This erratum is being published to correct the error in author information on page 166.

PURPOSE: The purpose of this study was to identify attributes of the concept of cancer survivorship. METHODS: Walker & Avant's concept analysis framework (2005) was used to review the medical & nursing text books, medical and nursing research articles related to cancer survivorship and published from 1985 to 2011. RESULTS: There were nine aspects of the concept of cancer survivorship: A process, liminality, uncertainty, life-changing experience, complexity, unique experience, duality of positive and negative aspects, partnership, and need for support. Antecedents of cancer survivorship were cancer diagnosis and perception as a cancer survivor. Empirical referents of cancer survivorship were survival rate, quality of life, adaptation to the survivorship experience, and health-related hardiness, social support, spirituality, and health behavior. The consequences of cancer survivorship were effects on the physical, psychosocial, spiritual and socio-economic well-being of the patients. CONCLUSION: This concept analysis of cancer survivorship is expected to contribute to promotion of survivorship care in the clinical field by removing conceptual ambiguity and confirming the true meaning of survivorship care.
Health Behavior ; Humans ; Nursing Research ; Quality of Life ; Spirituality ; Survival Rate ; Survivors ; Uncertainty

PURPOSE: This study was to investigate the effect of the application of cancer pain management guidelines on pain management among patients in Cancer Emergency Room. METHODS: This study was a retrospective descriptive study. Before application, data were collected by analyzing the Electronic Medical Record in Cancer Emergency Room in September, 2011, and after application in February, 2012. The subjects of this study consisted of 231 patients (pre-application group 83, post-application group 148), who stayed over 24 hours and complained of pain higher than Numeric Rating Scale score 4. The post-test was conducted after educating the nurses about the application of the pain management guidelines in the Electronic Medical Record. RESULTS: This survey showed that, as the cancer pain management guidelines were applied for cancer patients with above moderate pain, the pain intensity decreased, the number of patients reaching the treatment goal score increased. Furthermore, the estimated time to reach the treatment goal decreased significantly. CONCLUSION: Pain intensity of the cancer patients was decreased through regular pain assessments by nurses and the medication of analgesics according to the cancer pain management guidelines. Therefore, it is necessary to develop the pain management program and to provide the physicians and nurses with intensive education about the pain management guidelines for systematic and effective pain management.
Analgesics ; Electronic Health Records ; Electronics ; Electrons ; Emergencies ; Emergency Service, Hospital ; Humans ; Methods* ; Pain Management ; Pain Measurement ; Practice Guidelines as Topic ; Retrospective Studies

PURPOSE: The purpose of this study was to identify correlates influencing cognitive impairment in breast cancer patients receiving chemotherapy. METHODS: Study subjects consisted of 102 breast cancer patients who received chemotherapy. Subjects were the members of a breast cancer self-help group. Data were collected using structured self-reporting questionnaires including scales of cognitive impairment, physical status, fatigue, quality of life, emotional status, sleeping, family support, and menopausal symptoms. Statistical Package for Social Sciences was used for statistical analyses. RESULTS: Breast cancer patients receiving chemotherapy appeared to show a high level of cognitive impairment. Among demographic characteristics, the effects of economic status and family type on cognitive impairment were found to be statistically significant. Among disease related characteristics, the effect of duration of chemotherapy on cognitive impairment was statistically significant. Menopausal symptoms were positively associated with cognitive impairment. The model including postmenopausal symptoms and caregiver type explained about 66% of variability in cognitive impairment. CONCLUSION: These findings highlight the importance of contextual factors in understanding cognitive impairment in breast cancer patients receiving chemotherapy and can be used to develop appropriate, effective nursing interventions.
Breast ; Breast Neoplasms ; Caregivers ; Fatigue ; Humans ; Quality of Life ; Self-Help Groups ; Social Sciences ; Weights and Measures ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to identify factors that influence medication adherence in colorectal cancer patients receiving oral chemotherapy. METHODS: One hundred and nine colorectal cancer patients receiving oral chemotherapy were recruited in the cross-sectional survey design. A survey including medication adherence, knowledge about chemotherapy, self-efficacy, depression and symptom experience were completed. RESULTS: The level of medication adherence was 7.38+/-.80. Medication adherence showed significant differences according to perceived health status and combination of IV chemotherapy. Medication adherence was significant correlated with self-efficacy, depression and symptom experience. On stepwise regression analysis, the most important factors related to the medication adherence were symptom experience, perceived health status and combination of IV chemotherapy. These variables explained 17% of medication adherence. CONCLUSION: The level of medication adherence in colorectal cancer patients receiving oral chemotherapy was relatively high. It is important to develop nursing intervention for medication adherence in colorectal cancer patients that focus on symptom experience and to consider about perceived health status and combination of IV chemotherapy.
Colorectal Neoplasms ; Cross-Sectional Studies ; Depression ; Humans ; Medication Adherence ; Surveys and Questionnaires

PURPOSE: To investigate the effectiveness and variance of a critical pathway (CP) for laparoscopic colon resection in colon cancer patients, and nurses'satisfaction with the CP. METHODS: A CP for laparoscopic colon resection was applied to the CP-group that included 50 patients, who underwent elective colon resection between March and May, 2011. The non-CP group included 51 patients who had the same operation without the CP applied from March to May, 2010. RESULTS: The means of length of hospital stay were 11.7 and 7.3 days (p<.001) and the lengths of postoperative hospital stay were 8.6 and 5.1 days (p<.001) in the non-CP group and CP group, respectively. There was no significant difference between two groups for total healthcare costs, pain score, complications, or emergency room visits within 30 days after discharge. By examining variances of the CP, there were 162 variances and the most frequent cause was patient's condition. Nurses'satisfaction with the use of CP was favorable and the mean score of satisfaction was 3.76 on the 5 point Likert scale. CONCLUSION: There are clear benefits to use of CP, resulting in standardized and effective patient care. In conclusion, analysis of variance data can assist in evaluating and revising CP for optimal care and reducing variances.
Analysis of Variance ; Colon ; Colonic Neoplasms ; Critical Pathways ; Emergencies ; Health Care Costs ; Humans ; Length of Stay ; Patient Care

