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Publisher: RMIT Publishing   (Total: 402 journals)

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Showing 1 - 200 of 402 Journals sorted alphabetically
40 [degrees] South     Full-text available via subscription   (Followers: 2)
Aboriginal and Islander Health Worker J.     Full-text available via subscription   (Followers: 14)
Aboriginal Child at School     Full-text available via subscription   (Followers: 5)
About Performance     Full-text available via subscription   (Followers: 12)
Access     Full-text available via subscription   (Followers: 26)
ACCESS: Critical Perspectives on Communication, Cultural & Policy Studies     Full-text available via subscription   (Followers: 10)
Accounting, Accountability & Performance     Full-text available via subscription   (Followers: 14)
ACORN : The J. of Perioperative Nursing in Australia     Full-text available via subscription   (Followers: 17, SJR: 0.103, h-index: 4)
Adelaide Law Review     Full-text available via subscription   (Followers: 20)
Advocate: Newsletter of the National Tertiary Education Union     Full-text available via subscription   (Followers: 1)
Agenda: A J. of Policy Analysis and Reform     Full-text available via subscription   (Followers: 1)
Agora     Full-text available via subscription   (Followers: 3)
Agricultural Commodities     Full-text available via subscription   (SJR: 0.102, h-index: 8)
Agricultural Science     Full-text available via subscription   (Followers: 5)
AIMA Bulletin     Full-text available via subscription   (Followers: 4)
AJP : The Australian J. of Pharmacy     Full-text available via subscription   (Followers: 10, SJR: 0.102, h-index: 5)
Analysis     Full-text available via subscription   (Followers: 4)
Ancient History : Resources for Teachers     Full-text available via subscription   (Followers: 2)
Anglican Historical Society J.     Full-text available via subscription   (Followers: 3)
Annals of the Royal Australasian College of Dental Surgeons     Full-text available via subscription   (Followers: 4, SJR: 0.101, h-index: 11)
ANZSLA Commentator, The     Full-text available via subscription   (Followers: 4)
Appita J.: J. of the Technical Association of the Australian and New Zealand Pulp and Paper Industry     Full-text available via subscription   (Followers: 10, SJR: 0.18, h-index: 27)
AQ - Australian Quarterly     Full-text available via subscription   (Followers: 1)
Arena J.     Full-text available via subscription   (Followers: 1)
Around the Globe     Full-text available via subscription   (Followers: 1)
Art + Law     Full-text available via subscription   (Followers: 12)
Art Monthly Australia     Full-text available via subscription   (Followers: 8)
Artefact : the journal of the Archaeological and Anthropological Society of Victoria     Full-text available via subscription   (Followers: 3)
Artlink     Full-text available via subscription   (Followers: 5)
Asia Pacific J. of Clinical Nutrition     Full-text available via subscription   (Followers: 9, SJR: 0.672, h-index: 51)
Asia Pacific J. of Health Management     Full-text available via subscription   (Followers: 3)
Aurora J.     Full-text available via subscription  
Australasian Biotechnology     Full-text available via subscription   (Followers: 1, SJR: 0.1, h-index: 8)
Australasian Catholic Record, The     Full-text available via subscription   (Followers: 6)
Australasian Drama Studies     Full-text available via subscription   (SJR: 0.101, h-index: 2)
Australasian Epidemiologist     Full-text available via subscription  
Australasian Historical Archaeology     Full-text available via subscription   (Followers: 7)
Australasian J. of Early Childhood     Full-text available via subscription   (Followers: 4, SJR: 0.174, h-index: 1)
Australasian J. of Gifted Education     Full-text available via subscription   (Followers: 4, SJR: 0.115, h-index: 3)
Australasian J. of Human Security, The     Full-text available via subscription   (Followers: 3)
Australasian J. of Irish Studies, The     Full-text available via subscription   (Followers: 9)
Australasian J. of Regional Studies, The     Full-text available via subscription   (Followers: 1)
Australasian Law Management J.     Full-text available via subscription   (Followers: 7)
Australasian Leisure Management     Full-text available via subscription   (Followers: 1)
Australasian Musculoskeletal Medicine     Full-text available via subscription   (Followers: 2)
Australasian Music Research     Full-text available via subscription   (Followers: 3)
Australasian Parks and Leisure     Full-text available via subscription   (Followers: 2)
Australasian Plant Conservation: J. of the Australian Network for Plant Conservation     Full-text available via subscription   (Followers: 4)
Australasian Policing     Full-text available via subscription   (Followers: 5)
Australasian Public Libraries and Information Services     Full-text available via subscription   (Followers: 39)
Australasian Review of African Studies, The     Full-text available via subscription   (Followers: 2)
Australian Aboriginal Studies     Full-text available via subscription   (Followers: 9, SJR: 0.109, h-index: 6)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Ageing Agenda     Full-text available via subscription   (Followers: 5)
Australian and Aotearoa New Zealand Psychodrama Association J.     Full-text available via subscription  
Australian and New Zealand Continence J.     Full-text available via subscription   (Followers: 3)
Australian and New Zealand Sports Law J.     Full-text available via subscription   (Followers: 8)
Australian Archaeology     Full-text available via subscription   (Followers: 12, SJR: 0.491, h-index: 15)
Australian Art Education     Full-text available via subscription   (Followers: 7)
Australian Bookseller & Publisher     Full-text available via subscription   (Followers: 1)
Australian Bulletin of Labour     Full-text available via subscription   (Followers: 3)
Australian Canegrower     Full-text available via subscription   (Followers: 2)
Australian Coeliac     Full-text available via subscription   (Followers: 2)
Australian Cottongrower, The     Full-text available via subscription   (Followers: 1)
Australian Educational and Developmental Psychologist, The     Full-text available via subscription   (Followers: 7, SJR: 0.143, h-index: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3, SJR: 0.364, h-index: 31)
Australian Field Ornithology     Full-text available via subscription   (Followers: 4, SJR: 0.141, h-index: 6)
Australian Forest Grower     Full-text available via subscription   (Followers: 4)
Australian Forestry     Full-text available via subscription   (Followers: 2, SJR: 0.252, h-index: 24)
Australian Grain     Full-text available via subscription   (Followers: 3)
Australian Holstein J.     Full-text available via subscription   (Followers: 1)
Australian Humanist, The     Full-text available via subscription   (Followers: 3)
Australian Indigenous Law Review     Full-text available via subscription   (Followers: 17)
Australian Intl. Law J.     Full-text available via subscription   (Followers: 27)
Australian J. of Acupuncture and Chinese Medicine     Full-text available via subscription   (Followers: 2, SJR: 0.106, h-index: 3)
Australian J. of Adult Learning     Full-text available via subscription   (Followers: 13, SJR: 0.159, h-index: 7)
Australian J. of Advanced Nursing     Full-text available via subscription   (Followers: 11, SJR: 0.225, h-index: 26)
Australian J. of Asian Law     Full-text available via subscription   (Followers: 5)
Australian J. of Cancer Nursing     Full-text available via subscription   (Followers: 10)
Australian J. of Civil Engineering     Full-text available via subscription   (Followers: 4, SJR: 0.17, h-index: 3)
Australian J. of Dyslexia and Learning Difficulties     Full-text available via subscription   (Followers: 8)
Australian J. of Emergency Management     Full-text available via subscription   (Followers: 8, SJR: 0.401, h-index: 18)
Australian J. of French Studies     Full-text available via subscription   (Followers: 7, SJR: 0.1, h-index: 5)
Australian J. of Herbal Medicine     Full-text available via subscription   (Followers: 3, SJR: 0.109, h-index: 7)
Australian J. of Language and Literacy, The     Full-text available via subscription   (Followers: 4, SJR: 0.399, h-index: 9)
Australian J. of Legal History     Full-text available via subscription   (Followers: 18)
Australian J. of Mechanical Engineering     Full-text available via subscription   (Followers: 3, SJR: 0.129, h-index: 4)
Australian J. of Medical Science     Full-text available via subscription   (Followers: 1, SJR: 0.122, h-index: 5)
Australian J. of Multi-Disciplinary Engineering     Full-text available via subscription   (Followers: 2)
Australian J. of Music Education     Full-text available via subscription   (Followers: 3)
Australian J. of Music Therapy     Full-text available via subscription   (Followers: 6)
Australian J. of Parapsychology     Full-text available via subscription   (Followers: 1)
Australian J. of Social Issues     Full-text available via subscription   (Followers: 6, SJR: 0.178, h-index: 20)
Australian J. of Structural Engineering     Full-text available via subscription   (Followers: 6, SJR: 0.296, h-index: 8)
Australian J. of Water Resources     Full-text available via subscription   (Followers: 6, SJR: 0.226, h-index: 9)
Australian J. on Volunteering     Full-text available via subscription   (Followers: 1)
Australian J.ism Review     Full-text available via subscription   (Followers: 7)
Australian Life Scientist     Full-text available via subscription   (Followers: 2, SJR: 0.1, h-index: 2)
Australian Literary Studies     Full-text available via subscription   (Followers: 5, SJR: 0.1, h-index: 6)
Australian Mathematics Teacher, The     Full-text available via subscription   (Followers: 7)
Australian Nursing J. : ANJ     Full-text available via subscription   (Followers: 6)
Australian Orthoptic J.     Full-text available via subscription  
Australian Primary Mathematics Classroom     Full-text available via subscription   (Followers: 3)
Australian Screen Education Online     Full-text available via subscription   (Followers: 2)
Australian Senior Mathematics J.     Full-text available via subscription   (Followers: 1)
Australian Sugarcane     Full-text available via subscription  
Australian TAFE Teacher     Full-text available via subscription   (Followers: 3)
Australian Tax Forum     Full-text available via subscription   (Followers: 2)
Australian Universities' Review, The     Full-text available via subscription   (Followers: 4)
Australian Voice     Full-text available via subscription   (Followers: 4)
Bar News: The J. of the NSW Bar Association     Full-text available via subscription   (Followers: 5)
Bioethics Research Notes     Full-text available via subscription   (Followers: 14)
BOCSAR NSW Alcohol Studies Bulletins     Full-text available via subscription   (Followers: 5)
Bookseller + Publisher Magazine     Full-text available via subscription   (Followers: 5)
Breastfeeding Review     Full-text available via subscription   (Followers: 17, SJR: 0.31, h-index: 19)
British Review of New Zealand Studies     Full-text available via subscription   (Followers: 3)
Brolga: An Australian J. about Dance     Full-text available via subscription   (Followers: 1)
Cancer Forum     Full-text available via subscription   (SJR: 0.143, h-index: 10)
Cardiovascular Medicine in General Practice     Full-text available via subscription   (Followers: 6)
Chain Reaction     Full-text available via subscription  
Childrenz Issues: J. of the Children's Issues Centre     Full-text available via subscription  
Chiropractic J. of Australia     Full-text available via subscription   (SJR: 0.107, h-index: 3)
Chisholm Health Ethics Bulletin     Full-text available via subscription   (Followers: 1)
Church Heritage     Full-text available via subscription   (Followers: 8)
Commercial Law Quarterly: The J. of the Commercial Law Association of Australia     Full-text available via subscription   (Followers: 5)
Communicable Diseases Intelligence Quarterly Report     Full-text available via subscription   (Followers: 2, SJR: 0.567, h-index: 27)
Communication, Politics & Culture     Open Access   (Followers: 13)
Communities, Children and Families Australia     Full-text available via subscription   (Followers: 2)
Connect     Full-text available via subscription   (Followers: 2)
Contemporary PNG Studies     Full-text available via subscription  
Context: J. of Music Research     Full-text available via subscription   (Followers: 8)
Corporate Governance Law Review, The     Full-text available via subscription   (Followers: 7)
Creative Approaches to Research     Full-text available via subscription   (Followers: 12)
Critical Care and Resuscitation     Full-text available via subscription   (Followers: 15, SJR: 1.737, h-index: 24)
Cultural Studies Review     Full-text available via subscription   (Followers: 16)
Culture Scope     Full-text available via subscription   (Followers: 2)
Current Issues in Criminal Justice     Full-text available via subscription   (Followers: 10)
Dance Forum     Full-text available via subscription   (Followers: 2)
DANZ Quarterly: New Zealand Dance     Full-text available via subscription   (Followers: 3)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Deakin Law Review     Full-text available via subscription   (Followers: 14)
Developing Practice : The Child, Youth and Family Work J.     Full-text available via subscription   (Followers: 21)
Early Days: J. of the Royal Western Australian Historical Society     Full-text available via subscription  
Early Education     Full-text available via subscription   (Followers: 10)
EarthSong J.: Perspectives in Ecology, Spirituality and Education     Full-text available via subscription   (Followers: 1)
East Asian Archives of Psychiatry     Full-text available via subscription   (Followers: 2, SJR: 0.331, h-index: 7)
Educare News: The National Newspaper for All Non-government Schools     Full-text available via subscription  
Educating Young Children: Learning and Teaching in the Early Childhood Years     Full-text available via subscription   (Followers: 16)
Education in Rural Australia     Full-text available via subscription   (Followers: 1)
Education, Research and Perspectives     Full-text available via subscription   (Followers: 12)
Educational Research J.     Full-text available via subscription   (Followers: 16)
Electronic J. of Radical Organisation Theory     Full-text available via subscription   (Followers: 3)
Employment Relations Record     Full-text available via subscription   (Followers: 2)
English in Aotearoa     Full-text available via subscription   (Followers: 1)
English in Australia     Full-text available via subscription   (Followers: 2, SJR: 0.19, h-index: 6)
Essays in French Literature and Culture     Full-text available via subscription   (Followers: 8)
Ethos: Official Publication of the Law Society of the Australian Capital Territory     Full-text available via subscription   (Followers: 4)
Eureka Street     Full-text available via subscription   (Followers: 4)
Extempore     Full-text available via subscription  
Family Matters     Full-text available via subscription   (Followers: 13, SJR: 0.259, h-index: 8)
Federal Law Review     Full-text available via subscription   (Followers: 22)
Fijian Studies: A J. of Contemporary Fiji     Full-text available via subscription  
Focus on Health Professional Education : A Multi-disciplinary J.     Full-text available via subscription   (Followers: 7)
Food New Zealand     Full-text available via subscription   (Followers: 5)
Fourth World J.     Full-text available via subscription  
Frontline     Full-text available via subscription   (Followers: 19)
Future Times     Full-text available via subscription   (Followers: 1)
Gambling Research: J. of the National Association for Gambling Studies (Australia)     Full-text available via subscription   (Followers: 5)
Gay and Lesbian Law J.     Full-text available via subscription   (Followers: 2)
Gender Impact Assessment     Full-text available via subscription  
Geographical Education     Full-text available via subscription   (Followers: 3)
Geriatric Medicine in General Practice     Full-text available via subscription   (Followers: 8)
Gestalt J. of Australia and New Zealand     Full-text available via subscription   (Followers: 2)
Globe, The     Full-text available via subscription   (Followers: 4)
Government News     Full-text available via subscription   (Followers: 2)
Great Circle: J. of the Australian Association for Maritime History, The     Full-text available via subscription   (Followers: 8)
Grief Matters : The Australian J. of Grief and Bereavement     Full-text available via subscription   (Followers: 11)
He Puna Korero: J. of Maori and Pacific Development     Full-text available via subscription  
Headmark     Full-text available via subscription   (Followers: 1)
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Health Issues     Full-text available via subscription   (Followers: 2)
Health Promotion J. of Australia : Official J. of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 10, SJR: 0.606, h-index: 19)
Health Voices     Full-text available via subscription  
Heritage Matters : The Magazine for New Zealanders Restoring, Preserving and Enjoying Our Heritage     Full-text available via subscription   (Followers: 3)
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History of Economics Review     Full-text available via subscription   (Followers: 10)
HIV Australia     Full-text available via subscription   (Followers: 3)
HLA News     Full-text available via subscription   (Followers: 6)
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Instyle     Full-text available via subscription   (Followers: 1)
Intellectual Disability Australasia     Full-text available via subscription   (Followers: 8)
Interaction     Full-text available via subscription   (Followers: 3)
Intl. Employment Relations Review     Full-text available via subscription   (Followers: 2)

