ONS https://www.ons.org/rss.xml en Episode 111: Use Social Media to Enhance Your Clinical Practice https://www.ons.org/podcasts/episode-111-use-social-media-enhance-your-clinical-practice <span>Episode 111: Use Social Media to Enhance Your Clinical Practice</span> <span><span lang="" about="/user/92326" typeof="schema:Person" property="schema:name" datatype="">SKaram@ons.org</span></span> <span>Fri, 07/10/2020 - 07:41</span> <p>Lee Aase, communications director for Mayo Clinic in Rochester, MN, and presenter at the 2020 ONS Bridge™ virtual conference, joins Stephanie Jardine, BSN, RN, oncology clinical specialist at ONS, to discuss various social media platforms clinicians use to enhance their practice, the guidelines and risks to be aware of, and benefits of using social media in health care.</p> <p><strong>Episode Notes</strong></p> <p>Check out these resources from today’s episode:</p> <ul><li><a href="https://courses.ons.org/diweb/gateway/init/1/f/catalog*2Fitem*2Feid*2FP377">Complete this evaluation for free nursing continuing professional development</a>.     </li> <li><a href="https://www.ons.org/develop-your-career/professional-development/conferences/ons-bridge-virtual-conference">Register for ONS Bridge</a>.</li> <li><a href="https://voice.ons.org/conferences/using-the-social-network-what-are-the-professional-boundaries"><em>ONS Voice</em> article: Using the Social Network: What Are the Professional Boundaries?</a></li> <li><a href="https://voice.ons.org/news-and-views/the-case-of-the-blurred-boundaries"><em>ONS Voice</em> article: The Case of the Blurred Boundaries</a></li> <li><a href="https://voice.ons.org/news-and-views/the-case-of-the-facebook-friend-request"><em>ONS Voice</em> article: The Case of the Facebook Friend Request</a></li> <li><a href="https://connect.mayoclinic.org/">Mayo Clinic Connect</a></li> <li><a href="https://socialmedia.mayoclinic.org/">Mayo Clinic’s Social Media Network</a></li> <li><a href="https://socialmedia.mayoclinic.org/social-media-residency/">Mayo Clinic Social Media Residency</a></li> <li><a href="https://socialmedia.mayoclinic.org/social-media-basics-certification/">Social for Healthcare Certificate from Mayo Clinic and Hootsuite</a></li> <li><a href="https://socialmedia.mayoclinic.org/nursing/">Social media resources for nurses</a></li> </ul> <h3>Listen on:</h3> <p> <a href="https://itunes.apple.com/us/podcast/the-oncology-nursing-podcast/id1298224806?mt=2">Listen on iTunes</a>, <a href="https://play.google.com/music/listen?t=The_Oncology_Nursing_Podcast&amp;u=0&amp;view=/ps/Iqquy3kdtog2ju76jdv3r4m7jni">Listen on the Google Play Store</a>, <a href="https://www.stitcher.com/podcast/oncology-nursing-podcast/the-oncology-nursing-podcast">Listen on Stitcher</a>, <a href="https://open.spotify.com/show/3Q58Ulo86qXLKJUJgwQruu?si=jN7lK1OUT-6WxILTK3j_UA">Listen on Spotify</a></p> Fri, 10 Jul 2020 11:41:20 +0000 SKaram@ons.org 152476 at https://www.ons.org Episode 110: FDA Takes on Tobacco Use and Its Impact on Cancer Care https://www.ons.org/podcasts/episode-110-fda-takes-tobacco-use-and-its-impact-cancer-care <span>Episode 110: FDA Takes on Tobacco Use and Its Impact on Cancer Care</span> <span><span lang="" about="/user/92326" typeof="schema:Person" property="schema:name" datatype="">SKaram@ons.org</span></span> <span>Mon, 07/06/2020 - 07:01</span> <p>Mitch Zeller, JD, director of the U.S. Food and Drug Administration’s (FDA’s) Center for Tobacco Products, joins Lisa Kennedy Sheldon, PhD, APRN, AOCNP<sup>®</sup>, FAAN, ONS’s clinical and scientific affairs liaison, to discuss tobacco’s effect on American health, communication strategies for patients with cancer who want to quit, and what FDA is doing to mitigate its harm. </p> <p><strong>Episode Notes</strong> </p> <p>Check out these resources from today’s episode: </p> <ul><li><a href="https://courses.ons.org/diweb/gateway/init/1/f/catalog*2Fitem*2Feid*2FP376">Complete this evaluation for free nursing continuing professional development</a>.