European Journal Of Oncology Nursing[JOURNAL]
Sun
200 papers
Perceptions and attitudes of healthcare professionals on discussing sexuality with cancer patients, including sexual minority groups - a mixed-methods study.
Pape E, Beyts C, Verhelle J … +3 more , Delforge L, Denys A, van Ramshorst GH
Eur J Oncol Nurs · 2026 Feb · PMID 41534120 · Publisher ↗
PURPOSE: This study examined the attitudes and perceptions of healthcare professionals in Flanders towards discussing sexuality and sexual problems in cancer patients and in cancer patients from LGBTQI + backgrounds. MET...
PURPOSE: This study examined the attitudes and perceptions of healthcare professionals in Flanders towards discussing sexuality and sexual problems in cancer patients and in cancer patients from LGBTQI + backgrounds. METHODS: A mixed-methods research using a convergent parallel design was conducted. Quantitative data were collected through a cross-sectional online survey of healthcare professionals working in cancer care across Flanders (n = 259). The qualitative study used an exploratory design. healthcare professionals of one expert centre were purposefully recruited for focus group interviews (n = 3). Thematic analysis with investigator triangulation was used during data analysis. RESULTS: Linear regression analyses indicated that professional role (B = 3.108; p ≤ 0.001) and age (B = 1.761; p = 0.004) significantly predicted healthcare professionals' attitudes related to addressing sexuality in cancer care. Both current professional role (B = 0.729; p ≤ 0.001) and age (B = 0.463; p = 0.022) were significant for healthcare professionals' knowledge. Training (B = -0.511; p = 0.027) was additionally predictive of knowledge. Five themes emerged from the focus group interviews: (1) knowledge and preparedness of HCPs, (2) attitudes, beliefs, and professional culture, (3) contextual and structural barriers to communication, (4) patient relationships and communication dynamics, and (5) inclusivity and diversity with LGBTQI + patients. CONCLUSION: Although most HCPs reported positive attitudes toward discussing sexuality, gaps in knowledge, confidence, and inclusive communication persist. Strengthening healthcare professionals' competencies in sexual health communication is essential to better address the needs of all cancer patients better.
Comparison of self-removal and clinic-removal of catheter after Robot-Assisted Laparoscopic prostatectomy.
Lunas JM, Holborn C, Appleyard R … +4 more , Baker H, Kelly J, McBain H, Dharmaseelan J
Eur J Oncol Nurs · 2026 Feb · PMID 41529422 · Publisher ↗
PURPOSE: Prostate cancer is the most common cancer in men, with Robot-Assisted Laparoscopic Prostatectomy (RALP) a common treatment for localised cases. Postoperative catheterisation is routine, with removal typically oc...
PURPOSE: Prostate cancer is the most common cancer in men, with Robot-Assisted Laparoscopic Prostatectomy (RALP) a common treatment for localised cases. Postoperative catheterisation is routine, with removal typically occurring in hospital (Trial Without Catheter, TWOC). Home-based catheter removal (home-TWOC) is a newer option offering potential benefits in patient experience, clinic capacity and sustainability, though evidence remains limited. This service evaluation examined the effectiveness of a home-TWOC programme for post-RALP patients, assessing clinical outcomes - including re-catheterisation, urinary tract infections (UTIs) and other complication - and comparing them to clinic-TWOC. It also explored patient experiences and potential economic benefits. METHODS: Using a cross-sectional design, the service evaluation included retrospective and prospective arms with convenience sampling. The prospective cohort consisted of all post-RALP patients from a single UK centre over 16 weeks from January 8, 2024. The retrospective group covered the 16 weeks from February 1, 2022, immediately prior to the programme's launch. Quantitative data from clinical audits were calculated using the Agresti-Coull method. Qualitative data, collected via questionnaires, were analysed descriptively and thematically. RESULTS: Findings showed home-TWOC to be safe and effective, with no re-catheterisations or UTIs reported. Patient satisfaction was high, with most willing to repeat the process. Though sample size limited statistical power, outcomes aligned with existing studies. Minor concerns included anxiety, pain and information clarity. Improvements in patient education, support resources and staff training were identified, along with indicative benefits. CONCLUSIONS: Home-TWOC is a safe, effective and well-received alternative to clinic-based catheter removal, offering clinical, economic and experiential benefits for post-RALP patients.
Chewing gum versus heat therapy for postoperative recovery in patients undergoing gynecologic oncology surgery: A randomized controlled trial.
Tuncer M, Beke M, Polat E … +1 more , Karabela S
Eur J Oncol Nurs · 2026 Feb · PMID 41518771 · Publisher ↗
PURPOSE: To investigate the effects of chewing gum and heat therapy on postoperative pain, bowel function, and patient comfort following gynecological oncological surgery. METHODS: A single-blinded, randomized controlled...