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Journal Cover Australian Journal of Cancer Nursing
  [10 followers]  Follow
    
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   ISSN (Print) 1441-2551
   Published by RMIT Publishing Homepage  [402 journals]
  • Volume 18 Issue 2 - The minimum education and safety requirements for the
           
    • Abstract: Coyne, Elisabeth; Northfield, Sarah; Ash, Kylie; Brown-West, Leisa; Miles, Corrie; Munton, Karen; Barratt, Catherine
      Background: This protocol describes the steps taken to develop an integrative review to identify current research on the minimum education and safety requirements for nurses to administer cytotoxic drugs. The review will provide evidence to underpin a Cancer Nurses Society of Australia (CNSA) position statement on the same topic.

      Methods: An integrative review of literature will be conducted within the following databases: CINAHL, PubMed, the Cochrane Library and Embase. Methodological quality of the included studies will be assessed using the Mixed Methods Appraisal Tool.

      Discussion: The completion of an integrative review will ensure CNSA takes a leadership role in the provision of evidence to inform cancer nurses about the minimum education and safety requirements when administering cytotoxic drugs in any setting.

      Conclusion: A systematic approach to the development of a CNSA position statement will provide transparency on the supporting evidence. Gaps in the current literature will be identified, highlighting future directions for research.

      PubDate: Wed, 15 Nov 2017 19:57:57 GMT
       
  • Volume 18 Issue 2 - Supportive care screening in rural ambulatory cancer
           care
    • Abstract: Opie, Cynthia A; Koschel, Alison; Ervin, Kaye E; Jeffreson, Lynette; Haines, Helen M
      Aim: To explore supportive care screening evaluating cancer-related distress and subsequent referrals to supportive care services. Method:

      Mixed method observational study including data from a retrospective medical file audit and a cross-sectional, self-report questionnaire was conducted with rural ambulatory cancer patients.

      Results: Audit data showed a high distress rate of 40% (n=242). Twenty-nine per cent (n=28) of people in high distress (n=96), received a referral. Attendance to referrals was 53%. Questionnaire data found 32 (32%) reporting high distress (n=104). Men reported lower quality of life; there was less satisfaction with the information provided and lower participation in referrals than women.

      Conclusion: High distress prevalence was consistent with that previously reported in populations of cancer survivors. Referrals for supportive services were low and attendance was poor. Men reported overall poorer outcomes than women, possibly indicating gender variance in supportive care needs in this rural setting.

      PubDate: Wed, 15 Nov 2017 19:57:57 GMT
       
  • Volume 18 Issue 2 - Nursing challenges in caring for adolescents and young
           adults with cancer
    • Abstract: Maru, Mitsue
      PubDate: Wed, 15 Nov 2017 19:57:57 GMT
       
  • Volume 18 Issue 2 - Venous access practices for delivery of chemotherapy
           for women with breast cancer
    • Abstract: Szwajcer, Alison; Hannan, Rosemary; O'Brien, Liane; Fournaris, Marie; Fernandez, Ritin
      Purpose: To explore venous access practices for delivery of chemotherapy for women with breast cancer.

      Method: Medical records of all women (N=274) who had breast cancer surgery and who received chemotherapy for breast cancer over a three-year period were reviewed.

      Findings: One hundred and fifty seven (57%) of women required 16 or more chemotherapy treatments and of these women 83 (52%) required a central vascular access device (CVAD). Fifty-four (34%) had a CVAD inserted prior to chemotherapy whilst the other 29 (18%) had one inserted after commencing chemotherapy. Women who received only four cycles of chemotherapy did not require a CVAD.

      Conclusion: Venous access needs to be considered for women having chemotherapy for breast cancer as over half of women who have a longer duration of chemotherapy will require a CVAD. There is no definitive answer as to whether women who have a sentinel node biopsy can be cannulated on that arm.

      PubDate: Wed, 15 Nov 2017 19:57:57 GMT
       
  • Volume 18 Issue 2 - Two cases presentations of leptomeningeal metastases
           in the glioma patient
    • Abstract: Kastelan, Marina
      Leptomeningeal dissemination of high-grade primary brain tumours remains a challenge to diagnose and treat with a very poor prognosis once drop metastases have occurred. Patient outcomes remain poor, despite some improvement in the overall survival of those diagnosed with glioblastoma; as survival improves, a potential increased incidence of leptomeningeal disease may be seen. However, there has been little improvement in the treatment of leptomeningeal disease over the past 10 years. Nurses must be aware of the unusual signs and symptoms of leptomeningeal disease with the aim of early intervention and patient advocacy.