</li> <li><a href="https://www.ons.org/make-difference/ons-center-advocacy-and-health-policy/position-statements/e-cigarettes-and-vaping" rel="noopener" target="_blank">ONS E-Cigarettes and Vaping Position Statement</a> </li> </ul><ul><li><a href="https://www.ons.org/make-difference/ons-center-advocacy-and-health-policy/position-statements/isncc-tobacco-position" rel="noopener" target="_blank">ONS-endorsed ISNCC Tobacco Position Statement</a> </li> </ul><ul><li><a href="https://www.ons.org/learning-libraries/vaping" rel="noopener" target="_blank">ONS Vaping Learning Library</a> </li> </ul><ul><li><a href="https://www.ons.org/podcasts/episode-55-youth-vaping-epidemic" rel="noopener" target="_blank"><em>Oncology Nursing Podcast</em> Episode 55: The Youth Vaping Epidemic</a> </li> </ul><ul><li><a href="https://onf.ons.org/onf/45/1/smoking-prevalence-and-management-among-cancer-survivors" rel="noopener" target="_blank"><em>Oncology Nursing Forum </em>article: Smoking Prevalence and Management Among Cancer Survivors</a> </li> </ul><ul><li><a href="https://voice.ons.org/advocacy/vaping-e-cigarettes-and-flavored-tobacco-are-reversing-20-years-of-decreasing-smoking" rel="noopener" target="_blank"><em>ONS Voice </em>article: Vaping, E-Cigarettes, and Flavored Tobacco Are Reversing 20 Years of Decreasing Smoking Rates</a> </li> </ul><ul><li><a href="https://www.fda.gov/tobacco-products/about-center-tobacco-products-ctp/mitch-zeller" rel="noopener" target="_blank">Mitch Zeller’s biography</a> </li> </ul><ul><li><a href="https://www.fda.gov/tobacco-products/about-center-tobacco-products-ctp/what-ctp-does" rel="noopener" target="_blank">FDA Center for Tobacco Products</a> </li> </ul><ul><li><a href="https://www.fda.gov/tobacco-products/youth-and-tobacco/fdas-youth-tobacco-prevention-plan" rel="noopener" target="_blank">FDA Center for Tobacco Products’ Youth Tobacco Prevention Plan</a> </li> </ul><ul><li><a href="https://www.pbs.org/newshour/health/first-surgeon-general-report-on-smokings-health-effects-marks-50-year-anniversary#:~:text=The%20U.S.%20Surgeon%20General's%20first,lung%20cancer%20and%20heart%20disease." rel="noopener" target="_blank">The first U.S. surgeon general’s report on smoking (1964)</a> </li> </ul><ul><li><a href="https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm" rel="noopener" target="_blank">2014 Surgeon General's Report: The Health Consequences of Smoking—50 Years of Progress</a> </li> </ul><ul><li><a href="https://www.nap.edu/catalog/24952/public-health-consequences-of-e-cigarettes" rel="noopener" target="_blank">National Academies of Sciences’ Public Health Consequences of E-Cigarettes 2018 report</a> </li> </ul><ul><li><a href="https://therealcost.betobaccofree.hhs.gov/" rel="noopener" target="_blank">FDA’s Real Cost campaign</a> </li> </ul><ul><li><a href="https://www.fda.gov/tobacco-products/every-try-counts-campaign" rel="noopener" target="_blank">FDA’s Every Try Counts campaign</a> </li> </ul> <h3>Listen on:</h3> <p> <a href="https://itunes.apple.com/us/podcast/the-oncology-nursing-podcast/id1298224806?mt=2">Listen on iTunes</a>, <a href="https://play.google.com/music/listen?t=The_Oncology_Nursing_Podcast&amp;u=0&amp;view=/ps/Iqquy3kdtog2ju76jdv3r4m7jni">Listen on the Google Play Store</a>, <a href="https://www.stitcher.com/podcast/oncology-nursing-podcast/the-oncology-nursing-podcast">Listen on Stitcher</a>, <a href="https://open.spotify.com/show/3Q58Ulo86qXLKJUJgwQruu?si=jN7lK1OUT-6WxILTK3j_UA">Listen on Spotify</a></p> Mon, 06 Jul 2020 11:01:15 +0000 SKaram@ons.org 152461 at https://www.ons.org Episode 109: Is Telehealth the Future of Cancer Care? https://www.ons.org/podcasts/episode-109-telehealth-future-cancer-care <span>Episode 109: Is Telehealth the Future of Cancer Care?