ABSTRACT
Anecdotally, from personal experience as a growing editor and in talking with experienced editors, rejecting evidence-based project manuscripts that do not include patient outcomes is routine. Phrased differently, it is typic.
Subject(s)
Evidence-Based Nursing , Humans , Oncology Nursing , PublishingABSTRACT
Health care is a complex and ever-changing environment for nurse leaders and other health care industry decision-makers. The prevailing leadership and decision-making models, rooted in Industrial Age principles, often struggle to adapt to the complexities of modern health care. This article explores the foundations of complexity science and its application to health care decision-making, highlighting the importance of understanding systems dynamics and embracing complexity. Drawing from systems knowledge, the Cynefin Sensemaking Framework, and understanding how to develop enabling constraints, nurse leaders can navigate the complexities of health care by identifying the nature of the problem and applying appropriate decision-making strategies, fostering agility and innovation. By embracing complexity and adopting adaptive leadership approaches, nurse leaders can pragmatically navigate the complexities of modern health care and drive transformative change. This manuscript provides methods for nurse leaders to enhance decision-making within the dynamic landscape of health care as a complex adaptive system.
Subject(s)
Decision Making , Leadership , Nurse Administrators , Humans , Nurse Administrators/trendsABSTRACT
Many people view health, wellness, and illness through a lens of religion and spirituality (R&S), modern science, and culture. Faith and science are not dichotomous in health care; they are complementary and even intercon.
Subject(s)
Neoplasms , Spirituality , Humans , Neoplasms/therapyABSTRACT
Although the nursing profession has seen significant changes, the core of nursing has never changed. It has always been and will always be about serving all people with holistic care in whatever ways they need at the time.
Subject(s)
Oncology Nursing , HumansABSTRACT
Applying artificial intelligence (AI) to cancer care has the potential to transform and enhance nursing practice and patient outcomes, from cancer prevention and screening through treatment, survivorship, and end-of-life care.
Subject(s)
Artificial Intelligence , Machine Learning , Humans , Delivery of Health CareABSTRACT
Modifiable risk factors such as tobacco and alcohol use, obesity, sun exposure, and infections account for 40%-50% of all new cancer diagnoses and all cancer deaths in the United States (American Cancer Society [ACS], 2023).
Subject(s)
Goals , Neoplasms , United States/epidemiology , Humans , Risk Factors , Neoplasms/diagnosis , Neoplasms/prevention & controlABSTRACT
BACKGROUND: Cancer prevention and screening is a significant part of the cancer care continuum. Nurses are trusted professionals who can bring stakeholders together and serve diverse groups. OBJECTIVES: This article describes how nurses can advance cancer prevention and screening initiatives in industry, education, legislative advocacy, research, survivorship, and program development and support. METHODS: An online search and collaborative knowledge revealed examples of nurses leading the way in cancer prevention and screening efforts. FINDINGS: Nurse-driven cancer prevention and screening collaborations advance care farther and faster. By creating maximum impact and mobilizing individual passion for a project, any nurse can find collaborative niche opportunities in clinical practice.
Subject(s)
Early Detection of Cancer , Neoplasms , Patient Advocacy , Delivery of Health Care , Humans , Neoplasms/diagnosis , Neoplasms/prevention & control , Nurses , Program DevelopmentABSTRACT
BACKGROUND: Low-dose computed tomography (LDCT) lung cancer screening is an evidence-based and reimbursable strategy to decrease lung cancer and all-cause mortality in qualifying patients, but there remains low use and variation in providers' LDCT screening, ordering, and referring knowledge. OBJECTIVES: The purpose of this quality improvement project was to examine the effects of oncology nurse navigation on assisting patients and ensuring optimal LDCT lung cancer screening. METHODS: Oncology nurse navigators conducted LDCT provider education and navigated 133 eligible patients to LDCT during a five-month intervention time period. FINDINGS: Provider education resulted in improved documented tobacco cessation discussions and increased LDCT screening ordering fidelity. Mean days from LDCT to provider notification and mean days from LDCT to patient notification improved significantly.
Subject(s)
Lung Neoplasms , Nurse Clinicians , Early Detection of Cancer , Humans , Lung Neoplasms/diagnostic imaging , Mass Screening , Tomography, X-Ray ComputedABSTRACT
OBJECTIVE: To describe the increasing professional use of social media within oncology health care practice. DATA SOURCES: Peer-reviewed and lay publications. CONCLUSION: Social media has changed the communication landscape over the last 15 years. An integral part of worldwide culture, oncology health care professionals can utilize social media to listen, learn, engage, and co-create to advance cancer care. IMPLICATIONS FOR NURSING PRACTICE: Nurses must be aware of the professional uses for social media, how to use the media, and where to find evidence supporting health care social media efforts within cancer care.
Subject(s)
Neoplasms/therapy , Social Media/statistics & numerical data , Cell Phone , Communication , Ethics , Humans , Internet , Neoplasms/nursing , Nurse's Role , Social Media/ethicsABSTRACT
The number of blogs and related online activities continues to grow exponentially each year. Patients increasingly are turning to the Internet for personalized, timely, and relevant health information; blogs remain a large source of that information. Nurses and other healthcare professionals can harness the informational, educational, networking, and supportive power of blogs, as well, and should understand how to access and use blogs for professional use.
Subject(s)
Blogging , Nursing , Information ServicesABSTRACT
BACKGROUND: Given the growing number of cancer survivors, all nurses must have current knowledge and skills to provide competent cancer care. Accordingly, access to evidence-based educational opportunities designed to promote ongoing competency must be ensured. Program offerings and services should be based on a systematic and periodic approach to provide appropriate programming that meets learners' self-identified needs, priorities, and self-reported gaps in existing knowledge and practice. OBJECTIVE: The purpose of this article was to report the process and findings of a statewide needs assessment of cancer-related needs of nurses across all practice settings. METHODS: A convenience sample of licensed nurses was recruited from throughout Texas to complete a learning needs assessment instrument. RESULTS: Five hundred twenty-one nurses completed the survey. Results revealed several priority areas for educational programming, including clinical care topics, survivorship issues, tobacco cessation strategies, and clinical trials. Although results varied somewhat between oncology and nononcology nurses, both groups cited time constraints as the biggest barrier to integrating cancer-related knowledge and skills into their practice. CONCLUSION: Findings from the survey can be used to direct program priorities and approaches for ongoing educational services that promote delivery of competent cancer care. IMPLICATIONS FOR PRACTICE: This approach to a cancer-focused needs assessment serves as an exemplar for nursing education leaders who are charged with developing and delivering cancer-specific programming for nurses.
