Canadian Oncology Nursing Journal Revue canadienne de soins infirmiers

Canadian Oncology
Nursing Journal
Revue canadienne
de soins infirmiers
en oncologie
Special
Awards Issue!
Numéro spécial
sur les prix!
Special
Awards Issue!
Numéro spécial
sur les prix!
The ofcial publication of the Canadian Association of Nurses in Oncology
La publication ofcielle de l’Association canadienne des inrmières en oncologie
Spring/Printemps 2013 ISSN: 1181-912X
Volume 23, No. 2 PM#: 40032385

Canadian Oncology Nursing Journal
Revue canadienne de soins infirmiers en oncologie
A publication of the Canadian Association of Nurses in Oncology—Une publication de l’Association canadienne des infirmières en oncologie
PUBLICATIONS MAIL AGREEMENT NO. 40032385. RETURN UNDELIVERABLE CANADIAN ADDRESSES TO:
Canadian Association of Nurses in Oncology, 375 West 5th Avenue, Suite 201, Vancouver, BC, V5Y 1J6, E-mail: [email protected]
Spring/Printemps 2013
Volume 23, No. 2
Communiqué
128 CANO Chapters’ corner
129 Le coin des sections de l’ACIO
130 Report from Director-at-Large—Education:
2013 webinar update
131 Rapport de la conseillère générale — Éducation :
Mise à jour sur les webinaires 2013
Table of Contents/Table des matières
81 Editorial
81 Éditorial
Articles
85 A Canadian online survey of oncology nurses’ perspectives on the defining
characteristics and assessment of breakthrough pain in cancer
Margaret I. Fitch, Alison McAndrew and Stephanie Burlein-Hall
92 Enquête en ligne canadienne relative aux perspectives du personnel infirmier en oncologie
sur les caractéristiques déterminantes de la douleur aiguë liée au cancer et son évaluation
Margaret I. Fitch, Alison McAndrew et Stephanie Burlein-Hall
100 Promoting health by empowering women, strengthening partnerships,
and enhancing health care systems: One Pap test at a time
M. Victoria Greenslade, Kathy Fitzgerald, Irene Doyle Barry and Kelly Power-Kean
108 Promouvoir la santé par l’autonomisation des femmes, le renforcement des partenariats
et le rehaussement des systèmes de soins de santé : un test Pap à la fois
M. Victoria Greenslade, Kathy Fitzgerald, Irene Doyle Barry et Kelly Power-Kean
117 Helene Hudson Lecture: Positive practice change using appreciative inquiry in oncology primary care nursing
Colleen P. Campbell
121 Prix de conférence à la mémoire de Helene Hudson : L’interrogation appréciative au
service de l’évolution positive de la pratique dans les soins infirmiers intégraux en oncologie
Colleen P. Campbell
Features/Rubriques
82 Reections on Research
84 Réexions sur la recherche
134 Food for thought
135 Matière à réexion
137 Special feature
141 Article spécial
Special Awards Issue! Numéro spécial sur les prix!

CONJ • RCSIO Spring/Printemps 2013
Canadian Oncology Nursing Journal
Revue canadienne de soins infirmiers en oncologie
Canadian Oncology Nursing Journal/Revue canadienne de soins infirmiers en oncologie is a refereed journal.
Editor-in-Chief Heather Porter, BScN, PhD, 14-54 Blue Springs Drive, Waterloo, ON N2J 4M4
telephone [phone], fax [phone], e-mail: [email protected]
Associate Editors Janice Chobanuk, RN, BScN, MN, CON(C)—books/media Jeanne Robertson, RN, B.Arts, BScN, MBA—French materials
Pat Sevean, RN, BScN, EdD—features Sharon Thomson, RN, MSc, BA. MS—manuscript review
Sally Thorne, RN, PhD, FCAHS—research
Reviewers Nicole Allard, RN, MSN, PhD, Bilingual, Maxine Alford, RN, PhD, Karine Bilodeau, inf., PhD(C), French, Joanne Crawford, RN, BScN,
CON(C), MScN, PhD(c), Dauna Crooks, DNSc, MScN, BScN, Jean-François Desbiens, inf., PhD, French, Sylvie Dubois, inf., PhD, Bilingual,
Corsita Garraway, EN(EC), MScN, CON(C), CHPH, Vicki Greenslade, RN, PhD, Virginia Lee, RN, BA, MSC(A), PhD, Bilingual,
Manon Lemonde, RN, PhD, Bilingual, Maurene McQuestion, RN, BA, BScN, MSc, CON(C), Beth Perry, RN, PhD, Karyn Perry BSN, MBA,
Patricia Poirier, PhD, RN, Dawn Stacey, RN, MScN, PhD, (CON), Jennifer Stephens, RN, BSN, MA, OCN, Pamela West, RN, MSc, ACNP,
CON(C), CHPCN(C), Kathleen Willison, RN, MSc, CVAA(c), CHPC(c), Patsy Yates, RN, PhD
Managing Editor Heather Coughlin, 613-735-0952, fax [phone], e-mail: [email protected]
Production The Canadian Oncology Nursing Journal is produced in conjunction with Pappin Communications, The Victoria Centre,
84 Isabella Street, Pembroke, Ontario K8A 5S5, 613-735-0952, fax [phone], e-mail [email protected], and
Vice Versa Translation, 144 Werra Rd., Victoria, British Columbia V9B 1N4, 250-479-9969, e-mail: [email protected].
