Confronting Commercial Sexual Exploitation of Children in Comprehensive Sex Education.

An argument for applying an antiracist lens.

Bearing Witness in Oncology Nursing: Sharing in Suffering Across the Cancer Care Trajectory.

Bearing witness in oncology nursing is a critical practice for supporting patients with cancer, and yet it is an understudied phenomenon most described at the end of life. A literature review was performed to better understand the importance of bearing witness across the cancer care trajectory and to elucidate how the practicing oncology nurse can operationalize this skill in the clinical setting. Studies suggest that oncology nurses who successfully bear witness in their practice not only assist patients and families in meaning-finding, but also sustain themselves for the difficult work of oncology through the deeply gratifying gift they receive from the experience.

Development of a comprehensive infection control program for a short-term shelter serving trafficked women.

A shelter for trafficked women has unique infection control needs that require a comprehensive infection control plan, balancing the needs of infection prevention with respect for the vulnerable population served. Using a trauma-informed model and evidence from infection control in other shelter settings, a group of senior baccalaureate students developed a program in a short-term shelter for commercially sexually exploited individuals that included a written infection control manual, policies and procedures, and staff training. This partnership between academia and a nonprofit agency was an experiential service learning project in the domain of public health nursing, allowing students the opportunity to apply evidence toward a sustainable intervention for the agency.

Photography in Telemedicine: Improving Diagnosis of Chronic Graft-Versus-Host Disease.

Background: The long-term follow-up (LTFU) team at the Seattle Cancer Care Alliance uses telemedicine to diagnose and treat post-transplantation complications in hematopoietic cell transplantation (HCT) survivors. Photos are often requested via the telemedicine service to aid in diagnosis, but they are typically of poor quality, making them unusable.

Objectives: This project offered bachelor of science in nursing students, partnered with a comprehensive cancer center, the opportunity to participate in an evidence-based practice project to improve detection and management of chronic graft-versus-host disease (cGVHD) in patients after HCT.

Improving patient knowledge of discharge medications in an oncology setting.

Discharge medications for a patient with cancer typically are numerous and complex. During the transition between inpatient stays and ambulatory follow-up visits, patients commonly misunderstand medication instructions, placing them at risk for under- or overdosing. This column discusses the results of an evidence-based practice change project at the Seattle Cancer Care Alliance to improve adult patient knowledge and use of discharge medications.

Prevention of dimethylsulfoxide-related nausea and vomiting by prophylactic administration of ondansetron for patients receiving autologous cryopreserved peripheral blood stem cells.

Purpose/objectives: To evaluate the effectiveness of ondansetron for the prevention of nausea and vomiting from dimethylsulfoxide (DMSO) during autologous stem cell transplantation (ASCT) infusion.

Design: Nonrandomized cohort using historical control.

Setting: Comprehensive cancer center outpatient infusion department.

Prevention and treatment of acute radiation dermatitis: a literature review.

Purpose/objectives: To review historical and current research data on prevention and treatment of acute radiation dermatitis.

Data Sources: 18 research trials and 1 case report published from 1967-2001 and 1 unpublished research trial from 1972.

Data Synthesis: Washing the skin with mild soap and water and the hair with mild shampoo is safe during radiation therapy.

Treating chronic and acute wounds with warming: Review of the science and practice implications.

Systemic and local warming of tissue produces physiologic and cellular responses in the local wound environment conducive to wound healing. The use of warming to treat wounds is not a new idea, but the ability to deliver warming with controlled temperatures and conditions is a recent development. This article reviews basic science and clinical studies of active systemic and local warming and the reported effects on wound physiology, healing, and rate of infection in chronic and acute wounds.