      PubDate: Wed, 15 Nov 2017 19:57:57 GMT
       
  • Volume 18 Issue 2 - Prevalence of high-risk health behaviours in long-term
           survivors of adult allogeneic blood and marrow transplantation in Sydney,
           Australia
    • Abstract: Dyer, Gemma; Larsen, Stephen R; Gilroy, Nicole; Brice, Lisa; Kabir, Masura; Hogg, Megan; Brown, Louisa; Hertzberg, Mark; Greenwood, Matt; Moore, John; Gottlieb, David; Huang, Gillian; Tan, Jeff; Ward, Christopher; Kerridge, Ian
      Allogeneic blood and marrow transplantation (BMT) survivors are at a significantly increased risk of many preventable conditions that cause long-term morbidity and mortality. The aim of this multi-centre cross-sectional study was to examine Australian BMT survivors and their engagement in high-risk health behaviour known to contribute to these conditions. Of 441 New South Wales (NSW) participants, smoking, drinking more than recommended, being overweight/obese, and inactivity was reported by 7.5%, 12.1%, 48.1%, and 33%, respectively. Rates of "sun-smart" behaviours were high (77%). Time since transplant, lower levels of education and chronic graft-versus-host disease (GVHD) resulted in decreased odds of good health behaviour. Our results suggest that despite well-defined long-term risks, certain subsets of long-term survivors continue to engage in high-risk health behaviours. Therefore, targeted, lifelong counselling and education by nurses about the importance of adhering to preventative health behaviours is critical to improve longterm outcomes.

      PubDate: Wed, 15 Nov 2017 19:57:57 GMT
       
  • Volume 17 Issue 1 - A scoping exercise by the CNSA Education Standing
           Committee regarding enrolled nurse (EN) administration of antineoplastic
           agents
    • Abstract: Ash, Kylie; Baychek, Kate; Black, Elisabeth; Brown, Leisa; Coyne, Elisabeth; Pascoe, Liz; Patton, Lucy; Pearse, Heather; Peterman, Danielle; Pigott, Catherine; Reid, Alayne
      A change to the scope of practice for Australian nurses providing cancer care services is an important national professional issue. This article will outline the contemporary issues that have created opportunities for expanded scope of practice of the enrolled nurse (EN) to include administration of antineoplastic agents. A range of professional issues related to registered nurse (RN) delegation and supervision of EN practice need to be considered. The potential impact on patient outcomes is fundamental to this discussion. The literature review identified limited information; however, a discussion of potential facilitators and challenges associated with expanding the scope of practice of an EN to include antineoplastic agents is presented. There is a need for further clarification of the RN role in delegation, education requirements and competency assessment.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 17 Issue 1 - Systematic review of the tools used to assess the
           informational and practical needs of acute leukaemia and lymphoma
           survivors
    • Abstract: Taylor, Karen; Monterosso, Leanne
      Purpose: To identify validated measurement tools to assess the informational and practical concerns of leukaemia and lymphoma survivors. Cancer nurses have the potential to lead the way in providing quality post-treatment survivorship care.

      Method: This systematic review utilised a search of electronic databases for eligible articles published to March 2014. Included articles described a tool to assess informational and/or practical concerns of leukaemia and/or lymphoma survivors.

      Results: Seven full text articles were identified that described cancer-specific tools used to assess informational and/or practical needs of this survivor cohort. There was variation in the use of cancer survivor-specific tools and generic cancer tools.

      Conclusions: No haematology-specific needs assessment tools were identified. Therefore only tentative conclusions on the best tool for this cohort can be made. Further research is required to develop reliable and validated tools that will support the selection of the most appropriate tool for leukaemia and lymphoma survivors.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 17 Issue 1 - Celebrating the science and art of cancer nursing
           through inspirational leadership
    • Abstract: Johnson, Catherine
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 17 Issue 1 - Knowledge, attitudes and practices of oncology nurses
           regarding fever and fever management in febrile adult cancer patients
    • Abstract: Dam, Ngoc Minh; McCarthy, Alexandra L; Ramsbotham, Joanne
      The literature indicates that nursing fever practice is often not evidence-based. This study aimed to investigate the fever knowledge, attitudes and practices of oncology nurses and to determine the participants' intentions to administer paracetamol to febrile cancer patients. The cross-sectional study (n=65), using an adapted survey underpinned by the Theory of Planned Behaviour (TPB), was conducted in one Australian cancer setting. Participants' scores revealed that their fever knowledge was generally consistent with the evidence; however, nursing cultural norms likely precluded the translation of this knowledge to practice. The TPB-based model explained 26% of the variance in respondents' intentions to administer paracetamol (p=0.001), to which "subjective norms" (p=0.037) and "indirect perceived control" (p=0.016) were significant contributors. The practices of oncology nurses did not reflect their theoretical knowledge, highlighting the need for further education and to target the cultural norms that appeared to preclude evidence-based fever practice in this setting.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 17 Issue 1 - Development, face validity and reliability testing of
           a survey instrument to explore the role of the Australian breast care
           nurse
    • Abstract: Ahern, Tracey; Gardner, Anne; Courtney, Mary
      This paper reports the development of a survey instrument to explore the role of the breast care nurse (BCN) in the provision of information and support to Australian women with breast cancer, as well as the differences experienced by BCNs working in urban, rural and remote areas.

      A comprehensive literature review and a panel of experts were used to inform the survey questions. The instrument was developed in an online format and pilot tested by a group of BCNs before being issued to participants.

      The final version of the Breast Care Nurse Survey consists of 59 items organised into three sections. The survey was completed by 50 BCNs. Cronbach's alpha for Section Three of the survey was 0.935, indicating strong internal reliability; however, further validation of this instrument is recommended.

      This is the first national survey to collect data about the role of the BCN in Australia, specifically related to the provision of education, information and support and the perceived barriers to undertaking the role.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 17 Issue 1 - The role of the oncology nurse practitioner in the
           clinical management of febrile neutropenia
    • Abstract: Campbell, Julie; Cusack, Lynette; Green, Cheryl
      Background: The nurse practitioner is a protected title in Australia and is available to an experienced registered nurse educated at Master's level and authorised to function in an advanced and extended clinical role. The role of oncology nurse practitioner (ONP) is to meet the diverse and specialised needs of cancer patients. One important aspect of care for the ONP is the clinical management of febrile neutropenia.

      Objectives: The purpose of this paper is to present some of the findings from a qualitative study that explored the ONP role and experience in the clinical management of febrile neutropenia across the inpatient, outpatient and the home settings across Australia.

      Method: A descriptive, exploratory research approach was used to describe, explore and generate meaning on the clinical management of febrile neutropenia.

      Findings: The research findings indicated that ONPs do significantly impact upon the oncology patient experience in relation to risks and management of febrile neutropenia.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 16 Issue 2 - What's happening to the role of the registered
           nurse'
    • Abstract: Ryan, Mary
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 16 Issue 2 - Cardiotoxicity related to anti-cancer drug treatment:
           A literature review
    • Abstract: Thomy, Lebogang B; Theobald, Karen
      Introduction: New anti-cancer drug treatments have resulted in longer life expectancy for many patients; however, anti-cancer drug treatment-related cardiotoxicity can become an issue for those who have completed treatment. Anti-cancer drug treatment-induced cardiotoxicity is associated with high morbidity and mortality rates. However, there is limited research to indicate when cardiotoxicity develops and what preventative measures might be available for people with cancer who have received cardiotoxic anti-cancer drug treatment.

      Objectives: The review explores the potential risk factors for cardiotoxicity and examines their precise aetiology and pathophysiology.

      Methodology: A literature review was undertaken by searching online databases CINAHL, PubMed and Medline. The comprehensive review resulted in 17 articles meeting the inclusion criteria: English language articles from peer-reviewed journals dating from 2004 to 2014.

      Results: The published literature indicates an increased incidence of cardiotoxicity in people who have received anti-cancer drug treatment. In addition there is a dearth of understanding of the pathophysiology of cardiotoxicity.

      Conclusion: This literature review serves as a first step towards understanding the pathophysiology of cardiotoxicity. Further, before the health care needs of people who have received cancer treatment can be understood and addressed, it is crucial to have a clear understanding of the mechanism and risk factors associated with cardiotoxicity.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 16 Issue 2 - Nursing fever management in adult oncology patients: A
           literature review
    • Abstract: Dam, Ngoc Minh; McCarthy, Alexandra L; Ramsbotham, Joanne
      Fever associated with neutropenia, blood transfusion and disease processes is common in adult cancer patients. The literature indicates, however, that the aetiology, rationale and symptoms of fever are often misunderstood, resulting in fever management that is not evidence-based in this cohort. Thus in this review, an overview of fever, with a focus on fever in cancer contexts, is provided. Content includes an explanation of the therapeutic function of fever, an analysis of the physiological consequences of fever and an exploration of the aetiology of fever in cancer patients. Current guidelines for fever management in cancer patients and existing nursing practice are also discussed.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 16 Issue 2 - A nurse-led survivorship intervention for survivors of
           Hodgkin lymphoma: A pilot study
    • Abstract: Gates, Priscilla; Seymour, John F; Krishnasamy, Mei
      Long-term survivors of Hodgkin lymphoma (HL) experience a range of physical and psychosocial late effects of treatment. This study set out to pilot-test the capacity of a nurse-led, survivorship intervention to enhance awareness of health risks and adoption of healthy lifestyle behaviours. Thirty HL survivor participants who were at least five years post potentially curative treatment were recruited. The General Health Index and the Health Promoting Lifestyle Profile II measures were completed at four time points and demographics recorded. The intervention included: exploration of knowledge of health risks; screening for unmet supportive care needs and, delivery of a tailored survivorship care plan. Participants reported a range of issues, including fatigue (57%); "a lot of worry" (47%) and, feeling depressed (23%). Significant post-intervention improvements were reported for: physical activity (p=.014); nutrition (p=.0005); stress management (p=.002) and health promoting lifestyle (p=.005). This study suggests that the nurse-led intervention is feasible and has potential to improve awareness of health status and healthy lifestyle behaviours among survivors of HL.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 16 Issue 2 - The usefulness of the distress thermometer in the
           management of cancer patients: A mixed methods approach
    • Abstract: Williams, Melinda; Walker, Arlene; Henry, Margaret J
      Objective: The aim of this study was to investigate the usefulness of the National Comprehensive Cancer Network (NCCN) Distress Thermometer and Problem List in identifying distress levels and psychosocial concerns over the cancer trajectory using a mixed-methods approach.

      Method: Eighty-five cancer patients from the Barwon South West region of Victoria participated in this study by completing the NCCN Distress Thermometer and Problem List over three time periods. Three case studies were also conducted to add a qualitative dimension.

      Results: Emotional concerns decreased as psychological distress levels decreased and a high level of physical concerns were consistent with a high level of psychological distress. Cancer patients' narrative accounts also supported the usefulness of the NCCN Distress Thermometer and Problem List as a screening tool.

      Conclusions: Findings are discussed with reference to implications for psychological/emotional support of cancer patients, the provision of supportive care services and directions for future research.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 16 Issue 2 - The role of the cancer nurse coordinator: An
           observational reflective study
    • Abstract: Bishaw, Suzanne; Coyne, Elisabeth
      Introduction: Cancer is a complex, multifaceted condition requiring multimodal treatments over prolonged periods of time, in a variety of settings, delivered by multiple health professionals. Patients have reported confusion and fragmentation with their care and in many centres, cancer care coordinators (CCCs) have been employed to solve this problem.