PURPOSE: To investigate the effects of chewing gum and heat therapy on postoperative pain, bowel function, and patient comfort following gynecological oncological surgery. METHODS: A single-blinded, randomized controlled trial was conducted with 84 women assigned to three groups: chewing gum, heat therapy, and control. The chewing gum group chewed sugar-free gum three times daily postoperatively, while the heat therapy group received a 10 min warm compress twice daily. Primary outcomes were time to first bowel movement and passage of flatus. Secondary outcomes included postoperative pain, measured by the Visual Analog Scale (VAS), and patient comfort, assessed using the General Comfort Questionnaire (GCQ). Data were analyzed using the Kruskal-Wallis H test with Bonferroni-adjusted post-hoc comparisons and the Mann Whitney U test, and statistical significance was set at p < 0.05. RESULTS: Chewing gum significantly shortened the time to first bowel movement and passage of flatus, and was also associated with shorter discharge time and higher comfort scores (p < 0.05). However, it did not significantly affect postoperative pain. Heat therapy showed no statistically significant effect on bowel function, pain, or comfort compared with standard care (p > 0.05). CONCLUSION: In this single-center randomized controlled trial, chewing gum appears to be an effective, low-cost, and well-tolerated nursing intervention that promotes gastrointestinal recovery and enhances comfort in postoperative gynecologic oncology patients. In contrast, heat therapy applied to the lumbar region did not demonstrate a benefit over standard care.
Latent transition analysis of perceived social support and associations with caregiver burden, illness cognition, and family resilience in pediatric cancer caregivers: A longitudinal study.
Huang Y, Wang Y, Dai S … +5 more , Mao X, Lin J, Song H, Ji Y, Dong C
Eur J Oncol Nurs · 2026 Feb · PMID 41518770 · Publisher ↗
PURPOSE: To identify latent transition patterns of perceived social support among family caregivers of children with cancer and examine their associations with caregiver burden, illness cognition, and family resilience....
PURPOSE: To identify latent transition patterns of perceived social support among family caregivers of children with cancer and examine their associations with caregiver burden, illness cognition, and family resilience. METHODS: This is a longitudinal study. A total of 240 caregivers of children with cancer from three pediatric hospitals in China were recruited via convenience sampling from June to December 2022. Participants were assessed at baseline (T1, n = 240), 3-month (T2, n = 204), and 6-month (T3, n = 193). Caregivers completed the Medical Outcomes Study Social Support Survey, Family Resilience Assessment Scale, Caregiver Burden Inventory, and Illness Cognition Questionnaire-Parent. Latent profile analysis was employed to identify distinct social support profiles at each time point. Latent transition analysis was then used to examine the longitudinal transition between these profiles over the six-month period. One-way ANCOVA with post-hoc tests was used to compare caregiver burden, illness cognition, and family resilience across these transition patterns. RESULTS: Four social support profiles were identified: high, moderate-high, moderate-low, and low. Over the six-month period, six transition patterns emerged: stable-high, stable-moderate-high, stable-moderate-low, improved, deteriorated, and fluctuated. One-way ANCOVA indicated significant differences in family resilience, caregiver burden, and the subdimensions of illness cognition (helplessness, acceptance, and disease benefits) across these patterns. CONCLUSION: Social support among caregivers demonstrates heterogeneous and dynamic transition patterns, which generally stabilize approximately three months after baseline. To enhance caregiver well-being, healthcare providers must move beyond a one-size-fits-all approach. They should identify distinct support transition patterns and provide personalized interventions that strengthen social support systems, thereby effectively facilitating family adaptation.
How do healthcare providers adapt to AYA-parent dynamics when supporting adolescents and young adults (AYA) with cancer? A qualitative study.
Patinet C, Aujoulat I, Schwering KL … +5 more , Fontaine M, Sébert AL, Perrier C, Boissel N, Ricadat E
Eur J Oncol Nurs · 2026 Feb · PMID 41518769 · Publisher ↗
PURPOSE: This paper aims to better understand the challenges faced by oncology teams in dedicated adolescent and young adult (AYA) units as they strive to involve both patients and their parents, seeking a balance betwee...
PURPOSE: This paper aims to better understand the challenges faced by oncology teams in dedicated adolescent and young adult (AYA) units as they strive to involve both patients and their parents, seeking a balance between patient-centered and family-centered care. Specifically, it examines the dynamics between AYAs, their parents, and healthcare providers (HCPs) during prolonged hospitalizations. METHODS: Conducted between 2018 and 2021 in a dedicated AYA hematology unit in Paris, the study included 10 in-depth individual interviews, research observations, and focus groups. Data were analyzed inductively according to Grounded Theory principles. RESULTS: Rather than combining patient-centered and family-centered care, HCPs tend to adopt an "AYA-parent dyad-centric" model of care. These results highlight the importance of understanding and assessing the unique dyadic dynamics between AYAs and their parents to effectively support AYA's psychosocial needs, particularly in fostering their autonomy process. CONCLUSION: Our findings suggest that a dyad-centered model of care, one that allows the involvement of AYAs and their parents as a dyad, enables a better understanding of and adaptation to the family dynamics at play, leading to more tailored and effective healthcare management.
