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Seminars in oncology nursing  2011;27(2):133-141.
The advent of oral therapies has dramatically changed the landscape of cancer therapy. Yet the degree to which patients actually take the prescribed agents as ordered remains unknown. This article outlines the challenges that oral chemotherapy agents present to both patients and providers and suggests interventions for promoting adherence.
Data Sources
Published articles and web resources.
Barriers and facilitators to medication adherence are reviewed and interventions to promote medication adherence are presented. Strategies that include patient education and symptom management can promote adherence.
Implications for Nursing Practice
Maximizing adherence to oral chemotherapy agents can have many positive outcomes, but most important is improvement in overall survival and life expectancy. Other outcomes include improved safety and quality of life. Patients risk improper dosing and an increase in disease recurrence when there is nonadherence with medications. Correct dosing, education, and symptom management are all critical to ensuring adherence. Nursing interventions that incorporate education, early symptom identification, and reminder prompts can improve outcomes.
PMCID: PMC3653175  PMID: 21514482
Cancer; oral chemotherapy; adherence; symptom management; interventions
2.  Technologies to Support End of Life Care 
Seminars in oncology nursing  2011;27(3):211-217.
To describe the current level of utilization of informatics systems in hospice and palliative care and to discuss two projects that highlight the role of informatics applications for hospice informal caregivers.
Data sources
Published articles, web resources, clinical practice and ongoing research initiatives.
There are currently few informatics interventions designed specifically for palliative and hospice care. Challenges such as interoperability, user acceptance, privacy, the digital divide and allocation of resources all affect the diffusion of informatics tools in hospice.
Implications for nursing practice
Caregiver support through use of IT is feasible and may enhance hospice care.
PMCID: PMC3143374  PMID: 21783012
informatics; hospice; palliative care; information technology; Internet
3.  Patient-reported Symptoms and Quality of Life Integrated into Clinical Cancer Care 
Seminars in oncology nursing  2011;27(3):203-210.
To provide an overview of research and practice related to patient-reported symptom and quality of life assessment integrated into clinical care.
Data sources
Literature retrieved through the PUBMED and CINAHL databases.
Assessing and incorporating patient preferences, engaging the patient in self-report and extending the interaction to the place and time favored by the patient are necessary to bring meaning to the term, patient-centered. There is beginning evidence that these approaches can make a difference, improving care quality.
Implications for nursing practice
Oncology nurses no longer need to be constrained by paper symptom checklists. Patient-reported symptom and quality of life information can be electronically collected and simultaneously made available for home and clinical use through the utilization of Web-based programs.
PMCID: PMC3143403  PMID: 21783011
cancer symptoms; quality of life; patient centered care; clinical informatics; patient reported outcomes
4.  A Deliberate and Rigorous Approach to Development of Patient-centered Technologies 
Seminars in oncology nursing  2011;27(3):183-191.
Many technologies intended for patient use are never developed or evaluated with principles of user-centered design. In this review, we explore different approaches to assessing usability and acceptability, drawn from selected exemplar studies in the health sciences literature.
Data sources
Peer-reviewed research manuscripts were selected from Medline and other data sources accessible through We also present a framework for developing patient-centered technologies that we recently employed.
While there are studies utilizing principles of user-centered design, many more do not report formative usability testing results and may only report post-hoc satisfaction surveys. Consequently, adoption by user groups may be limited.
Implications for Nursing Practice
We encourage nurses in practice to look for and examine usability testing results prior to considering implementation of any patient-centered technology.
PMCID: PMC3189856  PMID: 21783009
Usability; Acceptability; Patient-centered; Informatics
5.  Essential Genetic and Genomic Nursing Competencies for the Oncology Nurse 
Seminars in oncology nursing  2011;27(1):64-71.
To review the opportunities and possibilities for advancing oncology nursing competencies in genetic/genomics through the illustration of case scenarios in clinical care.
Data Sources
Literature; research reports.
Oncology nurses have the potential to influence whether or not cutting edge research discoveries are utilized at the bedside. Clinical integration of genetic/genomic information has the potential to optimize health outcomes and lengthen patient lives.
Implications for Nursing Practice
Oncology nurses need to include genetics/genomics in their practice in order to impact quality patient care today and for the future.
PMCID: PMC3059123  PMID: 21255714
Competency; Genetics; Genomics; Oncology Nursing Education

Results 1-5 (5)