Clinical

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.

Assessing and managing chemotherapy-induced peripheral neuropathy

Assessing and managing chemotherapy-induced peripheral neuropathy

CIPN is a common side effect of certain cytotoxic regimens characterised by sensory symptoms

Open access
Using patient and public involvement to improve the clinical pathway for participants in clinical trials

Patient and public involvement on the clinical pathway for clinical trial participants

A service evaluation into the effect PPI can have on a patient pathway

Offering breast cancer patients a choice of device for administration of chemotherapy: a service improvement project

Offering breast cancer patients a choice of device for administration of chemotherapy

A service improvement project offered patients a choice early on in their treatment

Using targeted education to improve acute hospital nurses’ knowledge and attitudes regarding pain assessment and management

Using targeted education to improve acute hospital nurses’ knowledge and attitudes...

Why you should read this article: • To understand that the assessment and management of pain in acute hospitals is often suboptimal • To be aware that gaps in healthcare professionals’ knowledge contribute to inadequate pain management • To emphasise the importance of targeted education in improving knowledge of pain assessment and management The assessment and management of pain in acute hospitals has been shown to be suboptimal in literature dating back to the 1950s. Inadequate pain management is thought to be partly due to knowledge gaps and suboptimal attitudes among healthcare professionals regarding pain assessment and management. The literature focuses on measuring and comparing knowledge scores, but it is necessary to understand where the knowledge gaps are and how to fill them. This article presents the findings of an evaluation project conducted across the acute sector of a district general teaching hospital. The project aimed to improve knowledge and attitudes, among nurses, regarding pain assessment and management with a targeted educational intervention.

Role of the body in cancer, sense-making and the search for meaning

Role of the body in cancer, sense-making and the search for meaning

Nursing care requires nurses to work intimately and closely with the bodies of others

Assessing and managing diarrhoea in patients with prostate cancer who undergo pelvic radiotherapy

Managing diarrhoea in patients with prostate cancer who undergo pelvic radiotherapy

This article describes the assessment and initial and long-term management of diarrhoea

Exploring patients’ lived experiences and perceptions of chemotherapy

Exploring patients’ lived experiences and perceptions of chemotherapy

Why you should read this article • To gain an in-depth understanding of patients’ lived experiences of chemotherapy • To appreciate the importance of the psychological, emotional, social and spiritual aspects of cancer care • To explore the role of hope as a coping mechanism for patients undergoing chemotherapy Background Chemotherapy is one of the main systemic therapies for cancer, but often has significant negative effects on the physical, psychological, emotional, spiritual and social aspects of patients’ lives. Therefore, it is important for nurses to understand patients’ experiences of chemotherapy to provide effective care and management. Aim To explore Iranian patients’ lived experiences of chemotherapy. Methods Nine hospital inpatients who had undergone at least one whole course of chemotherapy participated in 14 in-depth, semi-structured interviews. Qualitative data were analysed using a phenomenological approach and themes were generated. Findings Participants described a broad range of experiences of chemotherapy. They perceived chemotherapy as altering their lives; causing physical and psychosocial suffering; bringing about uncertainty, but also hope; and representing a crucial means of fighting cancer – and, for some, a gift from God. Conclusion Being aware of the effects of chemotherapy on patients’ lives is important in planning nursing interventions. Nurses need to develop strategies that will moderate the negative effects of chemotherapy, identify patients’ support systems and potential sources of hope, and use these to assist patients in coping with the disease and its treatment.

Psychological care

Understanding the demand and unmet need for psychological cancer care in the community

Psychological care for people with cancer and their carers is not meeting demand

Cannabinoids for the treatment of cancer-related pain: a systematic review

Cannabinoids for the treatment of cancer-related pain: a systematic review

A review of evidence around potential medicinal use in treating cancer-related pain

Effectiveness of interventions to support male partners of women diagnosed with breast cancer

Interventions to support male partners of women diagnosed with breast cancer

This literature review aims to evaluate the effectiveness of such interventions

Available chemotherapy treatment locations and subsequent uptake: a mixed methods study

Available chemotherapy treatment locations and uptake: a mixed methods study

How healthcare professionals currently offer alternative treatment locations to patients

Implementing hope-based interventions in adolescent and young adult cancer survivors

Implementing hope-based interventions in adolescent and young adult cancer survivors

How the concept of hope can benefit adolescent and young adult cancer survivors

Systemic anticancer therapy handling safety

Healthcare workers’ awareness, knowledge, training and use of protection measures

Hypercalcaemia of malignancy: causes and management

Unless treated promptly hypercalcaemia of malignancy can progress quickly

Use of HbA1c screening for health promotion in surgical gynaecology oncology patients

How one trust identified that patients might benefit from a glycated haemoglobin blood test

A referral pathway to community pharmacy for patients on oral anticancer medication

This article looks at a study set out to establish the feasibility of a referral pathway

‘Other-unproven’: US research and its implications for complementary therapies in UK

Insights into ways complementary therapists could play a useful role in new models of care

Spirituality care: assessing the spiritual needs of people with cancer

Unmet spiritual needs can lead to distress and further aggravate a diagnosis of cancer

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