Belief-based family support intervention to strengthen family resilience among breast cancer caregivers: A quasi-experimental study in Indonesia.
Retnaningsih D, Nursalam, Efendi F … +3 more , Nihayati HE, Kristiawati, Triharini M
Eur J Oncol Nurs · 2026 Feb · PMID 41518768 · Publisher ↗
PURPOSE: To evaluate the effectiveness of a belief-based family support intervention in improving family resilience among caregivers of breast cancer patients undergoing chemotherapy. METHODS: A 12-week belief-based fami...
PURPOSE: To evaluate the effectiveness of a belief-based family support intervention in improving family resilience among caregivers of breast cancer patients undergoing chemotherapy. METHODS: A 12-week belief-based family support program was developed by integrating the Health Belief Model with family resilience principles. The intervention consisted of four structured modules: (1) belief-oriented family support, (2) cancer and chemotherapy education, (3) coping and role adaptation, and (4) communication and reflection. Sessions were delivered through blended learning formats combining in-person meetings and online follow-ups. Family resilience was measured using the validated Family Resilience Assessment Scale (FRAS). Data were analysed using paired and independent t-tests with a significance level of p < 0.05. RESULTS: After 12 weeks, the intervention group demonstrated a significant increase in total family resilience scores (pretest: 85.42 ± 9.87; posttest: 105.35 ± 8.76; p < 0.001), whereas the control group showed no significant change (p = 0.214). Improvements were observed across all FRAS domains, including belief system, organisational pattern, and communication process (all p < 0.001). Between-group comparisons confirmed significant differences in favour of the intervention group. CONCLUSIONS: The belief-based family support intervention effectively enhanced family resilience among caregivers of breast cancer patients undergoing chemotherapy. Integrating belief systems, family communication, and adaptive role management into nursing interventions may enhance psychosocial resilience and wellbeing among cancer caregivers.
The role of mindful self-care in enhancing professional quality of life among hospice medical staff in Poland.
Gurzyńska Z, Brzezińska A, Walkiewicz M
Eur J Oncol Nurs · 2026 Feb · PMID 41512345 · Publisher ↗
PURPOSE: Given the emotionally demanding nature of hospice care, identifying protective factors is essential for promoting caregiver well-being. This study examines compassion fatigue and compassion satisfaction among Po...
PURPOSE: Given the emotionally demanding nature of hospice care, identifying protective factors is essential for promoting caregiver well-being. This study examines compassion fatigue and compassion satisfaction among Polish hospice medical workers, focusing on mindful self-care practices and perceived work support. It also explores whether professional quality of life differs between those who engage in after-work rituals and those who do not. METHODS: In a cross-sectional study, 97 hospice medical workers (nurses, physicians, physiotherapists, psychologists, and medical caregivers) completed the Professional Quality of Life Scale (ProQOL), the Mindful Self-Care Scale (MSCS), and an author-developed survey assessing perceived work support and after-work rituals. Participants were recruited from four hospice centres in northern Poland between July 1 and October 31, 2024. RESULTS: Participants reported high levels of MSCS (M = 106.55, SD = 19.60), elevated compassion satisfaction (M = 39.86, SD = 5.94), and normative levels of burnout (M = 21.46, SD = 5.02) and secondary traumatic stress (M = 24.96, SD = 6.20). Mindful self-care was positively associated with compassion satisfaction (r = 0.32, p < 0.001) and negatively associated with burnout (r = -0.49, p < 0.001) and secondary traumatic stress (r = -0.22, p < 0.05). Higher perceived work support correlated with more favorable ProQOL outcomes, as did engaging in after-work rituals. CONCLUSIONS: Mindful self-care methods, alongside work support, should be considered potential protective factors against compassion fatigue among hospice staff. It highlights the opportunity for employers to foster supportive work environments and encourage self-care practices tailored to staff needs.
Resilience mediating the effects of cancer-related fatigue on depression, sleep, and quality of life among prostate cancer survivors.
Chen CI, Lin HY, Huang CY
Eur J Oncol Nurs · 2026 Feb · PMID 41512344 · Publisher ↗
PURPOSE: Cancer-related fatigue (CRF) is highly prevalent among prostate cancer survivors and is often accompanied by depression, poor sleep, and diminished quality of life. Resilience may help buffer these effects, but...