</span> <span><span lang="" about="/user/92326" typeof="schema:Person" property="schema:name" datatype="">SKaram@ons.org</span></span> <span>Fri, 06/26/2020 - 07:25</span> <p>ONS member Abigail Baldwin Medsker, MSN, RN, OCN<sup>®</sup>, associate director of digital transformation at Memorial Sloan Kettering Cancer Center in New York and member of the ONS New York City Chapter, joins Stephanie Jardine, BSN, RN, oncology clinical specialist at ONS, to discuss best practices in telehealth, commonly used strategies, and resources for oncology nurses and patients navigating cancer care in a digital world. </p> <p><strong>Episode Notes</strong> </p> <p>Check out these resources from today’s episode:  </p> <ul><li><a href="https://courses.ons.org/diweb/gateway/init/1/f/catalog*2Fitem*2Feid*2FP375" rel="noopener" target="_blank">Complete this evaluation for free nursing continuing professional development</a>.    </li> <li><a href="https://cjon.ons.org/cjon/24/3/supplement/access-care-using-ehealth-limit-location-based-barriers-patients-cancer" rel="noopener" target="_blank"><em>Clinical Journal of Oncology Nursing </em>article Access to Care: Using eHealth to Limit Location-Based Barriers for Patients With Cancer</a></li> <li><a href="https://cjon.ons.org/cjon/24/3/supplement"><em>Clinical Journal of Oncology Nursing </em>telehealth supplement </a></li> <li><a href="https://voice.ons.org/news-and-views/telehealth-visits-during-covid-19" rel="noopener" target="_blank"><em>ONS Voice </em>article Telehealth Visits During COVID-19</a> </li> <li><a href="https://voice.ons.org/news-and-views/covid-19-telephone-triage-for-patients-with-cancer" rel="noopener" target="_blank"><em>ONS Voice </em>article COVID-19 Telephone Triage for Patients With Cancer</a>  </li> <li><a href="https://voice.ons.org/stories/virtual-care-for-patients-with-cancer-in-new-jersey-during-covid-19" rel="noopener" target="_blank"><em>ONS Voice </em>article Virtual Care for Patients With Cancer in New Jersey During COVID-19</a> </li> <li><a href="https://voice.ons.org/news-and-views/telehealth-programs-improve-symptom-management-at-home" rel="noopener" target="_blank"><em>ONS Voice </em>article Telehealth Programs Improve Symptom Management at Home</a> </li> <li><a href="https://www.aaacn.org/practice-resources/telehealth" rel="noopener" target="_blank">American Academy of Ambulatory Care Nursing telehealth resources</a> </li> <li><a href="https://www.americantelemed.org/resource/why-telemedicine/" rel="noopener" target="_blank">American Telehealth Association resources</a> </li> </ul> <h3>Listen on:</h3> <p> <a href="https://itunes.apple.com/us/podcast/the-oncology-nursing-podcast/id1298224806?mt=2">Listen on iTunes</a>, <a href="https://play.google.com/music/listen?t=The_Oncology_Nursing_Podcast&amp;u=0&amp;view=/ps/Iqquy3kdtog2ju76jdv3r4m7jni">Listen on the Google Play Store</a>, <a href="https://www.stitcher.com/podcast/oncology-nursing-podcast/the-oncology-nursing-podcast">Listen on Stitcher</a>, <a href="https://open.spotify.com/show/3Q58Ulo86qXLKJUJgwQruu?si=jN7lK1OUT-6WxILTK3j_UA">Listen on Spotify</a></p> Fri, 26 Jun 2020 11:25:12 +0000 SKaram@ons.org 152441 at https://www.ons.org Pandemic Paradox https://www.ons.org/articles/pandemic-paradox <span>Pandemic Paradox</span> <h4>Description</h4> <div><p>The COVID-19 crisis continues. Worldwide, there have been roughly 6.3 million cases and 380,000 deaths. In the United States, at the time of this writing, there were 106,200 deaths. As life has changed on many fronts, some predictable effects of the pandemic have occurred, including socioeconomic hardships, social isolation, and political unease. Although the intensity of the need for effective treatments and a vaccine is ongoing, other issues have arisen that were not widely anticipated in the early days of the pandemic. Several of these consequences have brought a focus on issues that are at the heart of oncology nursing.