at least one cycle of chemotherapy, participated in a four-session DS program. Data were collected between January and July 2024 through digital stories, semi-structured interviews with children/adolescents and parents, and researcher reflection journals. Hermeneutic analysis was performed, following iterative interpretation of narratives and the hermeneutic circle. RESULTS: Participants created 17 digital stories reflecting their cancer experiences. The stories revealed six interrelated themes: (1) Illness and bodily experiences, (2) Social exclusion and societal perceptions, (3) Family relationships and responsibility sharing, (4) Hope, dreams, and future orientation, (5) Social support and friendship, and (6) Knowledge, sharing, and learning from experiences. DS facilitated children's engagement in symptom management, enhanced coping strategies, fostered emotional expression, and strengthened social connectedness. Parents reported increased motivation and improved family communication, while the researcher's reflections indicated mutual meaning-making and professional growth. CONCLUSION: Digital Storytelling, integrated with Peplau's Interpersonal Relations Theory, is an innovative, holistic nursing approach that supports meaning-making, psychosocial adjustment, and symptom management in pediatric oncology care. The findings suggest DS as a feasible therapeutic communication tool for children and adolescents with cancer.
The effects of 24 Weeks of mat pilates on pain, anxiety, and depressive symptoms in breast cancer survivors undergoing hormone therapy: A randomized controlled trial.
Bertoli J, Bertuol C, Ferreira Monteiro R … +6 more , Andrade Souza A, Cardoso de Oliveira M, Carminatti M, Guimarães Moço CE, de la Rocha Freitas C, Forte Freitas Júnior I
Eur J Oncol Nurs · 2026 Feb · PMID 41616490 · Publisher ↗
PURPOSE: Breast cancer survivors (BCS) undergoing hormone therapy often experience pain, anxiety, and depressive symptoms. Thus, this study aimed to explore the effects of 24 weeks of Mat Pilates on pain severity, pain i...
PURPOSE: Breast cancer survivors (BCS) undergoing hormone therapy often experience pain, anxiety, and depressive symptoms. Thus, this study aimed to explore the effects of 24 weeks of Mat Pilates on pain severity, pain interference, anxiety, and depressive symptoms in BCS undergoing hormone therapy, and to determine whether these effects differ according to the type of hormone therapy, Tamoxifen (TMX) or Aromatase Inhibitors (AIs). METHODS: This randomized controlled trial consisted of supervised 60-min Mat Pilates sessions three times per week for 24 weeks. Outcomes were assessed at baseline and post-intervention using the Brief Pain Inventory and Hospital Anxiety and Depression Scale. Generalized estimating equations were used to evaluate the effects of the intervention. RESULTS: Forty-three BCS were randomized into a control group (CG; 54.7 ± 6.6 years) and a Pilates group (PG; 55.2 ± 7.6 years). A significant group-time interaction was observed for pain severity (p = 0.031; Δ = -5.5; d = 0.50), with a reduction in the PG, and anxiety symptoms (p = 0.006; Δ = 1.7; d = 0.55), with an increase in the CG. Hormone therapy stratification showed group∗time interactions, among AI users for pain severity (p = 0.025; Δ = -6.1; d = 0.38), and anxiety symptoms (p = 0.02; Δ = -2.7; d = 0.37), with reductions in the PG for both variables. Depressive symptoms did not significantly improve. CONCLUSION: Mat Pilates improved pain severity and anxiety symptoms in BCS, particularly among AI users. However, the modest sample size limits its generalizability. Mat Pilates is a feasible, low-cost, and clinically applicable strategy that can be incorporated into supportive care in BCS.
Two sides of the cancer journey: A qualitative study on the psychosocial supportive care needs in older patients and family caregivers.
Ayvat I, Atli Ozbas A
Eur J Oncol Nurs · 2026 Feb · PMID 41616489 · Publisher ↗
PURPOSE: Cancer is a journey that the patients and their families must undertake and navigate together, mutually influencing each other throughout the process. This qualitative study aimed to explore how older patients u...
PURPOSE: Cancer is a journey that the patients and their families must undertake and navigate together, mutually influencing each other throughout the process. This qualitative study aimed to explore how older patients undergoing chemotherapy and their family caregivers experience the cancer and treatment process from a psychosocial perspective. METHODS: A descriptive, qualitative approach was employed. Data were collected between October 2022 and March 2023, through semi-structured, face-to-face interviews. Data were analyzed using thematic analysis, with the assistance of Maxqda software. RESULTS: Thirty participants (18 older patients and 12 family caregivers) were included. Three main themes were identified: (1) emerging role, (2) interpersonal dynamics, and (3) efforts to adapt. Subthemes varied between patients and caregivers, while five were shared across both groups: indirect communication, anger management difficulties, social disruption, avoidance, and process-oriented meaning-making. CONCLUSION: This study demonstrated that older patients with cancer and their caregivers face significant emotional and social challenges, which often overlap. Tailored psychosocial interventions that focus on enhancing direct communication between patients and caregivers, supporting the management of anger and emotional strain, and reducing avoidant coping strategies may promote healthier adjustment and improve caregiving experiences. Interventions that maintain patient independence while alleviating caregiver burden should be prioritized in future research.
