Healthcare providers need to assess and address perceived cognitive functioning to promote work-related outcomes in BCS.

Lack of information regarding cognitive impairment inhibits survivors' ability to prepare, understand, and accept impending cognitive changes and how they may affect work ability. Oncology nurses can assist cancer survivors by preparing and educating them on how to better manage impairment associated with cancer and its treatment.

Background: Implementation and sustainability of a culture of evidence-based practice (EBP) require a systematic approach. A baseline assessment of the organizational context can inform implementation efforts.Aims: To examine organizational hospital context and provider characteristics associated with EBP readiness and to describe EBP context across hospitals.Methods: A nonexperimental descriptive correlational design was used to conduct a webbased survey of direct-care registered nurses (N = 701) and nurse managers (N = 94) across a large Midwestern multisite healthcare system using the Alberta Context Tool (ACT). EBP readiness by nurse characteristicsResponse n Leadership M ± SD Culture M ± SD Evaluation M ± SD Social capital M ± SD Organizational slack M ± SD Formal interaction M ± SD Informal interaction M ± SD Structural/ electronic resources

No abstract

Purpose To evaluate the acceptability, satisfaction, and preliminary efficacy of cognitive training for improving cognitive function and health outcomes in breast cancer survivors (BCS). Patients and methods BCS enrolled in this 2-group randomized, double-masked controlled trial of cognitive training. Primary outcomes included the acceptability and satisfaction of the interventions. Secondary outcomes included examining the effect size and reliable improvement of perceived cognitive function and health outcomes, including work ability, health perception (status and change), and quality of life. Exploratory outcomes were performance on neuropsychological tests and plasma levels of brain-derived neurotropic factor (BDNF). Data were collected at baseline and immediately post-intervention. Using ANCOVA models, the intervention was compared to attention control while adjusting for covariates and baseline values. The effect sizes for differences in means and the reliable improvement percentage were reported. Results Thirty-six BCS completed the study and were on average 57.6 ( SD = 8.0) years old, 59.4% Caucasian, and had some college education (74.5%). Both programs were reported to be satisfactory and acceptable. Non-significant small effect sizes were noted for the intervention on cognitive abilities ( d = 0.26) and cognitive concerns ( d =  − 0.32), with reliable improvement noted in 32% and 28% of BCS, respectively. Small to medium effect sizes were noted in improvement in work ability ( d = 0.37) and health perception status ( d = 0.30) and change ( d = 0.60, p < 0.05). Conclusions Cognitive training was acceptable to BCS and resulted in improvement in perceived cognitive function and perceptions of “real-world” health benefits. A larger randomized controlled trial is warranted to determine its effectiveness for objective cognitive performance.

Oncology nurses play an important role in the identification of patients with malglycemia. Early assessment and intervention for those patients can improve outcomes and quality of life.

No abstract

Integration of evidence-based practice (EBP) into the culture of a healthcare organization is essential to provide safe patient care and promote a thriving culture for the nurses within the healthcare organization. Collaboration and utilization of both clinical and academic experts facilitates the removal of barriers to EBP. This article describes the successful partnership between a healthcare system and school of nursing in executing a 3-phased multi-modal approach to an EBP training program.