Objectives Our study aim was to develop a deeper understanding of CIPN-related QOL in a sample of breast cancer survivors. Methods We utilized purposive sampling to recruit breast cancer survivors with chronic CIPN for our study using photovoice methodology. Participants were enrolled, received photovoice-related training, and spent four weeks photographing their life with CIPN. Data collection consisted of photo interviewing, a photo discussion focus group, a photovoice exhibition de-briefing focus group, and field notes. Data were analyzed in NVivo 11 Pro® using thematic and visual content analysis. Results Nine participants completed the study. Six primary themes emerged from the data: (a) advice for clinicians, (b) positive photovoice experience, and CIPN (c) causes pain, (d) affects relationships, (e) causes disruptions, and (f) alters self-image. Conclusions In this sample of breast cancer survivors, CIPN negatively impacted their overall QOL. The effect of CIPN on QOL was multifaceted and inseparable from the participants’ overall cancer treatment experience regardless of survivorship length. All participants expressed gratitude for participating in the study and described having increased feelings of self-efficacy and support. The participants would like to create a photography book for cancer treatment centers. Implications for Nursing Practice Nursing care of patients diagnosed with breast cancer should include repeated education regarding the potential severity and lifelong effects of CIPN and the benefits of study participation, creative therapies, and group support during survivorship.
Objectives This meta-analysis evaluated postoperative pelvic floor muscle training (PFMT) for urinary incontinence after radical prostatectomy (RP) and explored whether effects differed by surgical approach. Methods PubMed, Web of Science, Cochrane Library, Scopus, PEDro, and ClinicalTrials.gov were searched for randomized controlled trials (RCTs) published from January 1, 2005, to January 1, 2025. Random-effects models were used. Short-term ICIQ-SF scores were summarized as standardized mean differences (SMDs; negative values favor PFMT), and long-term continence as odds ratios (ORs), each with 95% confidence intervals (CIs). Subgroup analyses by surgical approach were exploratory. Results Seven RCTs involving 666 participants were included. At 3 months, 3 studies (n = 151) favored PFMT (SMD = −1.22, 95% CI [−2.40, −0.04], P = .04; I² = 90%). A sensitivity analysis excluding de Lira et al. included 2 studies (n = 120) and yielded SMD = −1.81 (95% CI [−2.40, −1.21]; I² = 48%). At 12 months, 4 studies (n = 515) favored PFMT (OR = 7.21, 95% CI [3.99, 13.02], P < .00001; I² = 0%). Interaction tests did not show differences by surgical approach at either 3 months (P = .68) or 12 months (P = .53). Conclusions Postoperative PFMT may improve short- and long-term continence recovery after RP. Certainty was very low for the heterogeneous short-term evidence and low for the long-term evidence; differences by surgical approach remain inconclusive.
Objectives This study aims to explore the perceived experiences and self-reported narratives of individuals identifying as cancer patients or caregivers regarding the use of complementary and alternative medicine in cancer care by analyzing comments on Turkish-language YouTube videos. Methods A qualitative approach using Colaizzi’s descriptive phenomenological method was employed. Data were retrieved from YouTube using MAXQDA-24 software between June and July 2025. The sample consisted of 1,724 primary comments from 13 purposively selected videos. Results The analysis revealed five main themes: Despair (56.96%), Anger (16.59%), Hope (14.96%), Need for Information (5.97%), and Spirituality (5.51%). Key findings indicate that commenters experience significant mistrust toward conventional systems, treatment anxiety, financial loss, and a profound need for spiritual and psychosocial support. Conclusions As the first qualitative study of its kind in the Turkish context, this research highlights that digital complementary and alternative medicine seeking is often a coping mechanism for emotional distress. Implications for Nursing Practice Nurses can use these insights to enhance trust-based communication, provide effective counseling on digital health literacy, and integrate psychosocial and spiritual support into routine cancer care.
Objectives To evaluate the actor and partner effects of dyadic coping on relationship satisfaction and quality of life (QoL) in patients with cancer and their caregiving partners. Methods Four English-language and three Chinese-language databases were systematically searched for cross-sectional or longitudinal studies from inception to February 1, 2026. A meta-analytic Actor-Partner Interdependence Model using two-stage structural equation modeling was applied to synthesize correlation matrices and estimate actor and partner effects. WebMASEM was used to examine associations between dyadic coping and relationship satisfaction or QoL. Results Twelve studies comprising 2,859 cancer-affected dyads were included. All pooled correlations between dyadic coping and relationship satisfaction or QoL were statistically significant. Actor effects of dyadic coping on relationship satisfaction and QoL were significant for patients and caregiving partners. Among partner effects, the effect of caregiving partners’ dyadic coping on patients’ QoL was the only one to reach statistical significance. Conclusions Dyadic coping demonstrated significant actor effects on relationship satisfaction and QoL for patients with cancer and caregiving partners. The effect of caregiving partners’ dyadic coping on patients’ QoL was the only partner effect to reach statistical significance. Implications for Nursing Practice These findings provide descriptive evidence indicating that dyadic coping in couples facing cancer is predominantly associated with an individual’s own outcomes. Although consistent with the Systemic-Transactional Model, these cross-sectional associations do not support causal inferences regarding intervention mechanisms. Longitudinal dyadic designs are required to evaluate whether these association patterns persist over time and to test moderators including cancer stage, cultural context, and caregiver burden.
Objectives The need for specialized gynecological cancer nursing guidance has been recognized by Australian nurses and people with lived experience. To optimize implementation, an examination of implementation determinants prior to development is recommended. This study aimed to investigate determinants for implementation of a specialized gynecological cancer nursing guidance resource. These factors included support for resource development, utility expectations, enablers and barriers and implementation plans. Methods An online cross-sectional survey was administered to n = 72 Australian gynecological cancer nurses and/or service leaders between March and June 2025. Descriptive statistical and content analyses were undertaken. Results The development of a guidance resource for specialized gynecological cancer nursing was well supported by 90% (n = 65) of survey participants. Two-thirds (66%, n = 48) reported they would use such a resource at least weekly. High levels of agreement were observed across all clinical guideline determinants. At present, most participants consult colleagues to guide clinical decision-making (92%, n = 49). For education on nursing guidance, participants preferred both online (91%, n = 48) and in-person (89%, n = 47) delivery. Qualitative findings highlighted three themes influencing implementation: “Integration into workflow,” “Confidence in content,” and “Practical support and endorsement.” Conclusions The development of a gynecological cancer nursing guidance resource is well supported and will attract frequent use by survey participants. Recognized implementation determinants will be incorporated into development of the forthcoming resource. Implications for Nursing Practice Gynecological cancer nurses and service leaders have informed recommended strategies considered important to optimize implementation of a guidance resource.
