Evidence and Practice

Clinical

Cancer genomics: assessing nurses’ knowledge, confidence and training needs

Why you should read this article: • To enhance your understanding of the growing importance of genomics in cancer care • To read about cancer nurses’ views on, and knowledge of, genomics • To consider cancer nurses’ genomics training needs and what forms training could take Background Advances in genomic medicine in the NHS have had significant implications for cancer care and cancer nursing. However, it is unclear whether nurses and other healthcare professionals responsible for delivering front-line care feel they have sufficient knowledge and confidence in relation to genomics. Aim To assess the level of practice-based knowledge of genomics among UK-based cancer nurses. Method A survey was designed using an online survey platform. The survey reached 474 cancer nurses and 199 of them responded. Data were analysed using the online survey platform, spreadsheets and pivot tables. Findings Respondents reported low confidence in making decisions involving genomics. Only 27% had ordered a genetic or genomic test and only 39% had contacted their clinical genetics team in the past 12 months. Overall, most respondents reported a need to improve their knowledge of genomics. Conclusion There was a clear need to improve knowledge about how to order testing and communicate with specialist genetic teams, as well as to clarify the role of the cancer nurse in this process.

Challenges and opportunities for cancer nurses in implementing digital health...

Why you should read this article: • To learn about digital health technologies that are being developed and piloted in cancer care • To increase your awareness of the barriers to the implementation of digital health technologies • To enhance your understanding of the role of nurses in the digital transformation of the NHS The implementation of digital health technologies (DHTs) in healthcare organisations has increased significantly following the coronavirus disease 2019 (COVID-19) pandemic. As a result, people with cancer – many of whom are older adults – may be prompted to use DHTs more frequently as part of their care, for example for monitoring treatment-related side effects. Nurses have an important role in addressing patients’ needs in relation to the use of DHTs and explaining how they can benefit from them. Nurses can also assist in encouraging patients to use DHTs, in alleviating their fears about privacy and data security and in reducing digital health inequalities. This article outlines some of the opportunities and challenges presented by the use of DHTs and explains how nurses can facilitate the uptake of DHTs in cancer services, working with patients to ensure that these technologies suit their needs and preferences.

Systemic anticancer therapy service redesign

Systemic anticancer therapy service redesign

A project is addressing demand for SACT and testing changes such as outreach service delivery

Haematopoietic stem cell transplantation: an audit of late effects on patients

Patient concerns after haematopoietic stem cell transplantation: an evaluation

Importance of holistic assessment of needs post-HSCT and a care plan promoting recovery

Exploring the provision of services to support people with cancer-related pain

Exploring the provision of services to support people with cancer-related pain

A survey showed inconsistent access to services and a need to support staff

Exploring patients’ and healthcare professionals’ experiences of virtual clinics during COVID-19

Experience of virtual clinics during COVID-19 by patients and healthcare professionals

Patients’ needs should be considered and staff require adequate equipment and training to use it

CPD articles

Supporting patients undergoing genomic testing for Lynch syndrome as part of their diagnostic cancer pathway

Supporting patients who undergo genomic testing for Lynch syndrome

Nurses need an understanding of genomics, which is being embedded in diagnostic cancer pathways

 Holistic needs assessments: considerations for effective delivery

Holistic needs assessments: considerations for effective delivery

CNSs and others must work together and teams collaborate so HNAs are available when needed

The digital systemic anticancer therapy competency passport: a guide to completion, marking and assessment

A guide to the UKONS systemic anticancer therapy competency passport

Advice on the completion, marking and assessment of this SACT competency passport

Supporting preregistration nursing students on specialist cancer practice placements

Supporting preregistration nursing students on specialist cancer practice placements

How nurses can support students’ learning needs and make placements a positive experience for them both

Integrating child-centred and family-centred approaches in children’s cancer nursing

Integrating child-centred and family-centred approaches in children’s cancer nursing

Nurses can use a mix of approaches to tailor care to the needs of the child or young person and their family

Supporting people to manage nutrition throughout their cancer journey

Supporting people to manage nutrition throughout their cancer journey

Possible interventions to manage nutrition-related issues and improve quality of life

Practice question

A nurse explains a document being held by a smiling female cancer patient

Do we need personalised cancer care in primary care?

By focusing on what matters to patients, personalised care can provide more choice

Nurse helping patient choose a cancer treatment

How can I help people receiving cancer treatments report neutropenic sepsis earlier?

Promoting trusting relationships and using available resources can help conquer patient fear

Open access

What is a responsive outpatient cancer service for people with dementia?

Cancer services for people with dementia must be organised, flexible and offer continuity

How should nurses assess and manage pain in a person with cancer?

Exploring the personal meaning of pain for patients can help with support and treatment

Cancer patient

Cancer care: how can I ease patient anxiety made worse by COVID?

Tips and advice for nurses caring for people with cancer during the pandemic

Jobs