Oncology nursing forum
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This study investigated the occurrence of chronic sorrow in individuals diagnosed with cancer and explored factors perceived as helpful to those experiencing grief-related feelings. Using the Burke/NCRCS Chronic Sorrow Questionnaire (Affected Individual Version), interviews were conducted with 10 individuals with cancer at least one year postdiagnosis. Interviews were transcribed and coding categories were developed. ⋯ Subjects most often used cognitive or action-oriented coping strategies to deal with their grief-related feelings. Nursing roles identified as particularly helpful to subjects experiencing chronic sorrow were providing an empathetic presence and being a teacher/expert. Nurses need to be aware that individuals living with cancer may experience chronic sorrow, and they need to be prepared to intervene in ways deemed helpful.
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The purpose of this project was to develop a valid and reliable patient-acuity tool for patients undergoing bone marrow transplant (BMT) as part of an overall patient-acuity system. A survey of other cancer centers and a review of the literature revealed no acuity tools that were designed for patients undergoing BMT. A four-level, nursing-diagnosis-based tool was developed with multiple indicators in each level, and its validity and reliability were studied. ⋯ CVIs ranged from 0.4 to 1.0 with an overall CVI of 0.93 for the tool. Interrater reliability using two raters for 79 patients was high (r = 0.94, p < 0.001). Results of the study provide sufficient evidence of validity and reliability to warrant use of the tool, but further study is needed.