Factors influencing Canadian oncology nurses discussing cannabis use with patients experiencing chemotherapy-induced nausea.

A descriptive, cross-sectional study was conducted to determine factors influencing Canadian oncology nurses discussing cannabis use with patients experiencing chemotherapy-induced nausea (CIN). A survey invitation and three reminders were sent to 678 members of the Canadian Association of Nurses in Oncology (CANO) between February 8 and April 10, 2022. An educator sent an extra invitation to 131 oncology nurses in Eastern Ontario.

Quick, Effective Screening Tasks Identify Children With Medical Conditions or Disabilities Needing Physical Literacy Support.

Purpose: This study evaluated screening tasks able to identify children with medical conditions or disabilities who may benefit from physical literacy.

Method: Children completed ≤20 screening tasks during their clinic visit and then the Canadian Assessment of Physical Literacy (2nd edition) at a separate visit. Total Canadian Assessment of Physical Literacy scores <30th percentile were categorized as potentially needing physical literacy support.

Characteristics of immunisation support programmes in Canada: a scoping review and environmental scan.

Objective: To identify, characterise and map the existing knowledge about programmes that provide immunisation support to Canadians and barriers and facilitators to their delivery.

Design: Scoping review and environmental scan.

Introduction: Vaccine hesitancy may be associated with unmet support needs of individuals.

A Quality Improvement Project on Pain Management at a Tertiary Pediatric Hospital.

Unlabelled: To assess and improve pain management practices for hospitalized children in an urban tertiary pediatric teaching hospital.

Methods: Health Quality Ontario Quality Improvement (QI) framework informed this study. A pre (T1) - post (T2) intervention assessment included chart reviews and children/caregiver surveys to ascertain pain management practices.

Parents' management of adolescent patients' postoperative pain after discharge: A qualitative study.

: Short hospital admission periods following pediatric inpatient surgery leave parents responsible for managing their child's postoperative pain in the community following discharge. Little is known about the experiences of parents caring for their child's postoperative pain after discharge home following inpatient surgery. Research examining parental postoperative pain management following their child's day surgery has found that parents are challenged in their pain management knowledge and practices.

Creating enriched training sets of eligible studies for large systematic reviews: the utility of PubMed's Best Match algorithm.

Introduction: Solutions like crowd screening and machine learning can assist systematic reviewers with heavy screening burdens but require training sets containing a mix of eligible and ineligible studies. This study explores using PubMed's Best Match algorithm to create small training sets containing at least five relevant studies.

Methods: Six systematic reviews were examined retrospectively.

Anxiety, depression, and symptom experience in concussed children and youth.

Purpose: To describe and explore the relationship between baseline anxiety, depression and symptom experience in children and youth assessed at a concussion clinic.

Design And Methods: A retrospective chart review of concussed children and youth referred to a pediatric teaching hospital concussion clinic over a 15-month period was completed. Kutcher Adolescent Depression Scale (KAD-6), General Anxiety Disorder Scale (GAD-7), and the Post-Concussion Symptom Inventory (PCSI) scores were extracted.

Adolescent Patients' Management of Postoperative Pain after Discharge: A Qualitative Study.

Background: Adolescents are typically admitted for a short period of time after inpatient surgery, leaving much of their recovery to occur at home. Pain, and thus pain management, is a major component of recovery at home. Research among pediatric outpatient surgical patients has found that pain experienced in the community setting after discharge is often severe and is related to knowledge deficits resulting in inadequate pain management.

Balance Markers and Saccadic Eye-Movement Measures in Adolescents With Postconcussion Syndrome.

Context: Deficits in both balance and oculomotor function, including impairments in saccadic eye movements, are observed in approximately 30% of patients postconcussion. Whereas balance and saccadic eye movements are routinely assessed separately, growing evidence suggests that they should be assessed concurrently.

Objective: To compare balance measures and saccades between adolescents 1 to 3 months postconcussion and healthy uninjured adolescents.

Crowdsourcing the Citation Screening Process for Systematic Reviews: Validation Study.

Background: Systematic reviews (SRs) are often cited as the highest level of evidence available as they involve the identification and synthesis of published studies on a topic. Unfortunately, it is increasingly challenging for small teams to complete SR procedures in a reasonable time period, given the exponential rise in the volume of primary literature. Crowdsourcing has been postulated as a potential solution.

The Canadian Pediatric Mild Traumatic Brain Injury Common Data Elements Project: Harmonizing Outcomes to Increase Understanding of Pediatric Concussion.

A critical component for accelerating the clinical uptake of research data in the area of pediatric concussion or mild traumatic brain injury (MTBI) pertains to the establishment and utilization of common databases. The objective of the first phase of our CanPedCDE initiative was to agree upon pediatric common data elements (CDEs) that could best characterize children with MTBI over their recovery period. The selection of CDEs for our framework aimed to balance factors such as the comprehensiveness of outcomes collected, their applicability to diverse settings, as well as the costs associated with their use.