Effectiveness of nurse-led interventions on self-care behaviors of patients living with cancer: A systematic review.
Batool S, Suhonen R, Gul R … +2 more , Yasmeen S, Stolt M
Eur J Oncol Nurs · 2026 Feb · PMID 41616488 · Publisher ↗
PURPOSE: To synthesize evidence on nurse-led interventions for improving self-care behaviors in patients living with cancer, to examine methods and tools used to measure the effectiveness of nurse-led interventions, and...
PURPOSE: To synthesize evidence on nurse-led interventions for improving self-care behaviors in patients living with cancer, to examine methods and tools used to measure the effectiveness of nurse-led interventions, and to evaluate the impact of nurse-led interventions on self-care behavior outcomes. METHODS: Following PRISMA guidelines, a systematic review was conducted using the MEDLINE, PsycINFO, CINAHL, and Cochrane Library databases, covering the period from January 2014 to March 2025. To ensure transparency, the review protocol was registered on PROSPERO. The study selection, data extraction, and synthesis were performed independently by two reviewers. The screening of studies was managed using Rayyan software. A deductive approach was followed to identify self-care behaviors from the selected studies, using the definition of self-care behaviors as outlined in Riegel's Middle-Range Theory of Self-Care. RESULTS: This review included nine nurse-led intervention studies that aimed to improve self-care behaviors in patients living with cancer. Following Riegel's framework, several self-care behaviors were identified under three domains that are: self-care maintenance, monitoring, and management. These behaviors included medication adherence; dietary adjustments; engagement in exercise, sleep, and rest routines; symptom monitoring; and seeking advice when needed. This review identified several key features of nurse-led interventions, which contributed to the improvements in self-care behaviors and health outcomes. Teaching and education, skills-building and motivational coaching, continuous support, an individualized approach, family involvement, and pragmatic feasibility of the implemented strategies were the key features of the nurse-led interventions that supported the self-care behaviors of patients living with cancer. Most of the interventions were delivered face-to-face. A range of assessment tools were used to evaluate the outcomes of the interventions. CONCLUSION: Nurse-led interventions demonstrated a positive influence on self-care behaviors and health outcomes, including improved medication adherence, reduction in pain, fatigue and symptom burden, enhanced physical functioning, and better quality of life. Interventions appeared to be effective when they incorporated multiple strategies and targeted specific symptoms or behaviors.
Supporting ethnic minority caregivers and patients in cancer trajectories: A systematic review of supportive interventions.
Pii KH, Lundh MH, Dieperink KB … +3 more , Nielsen DS, Christoffersen N, Piil K
Eur J Oncol Nurs · 2026 Feb · PMID 41616487 · Publisher ↗
PURPOSE: This systematic review describes the content and outcomes of supportive care interventions targeting informal caregivers of ethnic minority cancer patients, including those involving both patients and caregivers...
PURPOSE: This systematic review describes the content and outcomes of supportive care interventions targeting informal caregivers of ethnic minority cancer patients, including those involving both patients and caregivers. METHODS: Seven databases (PubMed, CINAHL, PsycINFO, Embase, Scopus, Web of Science, Cochrane Library) were searched using terms related to cancer, caregivers, ethnic minorities, and supportive interventions. The Mixed Methods Appraisal Tool assessed study quality. Narrative and thematic analyses identified intervention types, content, outcomes, and challenges. RESULTS: Inclusion criteria were informal caregivers (≥18 years) of patients with any cancer at any stage. Studies that only reported patient outcomes were excluded. From 7961 screened studies, 18 met inclusion criteria reporting on 13 unique interventions conducted in the USA and Australia. These included nine quantitative, six qualitative, and three mixed-method studies with 2014 participants from defined ethnic groups and various cancer diagnoses. Quantitative studies showed significant or medium-to-large effects, with only one reporting no significant impact. Qualitative studies described personal benefits and improved relationships with healthcare systems. Study design variability hindered generalizing challenges and recommendations. CONCLUSION: Supportive interventions for caregivers of ethnic minority cancer patients, including those involving both caregiver and patient, show positive outcomes. However, heterogeneity in study designs and limited geographic scope challenge generalization and transferability. More research, particularly in Europe is needed.
Writing interventions with cancer survivors: which paradigms for which effects? A systematic review.