      Method: A convenience sample of CCCs were observed over a period of one week to understand and interpret how they apply their role in the clinical setting to meet the needs of their patients and clients.

      Results: Three key prominent themes were observed in the role of the CCC: general assessment; psychological support; and educational support. Coordination of care and of the multidisciplinary team was not observed as a prominent role in the sample observed.

      Conclusion: CCCs assess, educate and support the patient and their family during treatment with an aim of holistic care.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 16 Issue 1 - Exploring the preferences, perceptions and
           satisfaction of people seeking cancer information and support:
           Implications for the cancer council helpline
    • Abstract: Boltong, Anna; Byrnes, Monica; McKiernan, Sandy; Quin, Nicola; Chapman, Kathy
      Background: Helpline services have existed in Cancer Councils for more than 20 years as an information and support service and gateway to a myriad of practical, informational and emotional support programs for people affected by cancer.

      Aims: To explore public awareness and perceptions of the Cancer Council Helpline, including barriers and facilitators to calling this telephone service and user satisfaction.

      Methods: An exploratory, mixed-methods study design was employed. In the qualitative phase, six focus groups were conducted with Helpline callers (n=14) and non-callers (n=28). In the quantitative phase, a community attitudes online or telephone survey was completed by people with a cancer diagnosis (n=128) and people who had friends and family with a cancer diagnosis (n=300).

      Results: Low awareness of the service, as well as a widely held perception of not wanting or needing help, were found to be barriers to calling the Helpline.

      Discussion: This research informed key elements of an identity refresh strategy for the Helpline, including public awareness and promotion with consumers and health professionals; and a name change for the service, including removal of the word 'help'.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 16 Issue 1 - Improving the patient journey through better mental
           health care: Core business for all nurses
    • Abstract: Ryan, Kim; Marks, Peta; Butterfield, Clare
      The evidence is clear that the mental and physical health of people is closely linked and has a reciprocal relationship. People with cancer are likely to experience psychological distress at various times throughout their illness, and a significant proportion will develop a mental health problem. There are many contributors to psychiatric morbidity in people who have cancer, including physical and biological issues, as well as psychological and social issues.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 16 Issue 1 - Indigenous cancer care in Queensland, Australia:
           Health professionals' framing of "difference"
    • Abstract: Meiklejohn, Judith A; Adams, Jon; Valery, Patricia C; Walpole, Euan T; Martin, Jenny H; Williams, Hayley M; Garvey, Gail
      This paper reports on interviews with tertiary health professionals to elicit their perspectives of Indigenous cancer patients and report on factors influencing clinical decisions, particularly concerning co-morbidities, Indigeneity, and access and use of cancer services. The overarching concept of "difference" framed three main categories: "Acknowledging difference", "Not knowing how to accommodate difference" and "Not seeing difference". Findings indicate some health professionals acknowledge and aim to address needs and expectations of Indigenous cancer patients; however, challenges in identifying Indigenous status, limitations in providing relevant care within a biomedical system, and outdated assumptions and constraints of the health system limit this endeavour. Consistent and accurate recording of Indigenous status in medical records is important for health professionals to identify Indigenous status in a sensitive and timely manner. Cultural competence training should be embedded within all health training and be part of ongoing systematic organisational processes to improve the provision of culturally appropriate cancer care.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 16 Issue 1 - Much to celebrate, but we need to do more
    • Abstract: Lancaster, Letitia
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 16 Issue 1 - Management of toxicities related to intravenous
           administration of epidermal growth factor inhibitors
    • Abstract: Condon, Marie; Ross-Adjie, Gail; Monterosso, Leanne
      The use of newer targeted cancer therapies, including tyrosine kinase inhibitors (TKI) and epidermal growth factor receptor inhibitors (EGFRI) in the solid tumour groups can often result in a complex suite of cutaneous side effects. Whilst not systemically as toxic as some traditional chemotherapy agents, their cutaneous side effect profiles may have a considerable impact on the patient and their health-related quality of life.

      Currently in Australia, cetuximab and panitumumab are the only intravenous EGFRI agents subsidised on the Australian Pharmaceutical Benefits Scheme. This discussion paper focuses on the nursing management and patient education related to the administration, side effects and adverse events associated with these two EGFRIs. While the side effects of panitumumab closely resemble those experienced by patients receiving cetuximab, the literature is often not specific about which agent when discussing adverse effects and management. However, where there is variance between the incidence or management of the adverse effect it will be highlighted.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 15 Issue 2 - Cancer - using epidemiological data to understand
           cancer patterns
    • Abstract: Cameron, Kate; Roder, David
      Epidemiology is used to describe cancer trends in the population, investigate means by which cancer can be tackled, and evaluate interventions. It is an important tool used by policy makers and planners to identify and address public health issues. Developing an understanding of cancer data, how it is sourced, reported and used is useful for nurses working in all areas of cancer control to better understand the current cancer care context and how it is informed. Epidemiological data are used by consumer groups, non-government organisations, governments and the media when discussing health service needs and outcomes. In this report, the current state of cancer epidemiology in Australia is reviewed, and in particular, how epidemiological data are gathered, reported and used to advance cancer control is described.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 15 Issue 2 - Role diversity: Opportunities for all cancer nurses
    • Abstract: Milne, Donna
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 15 Issue 2 - Prostate cancer specialist nurses in Australia -
           changing the face of supportive care through a national approach
    • Abstract: Sykes, Julie; Ferri, Lisa; Kiernan, Deirdre; Koschade, Kelly; Wood, Lauren
      The Prostate Cancer Specialist Nursing Service is a three-year pilot program launched by the Prostate Cancer Foundation of Australia (PCFA) in May 2012. This national program is the first of its kind in Australia, and has placed 12 prostate cancer specialist nurses (PCSNs) in selected hospitals across Australia as part of a structured program. The nurses are supported through a professional development framework which is delivered through PCFA. The program has been formally evaluated and the findings will be published later this year. The research examines the effectiveness of the service as a best practice model for providing specialist nursing care through a structured program. This paper reports on the structure of the service and its implementation at a local level, in both the clinical and strategic contexts since its launch. It also explores some of the challenges identified in the implementation process during the first 12 months.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 15 Issue 2 - Untangling the lines - reducing cytotoxic exposure
           risk via the implementation of a closed intravenous cytotoxic
           administration system: An action research project
    • Abstract: Campbell, Patricia
      Background: Administration of cytotoxic medication can present an occupational health risk to nurses, especially when it involves inserting an intravenous (IV) spike at the bedside. Despite best efforts, cytotoxic exposure can still occur.

      Method: An action research project was undertaken with the aim to successfully implement a closed system for IV cytotoxic medication administration that is prepared off-site and transported by a third-party pharmaceutical company.

      Results: Evaluation was based on safety, ease of use, including any potential barriers to user acceptance; and product cost. Project outcomes indicated a significant reduction in cytotoxic exposure risk to nurses with no associated micro-bacterial risk for patients. Users reported the system as being easy to manage, resulting in the facilitation of consistent practice when administering IV cytotoxic drugs within the hospital. A rise in direct costs was noted; however, when compared to the expense of managing staff exposure, an overall net cost benefit was found.

      Conclusion: This project has had positive results for oncology nurses and health care workers who are seeking to reduce cytotoxic exposure risk and establish the safest possible practice at the bedside.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 15 Issue 2 - Caring for young people with cancer: Practical
           implications of qualitative engagement with cancer survivors and members
           of the multidisciplinary team
    • Abstract: Lewis, Peter; Mooney-Somers, Julie; Patterson, Pandora; Jordens, Christopher FC; Bennett, David; McDonald, Fiona EJ; Smith, Kris; Kerridge, Ian
      Many adolescent and young adult (AYA) cancer survivors live with ongoing adverse consequences of their cancer experience. While an increasing number of these young Australians have direct access to care in the specialised Youth Cancer Service, many continue to receive care in diverse, non-specialised settings. It is important that health professionals in specialised and non-specialised settings are aware of the continuing diverse consequences of cancer, including the challenges created for negotiating family, peer and intimate relationships. This paper draws together insights derived from qualitative studies into the experiences of AYAs who have survived cancer, with a focus on our recent Australian study of young people diagnosed during adolescence and young adulthood. We describe how members of multidisciplinary teams (MDT) can help young cancer survivors maintain their social relationships.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 15 Issue 2 - Evaluation of an education program to facilitate
           patient adherence, toxicity monitoring and promote safety and wellbeing in
           the self-administration of oral chemotherapy in the home setting: An
           Australian study
    • Abstract: Griffiths, Tina; Pascoe, Elizabeth
      Introduction: The use of oral chemotherapy as a cancer treatment is increasing, posing significant challenges for health care professionals with respect to patient adherence, toxicity monitoring and safety in the home.

      Aim: To evaluate an education program promoting patient knowledge to facilitate patient adherence, toxicity monitoring and promote safety and wellbeing in the self-administration of oral chemotherapy in the home setting.

      Methodology: Cancer patients (n=15) prescribed oral chemotherapy received education using a teaching tool developed by The Multinational Association of Supportive Care in Cancer (MASCC). Supportive care needs were screened using the Distress Thermometer. Patients' knowledge, understanding and supportive care needs were assessed pre- and post-education. A follow-up phone call addressed issues relating to the education program and patient wellbeing.

      Results: Data were analysed using descriptive statistics. Individualised education facilitated knowledge and understanding around key issues pertaining to oral chemotherapy. Participants reported feeling less fearful, nervous and worried.

      Conclusion: Nurse-led education may facilitate medication adherence, toxicity management, and enhance patients' wellbeing.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 15 Issue 1 - Screening, testing and treatment of prostate cancer: A
           call for further research
    • Abstract: Ireland, Colin; O’Shaughnessy, Peter Kevin
      Controversy exists over the benefits of screening for prostate cancer using the prostate-specific antigen (PSA) and recently the US Preventative Task Force and The Royal Australian College of General Practitioners both recommended against PSA-based screening. The National Health and Medical Research Council currently has an expert panel reviewing the evidence regarding PSA screening. Despite the recommendations of the panel, men will potentially continue to request screening because of the increased profile within the media and men's health initiatives. If diagnosed with prostate cancer, men face a complex decision as to the best treatment option. These decisions cannot be taken lightly.

      Men require appropriate delivery of information regarding screening to make an informed decision to screen or not. For men diagnosed with prostate cancer, information about treatment choices needs to be easily understood and appropriate. There are many uncertainties about prostate cancer and education that men find acceptable is a key tool in assisting them to make informed decisions.

