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1.  Psychological Health in Cancer Survivors 
Seminars in Oncology Nursing  2008;24(3):193-201.
The prevalence of both negative (distress) and positive responses (growth, well-being) to the cancer experience is examined and difficulties in establishing the prevalence of these responses discussed. A conceptual framework for understanding factors associated with psychological health in cancer survivors is presented. Finally, strategies for promoting psychological health in cancer survivors are examined.
Data Sources
Review of the literature.
Psychological health in cancer survivors is defined by the presence or absence of distress as well as the presence or absence of positive well-being and psychological growth. Furthermore, psychological health in cancer survivors is determined by the balance between two classes of factors: the stress and burden posed by the cancer experience and the resources available for coping with this stress and burden.
Implications for nursing practice
In general, promotion of psychological health is based upon the prevention or treatment of distress as well as the encouragement of growth and well-being. Periodic screening for psychological distress across the cancer trajectory is critical to appropriate management of distress.
PMCID: PMC3321244  PMID: 18687265
2.  Clinical Trials – The Art of Enrollment 
Seminars in Oncology Nursing  2008;24(4):262-269.
Enrollment barriers and multidisciplinary approaches to increase cancer trials participation are presented. Recruitment barriers, research in Maryland, and a Best Practice for cancer trials are discussed.
Data Sources
Journal and research articles, web sites.
Clinical trials have produced prevention and care advances for cancer and other diseases. Trial enrollment is lower for minorities and underserved communities. A comprehensive program for addressing enrollment barriers should incorporate research on barriers, multidisciplinary teams, and education and trial infrastructure in community settings.
Implications for Nursing Practice
Health disparities training, including culturally appropriate enrollment approaches for education and retention of underserved communities, should incorporate community stakeholders and nurse/physician researchers.
PMCID: PMC3262589  PMID: 19000600
clinical trials enrollment; barriers; accrual; minority and underserved
3.  Social and Ethical Implications of Genomics, Race, Ethnicity and Health Inequities 
Seminars in oncology nursing  2008;24(4):254-261.
To review ethical, ethnic/ancestral, and societal issues of genetic and genomic information and technologies in the context of racial and ethnic health disparities.
Data sources
Research and journal articles, government reports, web sites.
As knowledge of human genetic variation and its link to diseases continues to grow, some see race and ethnicity well poised to serve as genetic surrogates in predicting disease etiology and treatment response. However, stereotyping and bias, in clinical interactions can be barriers to effective treatment for racial and ethnic minority patients.
Implications for nursing practice
The nursing profession has a key role in assuring that genomic healthcare does not enhance racial and ethnic health inequities. This will require utilization of new genomic knowledge and caring for each patient as an individual in a culturally and clinically appropriate manner.
PMCID: PMC2892396  PMID: 19000599
human genetics; clinical decision-making; race; health disparities; nursing
4.  Nutrition and the Cancer Survivor: Evidence to Guide Oncology Nursing Practice 
Seminars in oncology nursing  2008;24(3):171-179.
To conduct a systematic review of scientific reports related to diet and cancer survivorship that have been published since the 2006 American Cancer Society’s Guide for Informed Choices on Nutrition and Physical Activity During and After Cancer Treatment and to integrate these findings into a consistent message that can be delivered by nurses in hopes of improving the health and well-being of cancer survivors.
Data Sources
Journal articles.
Cancer survivors represent a growing population at high risk for recurrence and other co-morbidities. Evidence continues to accumulate regarding the importance of weight management, and a healthful diet (plant-based, low saturated fat) in improving the overall health and promoting disease-free and overall survival in this population
Implications for Nursing Practice
Cancer survivors are eager for nutrition information and nurses are well-positioned to guide them regarding the importance of weight management and healthy food choices.
PMCID: PMC2629487  PMID: 18687263
5.  Smoking Cessation and Lung Cancer: Oncology Nurses Can Make a Difference 
Seminars in oncology nursing  2008;24(1):16-26.
Provide an overview of the impact of smoking after a diagnosis of lung cancer, discuss the relationship between smoking cessation and improved outcomes during the lung cancer trajectory, present information about tobacco dependence evidence-based treatments, reimbursement for these treatments, and tobacco-related resources available for patients and health care professionals, and emphasize the important role of nurses.
Published articles, reports, websites, and research studies.
Tobacco use is associated with 30% of cancer deaths. Prevention of tobacco use and cessation are primary ways to prevent lung cancer. However, even after a diagnosis of lung cancer, smoking cessation is important in improving survival and quality of life. Although effective tobacco dependence treatments are available to help smokers quit smoking, persistent efforts over repeated contacts may be necessary to achieve long-term cessation.
Oncology nursing action is essential in the identification of and intervention with patients who struggle with tobacco dependence after diagnosis.
PMCID: PMC2249620  PMID: 18222148
smoking cessation interventions; tobacco dependence treatment and lung cancer
6.  Lung Cancer Screening: Promise and Pitfalls 
Seminars in oncology nursing  2008;24(1):9-15.
To provide an overview of the status of lung cancer screening.
Published articles, book chapters, websites, and research studies on lung cancer screening.
Screening with chest x-ray and sputum cytology has not been shown to be effective in reducing lung cancer mortality. Although screening with helical CT is currently under investigation in randomized clinical trials, observational studies have not shown evidence that it can detect lung cancer that is curable.
As healthcare educators and caregivers, nurses should be informed of the status and current controversies associated with lung cancer screening.
PMCID: PMC2266834  PMID: 18222147
lung cancer screening; helical CT; low-dose CT; spiral CT; cancer screening clinical trials

Results 1-6 (6)