PURPOSE: Cancer-related fatigue (CRF) is highly prevalent among prostate cancer survivors and is often accompanied by depression, poor sleep, and diminished quality of life. Resilience may help buffer these effects, but its mediating role remains insufficiently studied. This study aimed to determine whether resilience mediates the relationship between fatigue and health outcomes, including depression, sleep quality, and quality of life, in prostate cancer patients. METHODS: A cross-sectional study was conducted with 122 prostate cancer patients recruited from two regional hospitals in southern Taiwan. Validated instruments measured fatigue (BFI), erectile function (IIEF-5), resilience (RSA), depression (CES-D), sleep quality (PSQI), and quality of life (WHOQOL-BREF, EORTC QLQ-PR25). Structural equation modeling (SEM) was applied to examine the mediating role of resilience. RESULTS: Structural equation modeling demonstrated excellent fit (χ/df = 1.16, GFI = .99, RMSEA = .019). Fatigue showed strong direct effects on depression (β = .69, p < .001), prostate-specific quality of life (β = -.32, p < .001), overall quality of life (β = -.25, p < .01), and sleep disturbances (β = .57, p < .001), and was negatively associated with resilience (β = -.61, p < .001). Resilience partially mediated these relationships, reducing the impact of fatigue on depression (to β = .31), prostate-specific quality of life (to β = -.09), overall quality of life (to β = .17), and sleep disturbances (to β = .37). CONCLUSION: Resilience plays a protective role in reducing the negative impact of fatigue on psychological outcomes, sleep, and quality of life in prostate cancer patients. Incorporating resilience-building strategies into survivorship care may improve patient well-being and should be further evaluated in clinical trials.
From silence to action: Nursing students' transformative learning experiences in sexuality care for cancer patients - A qualitative study.
Oztoprak PU, Kurt B
Eur J Oncol Nurs · 2026 Feb · PMID 41421218 · Publisher ↗
PURPOSE: This study aims to explore nursing students' experiences during oncology internships related to sexuality care for cancer patients, based on Mezirow's Transformative Learning Theory, and to reveal their shift fr...
PURPOSE: This study aims to explore nursing students' experiences during oncology internships related to sexuality care for cancer patients, based on Mezirow's Transformative Learning Theory, and to reveal their shift from implicit learning to transformation. METHOD: A qualitative phenomenological design guided by Transformative Learning Theory was employed. Semi-structured interviews were conducted with seventeen final-year nursing students who had completed oncology internships. Data were analyzed using Colaizzi's seven-step method with MAXQDA software. RESULTS: Three main themes were identified: (1) Implicit Learning Experience (e.g., disorienting dilemmas, shared assumptions), (2) Meaning-Making (e.g., emotional reflection, rational discourse, emotional and cognitive dissonance, unclear professional boundaries), and (3) Transformation (e.g., actions, awareness). CONCLUSIONS: Students' progression from implicit learning to transformation in sexuality care demonstrates the potential of transformative learning to address cultural and educational barriers. Structured, reflective, and experiential interventions are essential to enhance competence and confidence in this area.
Supporting women with adherence to adjuvant endocrine therapy (SWEET): feasibility study of the HT&Me intervention.
McGeagh L, Stewart SJ, Norris R … +18 more , Wells M, Thompson S, Mawson P, Brett J, Turner M, Wolstenholme J, Dakin H, Donnelly P, Cain H, Rehman F, Kum S, Horne R, Taylor G, Turner L, Rose J, Sharp L, Watson E, SWEET Research Team
Eur J Oncol Nurs · 2026 Feb · PMID 41421217 · Publisher ↗
PURPOSE: Women with estrogen receptor-positive breast cancer are recommended daily oral adjuvant endocrine therapy for at least 5 years, but up to 50 % discontinue early. We assessed an evidence-based, theoretically-info...
PURPOSE: Women with estrogen receptor-positive breast cancer are recommended daily oral adjuvant endocrine therapy for at least 5 years, but up to 50 % discontinue early. We assessed an evidence-based, theoretically-informed, patient-centred intervention (HT&Me) to support adjuvant endocrine therapy adherence and improve quality-of-life, in terms of patient acceptability and feasibility to deliver within the UK National Health Service. METHODS: This single arm study aimed to recruit 45 women with stage I-III breast cancer within 14 weeks of first adjuvant endocrine therapy prescription. After completing baseline questionnaires, participants received the HT&Me intervention comprising: (i) a short animation; (ii) two personalised nurse/practitioner consultations (in-person or online); (iii) an interactive web-app; and (iv) regular email reminders. Participants completed follow-up questionnaires at 8 weeks. A sub-sample of participants (n = 20) and health professionals (n = 14) participated in semi-structured interviews. RESULTS: We recruited 51 participants. Participants varied in digital confidence at recruitment (low/moderate, 28 % (n = 14); high, 61 % (n = 31)). HT&Me was demonstrated as feasible to deliver. Overall, 69 % (n = 35) engaged with the web-app; 87 % (n = 40/46) found HT&Me helpful; and 80 % (n = 36/45) reported it motivated them to keep taking endocrine therapy. Both consultation formats were considered acceptable. Completion of outcome measures was high. Health professionals considered HT&Me addresses an important unmet need. CONCLUSIONS: HT&Me is feasible, acceptable and helpful to women. Findings provided valuable insights for design and delivery of the full-scale randomised controlled trial assessing effectiveness now underway (ISRCTN24852890). HT&Me offers potential to improve adjuvant endocrine therapy adherence, thereby reducing recurrence risk for women with estrogen receptor positive breast cancer. STUDY REGISTRATION ISRCTN NUMBER: ISRCTN29401613.