      Further research needs to be undertaken with men to ensure that the available educational material is unbiased and meets their needs in relation to language, literacy, cultural sensitivity and mode of delivery. This information will then equip nurses to facilitate fruitful discussions with men to assist them during these stressful times.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 15 Issue 1 - Coordinating neuro-oncology care from a primary health
           care perspective: A critical literature review and implications for
           practice
    • Abstract: Nichols, Linda Jayne
      Primary brain tumours pose a unique concern for health professionals, generally presenting with a rapid and poor prognosis associated with the development of functional and cognitive deficiencies which creates a profound psychosocial impact. Whilst the diagnosis of a primary brain tumour can be associated with medium- to long-term survival, the majority of patients diagnosed with a high-grade brain tumour will die within 14 months of diagnosis. Given this, patient care needs to be comprehensive, seamless and individually focused. The management of patients by specialist neuro-oncological nurses and cancer care coordinators has resulted in an increased focus on cancer care reform. However, despite the aim of these changes there needs to be an increased emphasis on primary health care as a strategy for achieving coordination of care. Cost-effective primary health care initiatives are urgently needed to achieve not only coordination of care but to also balance the biomedical model. Whilst the biomedical model of care focuses on physical wellbeing in the absence of disease, primary health care encompasses a more comprehensive and holistic notion of wellness. This critical literature review examines primary health care, how it can be applied to the neuro-oncology setting and the implications for practice.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 15 Issue 1 - Oral chemotherapy nurse: A trial position at Sir
           Charles Gairdner Hospital (SCGH), Perth, Western Australia
    • Abstract: Fyfe, Katrina; Nowak, Anna K
      This article describes the development of an oral chemotherapy nurse role and patient support materials in the Department of Medical Oncology at Sir Charles Gairdner Hospital (SCGH), Perth, Western Australia, and includes a short literature review.

      The objectives of the oral chemotherapy nurse role were to: identify areas of patient need, develop processes to support patient safety and quality of care during treatment with oral chemotherapy medications for cancer (oral chemotherapy), and collect resources to support patient safety and quality of care during treatment with oral chemotherapy.

      The oral chemotherapy nurse undertook two quality improvement projects, developed a system to educate, support and follow up patients with glioblastoma (GBM) treated with combined chemo-radiotherapy and adjuvant chemotherapy, undertook nurse education and was involved as the author of the draft oral chemotherapy policy at SCGH.

      Although this position was not made permanent, the process highlighted the needs of patients on oral chemotherapy and opened a dialogue with health professionals committed to improving the safety and quality of care for these patients.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 15 Issue 1 - The role of the nurse in patient education and
           followup of people receiving oral anti-cancer treatment: An Australian
           survey
    • Abstract: Johnson, Catherine; Adler, Kim
      Introduction: The use of oral anti-cancer treatment (OCT) is increasingly common and it is accepted that for patients OCT provides a sense of control, fewer disruptions to lifestyle, reduced costs for travel and care and eliminates the discomfort of intravenous treatment. OCT use also poses safety challenges with implications for both patients and health care workers. These challenges include new toxicity profiles and adherence issues. Whilst not new, these challenges are especially relevant to nurses who are the primary providers of patient education, side effect management and follow-up.

      Objectives: A national cross-sectional survey of Australian nurses working in cancer care was undertaken to assess the nursing role in the education and follow-up of patients receiving OCT.

      Methodology: A survey was distributed to members of the Cancer Nurses Society of Australia (CNSA) using snowball sampling; survey data was analysed using descriptive statistics in SPSS. One hundred and eighty-two survey responses were received. The study has received Human Research Ethics Committee approval.

      Results: Variation in processes for providing information about OCT to patients was highlighted. The shifting treatment paradigm from intravenous chemotherapy to OCT has reduced the opportunity for contact with patients to monitor toxicities and provide education via traditional avenues. Nurses are also confronted with new side effect and symptom management profiles associated with novel OCT.

      Conclusion: Workflow, organisational processes and resources have not kept pace with increasing use of OCT in cancer treatment. This exposes patients to increased risk of harm and poses new challenges for providing optimal nursing care.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 15 Issue 1 - Cancer nurses: Informed and responsive to change
    • Abstract: Stephens, Moira
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 14 Issue 2 - A review of strategies to support the professional
           practice of specialist cancer nurses
    • Abstract: Black, Elisabeth; Farmer, Fiona
      Specialist cancer nurses are effective in delivering safe and cost-effective cancer care. Nurses working at an advanced level require support, not only to undertake professional development and maintain their clinical skills and competency, but to prevent emotional burnout and remain in clinical practice. This paper examines mechanisms of professional support for nurses working in advanced roles and the range of support strategies recommended to encourage professional development and reduce the risk of professional burnout. Strategies discussed include specialist training, continuing professional development, mentoring, peer support, networking, clinical supervision and clinical leadership. The benefits of each type of support are discussed using the specialist breast care nurse (SBCN) as an example of an advanced nursing role requiring structured support for sustainability and career satisfaction.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 14 Issue 2 - Supporting blokes - providing support for male
           partners of women diagnosed with breast cancer
    • Abstract: Wallace, Katherine; Coyne, Elisabeth
      Background: There is considerable evidence indicating poor coping strategies and increased psychological distress in the male partners of women diagnosed with breast cancer. Research suggests that the needs of male partners of women with breast cancer were not being addressed. A support group for male partners was evaluated to identify its effectiveness in addressing specific needs of those within the group. Method: A descriptive study was completed exploring the value of a male support groups. Evaluations completed after attendance at the support groups provided qualitative data. Results: The feedback received supports the premise that a formalised programme can provide male partners with the opportunity to share experiences, enhance relationships and improve coping strategies. Conclusion: The Supporting Blokes programme has the potential to be used as a template for all health care workers in providing psychosocial support to partners of women affected by cancer.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 14 Issue 2 - The strengths and resources used by families of young
           women with breast cancer
    • Abstract: Coyne, Elisabeth
      Background: The family provides the main support network when a young woman is diagnosed with breast cancer, yet few studies investigate the experience of family support. This research examined the strengths and resources used by families of young women (under 50 years of age) with breast cancer. Method: Using the Resiliency Model of Family Stress, a quantitative analysis of family strengths and resources was undertaken using a composite survey. The sample consisted of 111 participants: 64 family members and 47 women with breast cancer recruited from five oncology units in hospitals in Queensland. Results: Family members and the women displayed similar strengths and resources. Family strengths were closely associated with the family use of resources. Influencing factors were communication and family commitment and the age of family members. Conclusion: Family strengths influenced the family's use of resources. The family's use of external resources was altered by family communication styles and how the family worked together.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 14 Issue 2 - Evaluation of the McGrath Foundation's Breast Cancer
           Nurses Initiative
    • Abstract: Paynter, Helen; Fodero, Lisa; Scuteri, Joe; Kerin-Ayres, Kim; Tink, Kylea
      The McGrath Foundation's Breast Cancer Nurses Initiative (the Initiative) was evaluated in 2012, and found to be an evidence-based model for improving the quality of care for women with breast cancer. The model promotes a patient-centred, multidisciplinary approach to cancer care, improving care coordination between health care professionals in metropolitan and regional cancer centres and is broader than a hospital-specific role. From an economic perspective, the Initiative has had a positive impact on improving patient safety. Stakeholders interviewed believed the Initiative has been able to reduce hospital readmissions and/or unnecessary emergency department visits; reduce the time surgeons, oncologists and allied health staff need to spend with patients; and reduce costs to the mental health system. From a quality of life perspective, women surveyed who had access to a McGrath breast care nurse (BCN) were unequivocal in their view that the McGrath BCN has enhanced their quality of life.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 14 Issue 2 - Breast cancer in Australia: Supporting patients,
           families and health professionals
    • Abstract: Lancaster, Letitia
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 14 Issue 1 - Understanding the experience of a cancer diagnosis and
           illness - a patient perspective of the biographical disruption of multiple
           myeloma
    • Abstract: Morris, Patricia
      Developing an understanding of the experience and tensions associated with a cancer diagnosis and illness from a patient perspective presents a difficult and absorbing challenge for cancer nurses. There are three key theoretical concepts which can inform the nurse regarding the subjective experience of illness. These concepts include: biographical disruption of illness; narrative reconstruction; and loss of self. The relevance of these theories is to enable the nurse to understand the interface of the patient cancer journey as related to the health care delivery system and to a broader social context. These theories address issues of loss, uncertainty, stigmatisation of illness and the individual ability to recreate sense and order after a cancer diagnosis. The combination of the key theoretical concepts of illness and a humanities-based approach will help develop an understanding of the experience of a cancer diagnosis and illness beyond either a clinical or biomedical model. The humanities, which are associated with the medium of written texts, artefacts and cultural practices, can enable the patient to relate their cancer journey. The humanities attempt to understand the human experience by acknowledging and relaying the human aspiration, achievements and expressions.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 14 Issue 1 - Second primary cancers: A focus on Australian
           survivors of haematological cancers
    • Abstract: Loft, Nicole
      An increasing number of Australians are now living as cancer survivors. Survivors of haematological cancer are recognised to be at increased risk of developing a second primary cancer. A second primary cancer may present as a solid cancer or a haematological cancer. Second primary haematological cancer may occur as a therapy-related myeloid cancer or a post-transplant lymphoproliferative disorder. Nurses can engage with cancer survivors to educate and provide resources that will assist them to reduce avoidable risk factors and maintain a healthy lifestyle. Australia has national screening programs and healthy lifestyle recommendations for the general population. Behavioural changes, early detection and secondary cancer prevention are associated with improved cancer survival and may assist to identify and manage late effects. Educating and empowering cancer survivors to participate in healthy lifestyle behaviours and engage with population screening programs may assist to optimise long-term health for cancer survivors.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 14 Issue 1 - Survivorship care - time for innovation'
    • Abstract: Panek-Hudson, Yvonne
      Effective cancer treatment is continuing to improve survival for people diagnosed with cancers in recent years. The latest data on cancer survival has seen the cancer survival rate increase from 47% to 66% in just 20 years. Cancer is increasingly being viewed as chronic illness and people with cancer are increasingly expected to take at least some responsibility for managing their own care. Cancer nurses have to engage in cancer survival work in addition to cancer treatment work. This has demanded change and has led to cancer nurses having to change the way in which they work. Implementing survivorship care strategies into patient management has become a key component of cancer nursing. There is an increasing body of literature and a number of guidelines aiming to optimise and advise how to care for cancer survivors into the future in an attempt to improve the longer term outcomes for cancer patients. This paper will provide an overview of current accepted definitions of survivorship and its relevance to Australian population. It will discuss survivorship strategy recommendations and their limitations and present an innovative model of nurse-led survivorship care in the care of patients post allogeneic bone marrow transplant (aBMT).