</p></div> <span><span lang="" about="/user/7026" typeof="schema:Person" property="schema:name" datatype="">spieszak</span></span> <span>Wed, 06/24/2020 - 11:19</span> <a href="https://onf.ons.org/onf/47/4/pandemic-paradox" class="btn more-link" target="_article_link">View Article </a> <div> <label class="product-detail-label">By:</label> <span class="product-detail-data">Debra Lyon, RN, PhD, FNP-BC, FAAN</span> </div> <div> <label class="product-detail-label">Published In:</label> <span class="product-detail-data">ONF</span> </div> <div> <label class="product-detail-label">Publication Date:</label> <span class="product-detail-data"><time datetime="2020-07-01T12:00:00Z">2020-07-01</time> </span> </div> <div> <label class="product-detail-label">Digital Object Identifier:</label> <span class="product-detail-data">10.1188/20.ONF.371-372</span> </div> Wed, 24 Jun 2020 15:19:45 +0000 spieszak 152431 at https://www.ons.org The Ecology of Patients’ Sexual Health Adjustment After Prostate Cancer Treatment: The Influence of the Social and Healthcare Environment https://www.ons.org/articles/ecology-patients-sexual-health-adjustment-after-prostate-cancer-treatment-influence-social <span>The Ecology of Patients’ Sexual Health Adjustment After Prostate Cancer Treatment: The Influence of the Social and Healthcare Environment</span> <h4>Description</h4> <div><p><strong>Purpose:</strong> Little empirical research identifies environmental influences on sexual recovery of men with prostate cancer. This secondary qualitative analysis aimed to describe the role of the patients’ environment on their sexual recovery process following prostate cancer surgery.</p> <p><strong>Participants &amp; Setting:</strong> Transcripts of interviews with 8 heterosexual men were randomly selected and analyzed from a sample of 18 at three months postprostatectomy.</p> <p><strong>Methodologic Approach:</strong> The study was based on the social ecological model. Interpretative phenomenological analysis was applied to examine environmental factors affecting sexual recovery through the participant’s perspective.</p> <p><strong>Findings:</strong> The value of trusted connections and support extended beyond the partner to the patient’s social and healthcare networks.</p> <p><strong>Implications for Nursing:</strong> These findings support the need for providers to assess the full constellation of patients’ environmental experiences to better understand sexual recovery.</p></div> <span><span lang="" about="/user/7026" typeof="schema:Person" property="schema:name" datatype="">spieszak</span></span> <span>Wed, 06/24/2020 - 11:16</span> <a href="https://onf.ons.org/onf/47/4/ecology-patients-sexual-health-adjustment-after-prostate-cancer-treatment-influence-social" class="btn more-link" target="_article_link">View Article </a> <div> <label class="product-detail-label">By:</label> <span class="product-detail-data">Asa Benjamin Smith, BSN, RN</span>; <span class="product-detail-data">Daniela Wittmann, PhD, LMSW</span>; <span class="product-detail-data">Denise Saint Arnault, PhD, RN, FAAN</span> </div> <div> <label class="product-detail-label">Published In:</label> <span class="product-detail-data">ONF</span> </div> <div> <label