Martino ML, Nerini A, Quarata E … +7 more , Facchini G, Barraco C, D'Arienzo A, Nicastro A, Cesaro M, Freda MF, Bolognini I
Eur J Oncol Nurs · 2026 Feb · PMID 41616486 · Publisher ↗
PURPOSE: The present study, filling a gap in the literature, aims at systematic review of studies with writing interventions addressed to cancer survivorship, examining the different writing paradigms used and related ob...
PURPOSE: The present study, filling a gap in the literature, aims at systematic review of studies with writing interventions addressed to cancer survivorship, examining the different writing paradigms used and related obtained effects. METHODS: This study was a systematic review. A literature search in MEDLINE/PubMed and PsycInfo from 2015 to 2025 was performed. RESULTS: Data extraction, researchers' full agreement and the inclusion criteria produced 11 eligible studies. They show six different paradigms of writing used in cancer survivorship capable of addressing three different trajectories of effects: Psychopathological Symptoms: Expressive Writing (EW), Self-Regulation Writing; Bio-psycho-social well-being promotion: EW, Prosocial/Peer Help Writing, Gratitude Journaling, Written Guides. Body Image and Side Effects of Self-Management: EW; Focused Reflective Writing, Self-Compassion EW. Writing, in its plurality of paradigms and methods, appears a key tool used in cancer survivorship, mainly with breast cancer survivors; other types of cancer are underestimated. Cultural and demographic diversity is limited and most interventions are self-managed, online, or postal, with minimal clinical feedback. CONCLUSIONS: Efforts are needed to clarify issues related to sample selection time from diagnosis -survisvorship vs long survivorship; stratification of age sample groups - under fifty vs over 50; to focus on other types of cancer in addition to breast cancer; to enrich the use of other writing paradigms like autobiographical writing, autopathography, and memory-based writing and to implement hybrid delivery formats.
A new chapter for the European Journal of Oncology Nursing.
Tan JB
Eur J Oncol Nurs · 2026 Feb · PMID 41611583 · Publisher ↗
Abstract loading — click title to view on PubMed.
Reflections and experiences of early career cancer nurses on cancer survivorship in Europe: A qualitative study.
Dornan M, Rodriguez-Matesanz I, Protogiros D … +5 more , Ozdemir Koyu H, Barnardo C, McCallig H, Aguado-Machancoses N, Politis N
Eur J Oncol Nurs · 2026 Feb · PMID 41610729 · Publisher ↗
PURPOSE: This study explores how early-career cancer nurses across Europe conceptualise and deliver survivorship care, a growing priority in oncology nursing. METHODS: An exploratory qualitative design was used, involvin...
PURPOSE: This study explores how early-career cancer nurses across Europe conceptualise and deliver survivorship care, a growing priority in oncology nursing. METHODS: An exploratory qualitative design was used, involving a written reflection and focus group with seven early-career nurses from the European Oncology Nursing Society. Reflexive thematic analysis was applied to identify patterns in perceptions and practice. FINDINGS: Three themes were identified: (1) Reframing Survivorship, where nurses challenged traditional definitions and advocated for a continuum-based approach; (2) Managing the Emotional Dimensions, highlighting the emotional needs of patients, caregivers, and nurses themselves; and (3) Empowering the Workforce, revealing gaps in education, autonomy, and access to resources. Participants called for tiered competencies, interprofessional learning, and better integration of survivorship care across settings. CONCLUSION: The findings point to the need for clearer definitions, emotional support structures, and investment in nursing education and leadership. Early-career perspectives offer valuable insights for shaping future survivorship care models and workforce development.
The trajectories and predictors of cancer-related fatigue in gastric cancer patients during chemotherapy: A longitudinal study using growth mixture modeling.
Zhang F, Wang Q, Chen H … +2 more , Li Z, Jiang X
Eur J Oncol Nurs · 2026 Feb · PMID 41610728 · Publisher ↗
PURPOSE: To explore the cancer-related fatigue(CRF) trajectories and their predictors of gastric cancer patients undergoing 6-cycle chemotherapy, and to identify subgroup characteristics of patients with different CRF tr...
