Canadian Oncology Nursing Journal Revue canadienne de soins infirmiers

Canadian Oncology
Nursing Journal
Revue canadienne
de soins infirmiers
en oncologie
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 2014 ISSN: 1181-912X
Volume 24, 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 2014
Volume 24, No. 2
Articles
67 Central line practice in Canadian blood and marrow transplant
by Melanie Keeler
72 La pratique liée aux cathéters veineux centraux dans les greffes de sang et de moelle osseuse
effectuées au Canada
par Melanie Keeler
78 Remote symptom support training programs for oncology nurses in Canada: An environmental scan
by Dawn Stacey, Meg Carley, Jagbir Kohli, Myriam Skrutkowski, Jonathan Avery, Astride M. Bazile, Arlene
Court, Daniel A. Nagel, and Denise Budz
83 Les programmes de formation en gestion à distance des symptômes s’adressant aux infirmières en
oncologie du Canada : une analyse environnementale
par Dawn Stacey, Meg Carley, Jagbir Kohli, Myriam Skrutkowski, Jonathan Avery, Astride M. Bazile, Arlene
Court, Daniel A. Nagel et Denise Budz
89 Chemotherapy at home: Keeping patients in their “natural habitat”
by Nicole Crisp, Priscilla M. Koop, Karen King, Wendy Duggleby, and Kathleen F. Hunter
95 La chimiothérapie à domicile : maintenir les patients dans leur «milieu naturel»
par Nicole Crisp, Priscilla M. Koop, Karen King, Wendy Duggleby et Kathleen F. Hunter
Table of Contents/Table des matières
61 Editorial
62 Éditorial
Communiqué
126 CANO Chapters’ Corner
128 Le coin des sections de l’ACIO
129 Palliative Care SIG report
130 Rapport du GIS Soins palliatifs
130 Report from Director-at-Large—Communications
131 Rapport de la conseillère générale–Communications
131 Report from Director-at-Large—Research
132 Rapport de la conseillère générale—Recherche
Features/Rubriques
63 Reections on research
65 Réexions sur la recherche
102 Brief Communication
105 Exposé
109 International perspectives
112 Perspectives internationales
117 Patient resource review
117 Critique de ressource destinée aux patients
118 Health professional resource review
121 Critique de ressource destinée aux
professionnels de la santé
124 Book review
125 Critique de livre

CONJ • RCSIO Spring/Printemps 2014
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 Margaret I. Fitch, RN, PhD, Odette Cancer Centre, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON M4N 3N5
Phone: [phone]; Fax: [phone]; Email: [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 2014
Volume 24, No. 2

CONJ • RCSIO Spring/Printemps 2014 61
I see there are two signifi-
cant notions running through
the last editorials I wrote:
“new” and “change”. And this
editorial is going to follow
suit.
I trust that, by the time
you read this piece, you will be experiencing
the very welcome (especially after this win-
ter) seasonal change of spring with its new
beginnings and promise of warmer tempera-
tures. And to mark the event, we have some
new changes for the journal in this issue.
The reality of living through change and
experiencing something new is not always
easy or embraced quickly. Despite the
adage, “the one constant in life is change”,
we never seem to be entirely ready for the
impact change may have on us, as individ-
uals. I expect the same will be the case with
changes made to the journal.
As I write this, I am reminded of a situa-
tion that happened to me when I went to the
symphony concert last week. When I sub-
scribe to the Toronto Symphony each year,
I am able to select my own concerts and
combine my personal choices into a unique
concert series. I always have such fun pick-
ing the specific concerts from the array on
offer. So, as I sat down in the concert hall, I
opened my program with great anticipation
to see what I had selected many months
ago. To my utter surprise, I was about to
hear three new, modern compositions. I was
dumbfounded. Why would I have picked
this concert? I am a lover of the old mas-
ters—Bach, Mozart, Brahms, Tchaikovsky,
Rachmaninoff. Whatever possessed me? I
could not recall why I had made this choice.
What was I thinking? I consoled myself with
the comment, “I can always leave at the
intermission.”
I settled into my seat and awaited the
start of the first half of the concert. Just
before the opening selection was played,
the composer came on stage and provided a
brief commentary describing his inspiration
for the piece and what he had tried to do
with his writing of it. He also talked about
how long it had taken him to craft the final
version. I was a little intrigued at that point,
having heard his story. It provided a bit of
a guide to what I might hear. So I thought I
would listen attentively and give it a chance.
Can you guess what happened? Yes, I
was drawn into the music. I could imag-
ine the images the composer had spoken
about. I actually began to hear sections
I liked. I was drawn in by the brilliance of
the sounds, and overwhelmed with feelings
of admiration for how the musicians were
playing and wonderment at how a composer
could write such music.
And I stayed for the whole concert.
Granted, it helped that the composers for
the other two selections also spoke about
their work and provided a bit of a guide
for listening. And the guest artists were
masters of their art. I left the concert, as I
often do with the symphony, feeling I had
been truly entertained. But I also had been
pushed out of my comfort zone and, in
doing so, learned to “listen with a new ear”.
And why did I share this story?
The situation reminded me of the jour-
nal and how the editorial board and I have
been discussing its future and what changes
might be needed, as we move ahead. I expect
some readers will welcome the changes and
others will be caught by surprise (much like
I was at the start of the concert). So, I am
going to tell you a bit about the changes,
hoping this will be a guide to you and help
you be open to, at least, giving the changes a
try and understanding what we had in mind.
I would invite you to read the new features
and give me feedback about them.
We are going to introduce the changes
gradually, starting with this issue.
Ultimately, we want to encourage you to
engage in the dialogue or discourse about
oncology nursing and cancer care in this
country. We want to give you the opportu-
nity to participate and contribute, realiz-
ing that individuals will do that in different
ways and from different perspectives.
The first new feature we are intro-
ducing in this issue is an International
Perspectives article. We want this feature
to expose you to perspectives about can-
cer nursing from beyond our borders. We
hope that colleagues from other parts of the
world will write about their experiences in
caring for patients, or engaging in educa-
tional or research projects. We have such
a rich diversity of cultures in Canada and I
think the learning from abroad cannot help
but contribute to our ability to care for our
patients here at home.
The second new feature is the Brief
Communication article. This feature will
provide an opportunity for authors to write
shorter pieces about pilot work, feasibil-
ity projects, quality improvement projects,
or practice changes. We hope this will be a
good vehicle to share foundational work or
creative ideas that you have implemented in
your setting to improve patient experiences
or processes of care.
The third new feature is one we are call-
ing Resource Review. This feature pro-
vides an opportunity to profile resources
or tools that individuals have found help-
ful in their practice settings. The resource
featured in this issue contains criteria to
help you decide if your project requires an
ethical review. With the growing emphasis
on quality improvement and producing evi-
dence for practice, it is challenging at times
to know if a project needs to be reviewed
by the ethics board. I think the tool profiled
in this issue will be an excellent resource
for you.
I hope you will see the three new fea-
tures as opportunities to enlarge the con-
tributions to the journal, engage new
authors, and enhance the sharing of knowl-
edge across the country. Maybe they will
push you out of your comfort zone at first,
either as a reader or an author. However, I
do hope you will engage with them (stay for
the whole concert, so to speak). I hope the
new features will motivate you to “take pen
in hand” (figuratively speaking, as I realize
you will likely be sitting at a computer key-
board) and share what has been happening,
in your practice or in your clinical setting,
that could be of interest to oncology nurses
across Canada.
Margaret I. Fitch, RN, PhD
Editor in Chief
Editorial