class="product-detail-label">Publication Date:</label> <span class="product-detail-data"><time datetime="2020-07-01T12:00:00Z">2020-07-01</time> </span> </div> <div> <label class="product-detail-label">Digital Object Identifier:</label> <span class="product-detail-data">10.1188/20.ONF.469-478</span> </div> Wed, 24 Jun 2020 15:16:24 +0000 spieszak 152426 at https://www.ons.org Perspectives of Inpatients With Cancer on Engagement in Fall Prevention https://www.ons.org/articles/perspectives-inpatients-cancer-engagement-fall-prevention <span>Perspectives of Inpatients With Cancer on Engagement in Fall Prevention</span> <h4>Description</h4> <div><p><strong>Purpose:</strong> To explore perspectives of hospitalized adults with cancer regarding engagement in fall prevention plans. The primary aim was to discover new knowledge about patients’ perspectives and improve the design of fall prevention strategies. A secondary aim was to compare fall-related perspectives of patients who had and who had not fallen.</p> <p><strong>Participants &amp; Setting: </strong>30 inpatients with cancer at a teaching hospital in a statewide academic health system in the midwestern United States.</p> <p><strong>Methodologic Approach:</strong> A descriptive exploratory approach framed qualitative data collection through interviews with inpatients. Data were analyzed thematically.</p> <p><strong>Findings:</strong> Themes reflected six perspectives related to engagement in fall prevention. A need to go to the bathroom triggered a two-step process in which participants decided whether to ask staff for assistance to mobilize and to wait for assistance to arrive. If necessary, participants would disengage from fall prevention plans and move to the bathroom without assistance to avoid incontinence, preserve privacy, and maintain independence in toileting. Factors influencing decisions were assessments of mobilization capacity and views of nurses’ behaviors.</p> <p><strong>Implications for Nursing:</strong> Nurses can foster patient engagement in fall prevention by developing trusting, authentic relationships with at-risk patients, involving patients in assessing their own fall risk, and tailoring toileting plans to ensure continence.</p></div> <span><span lang="" about="/user/7026" typeof="schema:Person" property="schema:name" datatype="">spieszak</span></span> <span>Wed, 06/24/2020 - 11:11</span> <a href="https://onf.ons.org/onf/47/4/perspectives-inpatients-cancer-engagement-fall-prevention" class="btn more-link" target="_article_link">View Article </a> <div> <label class="product-detail-label">By:</label> <span class="product-detail-data">K. Renee Twibell, PhD, RN, CNE</span>; <span class="product-detail-data">Debra Siela, PhD, RN, ACNS-BC, CCRN-K, CNE, RRT</span>; <span class="product-detail-data">Lori Delaney, MS, APRN, ACNS-BC, RN-BC</span>; <span class="product-detail-data">Patricia Avila, MSN, RN, OCN®, AOCNS®</span>; <span class="product-detail-data">Allison M. Spradlin, BSN, RN, OCN®</span>; <span class="product-detail-data">Gena Coers, BS, RN</span> </div> <div> <label class="product-detail-label">Published In:</label> <span class="product-detail-data">ONF</span> </div> <div> <label class="product-detail-label">Publication Date:</label> <span class="product-detail-data"><time datetime="2020-07-01T12:00:00Z">2020-07-01</time> </span> </div> <div> <label class="product-detail-label">Digital Object Identifier:</label> <span class="product-detail-data">10.1188/20.ONF.457-468</span> </div> Wed, 24 Jun 2020 15:11:17 +0000 spieszak 152421 at https://www.ons.org Paving the Way: A Grounded Theory of Discovery and Decision Making for Individuals With the CDH1 Marker https://www.ons.org/articles/paving-way-grounded-theory-discovery-and-decision-making-individuals-cdh1-marker <span>Paving the Way: A Grounded Theory of Discovery and Decision Making for Individuals With the CDH1 Marker</span> <h4>Description</h4> <div><p><strong>Purpose: </strong>To understand the process of discovery and decision making for adults with the CDH1 marker for hereditary diffuse gastric cancer and inherited breast cancer.