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.
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
A project is addressing demand for SACT and testing changes such as outreach service delivery
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
A survey showed inconsistent access to services and a need to support staff
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
Communication and information needs of older people with cancer
Systematic review emphasises the benefit of patients having a named contact within the care team
Group pre-treatment consultations for people receiving systemic anticancer therapy
The potential benefits and disadvantages of group PTCs for patients, relatives and nurses
CNS role in supporting chronic cancer patients to gain expertise in their condition
Interviews with patients show CNS support minimised risk of anxiety and depression
Awareness and understanding of Lynch syndrome among patients with endometrial cancer
Are women with endometrial cancer being tested for Lynch syndrome as per NICE guidance?
Needs and expectations of students in a specialist cancer setting
Positive placements may encourage students to consider working in cancer care
Access to cervical screening for women with lower limb mobility impairments
Nurses must review their environment and resources to ensure they can offer equity of care