Concussion Symptom Prevalence, Severity and Trajectory: Implications for Nursing Practice.

Purpose: The purpose of this study was to describe the symptom severity and trajectory in concussed children who were followed during a one year period at a concussion clinic.

Design And Methods: A retrospective chart review was completed to describe the symptom trajectory up to three months during the recovery.

Results: One hundred and thirty-six patients were included (74 female, 62 male) with a median age of 15.

Symptom Experience and Quality of Life in Children after Sport-Related Head Injuries: A Cross-Sectional Study.

Background: Sports are a major cause of concussions, and little is known about the symptom experience and health-related quality of life (HRQL) in children who remain symptomatic for over 3 months following such head injuries.

Methods: A cross-sectional study of children aged 10-18 years was performed who were referred to the Neurosurgery Clinic at our centre following a head injury. Symptom experience was measured using the modified Concussion Symptom Scale, and HRQL was measured using the Pediatric Quality of Life Inventory (PedsQL).

Symptoms, coping, and quality of life in pediatric brain tumor survivors: a qualitative study.

Purpose/objectives: To explore the symptom experience, coping strategies, and children's descriptions of their quality of life (QOL) after treatment for a brain tumor.

Research Approach: An interpretive descriptive qualitative study.

Setting: A pediatric hospital setting in Ontario, Canada.

Symptom experience and quality of life in pediatric brain tumor survivors: a cross-sectional study.

Context: Little is known about the symptom experience and quality of life of children and youths who have completed treatment for a pediatric brain tumor.

Objectives: This study describes the symptom experience and health-related quality of life of children who have survived a brain tumor.

Methods: This observational cross-sectional study used a convenience sample of 50 children who were being followed in ambulatory care after they had completed brain tumor treatment.

Quality of life and symptoms in pediatric brain tumor survivors: a systematic review.

Little is known about the quality of life of children and youth under the age of 20 who have completed treatment for a pediatric brain tumor. This systematic review was conducted to (a) describe the health-related quality of life (HRQL) outcomes in pediatric brain tumor survivors, (b) identify instruments used to measure HRQL, and (c) determine the relationship between symptoms and HRQL. Using a systematic search and review methodology, databases searched included CINAHL, Medline, Embase, and PsycInfo.

Initial development of the Symptom Screening in Pediatrics Tool (SSPedi).

Background: We previously identified published scales for symptom assessment in pediatric cancer patients. The objectives of this study were to identify if any of these scales were suitable for use or adaptation as a self-report symptom screening tool, and if not, to begin the process of creating a new tool.

Methods: A focus group of ten healthcare professionals with expertise in pediatric cancer symptom management and a patient advocate were convened.

Development and evaluation of evidence-informed clinical nursing protocols for remote assessment, triage and support of cancer treatment-induced symptoms.

The study objective was to develop and evaluate a template for evidence-informed symptom protocols for use by nurses over the telephone for the assessment, triage, and management of patients experiencing cancer treatment-related symptoms. Guided by the CAN-IMPLEMENT© methodology, symptom protocols were developed by, conducting a systematic review of the literature to identify clinical practice guidelines and systematic reviews, appraising their quality, reaching consensus on the protocol template, and evaluating the two symptom protocols for acceptability and usability. After excluding one guideline due to poor overall quality, the symptom protocols were developed using 12 clinical practice guidelines (8 for diarrhea and 4 for fever).

Priorities, barriers and facilitators for remote support of cancer symptoms: a survey of Canadian oncology nurses.

A survey of 368 Canadian oncology nurses revealed that 54% provided remote support to oncology patients. The most common symptoms identified were fatigue, pain, nausea, constipation, and anxiety. Frequent symptoms which nurses felt low confidence in managing were anxiety, neuropathy, depression, anorexia and skin alterations.

Emergency department visits for symptoms experienced by oncology patients: a systematic review.

Purpose: The aim of this review was to explore the range and prevalence of cancer treatment or disease-related symptoms in the emergency department and their associated outcomes.

Methods: A systematic review examined studies cited in Medline, Embase, PsycINFO, and CINAHL published from 1980 to July 2011. Eligible studies measured emergency department visits for symptom assessment in adult oncology patients.

Safe handling of parenteral cytotoxics: recommendations for ontario.

In caring for patients with cancer, health care workers may be exposed to cytotoxic agents. Recommendations are needed to mitigate potential risks for cancer and adverse reproductive outcomes associated with exposure.

A survey of oncology advanced practice nurses in Ontario: profile and predictors of job satisfaction.

The purpose of this study was to examine role structures and processes and their impact on job satisfaction for oncology advanced practice nurses (APNs) in Ontario. APNs caring for adult, paediatric or palliative patients in integrated regional cancer programs, tertiary care hospitals or community hospitals and agencies were invited to complete a mailed self-report questionnaire. A total of 73 of 77 APNs participated in the study.