Barriers in Nursing Practice in Cancer Cachexia: A Scoping Review

This scoping review aims to identify the barriers in practice and clinical trials for oncology nurses in cancer cachexia. We used the framework proposed by Arksey and O'Malley and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. Studies written i...

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Main Authors: Rika Sato, Tateaki Naito, Naoko Hayashi
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Asia-Pacific Journal of Oncology Nursing
Subjects:
Online Access:http://www.apjon.org/article.asp?issn=2347-5625;year=2021;volume=8;issue=5;spage=498;epage=507;aulast=Sato
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author Rika Sato
Tateaki Naito
Naoko Hayashi
author_facet Rika Sato
Tateaki Naito
Naoko Hayashi
author_sort Rika Sato
collection DOAJ
description This scoping review aims to identify the barriers in practice and clinical trials for oncology nurses in cancer cachexia. We used the framework proposed by Arksey and O'Malley and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. Studies written in English and published between 2008 and 2021 were retrieved from five databases: MEDLINE, Cochrane Library, CINAHL, PsycINFO, and EMBASE. A total of 1075 studies were identified, and 34 full-text studies were assessed for eligibility by three researchers. Seventeen studies met the inclusion criteria. This review revealed several barriers to nursing practice and clinical trials in cancer cachexia. First, health-care professionals, including nurses, faced individual barriers (insufficient understanding and skills for diagnosis and management) and environmental barriers (lack of standardized screening tools or treatment options, difficulties in collaboration with other professions, and limited human resources) in practice. Second, studies on nurse-led interventions for cancer cachexia were relatively few and different in objectives, making it challenging to integrate the outcomes. Finally, there were no established educational programs for nurses that explicitly focused on cancer cachexia. This scoping review revealed individual and environmental barriers in nursing practice. In addition, there have relatively few clinical trials involving oncology nurses in cancer cachexia. Continuing education for nurses should cover cancer cachexia to improve the quality of oncology care in the future. It is also necessary to standardize practical assessment tools that are easy to assess daily and lead to interventions and develop nurse-led multidisciplinary care.
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spelling doaj.art-9031a5f3f7d943eba56ba752c9f70fa62023-08-02T09:06:27ZengElsevierAsia-Pacific Journal of Oncology Nursing2347-56252349-66732021-01-018549850710.4103/apjon.apjon-2152Barriers in Nursing Practice in Cancer Cachexia: A Scoping ReviewRika SatoTateaki NaitoNaoko HayashiThis scoping review aims to identify the barriers in practice and clinical trials for oncology nurses in cancer cachexia. We used the framework proposed by Arksey and O'Malley and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. Studies written in English and published between 2008 and 2021 were retrieved from five databases: MEDLINE, Cochrane Library, CINAHL, PsycINFO, and EMBASE. A total of 1075 studies were identified, and 34 full-text studies were assessed for eligibility by three researchers. Seventeen studies met the inclusion criteria. This review revealed several barriers to nursing practice and clinical trials in cancer cachexia. First, health-care professionals, including nurses, faced individual barriers (insufficient understanding and skills for diagnosis and management) and environmental barriers (lack of standardized screening tools or treatment options, difficulties in collaboration with other professions, and limited human resources) in practice. Second, studies on nurse-led interventions for cancer cachexia were relatively few and different in objectives, making it challenging to integrate the outcomes. Finally, there were no established educational programs for nurses that explicitly focused on cancer cachexia. This scoping review revealed individual and environmental barriers in nursing practice. In addition, there have relatively few clinical trials involving oncology nurses in cancer cachexia. Continuing education for nurses should cover cancer cachexia to improve the quality of oncology care in the future. It is also necessary to standardize practical assessment tools that are easy to assess daily and lead to interventions and develop nurse-led multidisciplinary care.http://www.apjon.org/article.asp?issn=2347-5625;year=2021;volume=8;issue=5;spage=498;epage=507;aulast=Satocancer cachexianurses' rolenursing carescoping review
spellingShingle Rika Sato
Tateaki Naito
Naoko Hayashi
Barriers in Nursing Practice in Cancer Cachexia: A Scoping Review
Asia-Pacific Journal of Oncology Nursing
cancer cachexia
nurses' role
nursing care
scoping review
title Barriers in Nursing Practice in Cancer Cachexia: A Scoping Review
title_full Barriers in Nursing Practice in Cancer Cachexia: A Scoping Review
title_fullStr Barriers in Nursing Practice in Cancer Cachexia: A Scoping Review
title_full_unstemmed Barriers in Nursing Practice in Cancer Cachexia: A Scoping Review
title_short Barriers in Nursing Practice in Cancer Cachexia: A Scoping Review
title_sort barriers in nursing practice in cancer cachexia a scoping review
topic cancer cachexia
nurses' role
nursing care
scoping review
url http://www.apjon.org/article.asp?issn=2347-5625;year=2021;volume=8;issue=5;spage=498;epage=507;aulast=Sato
work_keys_str_mv AT rikasato barriersinnursingpracticeincancercachexiaascopingreview
AT tateakinaito barriersinnursingpracticeincancercachexiaascopingreview
AT naokohayashi barriersinnursingpracticeincancercachexiaascopingreview