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Barriers in Nursing Practice in Cancer Cachexia: A Scoping Review
Rika Sato1,2, Tateaki Naito3, Naoko Hayashi2
1Division of Nursing, Shizuoka Cancer Center, Shizuoka, Japan.
Asia-Pacific Journal of Oncology Nursing
|September 16, 2021
Summary
Oncology nurses face significant barriers in managing cancer cachexia, including insufficient training and a lack of standardized tools. Improving nursing education and developing multidisciplinary care are crucial for better patient outcomes.
Area of Science:
- Oncology Nursing
- Cancer Cachexia Management
- Clinical Trial Participation
Background:
- Cancer cachexia presents complex challenges in oncology care.
- Oncology nurses play a vital role in managing cachexia but face practice and research barriers.
Purpose of the Study:
- To identify barriers encountered by oncology nurses in the practice and clinical trials of cancer cachexia.
- To inform strategies for enhancing nursing education and clinical trial involvement.
Main Methods:
- A scoping review was conducted using the Arksey and O'Malley framework and PRISMA-S guidelines.
- Searched five databases (MEDLINE, Cochrane, CINAHL, PsycINFO, EMBASE) for English studies published 2008-2021.
- Seventeen studies met inclusion criteria after screening 1075 identified records.
Main Results:
- Nurses face individual barriers (knowledge gaps, skill deficits) and environmental barriers (lack of tools, poor collaboration, resource limitations).
- Few studies focus on nurse-led cancer cachexia interventions, hindering outcome integration.
- No established educational programs specifically address cancer cachexia for nurses.
Conclusions:
- Individual and environmental barriers impede effective nursing practice in cancer cachexia.
- Limited clinical trial involvement for oncology nurses in this area requires attention.
- Enhanced continuing education, standardized assessment tools, and multidisciplinary care models are recommended.
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