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 14 Issue 1 - Patient blood management and care for chemotherapy and
           haematopoietic stem cell transplant patients
    • Abstract: Quested, Beverleigh
      Without blood component support chemotherapy and haematopoietic stem cell transplant (HSCT) patients could not be properly treated. In the last two years significant change has occurred in the standards, guidelines and governance of blood and blood components in Australia. The paradigm in transfusion medicine has moved from transfusion thresholds triggers to patient blood management principles. This article reviews the current Australian guidelines and standards that relate to blood transfusion for patients undergoing chemotherapy and HSCT and the impact upon their care.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 14 Issue 1 - A 'haem theme' but a commonality of practice
    • Abstract: Stephens, Moira
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 13 Issue 2 - Practical self-care and stress management for oncology
           nurses
    • Abstract: Grafton, Eileen; Coyne, Elisabeth
      This paper aims to discuss notions of supportive care, stress for oncology nurses in provision of such care, and practical strategies for stress management. Role-related stress and burn-out in oncology nurses are challenges that require effective management at both organisational and personal levels. Oncology nurses, as do others, strive to provide exemplary nursing care for people affected by cancer, and their families. These needs reach across the physical, psychosocial, cultural and spiritual dimensions, and change over time from diagnosis through to end of life. One source of stress for many oncology nurses is the attempt to manage tensions that arise from trying to provide a person-centred approach to care in a biomedically driven and physically focused health care delivery system. The key concepts of self-awareness, self-care and resilience will be discussed and specific practices that empower nurses to better management stress will be presented.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 13 Issue 2 - Using the collaborative evidence-based practice model:
           A systematic review and uptake of chlorhexidine-impregnated sponge
           dressings on central venous access devices in a tertiary cancer care
           centre
    • Abstract: Chan, Raymond Javan; Northfield, Sarah; Alexander, Alison; Rickard, Claire M
      Background: Greater research utilisation in cancer nursing practice is needed in Australia in order to provide well-informed and effective nursing care to people affected by cancer. This paper reports the implementation of evidence-based practice in a tertiary cancer care centre. Methods: Using a case report design, this paper reports on the use of the Collaborative Model for Evidence-Based Practice in an Australian tertiary cancer care centre. The clinical case describes the uptake of routine application of chlorhexidine-impregnated sponge dressings for preventing centrally inserted catheter-related bloodstream infections - a common problem in people with cancer. The processes that resulted in a service-wide practice change are described. Results: This model was considered a feasible method for successful research utilisation. In this case report, the chlorhexidine-impregnated sponge dressings were introduced in the tertiary cancer care centre with the aim of reducing the incidence of centrally inserted catheter-related bloodstream infections and potentially improving patient health outcomes. Conclusion: The collaborative model is feasible and effective for implementing clinical evidence into cancer nursing practice. The successful implementation of evidence-based practice in cancer care centres requires cancer nurses and health administrators to ensure a supportive infrastructure and environment for clinical inquiry and research utilisation.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 13 Issue 2 - Developing a quality cancer system - the role of
           patient experience
    • Abstract: Daly, Lilian
      Quality cancer care is described as care that is safe, effective, patient-centred, timely, efficient, equitable and coordinated. There is evidence to suggest that not all patients experience quality cancer care and that there may be substantial variation across patient and tumour groups, treatment settings and stages of disease. For some groups, important disparities in cancer outcomes may indicate significant gaps in quality and health system performance. Understanding how patients experience their care in relation to agreed and established standards can highlight significant opportunities for improvement. As such, patient experience may be regarded as a key indicator of the quality of cancer care and the overall performance of the health system. This paper explores the relationship between patient experience and the quality of cancer care, and the opportunities this rich and veritably untapped data source provides for monitoring health system performance and targeting improvements for better cancer outcomes.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 13 Issue 2 - Quality cancer care
    • Abstract: Lancaster, Letitia
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 13 Issue 1 - Enabling supportive care screening and evidence-based
           referrals for patients with cancer: Patient acceptability and clinician
           implementation of the supportive care resource kit (SCRK)
    • Abstract: Breen, Sibilah; Ristevski, Eli; Regan, Melanie
      The Resource Kit was developed to enable supportive care screening of cancer patients accompanied by evidence-based referrals. Patient acceptability of the screening/referral process was assessed alongside clinician ability to undertake screening/referral in line with training received and the resource kit protocols. Forty patients and seven clinicians participated. Patients completed a brief screening tool to identify unmet needs and participated in a discussion with a trained clinician who identified strategies to meet these needs. Patients subsequently completed an acceptability questionnaire whilst clinician actions to identified needs were assessed. Patient acceptability of the screening/referral process was high and future use endorsed (97%) with the process helping to fully identify patient needs (91%) and promote realisation that help/support was available when needed (100%). Clinicians successfully applied skills learned from training to appropriately refer 88% of patient domain needs in line with the resource kit protocols. Future use of the resource kit may assist the incorporation of supportive care screening/referral into clinical practice to improve patient care.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 13 Issue 1 - Cancer care coordinators' relationships with the
           multidisciplinary team and patients: Everything to everyone
    • Abstract: Regan, Melanie; Mills, Jane; Ristevski, Eli
      This study aimed to examine the role of cancer care coordinators (CCCs) by investigating what is practically involved in care coordination and what CCCs' perceptions of their role are. Using a qualitative approach with an action research design, two CCCs from a large regional hospital in Australia undertook a patient record audit, analysed using content analysis, and reflected upon within a reflective group process. In practice, cancer care coordination involves a variety of activities which support the multidisciplinary team, cancer patients and carers. The participants' perspective - that they were everything to everyone - was an acceptable way of defining the parameters of their role. Areas requiring consideration are multidisciplinary team function in regard to liaison and shared responsibility, strategies to reduce the potential deskilling of team members, increasing awareness of the importance of promoting patient self-management, critically reflecting on relationships with team members and patients, and endeavouring to gain organisational and multidisciplinary team support for what appears to be a role on which there is great reliance.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 13 Issue 1 - Insights into the development of a nurse-led
           survivorship care intervention for long-term survivors of Hodgkin lymphoma
           
