Article

Factors Affecting the Evolution of Oncology Nursing Care

JoAnn M. Mick

treatment outcomes, nurse role, oncology nursing
CJON 2008, 12(2), 307-313. DOI: 10.1188/08.CJON.307-313

Oncology nursing has evolved in response to population growth and changing demographics, changing regulatory requirements, decreasing lengths of inpatient hospital stays, and ongoing advances in cancer treatment, information, and biotechnology. Changes in societal perceptions of cancer and increased access to information have enabled patients to seek out knowledgeable and skilled oncology nurses. Nurses also play an ever-increasing role in rehabilitation as patients live longer with the effects of cancer and treatment. Significant outcomes achieved through nursing research include increased access to care and patient education; improved patient satisfaction, cost-effectiveness of health care, and treatment adherence; fewer hospital admissions; decreased lengths of stay; lower readmission rates; fewer emergency room visits; and lower healthcare costs. Oncology nurse researchers also have studied the economic burden of cancer treatment, limited employment options, and survivorship issues. The progress in professional oncology nursing parallels the progress in surgical, radiologic, biologic, medical, and genetic approaches to cancer treatment. The role and practice of the oncology nurse will continue to evolve in the coming decades as population demographics and healthcare systems change and new scientific and technologic discoveries are integrated into cancer care.