Symptom experiences and coping strategies of liver cancer patients receiving targeted therapy combined with immunotherapy in China: A qualitative study.
Han B, Li S, Zhu S … +4 more , Xu W, Huang L, Cai S, Cao C
Eur J Oncol Nurs · 2026 Feb · PMID 41365149 · Publisher ↗
PURPOSE: Exploring the symptom experiences and coping strategies of liver cancer patients receiving targeted therapy combination with immunotherapy. METHODS: A qualitative descriptive approach was used. From February to...
PURPOSE: Exploring the symptom experiences and coping strategies of liver cancer patients receiving targeted therapy combination with immunotherapy. METHODS: A qualitative descriptive approach was used. From February to August 2025, 15 patients with liver cancer who received targeted therapy combination immunotherapy were selected using purposive sampling and underwent face-to-face semi-structured interviews. The interview outline was constructed based on the theory of symptom management. Data were analyzed, and themes were extracted using Colaizzi's 7-step analysis method. RESULTS: The results of this study are divided into four themes and 12 subthemes: (1) Multidimensional symptom perception:Diversity, Progressive worsening, Clustering. (2) Negative impacts of symptoms:Reduce quality of life, Interference treatment plans, Emotional Distress. (3) Coping strategies:Various Coping Strategies, Gradual Increase in Self-Care Skills, Fluctuation in coping motivation. (4) Patient needs:Accessible symptom management、Emotional comfort, Health Policy Support. CONCLUSIONS: The treatment experiences of liver cancer patients receiving targeted therapy combination immunotherapy have received little scholarly attention. This study was conducted to investigate the treatment experiences of Chinese liver cancer patients undergoing targeted therapy combination immunotherapy, in order to provide evidence to inform clinical practice and improve supportive care.
"You're not the only one who went through this": Cancer survivors' reflections on peer encounters during the Desert Journey program.
Levkovich I, Hamama L, Kuperman S … +2 more , Bar-Doron M, Hamama-Raz Y
Eur J Oncol Nurs · 2026 Feb · PMID 41353948 · Publisher ↗
PURPOSE: This study explores how peer support within Desert Journey, a nature-based group intervention developed by an Israeli non-governmental organization, shapes coping, belonging, and meaning among young cancer survi...
PURPOSE: This study explores how peer support within Desert Journey, a nature-based group intervention developed by an Israeli non-governmental organization, shapes coping, belonging, and meaning among young cancer survivors. Grounded in a biopsychosocial and ecopsychological framework, we examine survivors' lived experiences to identify that support rehabilitation. METHOD: A qualitative approach was used to explore participants' subjective experiences. In-depth, semi-structured interviews were conducted with 21 participants who had completed Desert Journey within the past two years. Participants aged 29-44 years, all in the recovery stage, represented a range of cancer diagnoses. The interviews were conducted between March-May 2025, audio-recorded, transcribed verbatim, and analyzed thematically. RESULTS: Three central themes emerged: (1) "A group of strangers who just got it." Participants described a profound sense of belonging and emotional validation through honest dialogue and nonverbal connection; (2) "An intimate space." The desert setting fostered reflection on family, parenthood, and romantic relationships, allowing participants to voice complex emotions often silenced in daily life; (3) "There's something very overwhelming about being together all the time." Some participants experienced emotional flooding, anxiety, and a need for solitude as the group process intensified. CONCLUSIONS: Nature-based group interventions such as Desert Journey provide a unique therapeutic context for young cancer survivors by fostering emotional connection, peer support, and self-reflection. The findings highlight the potential of such programs to complement traditional survivorship care. Oncology nurses can play a critical role in identifying suitable patients, advocating for the integration of holistic interventions, and collaborating with interdisciplinary teams to enhance survivorship care.
"It is like he abandoned me in a war" - A qualitative study of relationship distress in parents of children diagnosed with cancer.
Kuylenstierna A, Enebrink P, Kreicbergs U … +5 more , Ljungman G, Lövgren M, Sörensdotter R, Wikman A, Ljungman L
Eur J Oncol Nurs · 2026 Feb · PMID 41338007 · Publisher ↗
PURPOSE: Up to 40 % of parents of children with cancer experience relationship distress; a significantly higher proportion compared to the general population. Despite this elevated risk, there are few in-depth qualitativ...
