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
Winter/Hiver 2014 ISSN: 1181-912X
Volume 24, No. 1 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]
Winter/Hiver 2014
Volume 24, No. 1
Articles
11 Depression screening and management practices at a tertiary care cancer centre
by Geneviève Breau
15 Pratiques de dépistage et de prise en charge de la dépression dans un centre de cancérologie
dispensant des soins tertiaires
par Geneviève Breau
20 Emotional and informational needs of women experiencing outpatient surgery for breast cancer
by Doreen E. Dawe, Lorna R. Bennett, Anne Kearney, and Doreen Westera
25 Besoins émotionnels et informationnels des femmes subissant une chirurgie ambulatoire pour
un cancer du sein
par Doreen E. Dawe, Lorna R. Bennett, Anne Kearney et Doreen Westera
31 Relational ethics in everyday practice
by Jane Moore, Joyce Engel, and Dawn Prentice
35 L’éthique relationnelle dans la pratique quotidienne
par Jane Moore, Joyce Engel et Dawn Prentice
Table of Contents/Table des matières
1 Editorial
2 Éditorial
Communiqué
40 CANO Chapters’ Corner
43 Le coin des sections de l’ACIO
46 Special Interest Group: Surgical Oncology
47 Groupe d’intérêts spéciaux en oncologie chirurgicale
47 Complementary Medicine (CAM) Special Interest
Group (SIG)
48 Groupe d’intérêts spéciaux
Pratiques complémentaires
48 Report from the Director-at-Large—Professional
Practice
49 Rapport de la conseillère générale, Pratique
professionnelle
50 Report from the Director-at-Large—Membership
50 Rapport de la conseillère générale— Services aux
membres
Features/Rubriques
3 President’s message
3 Message de la présidente
6 Reections on research
8 Réexions sur la recherche
52 Oncology Nurse of the Year 2013: Jodi Hyman
Acceptance speech at the CANO Annual Conference,
Vancouver
53 Inrmière en oncologie de l’année 2013 : Jodi Hyman
Discours d’acceptation lors de la conférence
annuelle — Vancouver
54 Food for thought
54 Matière à réexion
55 Resource review
56 Examen de ressource

CONJ • RCSIO Winter/Hiver 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.
Winter/Hiver 2014
Volume 24, No. 1

CONJ • RCSIO Winter/Hiver 2014 1
As I sit to write this edi-
torial it is snowing outside
(the first major storm of the
winter) and the time is fast
approaching the holiday sea-
son. Before long, it will be the
beginning of a new year.
The start of a new year is often a time for
reflection and resolution, for looking back
and looking forward. It can also be a time of
reassessment and reaffirmation.
Reflecting over the past year, I would say
some of the most significant experiences I
had involved working with international
nursing colleagues. I had the opportu-
nity to collaborate in Thailand and offer a
weeklong course on palliative care nursing.
Two Canadian colleagues—Stephanie
Burlein-Hall and Cathy Kiteley—joined
me in this endeavour and worked closely
with three Thai nursing faculty members:
Kittikorn Nilmanat, Waraporn Kongsuwan
and Yaowarat Matchim. As a team of six,
we shared the teaching responsibilities
throughout the week. Ultimately, I think we
learned as much from each other as the par-
ticipants did from the team.
The second opportunity to collabo-
rate involved working with colleagues
from Kenya (David Makumi), Egypt (Karima
Elshamy) and Scotland (Annie Young) to
offer an oncology nursing symposium in
Durban, South Africa, as part of the annual
conference of the African Organization for
Research and Training in Cancer (AORTIC).
Canadian colleagues Deborah McLeod
(Halifax) and Barbara Fitzgerald (Toronto)
joined me in this effort. We had nurses from
across the African continent engaged in the
session and ready to sign up for the fledg-
ling cancer nursing network that was pro-
posed in order to remain connected with
one another.
What struck me in both situations was
the eagerness to learn, to share with one
another and gain knowledge to improve
their care. Nurses who attended each of
the educational offerings did not seem
to be overwhelmed by the tremendous
challenges I heard about in their practice
settings or health care environments. They
were not complaining about their situa-
tions, but were holding a strong sense of
hope that the future could be better. They
also had a strong hold on the idea that
education could make the difference. You
could see the participants embraced the
sentiments expressed by that great leader
Nelson Mandela who said, “Education is the
most powerful weapon that you can use to
change the world.”
Their eagerness to learn was infectious
and engaging. The fun they experienced in
learning, their joy in discovering new knowl-
edge, and their delight in mastering new
skills were almost palpable. It was energiz-
ing to be part of that process.
In some regards—certainly by our stan-
dards—these nurses have few resources
with which to work and huge challenges
to confront on a daily basis. For example,
one medical unit we visited in a Thai pub-
lic hospital was organized to accommo-
date 36 inpatients. The day we visited there
were 75 individuals who had been admitted
to the ward. The 39 patients over the allo-
cated bed limit were being cared for in the
hallways surrounding the unit in an insti-
tution ventilated by high ceiling fans and
open windows. Another example of chal-
lenge involved a nurse visiting a terminally
ill man at his home in the poor outskirts of
the city on her own time. Despite the fact
this man was clearly dying and in need of
astute symptom management and support,
her institution would not authorize the time
she needed to make the visit. Or, in Africa,
we heard stories about nurses being told to
give chemotherapy to cancer patients, but
not being instructed on personal protective
precautions, patient safety, or expected side
effects.
When I return to Canada following these
overseas experiences, I am always struck
by how much we have and how many
resources we have at our fingertips… and,
sometimes, how little we appreciate this
reality. I am struck by how often we are
not taking advantage of this wealth in our
environment. Granted, I know we have our
own challenges in terms of the health care
system, fiscal constraints, and the need to
change the culture of care delivery. But I
also think we have much we can access
to help us on our journey, as professional
oncology nurses.
And this brings me to thinking about the
new year and looking forward, especially
from the perspective of an oncology nursing
community. What resolutions do we need to
make, as professional nurses within what is
considered a high-resource country?
Oncology nurses have the advantage in
this country of having the specialty practice
recognized. There is a formal examination
process (certification) through our national
nursing organization (CNA) to facilitate that
formal acknowledgement. There are oppor-
tunities for learning in our work settings,
through conferences, and, with our access
to computers, online. We have a national
oncology nursing organization providing
leadership for the specialty and a system
of local/regional chapters providing oppor-
tunities for development and continuing
education. We have defined standards of
practice and patient care to guide our prac-
tice and policy design. We have a journal to
serve as a vehicle for sharing knowledge to
foster practice improvement.
How often do we take advantage of these
opportunities? How often do we access this
wealth on our doorstep? How proactive are
we about engaging in our own professional
growth—going to rounds, signing up for
a workshop, attending a course, working
through an online learning module, submit-
ting an abstract, or writing an article?
From my perspective the resolutions that
need to be made are clear, but I will leave
you to write your own. Ideally, as profes-
sional oncology nurses, I think each of us
ought to reaffirm our commitment to life-
long learning and make 2014 the year to
fully engage and take advantage of the
wealth of professional development oppor-
tunities in our country!
Margaret I. Fitch, RN, PhD
Editor in Chief
Editorial