PURPOSE: To summarize and review the methodological quality of the evidence from trials examining the effectiveness of physical exercise in patients undergoing allogeneic hematopoietic stem cell transplantation (Allo-HSCT). METHODS: Six randomized clinical trials (RCTs) were identified, reviewed for substantive results, and assessed for methodological quality. RESULTS: Six trials met all methodological criteria on the modified Jadad score above 3 out of 5 points. Failure to blind the outcome assessor, and failure to describe the method of blinding of outcome assessor appropriately were the most prevalent methodological shortcomings. Various exercise modalities have been applied, differing in content, frequency, intensity, and duration. Positive results have been observed in part for a diverse set of outcomes, including physical and psychological performance. CONCLUSION: The trials reviewed in this study were of moderate methodological quality. They suggest that exercise in patients undergoing Allo-HSCT may be safe and feasible, and in part patients benefit from increased physical performance both during and after transplantation. Future RCTs should use larger samples, appropriate comparison groups, and a standard of outcome measures, and examine what kind of exercise intervention (aerobic vs. resistance vs. combined) is the most effective for Allo-HSCT patients. It would be necessary to define contraindication for exercise to guarantee its safety.
Exercise ; Exercise Therapy ; Hematopoietic Stem Cell Transplantation ; Hematopoietic Stem Cells ; Humans ; Outcome Assessment (Health Care) ; Quality of Life ; Transplants

PURPOSE: The purpose of this study was to understand the meaning and nature of adaptation experiences among newly employed nurses in oncology ward. METHODS: The present study adopted a phenomenological method. The participants were 9 nurses employed for less than one year. Data were collected by using in-depth interviews. The question of this study was, "What are your experiences as a newly employed nurse in oncology?" RESULTS: 150 significant statements were extracted from the data, and these were clustered into 5 main categories: a 'Difficulty in performing the work of a cancer ward', 'problems with interpersonal relationships', 'striving to be a good nurse', 'satisfaction and rewarding nursing', and 'adapted oneself to be a nurse'. CONCLUSION: Newly employed nurses in oncology ward experienced and perceived feelings of difficulty in performing the work of a cancer ward, problems with interpersonal relationships, striving to be a good nurse, satisfaction and rewarding nursing, and adapting oneself to be a nurse. It is necessary to understand the experiences of new nurses, and to provide strategies that could help new nurses effectively adapt and find the meaning in their adaptation to work in oncology wards. Further research is needed on development of a program focusing on training to improve practicing ability and interpersonal relationships skills.
Nursing ; Qualitative Research ; Reward

PURPOSE: The purposes of this study were: 1) To describe the level of awareness of patient safety culture and nursing care activities for patient safety and, 2) To identify factors affecting nursing care activities for patient safety among oncology nurses working at inpatient care units. METHODS: The study sample included 221 nurses working in oncology wards. After obtaining IRB approval, data collection was done with structured self-administered questionnaires, from September 13 to October 13, 2013. Data analysis was done using SPSS WIN 18.0. RESULTS: The mean score of awareness of patient safety culture was 3.46 and the mean score of nursing care activities for patient safety was 4.31 both on a scale of 5.0. Significant factors affecting nursing care activities for patient safety were the open attitude of the supervisor toward patient safety (beta=.19, p=.005) and the degree of patient safety within a ward perceived by the oncology ward nurses (beta=.23, p=.003). These factors explained 31% of the subjects' nursing care activities for patient safety (F=6.08, p<.001). CONCLUSION: To increase nursing care activities for patient safety in the oncology ward, a strategy such as an education program for increasing the awareness of patient safety is needed.
Data Collection ; Education ; Ethics Committees, Research ; Humans ; Inpatients ; Nursing Care* ; Oncology Nursing ; Patient Safety* ; Safety Management ; Statistics as Topic ; Surveys and Questionnaires

PURPOSE: This microethnographic study was performed to understand the survival experiences of patients after surgical resection of colorectal cancer. METHODS: In-depth interviews of seven male and six female patients with colorectal cancer were conducted after being observed. Digital-audio recordings of the interviews were transcribed verbatim and then qualitatively analyzed. RESULTS: The survival journeys of patients with colorectal cancer surgery were described as 'born again after going through an altered self-image'. This consists of 4 phases: 'Confrontation of the cancer diagnosis', 'Fierce compliance', 'Leveling off', and 'Born again'. Their self-images were significantly altered subsequent to confronting their cancer diagnosis. While they were in the phase of fierce compliance, patients were introverted from the outside world, but upon receiving help from a substantial supportive system including family, health professionals, peer patients, and religion, their internalized self-image was reinforced. This would significantly boost the patients' morale. Finally they felt born again with an emotional and spiritual self-image. CONCLUSION: Nursing intervention should be differentiated and specified according to the specific phase of the long term colorectal cancer survival journey. Colorectal cancer patients should be provided with a specialized nursing program to improve their self-images.
Colorectal Neoplasms* ; Compliance ; Diagnosis ; Female ; General Surgery ; Health Occupations ; Humans ; Life Change Events ; Male ; Morale ; Nursing ; Self Concept ; Survivors