Advancing Oncology Nursing Science

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Foreword xiii
Preface xvii
Acknowledgments xxi
SECTION I. FOUNDATIONS AND PRIORITIES OF ONCOLOGY NURSING SCIENCE 1
Chapter 1. Oncology Nursing Science Priorities 3
Introduction 3
Establishing Oncology Nursing Science Priorities 3
Use of Oncology Nursing Science Priorities Data 15
Conclusion 20
References 21
Chapter 2. Excellence in Oncology Science: Distinguished Nurse Scientists 23
Introduction 23
The Recipients 23
Influence on Nursing Science 24
Conclusion 33
References 33
SECTION II. ADVANCING ONCOLOGY NURSING SCIENCE 37
Chapter 3. Cancer Prevention and Early Detection Nursing Science: 1990–Present 39
Introduction 39
Search Strategy and General Considerations 40
Areas of Nursing Research Centering on Cancer Prevention and Early Detection 43
Conclusion 52
References 56
Chapter 4. Advances in Symptoms, Symptom Clusters, and Quality of Life by Oncology Nurse Scientists 65
Introduction 65
Symptoms 65
Symptom Clusters 68
Quality of Life 70
Conclusion 72
References 72
Chapter 5. Nursing Science in Palliative Care and End-of-Life Care 75
Introduction 75
State of the Science in Palliative Care and End-of-Life Care 77
Research in Palliative Care and End-of-Life Care 80
How Well Is Research in Palliative and End-of-Life Care Represented in Oncology Nursing? 82
Caring for a Dying Family Member at Home and the Effect on the Family 83
A Greater Understanding of Death and Dying 84
Racial Differences in the Way Individuals Approach the End of Life 85
Psychosocial and Existential Distress at the End of Life 86
Quality Improvement in Palliative Care 87
Conclusion 89
References 89
SECTION III. LEADING CAUSES OF CANCER 93
Chapter 6. Focus on Breast Cancer 95
Introduction 95
A Historic Review 95
Oncology Nursing Contributions to Advancing Nursing Science 96
Multicultural Influences on Breast Cancer 102
Summary 103
Conclusion 106
References 106
Chapter 7. Focus on Lung Cancer 117
Introduction 117
Current State of the Science 119
Oncologic Emergencies 123
End-of-Life Care 124
Research Tools in Lung Cancer 125
Emerging Issues in Science 125
Future Directions 129
Challenges and Opportunities 130
Conclusion 131
References 133
Chapter 8. Focus on Prostate Cancer 143
Introduction 143
Evolution of Nurse Scientists’ Role in Prostate Cancer Research 143
Contributions of Oncology Nurse Scientists to Prostate Cancer Research 144
Oncology Nursing Research Across the Prostate Cancer Care Continuum 148
Conclusion 152
References 153
Chapter 9. Focus on Colorectal Cancer 159
Introduction 159
Colorectal Cancer Risk Factors 160
Effectiveness of Screening 160
Screening Participation 161
Screening Guidelines: Test Recommendations Based on Risk Assessment 162
Factors Related to Participation in Colorectal Cancer Screening 163
Systematic Reviews of Colorectal Cancer Screening Interventions 168
Randomized Trials of Effective Screening Interventions 169
Conclusion 178
Directions for Future Research 179
References 180
SECTION IV. CURRENT AND EMERGING ISSUES IN ONCOLOGY RESEARCH 187
Chapter 10. Nursing Research: Cancer-Related Disparities 189
Introduction 189
Nurse Scientists Pioneer Cancer Disparities Research 195
Examining Past Efforts Before Forging Ahead 196
Exploration of Culture, Cancer, and Nursing Care 228
Conclusion 229
References 231
Chapter 11. Development and Maintenance of Interdisciplinary Research Teams 237
Introduction 237
Interdisciplinary Research: What It Is and Why It Is Needed 237
Development and Maintenance of Interdisciplinary Research Teams 240
Nurse Scientists as Team Leaders and Team Members 245
Conclusion 246
References 246
Chapter 12. Conducting Oncology Evidence-Based Intervention Research 249
Introduction 249
Intervention Studies on Patients With Cancer Who Are Newly Diagnosed or in Treatment 250
Interventions to Manage Uncertainty During Cancer Treatment 252
Admission Criteria for Studies of Managing Uncertainty During Treatment 253
Study Designs for Studies of Patients in Treatment 253
Specific Interventions 258
Regulating the Emotional Response 260
Outcomes 261
Intervention Studies: Decision Making for Prostate Cancer 263
After Treatment: Managing Uncertainty in Younger and Older Breast Cancer Survivors 266