PURPOSE: Up to 40 % of parents of children with cancer experience relationship distress; a significantly higher proportion compared to the general population. Despite this elevated risk, there are few in-depth qualitative studies investigating relationship distress in the paediatric oncology context. Therefore, this study aimed to explore how parents of children with cancer experience relationship distress to thereby generate an in-depth understanding of the phenomenon. METHOD: A sample of 25 parents (17 mothers, 8 fathers) who had experienced relationship distress related to their child's cancer participated in semi-structured interviews exploring relationship dynamics, communication, conflict management, and relational changes following the child's diagnosis. The interviews were audio-recorded, transcribed verbatim, and analysed using inductive content analysis. RESULTS: Three categories and nine subcategories were identified. In addition to these, one overarching theme emerged. The first category 'Pressure on the relationship', illustrated factors that placed strain on the couple relationship. The second category 'When unity fails' included parents' experiences of challenges in dealing with the situation together as a couple. The third category 'Fractured togetherness' highlighted relationship deterioration as a result of the cancer experience. The theme 'Fighting together, yet drifting apart' linked the categories by illustrating the process of experiencing joint hardships, of trying to manage these together, but ending up with a wounded relationship. CONCLUSION: This study contributes with an in-depth understanding of relationship distress in parents of children with cancer. Thereby, it can contribute to the development of currently limited interventions to support parents' couple relationships in paediatric oncology care.
"You've got to exercise more … What does that mean?" understanding experiences of physical activity during chemotherapy (EPAC): A mixed methods study informed by the COM-B model.
Cesnik R, Pike A, Toohey K … +2 more , Freene N, Semple S
Eur J Oncol Nurs · 2026 Feb · PMID 41338006 · Publisher ↗
PURPOSE: While the benefits of physical activity (PA) during cancer are well known, people undergoing chemotherapy are insufficiently active. This study aims to understand the experiences of PA throughout chemotherapy (E...
PURPOSE: While the benefits of physical activity (PA) during cancer are well known, people undergoing chemotherapy are insufficiently active. This study aims to understand the experiences of PA throughout chemotherapy (EPAC). METHODS: The EPAC study used a mixed methods design informed by the capability, opportunity, motivation-behaviour (COM-B) model. Participants currently undergoing outpatient chemotherapy for the treatment of cancer, their carers or cancer care clinicians participated in a semi-structured interview or focus group and a questionnaire. The Godin-Shepard Leisure-Time Questionnaire identified current and pre-chemotherapy PA levels. Qualitative data were analysed using reflexive thematic analysis, and deductively mapped to the COM-B. Descriptive analysis was used for quantitative data. RESULTS: Despite 91 % of people undergoing chemotherapy expressing a desire to be more active, only 17 % were classified as 'active'. Additionally, 78 % of participants reported a decrease in PA during chemotherapy. Ten focus groups and 37 interviews were completed with 40 clinicians, 23 patients, and ten carers. From these, eight themes were developed: PA is part of life; All too much; Physical capacity; Inconsistent education; A desire for PA to be integrated; Tailored access to services; Organisational design and resources; and Workforce sustainability. Subthemes mapped to all components of the COM-B framework. CONCLUSION: Overall, people undergoing chemotherapy wanted to be more active. Experiences across the groups emphasise the need for increased support to improve opportunities, capability and motivation for PA. These findings demonstrate the need for changes to clinical practice to embed PA into routine chemotherapy care through models that reflect the realities of treatment and its side effects, the workforce, and service design.
Hematology nurses' perceptions of implementing primary palliative care for patients with multiple myeloma: A qualitative study.
Ohana S, Shaulov A, Ganz FD
Eur J Oncol Nurs · 2026 Feb · PMID 41338005 · Publisher ↗
PURPOSE: Current palliative care (PC) often relies on specialist consultation. This study focuses on a newer model: integrative PC (primary PC), delivered by regular staff (specifically hematology nurses) who are trained...
PURPOSE: Current palliative care (PC) often relies on specialist consultation. This study focuses on a newer model: integrative PC (primary PC), delivered by regular staff (specifically hematology nurses) who are trained to deliver basic palliative interventions alongside routine clinical care. While established in solid tumors, PC integration lags in hematology. The aim is to describe the hematology nurses' perceptions and experiences providing this integrative PC model to patients with Multiple Myeloma (MM). METHODS: A qualitative exploratory study was conducted using a phenomenological-hermeneutic approach. Ten hematology nurses who participated in the implementation were purposively selected and interviewed individually through semi-structured, in-depth interviews conducted by a female nurse researcher experienced in qualitative methods six months after the implementation of an integrative palliative care model. Thematic analysis was applied to identify key patterns and meanings in the data. RESULTS: Three main themes emerged: (1) Becoming a Therapeutic Anchor, (2) Transforming the Role from Clinical Technician to Holistic Caregiver, and (3) Bridging Systemic Gaps as the Care Coordinator. Nurses described enhanced relationships with patients, earlier symptom detection, culturally responsive holistic care, and greater involvement in emotional support and care coordination. They also highlighted the emotional burden of sustaining such care and emphasized the need for institutional support. CONCLUSION: The findings suggest that hematology nurses may play a significant role in implementing integrative PC for patients with MM. Their involvement enhances holistic care and symptom management. However, sustaining this model requires attention to the emotional demands on nurses and the need for institutional support.
