{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T09:11:31Z","timestamp":1780391491797,"version":"3.54.1"},"reference-count":48,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["181561"],"award-info":[{"award-number":["181561"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009271","name":"Canadian Nurses Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009271","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To describe patients' and oncology nurses' experiences with symptom management care, and influential barriers and facilitators to enhancing evidence\u2010informed symptom management in an outpatient malignant hematology unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative descriptive study embedded within an experience\u2010based co\u2010design approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with hematologic malignancies, registered nurses and nurse practitioners were interviewed. A qualitative content analysis approach was used, informed in part by the Consolidated Framework for Implementation Research (CFIR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010seven people participated (15 patients, 12 nurses). Symptom management was focused on medical management, with limited non\u2010pharmacological strategies or patient education provided. The outpatient environment, staff and service model impacted patients' symptoms and experiences. CFIR factors influencing evidence\u2010informed symptom management delivery were\n                      <jats:italic>mission alignment<\/jats:italic>\n                      , the\n                      <jats:italic>relative priority<\/jats:italic>\n                      of symptom management versus procedures and treatment, symptom management guideline\n                      <jats:italic>compatibility<\/jats:italic>\n                      , nursing\n                      <jats:italic>knowledge<\/jats:italic>\n                      and\n                      <jats:italic>access to information<\/jats:italic>\n                      , and symptom management\n                      <jats:italic>roles<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with hematologic malignancies receiving outpatient care experience a high symptom burden. Opportunities exist to enhance symptom management through evidence\u2010informed oncology nursing practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Organizational and unit\u2010based strategies are needed to empower oncology nurses to work to their full scope when providing symptom management care. Implementing guideline\u2010informed symptom management protocols may optimize the range of interventions offered and reduce suffering.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>A local Steering Group will use these findings to collaboratively identify the top priorities and strategies for improving symptom management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>Reported in line with the Standards for Reporting Qualitative Research and Guidance for Reporting Involvement of Patients and the Public.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>A Steering Group of patients, caregivers, oncology clinicians and organizational leaders informed all study phases. Their contributions included reviewing protocols and data collection tools, supporting recruitment and interpreting findings to ensure the research addressed relevant issues and could be meaningfully used to inform improvement priorities through experience\u2010based co\u2010design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70323","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T03:40:50Z","timestamp":1775792450000},"page":"3226-3241","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Influencing Evidence\u2010Informed Symptom Management in Outpatient Malignant Hematology: A Qualitative Description of Patients' and Nurses' Experiences"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5527-8593","authenticated-orcid":false,"given":"Kylie","family":"Teggart","sequence":"first","affiliation":[{"name":"School of Nursing McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8269-7977","authenticated-orcid":false,"given":"Denise","family":"Bryant\u2010Lukosius","sequence":"additional","affiliation":[{"name":"School of Nursing McMaster University  Hamilton Ontario Canada"},{"name":"Department of Oncology McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9600-3403","authenticated-orcid":false,"given":"Sarah E.","family":"Neil\u2010Sztramko","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence and Impact McMaster University  Hamilton Ontario Canada"},{"name":"National Collaborating Centre for Methods and Tools McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8235-1571","authenticated-orcid":false,"given":"Tammy","family":"De Gelder","sequence":"additional","affiliation":[{"name":"Juravinski Hospital and Cancer Centre Hamilton Health Sciences  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari","family":"Kolm","sequence":"additional","affiliation":[{"name":"Juravinski Hospital and Cancer Centre Hamilton Health Sciences  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7671-0475","authenticated-orcid":false,"given":"Cheryl","family":"Page","sequence":"additional","affiliation":[{"name":"Juravinski Hospital and Cancer Centre Hamilton Health Sciences  Hamilton Ontario 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