Statement The Canadian Oncology Nursing Journal is the official publication of the Canadian Association of Nurses in Oncology, and is
of purpose directed to the professional nurse caring for patients with cancer. The journal supports the philosophy of the national association.
The philosophy is: “The purpose of this journal is to communicate with the members of the Association. This journal currently acts as
a vehicle for news related to clinical oncology practice, technology, education and research. This journal aims to publish timely papers,
to promote the image of the nurse involved in cancer care, to stimulate nursing issues in oncology nursing, and to encourage nurses to
publish in national media.” In addition, the journal serves as a newsletter conveying information related to the Canadian Association
of Nurses in Oncology, it intends to keep Canadian oncology nurses current in the activities of their national association. Recognizing
the value of nursing literature, the editorial board will collaborate with editorial boards of other journals and indexes to increase the
quality and accessibility of nursing literature.
Indexing The Canadian Oncology Nursing Journal/Revue canadienne de soins infirmiers en oncologie is registered with the National Library
of Canada, ISSN 1181-912X, and is indexed in the Cumulative Index to Nursing and Allied Health Literature, (CINAHL), the
International Nursing Index and Medline.
Membership All nurses with active Canadian registration are eligible for membership in CANO. Contact the CANO national office. Refer to the
Communiqué section for name and contact information of provincial representatives.
Subscriptions The journal is published quarterly in February, May, August and November. All CANO members receive the journal. For
non-members, yearly subscription rates are $119.77 (HST included) for individuals, and $131.88 (HST included) for institutions.
International subscriptions are $156.11 (HST included). Payment must accompany all orders and is not refundable. Make cheques
payable to CANO-CONJ and send to the CANO national office. Notices and queries about missed issues should also be sent to the
CANO national office. Canadian Association of Nurses in Oncology, 375 West 5th Avenue, Suite 201, Vancouver, BC V5Y 1J6,
www.cano-acio.ca; telephone: [phone]; fax: [phone]; email: [email protected]
Author Guidelines for authors are usually included in each issue. All submissions are welcome. At least one author should be a
Information registered nurse, however, the editor has final discretion on suitability for inclusion. Author(s) are responsible for acknowledging all
sources of funding and/or information.
Language Policy/ The Canadian Oncology Nursing Journal is officially a bilingual publication. All journal content submitted and reviewed by the editors
Politique will be printed in both official languages. La Revue canadienne de soins infirmiers en oncologie est une publication officiellement
linguistique bilingue. Le contenu proprement dit de la Revue qui est soumis et fait l’objet d’une évaluation par les rédactrices est publié dans les
deux langues officielles.
Advertising For general advertising information and rates, contact Heather Coughlin, Advertising Manager, Pappin Communications, 84 Isabella St.,
Pembroke, Ontario K8A 5S5, 613-735-0952, fax [phone], e-mail [email protected]. All advertising correspondence and
material should be sent to Pappin Communications. Online rate card available at: www.pappin.com
Opinions expressed in articles published are those of the author(s), and do not necessarily reflect the view of the Canadian Association of Nurses in Oncology or
the editorial board of the Canadian Oncology Nursing Journal. Acceptance of advertising does not imply endorsement by CANO or the editorial board of CONJ.
All rights reserved. The law prohibits reproduction of any portion of this journal without permission of the editor.
Spring/Printemps 2013
Volume 23, No. 2

CONJ • RCSIO Spring/Printemps 2013 81
I have some wonderful
news for you! As you know
CANO has been searching for
a new editor for the Canadian
Oncology Nursing Journal
(CONJ). Now we’ve found one!
Dr. Margaret Fitch applied for
the position and we have happily accepted
her as Editor in Chief of the CONJ. At present
she is in a six-month orientation and will be
fully in charge on August 1, 2013.
Most CANO members either know,
or know of Dr. Fitch, but I’d like to give
you a short biography, too. She is a
native of Moncton, New Brunswick, and
has a Baccalaureate in Nursing from
Dalhousie University (Halifax). Her sub-
sequent degrees, Master of Science in
Nursing (Faculty of Nursing) and Doctor of
Philosophy (Institute of Medical Science) are
from the University of Toronto.