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    References

    Abramo, A. (2006). Age-specific/transcultural competencies for healthcare providers. Retrieved June 11, 2007, from http://www.agespec.com/
    American Cancer Society. (1987). Cancer facts and figures, 1987. Atlanta, GA: Author.
    American Cancer Society. (1992). Cancer facts and figures, 1992. Atlanta, GA: Author.
    American Cancer Society. (1997). Cancer facts and figures, 1997. Atlanta, GA: Author.
    American Cancer Society. (2002). Cancer facts and figures, 2002. Atlanta, GA: Author.
    American Cancer Society. (2003). Oncology nursing as a specialty. In Cancer Medicine 6 (section 18). Retrieved June 11, 2007, from http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=cmed6.section.17918
    American Cancer Society. (2004). Cancer facts and figures, 2004. Retrieved March 8, 2008, from http://www.cancer.org/downloads/STT/CAFF_finalPWSecured.pdf
    American Cancer Society. (2007). Cancer facts and figures, 2007. Retrieved June 11, 2007, from http://www.cancer.org/docroot/stt/stt_0.asp
    American Cancer Society. (2008). Cancer facts and figures, 2008. Retrieved March 8, 2008, from http://www.cancer.org/downloads/STT/2008CAFFfinalsecured.pdf
    American Nurses Credentialing Center. (2007). What is the Magnet recognition program? Retrieved June 11, 2007, from http://nursecredentialing.org/magnet/index.html
    Oncology Nursing Society. (2007). The impact of the national nursing shortage on quality cancer care. Retrieved March 9, 2008, from http://www.ons.org/publications/positions/NursingShortage.shtml
    Oncology Nursing Society. (2008). Putting Evidence into Practice®: Improving patient outcomes. Retrieved March 8, 2008, from http://www.ons.org/outcomes
    Oncology Nursing Society & American Nurses Association. (1996). Statement on the scope and standards of oncology nursing practice (2nd ed.). Pittsburgh, PA: Authors.
    Oncology Nursing Society & American Nurses Association. (2004). Statement on the scope and standards of oncology nursing practice (3rd ed.). Pittsburgh, PA: Authors.
    Benoliel, J. Q. (1983). The historical development of cancer nursing research in the United States. Cancer Nursing, 6(4), 261-268.
    Blendon, R. J., & Desroches, C. (2003). Future health care challenges. Issues in Science and Technology Online. Retrieved June 11, 2007, from http://www.issues.org/19.4/blendon.html
    Brooten, D., & Naylor, M. D. (1995). Nurses' effect on changing patient outcomes. Image: The Journal of Nursing Scholarship, 27(2), 95-99.
    Central Intelligence Agency. (2008). The World Factbook. United States: People, age structure. Retrieved March 9, 2008, from http://www.cia.gov/library/publications/the-world-factbook/geos/us.html#People
    Crosby, F., Ventura, M. R., & Feldman, M. J. (1987). Future research recommendations for establishing NP effectiveness. Nurse Practitioner, 12(1), 75-76, 78-79.
    Ferrell, B., & Dow, K. H. (1998). Breast cancer across the life span. Quality of Life—A Nursing Challenge, 6(1), 45-48.
    Ferrell, B., Grant, M., Dean, G., Funk, B., & Ly, J. (1996). Bone tired: The experience of fatigue and its impact on quality of life. Oncology Nursing Forum, 23(10), 1539-1547.
    Ferrell, B., Virani, R., Smith, S., & Juarez, G. (2003). The role of oncology nursing to ensure quality care for cancer survivors: A report commissioned by the National Cancer Quality Board and Institute of Medicine [Online exclusive]. Oncology Nursing Forum, 30(1), E1-E11. Retrieved February 22, 2007, from http://www.ons.org/Publications/journals/ONF/Volume30/Issue1/300132.asp http://www.ons.org/Publications/journals/ONF/Volume30/Issue1/300132.asp
    Gaskill, M. (2001). A new attitude. Alternative therapies that focus on body, mind, and spirit offer an integrative approach to treatment. Retrieved March 9, 2008, from http://www.nurseweek.com/news/features/01-08/alternative.html
    Grant, M., Padilla, G., & Greimel, E. R. (1996). Survivorship and quality of life issues. In R. McCorkle, M. Grant, M. Frank-Stromborg, & S. B. Baird (Eds.), Cancer nursing (2nd ed., pp. 1312-1321). Philadelphia: Saunders.
    Hoffman, B. (1991). Employment discrimination: Another hurdle for cancer survivors. Cancer Investigation, 9(5), 589-595.
    Innovation.org. (2007). Future of health care. Meeting the challenge ahead. Retrieved June 11, 2007, from http://www.innovation.org/index.cfm/FutureOfInnovation/Future_of_Health_Care
    Johnson, M., & Yarbro, C. (1993). Principles of oncology nursing. Retrieved March 9, 2008, from http://www.cancer.org/downloads/pub/DOCS/SECTION20/70.pdf
    Joint Commission. (2007). Facts about the Joint Commission. Retrieved June 11, 2007, from http://www.jointcommission.org/AboutUs/joint_commission_facts.htm
    McGuire, D. B., & Ropka, M. E. (2000). Research and oncology nursing practice. Seminars in Oncology Nursing, 16(1), 35-46.
    Meyskens, F., Jr., & Tully, P. (2005). Principles of cancer prevention. Seminars in Oncology Nursing, 21(4), 229-235.
    Mick, J., & Cohen, M. Z. (2004). Creating a webliography. Using the Internet as an effective health care resource. Hematology Oncology News and Issues, 3(1), 33-36.
    National Cancer Institute. (2007). Nutrition in cancer care (PDQ®) health professional version. U. S. National Institutes of Health. Retrieved March 8, 2008, from http://www.cancer.gov/cancertopics/pdq/supportivecare/nutrition/healthprofessional/allpages/print
    National Guideline Clearinghouse. (2005). Guideline for the management of cancer pain in adults and children. Retrieved March 8, 2008, from http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=7297&nbr=4341
    National Human Genome Research Institute. (2003). The Human Genome Project Completion. Retrieved March 9, 2008, from http://www.genome.gov/11006943
    National Institutes of Health. (2006). Dramatic changes in U. S. aging highlighted in new census, NIH report. Retrieved March 9, 2008, from http://www.nia.gov/NewsAndEvents/PressReleases/PR2006030965PlusReport.htm
    Oncology Nursing Society. (2004). Year 2004 Oncology Nursing Society research priorities survey summary report. Retrieved March 8, 2008, from http://www.ons.org/research/information/documents/pdfs/ResearchPriorities.pdf
    Oncology Nursing Society. (2006). Putting Evidence into Practice®: Fatigue. What interventions are effective in preventing and treating fatigue during and following cancer and its treatment? Retrieved March 8, 2008, from http://www.ons.org/outcomes/volume1/fatigue/pdf/FATIGUE-DetailedPEPCard4-28-06.pdf
    Pearson, K. E. (1998). Interpersonal and therapeutic skills inherent in oncology nursing. In R. M. Carroll-Johnson, L. M. Gorman, & N. J. Bush (Eds.), Psychosocial nursing care along the cancer continuum (2nd ed., pp. 385-401). Pittsburgh, PA: Oncology Nursing Society.
    Ropka, M., Guterbock, T., Krebs, L., Murphy-Ende, K., Stetz, K., Summers, B., et al. (2002). Year 2000 Oncology Nursing Society research priorities survey. Oncology Nursing Forum, 29(3), 481-491.
    U. S. Census Bureau. (2000). Population by race and Hispanic or Latino origin for the United States: 1990 and 2000. Retrieved March 9, 2008, from http://www.census.gov/population/cen2000/phc-t1/tab04.pdf
    U. S. Census Bureau. (2005). American community survey (ACS). Retrieved June 11, 2007, from http://www.census.gov/acs/www
    U. S. Department of Health and Human Services. (2000). Summary health statistics for the U. S. population: National health interview survey. Series 10, Number 214. Retrieved March 8, 2008, from http://www.cdc.gov/nchs/data/series/sr_10/sr10_214.pdf
    U. S. Department of Health and Human Services. (2006). Summary health statistics for the U. S. population: National health interview survey. Series 10, Number 236. Retrieved March 8, 2008, from http://www.cdc.gov/nchs/data/series/sr_10/sr10_236.pdf
    Wan, H., Sengupta, M., Veloff, V. A., & DeBarros, K. A. (2006). 65+ in the United States: 2005. Current Population Reports. Retrieved March 8, 2008, from http://www.census.gov/prod/2006pubs/p23-209.pdf
    Yarbro, C. H., Frogge, M. H., Goodman, M., & Groenwald, S. L. (Eds.). (2005). Cancer nursing: Principles and practice (6th ed.). Sudbury, MA: Jones and Bartlett.