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  • br Strengths and limitations of the study br

    2020-08-18


    5. Strengths and limitations of the study
    The results of this research can be generalized with caution to the Coelenterazine with the same criteria used by this study due to the con-secutive sampling method. In addition, since the study was descriptive and correlational, it was not possible to draw causal relationships. Moreover, the study was based only on patients' views, even though it would be more informative if the nurses’ views about quality of on-cology nursing care were also included.
    Despite the limitations the study has strengths, too. In particular, the study was undertaken across different healthcare centers where cancer patients are being treated, providing a relatively representative sample. Furthermore, it provides information regarding the perceived nursing care regarding patients diagnosed with cancer in Cyprus, which may enable a better understanding of the patients’ needs. Alongside these, the study also provided the evidence on the associations between quality nursing care and individualized care. Based on this information better provision of quality oncology care may be implemented.
    6. Conclusion
    In conclusion, according to the participants in this research, the score of individuality in care of patients diagnosed with cancer in Cyprus is above the average. In addition, important characteristics of quality oncology care, i.e. “being supported and confirmed”, “being respected” and “having a sense of belonging” are above average across hospitals in Cyprus, like in other countries. However, other character-istics of quality oncology care such as “being valued” and “being cared for religiously and spiritually”, which are essential for quality oncology nursing care, have been scored below average by our participants.
    Hence, measures ought to be taken in order to maximize the quality of oncology nursing care in all dimensions and provide patients diag-nosed with cancer effective and individualized care that is tailored to their needs and desires (Charalambous et al., 2008, 2009; Suhonen et al., 2018). In order to improve then the patients’ situation, it is not enough to provide them with the right diagnosis or a fixed treatment; more importantly, it is essential to listen to the patients and see them as individual persons that deserve the best possible treatment (Hendrix et al., 2013). In this way patients may be inspired to collaborate with nurses within a working therapeutic relationship that is effective and may combat cancer (Radwin et al., 2013; Suhonen et al., 2018).
    Conflicts of interest
    The authors declare that they have no conflicts of interest.
    Acknowledgements
    We would like to thank all the participants in our research and the
    M. Kousoulou, et al.
    staff of the three urban hospitals in Cyprus for their contribution to this study.
    References
    European Oncology Nursing Society, 2014. Clinical Practice Guidelines and Practice Recommendations. http://www.cancernurse.eu/education/guidelines-recommendations. html, Accessed date: 14 September 2018.
    Field, A., 2009. Discovering Statistics Using SPSS, third ed. Sage, London.
    Helliwell, J., Layard, R., Sachs, J., 2016. World Happiness Report 2016, Update, vol. I Sustainable Development Solutions Network, New York.
    Wiegand, D., Russo, M.M., 2013. Ethical consideration. In: Dahlin, C.M., Lynch, M.T. (Eds.), Core Curriculum for the Advanced Practice Nurse. Hospice and Palliative Nurses Association, Pittsburgh, PA, pp. 39–59.
    World Medical Association, 2013. Declaration of Helsinki: ethical principles for medical research involving human subjects. J. Am. Med. Assoc. 27, 2191–2194.
    Journal of Geriatric Oncology xxx (2019) xxx
    Contents lists available at ScienceDirect
    Journal of Geriatric Oncology
    Associations of inflammation with frailty in patients with breast cancer aged 50 and over receiving chemotherapy
    Nikesha Gilmore a, , Sindhuja Kadambi a, Lianlian Lei a, Kah Poh Loh a, Mostafa Mohamed a, Allison Magnuson a, Sharon Cole b,e, Benjamin T. Esparaz c,e, Jeffrey K. Giguere d,e, Supriya Mohile a,e, Michelle Janelsins a,e,
    a University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, United States of America
    c Heartland Cancer Research NCORP, 2300 North Edward Street Decatur, IL 62526, United States of America
    d NCORP of the Carolinas (Greenville Health System NCORP), 701 Grove Road, Greenville, SC 29605, United States of America
    e University of Rochester NCI Community Oncology Research Program, 265 Crittenden Blvd, Rochester, NY 14642, United States of America
    Article history:
    Received in revised form 15 February 2019 Accepted 3 April 2019 Available online xxxx
    Keywords:
    Frailty
    Chemotherapy
    Inflammation
    Breast cancer
    Cytokines
    Receptors 
    Purpose: Chronic inflammation is a significant physiologic feature of frailty; however, its role and clinical utility in cancer-related frailty remains unknown. We sought to determine if pre-chemotherapy inflammation is predic-tive of frailty after chemotherapy in patients with breast cancer.