Clinical

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Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

Care closer to home: evaluation of a pilot follow-up and rehabilitation service...

Why you should read this article: • To read about an evaluation of a pilot service redesign that enables patients with head and neck cancer to receive follow up and rehabilitation closer to home • To enhance your understanding of the elements involved in a comprehensive evaluation of a service redesign • To recognise the importance of collaboration between all partners involved in a service redesign project Patients with head and neck cancer may be required to travel significant distances for treatment, follow up and rehabilitation. This article presents findings from an evaluation of a pilot head and neck cancer service redesign in Thames Valley Cancer Alliance to enable patients from Swindon and Wiltshire to receive follow up and rehabilitation closer to home. The evaluation identified a decrease in overall outpatient visit time for these patients, resulting in reduced travel costs and improved quality of life. Other positive findings included improved outpatient clinic attendance and reduced emergency admissions. However, two aims of the service redesign – increased uptake of holistic needs assessments and delivery of patient education – were not achieved. The evaluation provided evidence for moving the pilot service to a recurrently commissioned model.

Effect of COVID-19 on cancer research nursing services

Why you should read this article: • To learn about the experience of early phase cancer research nurses during the COVID-19 pandemic • To appreciate the challenges and positive developments brought about by the COVID-19 pandemic in relation to nurses working on early phase cancer clinical trials • To recognise the positive implications for future cancer research nursing practice This service evaluation examined the experiences of adult and children’s cancer research nurses working on early phase cancer clinical trials during the coronavirus disease 2019 (COVID-19) pandemic. A questionnaire was provided to early phase cancer research nurses at experimental cancer medicine centres, and alongside this there was an online discussion with eight of the nurses. The themes developed from the findings and online discussion provided an insight into the challenges faced by early phase cancer nurses during this unprecedented time and into some of the innovations, such as virtual appointments, adopted to overcome them. COVID-19 had a significant negative effect on the cancer research nurse workforce. However, peer support, networking opportunities, reflection and embracing innovation provided support for nurses and enhanced person-centred care.

Metastatic spinal cord compression: a poster and mnemonic supporting acute hospital staff to deliver optimal patient care

Metastatic spinal cord compression: a poster and mnemonic supporting optimal care

How this resource was developed and how the acute oncology team assessed its effects

Benefits of prehabilitation in patients receiving neoadjuvant chemotherapy

Benefits of prehabilitation in patients receiving neoadjuvant chemotherapy

Prehabilitation can take the form of diet, exercise and/or psychological interventions

Mobility issues

How older age and pre-existing multimorbidity may complicate self-management of cancer

A reduction in physical function affected older people’s ability to manage their health

Emotional labour in oncology and haematology nursing: exploring effects and coping strategies

Emotional labour in oncology and haematology nursing

Exploring effects and coping strategies

Nurses’ attitudes and beliefs around exploring the existential concerns of people with cancer

Nurses’ attitudes and beliefs on exploring existential concerns of people with cancer

Existential concerns are common among people with cancer, but many perceive a lack of support

The role of spirituality in women with breast cancer: an integrative literature review

The role of spirituality in women with breast cancer: an integrative literature review

Spirituality can be an important part of a person-centred approach to care

Digital illustration

Developing a digital pre-assessment pathway for patients on systemic anticancer therapy

A look at the challenges to implementation and the findings of a patient feedback survey

Open access
Home denosumab self-administration: a service development project

Home denosumab self-administration: a service development project

The barriers to and facilitators of this project and the results of a patient feedback survey

Clinical decisions

Using clinical decision support systems in breast cancer treatment: a critical review

How CDSSs can assist clinicians in achieving informed cancer treatment decisions

Acute promyelocytic leukaemia: reviewing outcomes of induction treatment with arsenic trioxide and retinoic acid

Acute promyelocytic leukaemia: reviewing outcomes of induction treatment

An investigation into two non-chemotherapy agents, arsenic trioxide and retinoic acid

Metastatic breast cancer patients receiving oral anti-cancer treatment

Audit of practice using anticancer drugs known as cyclin-dependent kinase 4 and 6 inhibitors

Women’s perceptions of body image post-mastectomy: a literature review

Potential psychological interventions to support women following mastectomy

Enhancing students’ awareness of cancer research nurses to improve future recruitment

A project to help nursing students understand clinical research in cancer settings

Substance use in the adolescent and young adult cancer population

A narrative literature review on substance use among adolescents and young adults

Understanding colorectal cancer survivors’ perceptions of dietary advice

A literature review identifying approaches to use in your practice to improve dietary advice

Effects of surviving cancer in childhood on young people’s social interactions

A literature review of the effects on social interactions of adolescents and young adults

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