Dr. Fitch is Head of Oncology Nursing
and Director of the Patient and Family
Support Program at the Odette Cancer
Centre (Sunnybrook Health Sciences
Centre). She is Associate Professor in the
Faculty of Nursing and Professor in the
School of Graduate Studies at the University
of Toronto. She maintains an active research
program in supportive cancer care with
an emphasis on understanding patient
perspectives. Margaret Fitch has been an
invited speaker worldwide on matters
affecting oncology nurses from chemother-
apy to palliative care and has conducted
clinical workshops on cancer care within
Canada and throughout the world.
Dr. Fitch is the Expert Lead, Patient-
Reported Outcomes and Survivorship
with the Canadian Partnership Against
Cancer and provides leadership to fos-
ter person-centred cancer care across the
country. She is also a past president of the
International Society of Nurses in Cancer
Care and editorial board member of the
Multinational Association of Supportive
Care in Cancer journal.
Margaret Fitch is one of the founders
of CANO and was its first elected presi-
dent. Since that time she has been closely
involved with CANO and the CONJ, chiefly
as a presenter at CANO conferences and
a prolific writer of articles for the CONJ.
She brings to her new role as the CONJ
Editor-in-Chief a wealth of oncology nurs-
ing experience, provincially, nationally and
internationally. I know that the CONJ will
move forward to greater things, particularly
internationally, under Dr. Fitch’s guiding
hand.
Heather Porter
Editor, CONJ
Editorial
J’ai une merveilleuse
nouvelle à vous annoncer!
Comme vous le savez, l’ACIO-
CANO était à la recherche
d’une nouvelle rédactrice
pour la Revue canadienne
de soins infirmiers en onco-
logie (RCSIO-CONJ). Eh bien, nous en avons
trouvé une! La Dre Margaret Fitch a posé sa
candidature et c’est avec un vif plaisir que
nous l’avons nommée rédactrice en chef de
la RCSIO. Elle suit actuellement une orienta-
tion de six mois et entrera officiellement en
fonction le 1er août 2013.
La majorité des membres de l’ACIO-
CANO connaissent la D
re
Fitch ou savent
qui elle est, mais j’aimerais quand même
vous la présenter brièvement. Originaire
de Moncton au Nouveau-Brunswick, elle a
obtenu un baccalauréat en sciences infir-
mières de l’Université Dalhousie (Halifax).
C’est auprès de l’Université de Toronto
qu’elle s’est mérité ses diplômes suivants
à savoir une maîtrise en sciences infir-
mières (Faculté des sciences infirmières)
et un doctorat (Institut des sciences
médicales).
La Dre Fitch est chef, Soins infirmiers
en oncologie et codirectrice, Programme
de soutien au patient et à la famille au
Centre de cancérologie Odette (Centre
des sciences de la santé Sunnybrook). Elle
est professeure agrégée à la Faculté des
sciences infirmières et professeure à l’École
des études supérieures de l’Université de
Toronto. Elle mène activement un pro-
gramme de recherche axé sur les soins de
soutien en cancérologie et mettant l’accent
sur la compréhension des perspectives des
patients. La Dre Fitch est une conférencière
prisée sur la scène internationale pour
tout ce qui touche les infirmières en onco-
logie depuis la chimiothérapie jusqu’aux
soins palliatifs et elle a dirigé des ate-
liers cliniques sur les soins aux personnes
atteintes de cancer aussi bien au Canada
qu’à l’étranger.
La D
re
Fitch est experte responsable
des projets Meilleurs résultats signalés
par les patients et Survie au cancer du
Partenariat canadien contre le cancer; elle
mène les efforts visant à promouvoir les
soins de cancérologie centrés sur la per-
sonne dans l’ensemble du pays. Elle est
également présidente sortante de l’In-
ternational Society of Nurses in Cancer
Care et membre du comité de rédaction
de la revue professionnelle publiée par la
Multinational Association of Supportive
Care in Cancer.
Margaret Fitch est une des fondatrices
de l’ACIO-CANO dont elle fut la première
présidente élue. Elle participe étroitement
aux activités de l’ACIO-CANO et de la
RCSIO depuis les premiers temps, princi-
palement à titre d’oratrice aux conférences
annuelles de l’ACIO-CANO et d’auteure de
nombreux articles pour la Revue. Nul doute
qu’elle mettra son incroyable expérience
des soins infirmiers en oncologie—provin-
ciale, nationale et internationale—au ser-
vice de son nouveau poste de rédactrice en
chef de la RCSIO. Je sais que, sous l’impul-
sion de la Dre Fitch, la Revue atteindra de
nouveaux sommets, notamment sur le plan
international.
Heather Porter
Rédactrice en chef, RCSIO
Éditorial