The impact of patient activation, self-management efficacy, and self-advocacy on symptom burden in breast cancer patients: A longitudinal study.
Lu Y, Liu Q, Dai C … +3 more , Zhai S, Geng H, Chen C
Eur J Oncol Nurs · 2026 Feb · PMID 41338004 · Publisher ↗
PURPOSE: This study aimed to investigate the effect of patient activation on symptom burden in patients with breast cancer and to explore the mediating roles of self-management efficacy and patient advocacy in this relat...
PURPOSE: This study aimed to investigate the effect of patient activation on symptom burden in patients with breast cancer and to explore the mediating roles of self-management efficacy and patient advocacy in this relationship. METHODS: From August 2024 to February 2025, participants with breast cancer were enrolled from two tertiary-level hospitals located in Henan Province, China, using convenience sampling. Data were collected on demographics, patient activation, symptom burden, self-management efficacy, and patient advocacy. Data analysis was performed using SPSS 25.0, and structural equation modeling was conducted with AMOS 26.0 to assess the mediating effects. RESULTS: The average symptom burden score of patients undergoing chemotherapy was 5.33 ± 0.93, indicating a moderate level of symptom severity. Patient activation was significantly negatively correlated with symptom burden (r = -0.508, p < 0.001). Self-management efficacy and patient advocacy jointly mediated the relationship between patient activation and symptom burden. The structural equation model showed good fit (χ/df = 1.795, GFI = 0.962, AGFI = 0.938, RMR = 0.033, NFI = 0.979, RFI = 0.978, IFI = 0.990, TLI = 0.986, CFI = 0.990, RMSEA = 0.047). CONCLUSIONS: Patient activation is an important psychological factor influencing symptom burden in breast cancer patients. It affects symptom burden both directly and indirectly through self-management efficacy and patient advocacy.
Preferences and willingness to pay for palliative care among parents of children with cancer: a Discrete Choice Experiment.
Jiao C, Kou C, Bai W … +6 more , Gao L, Liang Z, Chen J, Yu G, Guo X, Li W
Eur J Oncol Nurs · 2026 Feb · PMID 41330205 · Publisher ↗
PURPOSE: To quantify the preference of parents of children with cancer for palliative care (PC) in China to provide references for the development of service programs. METHODS: A discrete choice experiment (DCE) was used...
PURPOSE: To quantify the preference of parents of children with cancer for palliative care (PC) in China to provide references for the development of service programs. METHODS: A discrete choice experiment (DCE) was used to explore preferences for PC among parents of children with cancer. The conditional logit and mixed logit models were employed to estimate the parents' preferences. Furthermore, we calculated the willingness to pay (WTP) and simulated how variations in attribute levels influenced the probability of parental service acceptance. Meanwhile, preference heterogeneity among parents was also investigated through subgroup analysis. RESULTS: A total of 583 fully completed responses were incorporated in the final data analysis. The out-of-pocket payments was the most influential attribute, followed by the quality of life (QoL) and the content of services. Notably, we found that there were differences in the preferences of fathers and mothers regarding the content and place of services. Mothers displayed higher preferences for PC services which provide improved QoL, lower out-of-pocket costs, increasing service frequency, and psychological support at home, with the maximum WTP of 202.331 CNY each time. While fathers showed higher preferences for PC services with better QoL, fewer out-of-pocket payments, higher frequency and respite care, with the maximum WTP of 169.944 CNY. CONCLUSION: The findings suggest that in addition to minimizing out-of-pocket services expenses, improving QoL during PC and providing personalized service content also deserve more attention. Moreover, we found that home care and psychological support were preferred by mothers, whereas fathers leaned towards respite care. This preferences heterogeneity among parents highlights the importance of providing tailored services.
The influence of patient engagement and self-efficacy on self-care in myeloproliferative neoplasms: A mediation analysis.
Biagioli V, Inzoli A, Barone A … +9 more , Iurlo A, Guglielmelli P, Palandri F, Mora B, Impera S, Betti S, Santoro M, Rosti V, Barosi G
Eur J Oncol Nurs · 2026 Feb · PMID 41330204 · Publisher ↗
PURPOSE: To identify predictors of self-care in patients with myeloproliferative neoplasms (MPN) and test the role of self-efficacy in mediating the relationship between patient health engagement and self-care. METHODS:...
