Our results strongly support the already available literature, suggesting that LEL is an effective and safe approach to prevent or treat oral mucositis resulting from cancer chemotherapy.
Purpose of review
Pain continues to be a prevalent symptom in cancer patients. Patient's ethnicity may influence the experience of pain with variations in pain outcomes among different ethnic groups. The objective of this thematic review is to investigate the relationship between ethnicity and cancer pain experience, assessment and management.
Recent findings
Cancer pain is not only a biophysiological construct but is rather a multidimensional concept of physiological and psychosocial responses, including the biocultural dimension. Culture can significantly affect patients’ cancer pain-related beliefs and behaviors and patient's ethnicity may influence the experience of pain.
We found a scarcity of data and an inconsistent literature that highlights gaps in knowledge, research and clinical practice concerning effective cancer pain management in a multicultural context.
Summary
To face disparities among ethnic minorities in cancer pain management, well-designed randomized controlled trials and robust qualitative research on cancer pain-related issues should inform good clinical practice. A close worldwide collaboration between researchers and clinicians and professional organizations is warranted.
Background: The position of the specialist nurse profession varies across the European Union. Action is required to address the challenges to promote mobility and the contribution of specialist nurses to quality of care. The purpose of the study is to identify the interfaces of the specialist nurse profession across the European Union. Methods: A mixed method study was conducted in October 2019 and total of 40 answers from 18 different European Union countries were selected using a purposive sampling method. Results: The participants had completed various Bologna degree cycles and 57.2% had followed a specific educational programme to become a specialist nurse. More professional autonomy was acquired by 81.9% participants. Conclusion: A striving for homogeneity in the interpretation of the specialist nurses role and competencies is needed to achieve better quality of care provision and facilitate their mobility around the European Union. The lack of recognition identified in this study should encourage nurse managers to consider specialist nurse roles with the aim of capitalizing on the advanced care and expertise that specialist nurses provide. These results are an opportunity to improve the specialist nurses profession with an ultimate impact on management practices of streamlined, cost-effective clinical services.
To eliminate the burden of health disparities and ensure the best outcomes in MEM's cancer patients, a collaborative approach from research and clinical practice is necessary. Only robust research from all countries exploring unmet needs of MEMs and striving for functional understanding can inform and innovate clinical practice.
Background: Prior research by the European Oncology Nursing Society (EONS) has provided evidence for significant differences in various dimension of cancer nursing across Europe. EONS Advocacy working group has developed the European Cancer Nursing Index (ECNI) to illustrate the status and better promote cancer nursing among political and/or health contexts.Methods: Data on education and career development, patient and occupational safety, working conditions and impact, recognition and workforce statistics) were collected and (22 items) were divided into 5 dimensions (described above). from European cancer nurses through EONS survey on patient and occupational safety (n¼491) and interviews conducted with leading cancer nurses (n¼38). Eurostat and OECD work force statistics were also used. A scoring manual was developed (with scores 0-100) by EONS Advocacy group. For items with varying responses from the same country, the most frequent was applied. Each of the 38 countries' national cancer profile was scored according to the manual and was presented graphically on map charts (mapchart.net).Results: Important differences between countries regarding the 5 dimensions was found. The mean total cancer nursing index score was 48 out of 100 and varied between 16-78, with the highest reported total score was from Ireland (78/100). In education and career development (mean¼9, min-max ¼0-18) Norway, United Kingdom, The Netherlands and Ireland scored higher, in Patient and Occupational safety (mean¼18, min-max ¼3-36) Germany and Belgium, and recognition (mean¼8, min-max ¼0-15) Cyprus, Denmark and Sweden, while Bosnia and Switzerland ranked higher on working conditions and impact (mean¼15, min-max ¼3-19).
Conclusions:The ECNI 2020 provides important information on the differences in cancer nursing profile across Europe. Cancer nursing needs to be strengthened in all European countries, to guarantee high quality and safe cancer care. It is recommended that the index be updated biannually to reflect progress and future developments.Legal entity responsible for the study: The authors.
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