    • Abstract: Gates, Priscilla; Seymour, John F; Krishnasamy, Mei
      Hodgkin lymphoma is a highly curable cancer with increasing numbers of survivors at risk of medical and psychosocial morbidity which can impact on their quality of life and long-term survival. An innovative model of nurse-led survivorship care has been developed to enhance 1) awareness of individual health risks, 2) benefits of adopting healthy lifestyle behaviours and 3) reduction in psychosocial distress. A phase 1, quasi-experimental study is being undertaken to test the capacity of the intervention to deliver against the aims outlined. Thirty survivors of Hodgkin lymphoma and 30 healthy participants have been recruited to the study. The nurse-led consultations include an education package tailored to these individuals' health needs, screening for emotional distress and delivery of an individualised survivorship care plan. Study measures include the General Health Index, the Health Promoting Lifestyle Profile II and the late effects Supportive Care Needs Screening Tool. This paper outlines the rationale and key design issues behind the development of the nurse-led intervention and some preliminary indication of the benefit of the intervention from participants' perspective.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 13 Issue 1 - Nurse-led cancer care
    • Abstract: Stephens, Moira
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 12 Issue 2 - A Cochrane review on the effects of end-of-life care
           pathways: Do they improve patient outcomes'
    • Abstract: Chan, Raymond Javan; Webster, Joan
      Clinical pathways for end-of-life care management are used widely around the world and have been regarded as the gold standard. The aim of this review was to assess the effects of end-of-life care pathways (EOLCP), compared with usual care (no pathway) or with care guided by a different end-of-life care pathway, across all health care settings (for example, hospitals, residential aged care facilities, community). We searched the Cochrane Central Register of Controlled Trials (CENTRAL), the Pain, Palliative and Supportive Care Review Group Specialised Register, MEDLINE, EMBASE, review articles and reference lists of relevant articles. The search was carried out in September 2009. All randomised controlled trials (RCTs), quasi-randomised trials or high-quality, controlled, before and after studies comparing use versus non-use of an EOLCP in caring for the dying were considered for inclusion. The search identified 920 potentially relevant titles, but no studies met criteria for inclusion in the review. Without further available evidence, recommendations for the use of EOLCP for the dying cannot be made. There are now recent concerns regarding the big-scale roll-out of EOLCP despite the lack of evidence; nurses should report any safety concerns or adverse effects associated with such pathways.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 12 Issue 2 - Terminal delirium
    • Abstract: Robinson, John
      Delirium is common in terminally ill patients and is associated with increased morbidity and mortality. Often misdiagnosed and poorly managed due to the similarity in presentation with pain and other psychological disorders such as dementia and depression, it is a distressing symptom for patients, their families/caregivers and health care professionals. The pathogenesis of delirium is multifactorial, complex and poorly understood and no single cause has been identified to date. Management of delirium requires accurate assessment and investigation of potential causes and may include both non-pharmacological and pharmacological strategies. Palliative sedation may be required in some cases, but this strategy remains controversial. Difficulties identified included a lack of awareness and poor recognition of delirium, a paucity of definitive assessment tools for both delirium and pain at the end of life and the underuse of assessment tools that are available. The routine use of medications at the end of life may cause or exacerbate delirium.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 12 Issue 2 - Supporting informal caregivers of people with advanced
           cancer: A literature review
    • Abstract: Ugalde, Anna; Krishnasamy, Meinir; Schofield, Penelope
      Informal carers are people who provide care without a specific professional role. They provide diverse caregiving supports including disease-related problems, side effects of treatment and psychosocial impacts. This paper reports on a comprehensive review of caregiving literature, focusing specifically on cancer caregivers. The paper presents five observations drawn from the literature in order to make recommendations about how caregivers of people with advanced cancer can best be supported. The observations are: 1) caregivers are a heterogeneous group; 2) they have unique needs that differ to the patient; 3) their role includes more than attending to physical caregiving tasks; 4) they may feel unable to take a break from the role and 5) they need their own support which may be beneficial to their capacity to continue in the caregiving role. Recommendations for how health professionals can assist in supporting caregivers in their role are discussed.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 12 Issue 2 - The aetiology, impact and management of cancer-related
           fatigue in patients with advanced cancer
    • Abstract: Chan, Raymond Javan; Yates, Patsy; McCarthy, Alexandra L
      Cancer-related fatigue (CRF) is a distressing symptom frequently experienced by patients with advanced cancer. While there have been some advances in the understanding of the management of fatigue associated with cancer treatment, CRF associated with advanced cancer remains a phenomenon that is not well-managed. The aetiologic factors associated with CRF, the impacts of CRF and the current management of CRF are discussed in this review article in relation to patients with advanced cancer. The paper concludes that, while further research is required in the area, there are several potentially effective strategies currently available that can reduce the severity of CRF in patients with advanced cancer.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 12 Issue 2 - End-of-life care
    • Abstract: Hyde, Susan
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 12 Issue 1 - Prevention of vaginal stenosis after treatment for
           gynaecological cancer
    • Abstract: Tanner, Pauline; Lindsay, Gae; Kerrison, Shirilee; Monterosso, Leanne
      Background Radiotherapy to the pelvis is an effective treatment for gynaecological cancers. This treatment, however, can result in vaginal stenosis, which may lead to dyspareunia, affecting psychosocial health and intimate relationships. It can also result in painful vaginal examinations and even preclude a full clinical examination, which is often an essential component for follow-up care. Several nurse-led initiatives were implemented across Western Australian Gynaecological Cancer Services (WAGCS) during 2008-2009 to prevent development of vaginal stenosis including the Prevention of vaginal stenosis clinical pathway. Aim To ascertain whether implementation of the Prevention of vaginal stenosis clinical pathway resulted in increased knowledge of vaginal stenosis and use of vaginal dilators in accordance with best practice. Method A clinical audit of women who received care before (n=20) and after (n=18) implementation of the clinical pathway. Results The best practice Prevention of vaginal stenosis clinical pathway led to better understanding of vaginal stenosis and increased use of vaginal dilators in women at risk. Conclusion Use of evidence-based support and education can prevent or ameliorate some of the known debilitating side effects of cancer treatment.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 12 Issue 1 - Use of deodorant in breast cancer patients undergoing
           radiation treatment: A national survey of nursing advice
    • Abstract: Carson, Sharron
      Skin care practices recommended for people undergoing external beam radiation (EBRT) vary between radiation oncology departments. Nurses caring for women undergoing EBRT to the breast commonly recommend avoidance of deodorants, especially those that are aluminium-based. However, many women view deodorant use as part of their hygiene routine and are anxious when deodorant use is prohibited. A national survey, using a self-report questionnaire, was undertaken to explore advice given by nursing staff regarding deodorant use to women with a diagnosis of breast cancer undergoing EBRT. The majority of nurses who responded to the survey endorsed the use of aluminium-free deodorants for women undergoing EBRT for breast cancer. Avoidance of aluminiumfree deodorants for women undergoing EBRT does not seem to be supported by evidence or current practice. The question of whether aluminium deodorants can be safely used during radiation therapy remains unanswered and presents an opportunity for future nursing research in this area.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 12 Issue 1 - The experience of receiving radiation therapy
    • Abstract: Rose, Pauline
      Patients undergoing radiation therapy for cancer face significant challenges requiring support from the multidisciplinary team over the course of their treatment. Radiation oncology nurses are an important part of this team. This paper describes the use of radiation therapy and highlights how this treatment modality might impact on the patient throughout a course of treatment. There is particular emphasis on the physical and psychosocial domains for the patient, as well as the nurse's role in patient care. In the physical domain, this paper highlights the major responses by patients to the impact of radiotherapy on the skin and mucous membranes and the common sites of the body, where there is a cumulative radiotherapy effect on tissues. The psychosocial domain concentrates on a brief overview of sources of distress that may impact on the quality of life of the patient and their family.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 12 Issue 1 - Utilising evidence to inform acute toxicity scoring
           for patients receiving radiation therapy for lung cancer
    • Abstract: Everitt, Sarah; Krishnasamy, Mei; Duffy, Mary; Briffa, Sara
      Prompt screening and assessment of acute radiation-induced toxicities are central to the delivery of high-quality, patient-centered care. This paper describes the development and implementation of an acute toxicity scoring tool (the screening tool) for use in a multidisciplinary setting. The screening tool was developed to: 1) promote systematic screening and timely identification of radiation-induced toxicities; and 2) enhance professional awareness of evidence-based interventions for radiation-induced toxicities experienced by patients diagnosed with lung cancer. A six-item scoring tool was developed, based on the best available evidence, expert multidisciplinary input and a training needs analysis to ensure the relevance of the content and acceptability of the format of the screening tool. The screening tool was piloted by members of the lung multidisciplinary team and consumers prior to its implementation in practice. The screening tool includes screening criteria, a grading scale and interventions based on each of the key toxicities. Ongoing evaluation indicates that the screening tool promotes systematic grading of key toxicities by multidisciplinary practitioners. Furthermore, practitioners are provided with the knowledge necessary to promote patient self-care in response to acute radiation-induced toxicities and are prompted to make appropriate and timely referrals for toxicity interventions.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 12 Issue 1 - Radiation oncology nursing
    • Abstract: Krishnasamy, Mei
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 11 Issue 2 - Position Statement on the Minimum Safety Requirements
           for Nurses Involved in the Administration of Anti-cancer Drugs within the
           Oncology and Non-oncology Setting
    • Abstract:
      The key aims and objectives of the position statement of the Cancer Nurses Society of Australia (CNSA) in conjunction with state-wide and local level policy to address the minimal safety requirements for any nurse administering anti-cancer drugs in any health care setting to ensure the safe delivery of care to cancer patients receiving anti-cancer drugs are discussed. The main recommendations of the CNSA regarding the same are highlighted.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 11 Issue 2 - Position Statement on the Minimum Education
           Requirements for Nurses Involved in the Administration of Anti-cancer
           Drugs within the Oncology and Non-oncology Setting
    • Abstract:
      The key aims and objectives of the position statement of the Cancer Nurses Society of Australia (CNSA) to address the minimal educations requirements for any nurse administering anti-cancer drugs in any health care setting to ensure the safe delivery of care to cancer patients receiving anti-cancer drugs are discussed. The theoretical and clinical practice components that the education requirements should incorporate are highlighted.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 11 Issue 2 - Transition from Paediatric Oncology to Adult
           Oncology-based Care
    • Abstract: Nicholson, Louise; Fitzgibbon, Alana
      An increasing number of survivors of paediatric cancers are now entering adulthood and awareness is increasing of the late effects associated with their cancer treatments. Data from international studies identify a number of potential late effects in this patient population that may become evident months to years after treatment. It is imperative that long-term, follow-up models of care are developed to encompass the current and future needs of survivors of paediatric cancers. Transition programmes designed to transfer the paediatric patient to adult-based care are still in their infancy, with several models of care tried and tested; some more successful than others. A review of the barriers and the benefits of long-term, follow-up programmes will be explored, along with the ongoing challenges for health care providers in providing a smooth transition of care.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 11 Issue 2 - Childhood Cancer in Australia
    • Abstract: Momber, Suzanne
      Childhood cancer is rare and over the past decade there has been a significant increase in Australia in the overall survival rate. However, in 2004 it was still the second leading cause of death behind injuries in the one to 14 age group, accounting for 19% of deaths. Despite these improvements, for a large proportion of survivors the childhood cancer experience extends to long-term health effects due to the cancer or as a result of treatment. The diagnosis of cancer impacts on the child, parents, siblings and extended family, causing distress and often significant psychosocial sequelae for protracted periods. Disruption to normal family and social routines and additional financial strain can be considerable, particularly for those from rural and remote areas who need to relocate to a metropolitan paediatric centre for part or all of the child's treatment. Childhood and adult cancers have important differences including how the cancer originates and the clinical characteristics. Many childhood cancers develop as a result of abnormal cell maturation. Childhood cancers are classified according to the International Classification of Childhood Cancers 3rd Edition (ICCC-3), which categorises tumours based on their cell type rather than the primary site. This paper provides an overview of the incidence, management and outcomes of the most common cancers diagnosed in Australian children.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 11 Issue 2 - Children's Palliative Care in Africa
    • Abstract: Downing, Julia; Marston, Joan; Boucher, Sue
      Palliative care for children represents a special, albeit closely related, field to adult palliative care. However, whilst there are many children who require palliative care, in many areas of the world children's palliative care has a poor profile and is inaccessible to those who need it. Whilst the provision of high-quality palliative care for children is a global concern, it is a priority in Africa, where nearly half of all child deaths occur. There are many differences between children's and adult's palliative care; for example, patient-, family- and programme-related issues. The public health approach to palliative care is key to the development of children's palliative care services, along with the need to develop models that integrate services into already existing health structures. There has been great momentum in the development of children's palliative care in sub-Saharan Africa (SSA) and internationally over the past few years. Nurses have a pivotal role to play in the provision of children's palliative care; yet, despite the challenges, quality palliative care for children can, and should, be provided to all in need.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 11 Issue 2 - Children, Cancer and the Provision of Appropriate Care
    • Abstract: Lancaster, Letitia
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 11 Issue 1 - Endometrial Cancer: An Opportunity for Health
           Promotion and Disease Prevention
    • Abstract: McLaren, Elisha
      Endometrial cancer is now the most common gynaecological malignancy in Australia, with numbers expected to rise along with the increase in obesity and an ageing population. Despite this rise in incidence, the majority of women become cancer survivors. However, risk factors for the disease including obesity, hypertension and diabetes, often found as comorbidities in these women, can negatively impact on their survival. As lifestyle plays a significant role in the development of endometrial cancer and its associated comorbidities, there is an increasing need for targeted lifestyle interventions in this group. The purpose of this article is to discuss the benefits of lifestyle and exercise interventions for women with endometrial cancer and the need to include behavioural counselling techniques such as Motivational Interviewing. The article will also discuss the significant impact nurses may have on patient outcomes through the delivery of these interventions.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 11 Issue 1 - Fertility Preservation in Gynaecological Cancer
    • Abstract: Nattress, Kathryn
      Recent advances in the management of gynaecological cancer have resulted in women experiencing improved prognosis and survival rates. However, premenopausal women who have not completed childbearing face the prospect of impaired or loss of fertility. Improved surgical techniques and advances in assisted reproductive technology have made it possible for some women to achieve a successful pregnancy. To ensure fertility concerns in women with gynaecological cancer are addressed, oncology nurses require an understanding of the impact of treatment on fertility and an awareness of available fertility-preservation methods.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 11 Issue 1 - Intraperitoneal Chemotherapy in the Treatment of
           Ovarian Cancer: Background and Nursing Management
    • Abstract: Ryan, Mary; Duggan, Jennifer
      Delivery of chemotherapy into the peritoneal cavity is not a new technique. Originally used in the 1950s as a palliative measure to slow down the re-accumulation of ascites, intraperitoneal (IP) chemotherapy was recognised as a treatment strategy as early as the 1970s. The use of IP chemotherapy in the treatment of women with ovarian cancer has been proven in randomised clinical trials to increase survival. However, despite these positive results, opinion regarding the use of IP chemotherapy is mixed as this mode of treatment delivery is more technical than intravenous (IV) delivery and puts the patient at risk of increased toxicity. Nurses require specialist education and accreditation prior to administering IP chemotherapy.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 11 Issue 1 - Gynaecological Cancer in Australia
    • Abstract: Lancaster, Letitia
      Gynaecological cancer encompasses a range of disparate diseases and can affect women across the lifespan. In Australia they are collectively the fourth most common cancer in women and the fifth most common cause of cancer deaths in women. However, incidence and mortality rates differ significantly between the individual cancers. In addition, there are variations in incidence and mortality rates for some women according to their place of residence.