</p> <p><strong>Participants &amp; Setting:</strong> Purposeful sampling included 20 participants: 17 adults (11 women and 6 men aged 23–77 years) recruited through the No Stomach for Cancer organization and 3 healthcare providers. Six participants were interviewed two times. Nineteen interviews were done via telephone, and one was conducted in person.</p> <p><strong>Methodologic Approach: </strong>Grounded theory with constant comparison was used.</p> <p><strong>Findings: </strong>The decision-making process of Paving the Way addresses the challenges for individuals diagnosed with the CDH1 marker. The theory explains the process of learning the risk, discerning testing, choosing iterative individual interventions, and adjusting postoperatively while normalizing to live longer.</p> <p><strong>Implications for Nursing: </strong>The process explains and describes the nine factors for decision making and predicts the timing for nursing interventions for genetic testing and pre- and postoperative assessment and planning.</p></div> <span><span lang="" about="/user/7026" typeof="schema:Person" property="schema:name" datatype="">spieszak</span></span> <span>Wed, 06/24/2020 - 11:07</span> <a href="https://onf.ons.org/onf/47/4/paving-way-grounded-theory-discovery-and-decision-making-individuals-cdh1-marker" class="btn more-link" target="_article_link">View Article </a> <div> <label class="product-detail-label">By:</label> <span class="product-detail-data">Cheryl L. Hersperger, PhD, RN, PHNA-BC</span>; <span class="product-detail-data">Jean Boucher, PhD, RN, ANP-BC, AOCNP®</span>; <span class="product-detail-data">Rosemary Theroux, PhD, WHNP-BC</span> </div> <div> <label class="product-detail-label">Published In:</label> <span class="product-detail-data">ONF</span> </div> <div> <label class="product-detail-label">Publication Date:</label> <span class="product-detail-data"><time datetime="2020-07-01T12:00:00Z">2020-07-01</time> </span> </div> <div> <label class="product-detail-label">Digital Object Identifier:</label> <span class="product-detail-data">10.1188/20.ONF.446-456</span> </div> Wed, 24 Jun 2020 15:07:42 +0000 spieszak 152416 at https://www.ons.org Breast Cancer Survivors’ Unmet Needs After Completion of Radiation Therapy Treatment https://www.ons.org/articles/breast-cancer-survivors-unmet-needs-after-completion-radiation-therapy-treatment <span>Breast Cancer Survivors’ Unmet Needs After Completion of Radiation Therapy Treatment</span> <h4>Description</h4> <div><p><strong>Purpose:</strong> To identify the unmet needs of breast cancer survivors after radiation therapy.</p> <p><strong>Participants &amp; Setting:</strong> Patients who received radiation therapy for unilateral breast cancer with six months or longer of follow-up and exhibited no disease progression were eligible for selection to a study conducted at an outpatient radiation therapy academic practice in the southeastern United States.</p> <p><strong>Methodologic Approach:</strong> A qualitative descriptive study was undertaken using semistructured interviews, framed by the five domains of the Survivor Unmet Needs Survey and analyzed using an iterative inductive and deductive process.