Conclusion 268
References 268
Chapter 13. The Role of National Cancer Institute–Funded Cooperative Groups 271
The Clinical Trials Cooperative Group Program 271
Nursing Roles Within Cooperative Groups 277
Writing a Cooperative Group Study 280
Conclusion 290
References 290
SECTION V. RESEARCH TRAINING AND EDUCATION 293
Chapter 14. Role of Professional Organizations and Nonprofit Organizations in Advancing Oncology Nursing Research 295
Introduction 295
Oncology Nursing Society and ONS Foundation Background 296
Increasing the Knowledge Base for Oncology Nursing Practice 297
Preparing Future Oncology Nurse Scientists 305
Preparing Clinical Nurses as Critical Consumers of Research Findings 308
Oncology Nursing Science Contributions to Cancer Research Funding Organizations and Selected Government Agencies 310
Conclusion 311
References 311
Chapter 15. Accelerating the Research Translation Continuum to Improve Oncology Patient Outcomes 315
Introduction 315
The Translational Research Continuum 317
Translational Research in Cancer Symptom Management: Fatigue as an Exemplar 323
Selected Knowledge Transfer Strategies 328
Accelerating Progress Across the Research Translation Continuum: Future Directions 337
Conclusion 340
References 340
Chapter 16. New Approaches to Conducting Oncology Nursing Research Using Technology 351
Introduction 351
Tailoring Interventions Using Computer Technology 352
Computer-Assisted Telephone Interviews and Interactive Voice Recognition Calls 355
Handheld Devices 357
Computer Adaptive Testing 363
Web-Based Surveys and Interventions 364
Conclusion 365
References 366
Chapter 17. Advancing Oncology Nursing Science: Focus on Nursing-Sensitive Patient Outcomes 371
Introduction 371
Historical Perspectives 371
Nursing-Sensitive Patient Outcomes 374
The Need for Good Measures of Patient Outcomes and Nursing Care 377
Does Nursing Care Improve Patient Outcomes? 384
Future Directions and Recommendations 388
Conclusion 390
References 390
Chapter 18. Qualitative Oncology Nursing Science 393
Introduction 393
The Intellectual Background of Qualitative Science 394
Conducting a Qualitative Study 397
The Future of Qualitative Science in Oncology Nursing 405
Conclusion 406
References 406
Chapter 19. Advancing Family-Focused Oncology Nursing Research 409
Introduction 409
Historical Development of Family-Focused Oncology Nursing Research 409
Cancer as a Family Experience 414
Core Processes of Families’ Adjustment to Cancer in a Parent 421
Future Directions Needed for Research 421
Conclusion 427
References 429
SECTION VI. SELECTED RESOURCES FOR ADVANCING ONCOLOGY NURSING SCIENCE 435
Chapter 20. Introduction to Scholarly Writing 437
Introduction 437
Keeping a Notebook 438
Selecting a Topic 438
Making an Outline 439
Writing the First Draft 440
The Beginning 441
The Middle 441
Involvement in Writing 441
Rewriting, Revising, and Editing 442
Revision for Clarity and Coherence 443
Organization 445
Ask for Help in Revising 446
Editing: The Fine Points of Writing 446
Read Aloud and Continue to Revise 447
Conclusion 448
Bibliography 448
Chapter 21. Launching an Oncology Nursing Research Career 449
Introduction 449
Considering a Research Career 450
Selecting and Obtaining Admission to a Doctoral Program 453
Progressing Through the Program 457
Deciding What to Do After Completing the Program 464
Conclusion 467
References 468
Chapter 22. Obtaining Support for a Career in Oncology Nursing Research 471
Introduction 471
Research Career Trajectory 472
Encouraging Diversity Among Scientific Investigators 474
Mentoring and Publication: Ingredients for Success 475
Obtaining Support From the National Institutes of Health 476
Other Resources at the National Institutes of Health 482
Grant Review at the National Institutes of Health 483
Review Criteria 485
Other Federal Resources 487
Nongovernmental Resources 489
Resources for Grant Writing 491
Conclusion 491
References 492
Epilogue: Looking Into the Future 495
Pediatric Oncology Research 495
Behavioral Oncology Research 496
Genetic Research 496
Cancer Survivorship 496
The Next Generation of Oncology Nurse Scientists 496
Reference 497
Appendix: Oncology Nursing Science Resources 499
Index 503
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