PURPOSE: To identify predictors of self-care in patients with myeloproliferative neoplasms (MPN) and test the role of self-efficacy in mediating the relationship between patient health engagement and self-care. METHODS: A cross-sectional study was carried out in 9 haematology centres across Italy. A sample of adult patients with essential thrombocythemia (ET), polycythaemia vera (PV), and myelofibrosis (MF) was recruited from outpatient settings. Participants completed a paper-based questionnaire assessing self-care (Self-Care in MyeloProliferative Neoplasms Inventory, SC-MPNI), self-efficacy (Self-Care Self-Efficacy Scale, SCSES), patient health engagement (Patient Health Engagement Scale, PHE-Scale), and socio-demographic and clinical characteristics. Regression analysis and structural equation modelling (SEM) were used. RESULTS: Participants were 282 patients with a diagnosis of PV (n = 78, 28.1 %), ET (n = 82, 29.5 %), and MF (n = 118, 42.4 %) (M = 60 years, SD = 13.5). Several predictors of self-care were identified, including level of education, working full-time, time since diagnosis, spirituality, and the haematologist's clarity on advising patients on what to do in daily life. The SEM showed that patient health engagement had a positive effect on self-efficacy (β = 0.40), which in turn had a positive impact on self-care maintenance (β = 0.32), self-care monitoring (β = 0.47), and self-care management (β = 0.51). Self-efficacy fully mediated the relationship between engagement and self-care. CONCLUSIONS: Higher patient health engagement can enhance self-care behaviours in people with MPNs by increasing their self-efficacy.
Factors associated with chemotherapy-induced taste alteration, xerostomia, and quality of life among older Taiwanese patients with cancer: A cross-sectional study.
Su CC, Huang JY, Chou PL … +1 more , Kuan FC
Eur J Oncol Nurs · 2026 Feb · PMID 41330203 · Publisher ↗
PURPOSE: Taste alteration (TA) is a common and distressing side effect of chemotherapy, particularly in older adults. It often leads to appetite loss and malnutrition. In this study, we (1) estimated the prevalence of ch...
PURPOSE: Taste alteration (TA) is a common and distressing side effect of chemotherapy, particularly in older adults. It often leads to appetite loss and malnutrition. In this study, we (1) estimated the prevalence of chemotherapy-induced TA; (2) investigated its correlations with xerostomia, oral health, and health-related quality of life (HRQoL); and (3) explored its key predictors in older patients with cancer. METHODS: This cross-sectional study included 120 older patients with cancer (age: ≥65 years) receiving chemotherapy in a regional hospital in Taiwan. Relevant data were collected using validated instruments, such as the Chemotherapy-Induced Taste Alteration Scale, Xerostomia Questionnaire, Oral Health Assessment Tool, and Taiwan Chinese version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. Stepwise multiple regression was performed to identify significant predictors of TA. RESULTS: The prevalence of TA in the study cohort was 93 %. Patients with TA had significantly worse xerostomia scores (mean score: 21.31 ± 15.00) and oral health scores (mean score: 6.15 ± 2.60) than did those without TA (p < .05). TA was significantly correlated with HRQoL, xerostomia, and oral health. Xerostomia was the strongest independent predictor of TA (β = .51; p < .001), followed by HRQoL and previous chemotherapy, which together explained 32 % of the total variance in TA severity. CONCLUSION: Chemotherapy-induced TA is highly prevalent among older patients with cancer, and it markedly reduces their quality of life. Supportive oncology care for this population should integrate interventions addressing xerostomia and oral health.
Efficacy of topical anesthetic cream, cold angiocath, and their combination on pain and fear during pediatric oncology venipuncture: A double-blind randomized controlled trial.
Borzoee F, Ghasemi A, Jahangiri S … +2 more , Far NH, Sahebkar M
Eur J Oncol Nurs · 2026 Feb · PMID 41330202 · Publisher ↗
PURPOSE: This study aimed to evaluate the efficacy of topical anesthetic cream, cold angiocath, and their combination in reducing pain and fear during venipuncture in young children with cancer. METHODS: A double-blind,...
PURPOSE: This study aimed to evaluate the efficacy of topical anesthetic cream, cold angiocath, and their combination in reducing pain and fear during venipuncture in young children with cancer. METHODS: A double-blind, randomized controlled trial was conducted with 87 children aged 2-6 years receiving outpatient chemotherapy in a outpatient chemotherapy department in Mashhad, Iran. Participants were randomized into four groups: control, cold angiocath, Xylap cream, or combination. Pain and fear were assessed at baseline and three intervention sessions using the Face, Legs, Activity, Cry, Consolability (FLACC) scale and the Children's Fear Scale (CFS). RESULTS: The combination group showed the greatest reductions in pain (-4.40, 95 % CI: -5.04 to -3.75) and fear (-1.39, 95 % CI: -1.75 to -1.03) compared with control (p < 0.001). Xylap cream alone also significantly reduced pain (-3.52, 95 % CI: -4.15 to -2.90, p < 0.001) and fear (-0.96, 95 % CI: -1.34 to -0.58, p < 0.001). Cold angiocath yielded smaller but significant reductions in pain (-1.62, 95 % CI: -2.26 to -0.98) and fear (-0.87, 95 % CI: -1.24 to -0.49, p < 0.001). CONCLUSIONS: Topical anesthetic cream and cold angiocath, alone or combined, reduced venipuncture pain and fear in young children with cancer. The combination strategy was most effective, supporting its use as a simple, safe, and practical intervention in pediatric oncology care.
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