</p> <p><strong>Findings:</strong> Of the 24 invited patients, 17 agreed to the interview (including one male patient). Themes emerged from the emotional, relationships, and information needs domains: (a) the struggle with adapting to body image changes; (b) living with the fear of recurrence; (c) the unexpected impact of radiation dermatitis; and (d) the need for education to prepare for radiation therapy.</p> <p><strong>Implications for Nursing:</strong> Healthcare providers should perform a comprehensive needs assessment for patients with breast cancer receiving radiation therapy. Self-management assessment instruments may address patients’ confidence in managing all phases of radiation therapy side effects.</p></div> <span><span lang="" about="/user/7026" typeof="schema:Person" property="schema:name" datatype="">spieszak</span></span> <span>Wed, 06/24/2020 - 11:02</span> <a href="https://onf.ons.org/onf/47/4/breast-cancer-survivors-unmet-needs-after-completion-radiation-therapy-treatment" class="btn more-link" target="_article_link">View Article </a> <div> <label class="product-detail-label">By:</label> <span class="product-detail-data">Michelle Pembroke, PhD, RN, OCN®</span>; <span class="product-detail-data">Julie Bradley, MD</span>; <span class="product-detail-data">Lynne S. Nemeth, PhD, RN, FAAN</span> </div> <div> <label class="product-detail-label">Published In:</label> <span class="product-detail-data">ONF</span> </div> <div> <label class="product-detail-label">Publication Date:</label> <span class="product-detail-data"><time datetime="2020-07-01T12:00:00Z">2020-07-01</time> </span> </div> <div> <label class="product-detail-label">Digital Object Identifier:</label> <span class="product-detail-data">10.1188/20.ONF.436-445</span> </div> Wed, 24 Jun 2020 15:02:33 +0000 spieszak 152411 at https://www.ons.org Ethical Challenges Encountered by Clinical Trials Nurses: A Grounded Theory Study https://www.ons.org/articles/ethical-challenges-encountered-clinical-trials-nurses-grounded-theory-study <span>Ethical Challenges Encountered by Clinical Trials Nurses: A Grounded Theory Study</span> <h4>Description</h4> <div><p><strong>Objectives:</strong> To investigate the ethical challenges experienced by oncology clinical trials nurses (OCTNs) during the management of CTs and to examine how they resolve those conflicts.</p> <p><strong>Sample &amp; Setting: </strong>12 licensed RNs who had been practicing as full- or part-time OCTNs for a minimum of two years at various academic medical centers in the United States.</p> <p><strong>Methods &amp; Variables: </strong>Classical grounded theory (CGT), an inductive methodology used to explore a social process in which little is known and to develop a theory grounded in the data, was used, in addition to CGT data analysis strategies.</p> <p><strong>Results: </strong>CGT data analysis revealed the OCTNs’ main concern (implementing an undefined job) and the way in which the OCTNs resolve this concern through the process of figuring it out. Figuring it out consists of learning as they go, utilizing their assets, standing their ground, and managing hope.</p> <p><strong>Implications for Nursing:</strong> Although some nursing research provides examples of ethical challenges OCTNs might encounter in practice, there is little information regarding how nurses manage those encounters. A theoretical understanding of the OCTNs’ experiences managing ethical challenges fills a gap in the nursing literature and provides a framework for how OCTNs manage and respond to challenges in professional practice.