PURPOSE: To explore the cancer-related fatigue(CRF) trajectories and their predictors of gastric cancer patients undergoing 6-cycle chemotherapy, and to identify subgroup characteristics of patients with different CRF trajectories. METHODS: A prospective longitudinal study was conducted between November 2020 and December 2021, involving 189 first-time chemotherapy gastric cancer patients at a tertiary general hospital in Chengdu, Sichuan Province, China. Data were collected 7 times within 6 chemotherapy cycles (before the first cycle(T0), and within 1 week after the end of each cycle (T1∼T6)).The CRF level was assessed by the Cancer Fatigue Scale. Growth mixture modeling was used to identify the latent classes of CRF trajectories. Group differences analyses were performed to determine characteristics of patients with different CRF trajectories, and multivariate regression analysis was adopted to identify predictors of CRF trajectories. RESULTS: The overall CRF level increased over time, with the greatest change from T0 to T1. Three CRF trajectories were identified: the acute fatigue group(Class1:23.8 %), the low fatigue group(Class2:59.8 %), and the gradually worsening fatigue group(Class3:16.4 %). Patients with pain or depression were more likely to be in the acute fatigue group, and female were more likely to be in the gradually worsening fatigue group, compared with the low fatigue group. CONCLUSIONS: The overall CRF trajectory and three sub-trajectories were identified. Patients with pain, depression, and being female are prone to CRF deterioration. Since CRF level increases fastest from T0 to T1, early prevention and management of CRF should be implemented in gastric cancer patients undergoing chemotherapy.
Which type of social support matters most-and for whom? A relative importance and moderation analysis of quality of life in cancer.
Shim EJ, Ha H, Yeom CW … +3 more , Son KL, Kim WH, Hahm BJ
Eur J Oncol Nurs · 2026 Feb · PMID 41610727 · Publisher ↗
PURPOSE: Social support is recognized as a key resource in cancer care, yet it remains unclear which types are most relevant for specific quality of life (QoL) domains and whether these associations vary by patient chara...
PURPOSE: Social support is recognized as a key resource in cancer care, yet it remains unclear which types are most relevant for specific quality of life (QoL) domains and whether these associations vary by patient characteristics. This study examined the relative contribution of four social support types to QoL domains and the moderating effects of sociodemographic and clinical variables. METHODS: A cross-sectional survey was conducted with 157 adult cancer patients recruited from three university hospitals in Korea (April 2024-August 2025). Participants completed the Medical Outcomes Study Social Support Survey and the WHOQOL-BREF. Relative importance analysis and moderation analyses were performed. RESULTS: Social support explained 11.1 %-25.9 % of variance in QoL domains. Positive social interaction contributed most to physical and environmental QoL, affectionate support to psychological health, and emotional/informational support to social relationships. Tangible support contributed least. Associations were stronger among married patients and those receiving treatment for recurrent cancer, with the latter also showing a stronger link between affectionate support and physical health. Higher ECOG scores were associated with weaker links between affectionate support and positive social interaction and physical health, but stronger links between tangible support and environmental QoL. Higher distress was associated with weaker links between positive social interaction and physical health. No moderation effects were found for age, sex, or psychological QoL. CONCLUSIONS: Associations between support types and QoL varied by domain and patient characteristics, suggesting value of tailoring supportive care to optimize QoL in specific contexts.
Determinants of cardiovascular health management in patients with breast cancer at high risk for cardiotoxicity: A qualitative study.
Zhang D, Huang Y, Li H … +3 more , Yao Y, Hao M, Liu T
Eur J Oncol Nurs · 2026 Feb · PMID 41610726 · Publisher ↗
PURPOSE: Effective cardiovascular health (CVH) management plays a crucial role in preventing cardiovascular disease and promoting both longevity and quality of life. However, its implementation among breast cancer (BC) p...
PURPOSE: Effective cardiovascular health (CVH) management plays a crucial role in preventing cardiovascular disease and promoting both longevity and quality of life. However, its implementation among breast cancer (BC) patients remains challenging, particularly for those at high risk of cardiotoxicity due to cancer therapy. This study aimed to explore the factors influencing CVH management among BC patients at high risk for cardiotoxicity. METHODS: Face-to-face semi-structured individual interviews were conducted with BC patients at high risk of cardiotoxicity. Thematic analysis method was used for data analysis. RESULTS: A total of 24 participants aged 33 to 72 were included. Four key themes influencing CVH management were identified: (1) Knowledge and beliefs: Barriers included limited understanding of CVH, inconsistent confidence in sustaining management, and conflicts between health goals and role obligations; while high outcome expectancy served as a key motivator; (2) Self-regulation skill and ability: Challenges occurred in setting goals and action plans, self-monitoring, and prioritizing cancer care over CVH; though effective emotional regulation facilitated management; (3) Social facilitation: Emotional support promoted CVH management; whereas insufficient supervision and limited professional guidance acted as barriers; (4) Other dimensions: Physical discomfort, information-related stress, financial strain and sociocultural constraints further hindered CVH management. CONCLUSIONS: These findings highlight the complex and interconnected factors shaping CVH management among BC patients at high risk for cardiotoxicity. Understanding these influences can inform the design of tailored interventions and sustained support systems to improve CVH management, thereby optimizing survivorship care and enhancing quality of life.
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