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.

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

Systemic anticancer therapy handling safety

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

Hypercalcaemia of malignancy: causes and management

Hypercalcaemia of malignancy: causes and management

Unless treated promptly hypercalcaemia of malignancy can progress quickly

Use of glycated haemoglobin blood test (HbA1c) screening for health promotion in surgical gynaecology oncology patients

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

Feasibility of a referral pathway to community pharmacy for patients taking oral anticancer medication

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

Unmet needs in patients with high risk uveal melanoma undergoing liver surveillance

This audit provides a snapshot of the issues faced by patients with a rare form of cancer

Effect of dilution and delivery speed on phlebitis after epirubicin chemotherapy

Ensuring the right concentration of saline could reduce risk of pain during administration

Is online chat a solution or barrier to communicating with people with prostate cancer?

Methods of communication have become less personal and more reliant on technology

Psychological effects of choosing active surveillance on men with prostate cancer

The psychological effects of active surveillance and how nurses can support patients

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