</p></div> <span><span lang="" about="/user/7026" typeof="schema:Person" property="schema:name" datatype="">spieszak</span></span> <span>Wed, 06/24/2020 - 10:57</span> <a href="https://onf.ons.org/onf/47/4/ethical-challenges-encountered-clinical-trials-nurses-grounded-theory-study" class="btn more-link" target="_article_link">View Article </a> <div> <label class="product-detail-label">By:</label> <span class="product-detail-data">Sheryl G. Forbes, PhD, MEd, RN, CCRP</span>; <span class="product-detail-data">Carolyn A. Phillips, RN, PhD</span> </div> <div> <label class="product-detail-label">Published In:</label> <span class="product-detail-data">ONF</span> </div> <div> <label class="product-detail-label">Publication Date:</label> <span class="product-detail-data"><time datetime="2020-07-01T12:00:00Z">2020-07-01</time> </span> </div> <div> <label class="product-detail-label">Digital Object Identifier:</label> <span class="product-detail-data">10.1188/20.ONF.428-435</span> </div> Wed, 24 Jun 2020 14:57:06 +0000 spieszak 152406 at https://www.ons.org Causes and Consequences of Chemotherapy Delays in Ambulatory Oncology Practices: A Multisite Qualitative Study https://www.ons.org/articles/causes-and-consequences-chemotherapy-delays-ambulatory-oncology-practices-multisite <span>Causes and Consequences of Chemotherapy Delays in Ambulatory Oncology Practices: A Multisite Qualitative Study</span> <h4>Description</h4> <div><p><strong>Purpose:</strong> In oncology, chemotherapy treatment delays potentially jeopardize patient safety and impede progress toward disease remission. The purpose of this study was to examine the causes and consequences of chemotherapy treatment delays and possible solutions to improve quality of care.</p> <p><strong>Participants &amp; Setting:</strong> The current authors selected a purposive sample of eight ambulatory oncology practices for ethnographic site visits, which lasted five days each.</p> <p><strong>Methodologic Approach:</strong> The authors conducted 290 observation hours, including clinician shadowing, and 46 semistructured interviews with clinicians (oncology nurses, physicians, and advanced practice providers). Deductive and inductive thematic analysis was performed on all data.</p> <p><strong>Findings:</strong> The authors identified four primary themes from the analysis that affect delays: discrepancies in care plans and missing orders, uncommunicated day-of-treatment order changes, orders not signed in advance by physicians, and laboratory testing processes.</p> <p><strong>Implications for Nursing:</strong> Future investigations should examine nurses’ communication practices in the context of timely chemotherapy administration because communication and documentation technologies within healthcare settings continuously evolve.</p></div> <span><span lang="" about="/user/7026" typeof="schema:Person" property="schema:name" datatype="">spieszak</span></span> <span>Wed, 06/24/2020 - 09:55</span> <a href="https://onf.ons.org/onf/47/4/causes-and-consequences-chemotherapy-delays-ambulatory-oncology-practices-multisite" class="btn more-link" target="_article_link">View Article </a> <div> <label class="product-detail-label">By:</label> <span class="product-detail-data">Megan Lafferty, PhD</span>; <span class="product-detail-data">Alex Fauer, PhD, RN, OCN®</span>; <span class="product-detail-data">Nathan Wright, MA</span>; <span class="product-detail-data">Milisa Manojlovich, PhD, RN, FAAN</span>; <span class="product-detail-data">Christopher R. Friese, PhD, RN, AOCN®, FAAN</span> </div> <div> <label class="product-detail-label">Published In:</label> <span class="product-detail-data">ONF</span> </div> <div> <label class="product-detail-label">Publication Date:</label> <span class="product-detail-data"><time datetime="2020-07-01T12:00:00Z">2020-07-01</time> </span> </div> <div> <label class="product-detail-label">Digital Object Identifier:</label> <span class="product-detail-data">10.1188/20.ONF.417-427</span> </div> Wed, 24 Jun 2020 13:55:35 +0000 spieszak 152401 at https://www.ons.org