      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 11 Issue 1 - Women with Gynaecological Cancers - a Progress Report.
           There Is More for Nurses to Do ...
    • Abstract: Prest, Gabrielle
      PubDate: Thu, 2 Nov 2017 11:47:20 GMT
       
  • Volume 18 Issue 1 - Exercise promotion during chemotherapy treatment:
           Recommendations for the Australian oncology nurse
    • Abstract: Paul, Rebecca J
      Exercise has proven physiological and psychological benefits when undertaken regularly and with appropriate guidance. The understanding of exercise and its effect on adults with a diagnosis of cancer can be misunderstood and is still evolving. Oncology nurses are in frequent contact with people receiving chemotherapy for cancer, placing them in an ideal position to educate and empower patients to begin or maintain regular exercise. This paper identifies the benefits of exercise in adults with a diagnosis of cancer receiving chemotherapy, types of exercises to recommend to patients, potential barriers to patient compliance, information about exercise practitioners, and considerations and contraindications. The potential for improved health outcomes through exercise intervention is undeniable. Oncology nurses are vital for increasing awareness and providing practical advice to patients undergoing chemotherapy treatment.

      PubDate: Thu, 26 Oct 2017 22:38:03 GMT
       
  • Volume 18 Issue 1 - Exploring the patient experience of living with a
           peripherally inserted central catheter (PICC): A pilot study
    • Abstract: Cooper, Alannah L; Kelly, Claire M; Brown, Janie
      Background: Peripherally inserted central catheters (PICCs) are used to administer chemotherapy to oncology patients. A review of the literature revealed a gap in the understanding of the patient experience of living with a PICC.

      Aim: To explore patient experience and satisfaction including self-reported adverse events of PICC use. Methods: A prospective survey was utilised to gain an understanding of patients' experiences of living with PICCs. The survey included self-reported pain, comfort and ease of managing activities of daily living. Participants were surveyed at two time points over one month.

      Results: The positive aspects of PICCs included ease of treatment and little pain being associated with the PICC site. However, PICCs did hinder patients in a number of activities including work, leisure and exercise.

      Discussion: Little research has been conducted exploring patient experience of living with a PICC. This small pilot study identifies areas that warrant further investigation to assist with providing patient centred holistic care.

      PubDate: Thu, 26 Oct 2017 22:38:03 GMT
       
  • Volume 18 Issue 1 - Evaluating the benefits of an education intervention
           delivered to carers of bone marrow transplant patients
    • Abstract: Wilczek, Katrina; Mangan, Hannah; Barnett, Catherine; White, Kate
      Carer burden is common amongst carers of cancer patients due to the high level of physical, social and emotional support required. Providing tailored practical information, clarifying expectations, offering guidance on seeking help and caring for self can reduce this burden. An interactive education program was delivered which aimed to increase carer confidence in supporting bone marrow transplant (BMT) recipients. Questionnaires examined carer confidence before and after each session and a program evaluation assessed participant satisfaction. Up to 14 carers attended each session. Wilcoxon (2 related pairs) tests revealed effect sizes of -0.75 to -0.90 supporting large to very large improvements in confidence. Overall satisfaction with presentation and content was high (M=4.57, SD=.33, range=3.9-5). Carers were noticeably more confident about their BMT knowledge, and about caring for themselves, after attending the program. Qualitative feedback was positive. Constructive feedback will guide refinement and the team is exploring other media to deliver this program.

      PubDate: Thu, 26 Oct 2017 22:38:03 GMT
       
  • Volume 18 Issue 1 - 'The Australian journal of cancer nursing': An
           important resource for continuing professional learning
    • Abstract: Yates, Patsy
      PubDate: Thu, 26 Oct 2017 22:38:03 GMT
       
  • Volume 18 Issue 1 - An integrative review on non-patient related factors
           of peripherally inserted central catheter (PICC) infections in
           hospitalised adult patients
    • Abstract: Coyne, Elisabeth; Jose, Jeslin
      Introduction: Peripherally inserted central catheter (PICC) has been recognised as an effective and safe vascular access device. There is a range of devices and management methods in regard to PICC, yet there is little synthesis of the evidence around non-patient related factors of PICC infections to provide an evidence-based guide for clinicians. This integrative review aimed to identify the non-patient related factors that influence PICC infections in adult patients.

      Method: An integrative review was conducted across online databases.

      Results: Twenty-five articles were analysed to identify non-patient related factors that influence CRBSI rates. The catheter type, insertion technique and maintenance were key factors in the infection rates in PICC.

      Conclusion: This integrative review highlighted the importance of considering non-patient related factors to achieve the lowest PICC infection. There is a need for high-level studies to investigate non-patient related factors in preventing PICC infection to increase the evidence base.

      PubDate: Thu, 26 Oct 2017 22:38:03 GMT
       
  • Volume 18 Issue 1 - Qualitative study exploring 'nutrition'-related calls
           to a cancer helpline from people affected by cancer: What are they really
           about'
    • Abstract: Lane, Katherine; Kiddell, Eleanor; Sutton, Clare; Ugalde, Anna; Boltong, Anna
      Background: People affected by cancer often have concerns about the role nutrition plays in cancer prevention, treatment or recovery. Telephone support services can act as a support mechanism for people to access credible information on a range of topics.

      Aims: To explore the nature of nutrition-related enquiries to a telephone support service and the role of the oncology nurse in responding to these enquiries.

      Methods: Nutrition-related calls from September to November 2013 were audited, transcribed and analysed thematically. Results: From the 24 calls included, three key themes emerged: (i) Unmet needs revealed during contact; (ii) Nutrition as a conversation starter; and (iii) Nursing knowledge, intuition, assessment and scope of practice.

      Discussion: People used nutrition queries as a tangible reason to initiate contact with the telephone support service. In the absence of non-verbal cues, nurses must 'listen between the lines' to recognise when deeper issues may be hiding behind more overt reasons for information seeking.

      PubDate: Thu, 26 Oct 2017 22:38:03 GMT
       
  • Volume 17 Issue 2 - A systematic approach to breast care nursing in the
           rural setting: Development of a database and support tool to ensure
           continuity of care
    • Abstract: Pitt, Rachael; Davis, Annette
      Breast care nurses (BCNs) are known to improve the cancer experience for those diagnosed with breast cancer. This paper examines the specialist breast nurse competencies and the development of a database and support tool to assist BCNs in the provision of continuity of care in a rural hospital in New South Wales (NSW). The database and tool, guided by the competencies, supports the provision of optimal care through a more structured approach to management.

      PubDate: Tue, 30 May 2017 21:20:20 GMT
       
  • Volume 17 Issue 2 - Author guidelines
    • PubDate: Tue, 30 May 2017 21:20:20 GMT
       
  • Volume 17 Issue 2 - Using distress screening assessments to improve
           quality care
    • Abstract: Holz, Lynette; Ruhl, Jacquie
      Introduction: Alleviating distress experienced by patients with a diagnosis of cancer is important. Distress screening and targeting interventions aimed at the cause of distress improves quality of life for cancer patients. Distress screening was introduced to the ambulatory treatment centre in 2015 at initial education and when a change of treatment was implemented.

      Objectives: To improve understanding of nurse-led interventions that may assist patients following distress screening as a quality project. Methodology: A literature review was conducted examining resources published between 2010 and 2015.

      Results: The review revealed a range of successful, nurse-led interventions and revealed some potential barriers to effective screening.

      Conclusion: Developing and implementing a clinical management pathway to assist nurses in responding effectively to distress screening is needed. Continuing education to inform nurse-led interventions can also support effective integration of distress screening into clinical practice. Additionally, improving the consistency of use of the distress screening tool allows evaluation of the effectiveness of nurseled interventions.

      PubDate: Tue, 30 May 2017 21:20:20 GMT
       
  • Volume 17 Issue 2 - Optimal cancer care pathways: Developing best practice
           guides to improve patient outcomes and identify variations in care
    • Abstract: Viner, Alexandra H; Williams-Spence, Jenni M; Whitfield, Kathryn; Thomas, Robert JS
      Introduction: The pathway for people undergoing diagnosis and treatment for cancer is complex and often poorly understood by patients, clinicians and administrators. In Australia, national Optimal Cancer Care Pathways (OCPs) have been developed to map this journey for specific tumour types.

      Aim: The primary objectives of establishing the OCPs are to describe the standard of care and targets for evaluating cancer care programs, and improve understanding of the components of the pathway for both clinicians and consumers.

      Method: Multidisciplinary expert groups for each tumour stream reviewed and agreed upon the content for each pathway. This was followed by public consultation with peak national bodies and key stakeholders.

      Results: OCPs for 15 tumour streams, with consumer versions and quick reference guides for general practitioners, have been published online. The full suite of OCPs provides nurses and other health care professionals with improved resources for addressing their patients' needs and questions.

      Practice implications: State-based health departments in Australia are responsible for implementing the OCPs in their jurisdiction. Structural support for implementation is provided by the federal government. Performance expectations, clinician engagement and system accountability will be integrated in the implementation process.

      PubDate: Tue, 30 May 2017 21:20:20 GMT
       
  • Volume 17 Issue 2 - Professional leadership in the context of cancer
           nursing organisations
    • Abstract: Chan, Raymond Javan; Truant, Tracy
      PubDate: Tue, 30 May 2017 21:20:20 GMT
       
  • Volume 17 Issue 2 - Understanding and managing symptom effects of cerebral
           oedema in high-grade glioma patients: A review of the literature
    • Abstract: Hammersley, Jessica Ann
      High-grade glioma (HGG) is a primary brain tumour which is associated with a high mortality rate. An HGG diagnosis is an overwhelming experience for patients and their families, with patients suffering from a range of symptoms associated with disease progression and treatment resulting in poor outcomes and quality of life. For the neuro-oncology nurse, it is difficult to deliver comprehensive health care to this patient group. A search of the literature was conducted for the years 2004 through September 2015. Based on predefined criteria, 16 records were retrieved for review with a major focus on symptoms and treatment of cerebral oedema. The findings were grouped based on emerging categories relating to treatment and management of cerebral oedema, quality of life, functionality and psychological health and nursing assessment and interventions. This article aims to provide health care professionals with a better understanding of the symptom management and effects of cerebral oedema in HGG patients.

      PubDate: Tue, 30 May 2017 21:20:20 GMT
       
 
 
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