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@ARTICLE{Wagner:300315,
      author       = {A. S. Wagner and M. Milzer$^*$ and M. Schmidt$^*$ and S.
                      Kiermeier and I. Maatouk and K. Steindorf$^*$},
      title        = {{N}urses' {K}nowledge of {C}ancer-{R}elated {F}atigue and
                      the {C}overage of {T}his {S}ubject in {N}ursing {T}raining:
                      {A} {C}ross-{S}ectional {S}tudy.},
      journal      = {Journal of nursing research},
      volume       = {33},
      number       = {2},
      issn         = {1682-3141},
      address      = {[Erscheinungsort nicht ermittelbar]},
      publisher    = {Wolters Kluwer Lippincott Williams $\&$ Wilkins},
      reportid     = {DKFZ-2025-00761},
      pages        = {e379},
      year         = {2025},
      note         = {#LA:C110#},
      abstract     = {Although cancer-related fatigue has a major impact on daily
                      functioning and quality of life of patients, it remains
                      underestimated in cancer care. Nurses play a significant
                      role in multidisciplinary approaches to fatigue care.This
                      study was designed to investigate knowledge and attitudes
                      among nurses regarding cancer-related fatigue and its
                      management in daily clinical practice and training to
                      suggest future actions for improvement.A cross-sectional
                      design and an online questionnaire were used to assess
                      nurses' perceived knowledge and self-efficacy, knowledge of
                      guidelines and treatment options, and related coverage in
                      education and training and to suggest how to improve
                      training. The link to the study survey was distributed to
                      cancer nurses working in Germany via mailing lists of
                      randomly selected hospitals and rehabilitation centers,
                      professional nursing associations, and social media. Data
                      were analyzed descriptively as well as using the
                      Mann-Whitney U test. Logistic regression analyses were
                      conducted to identify variables linked to fatigue-related
                      knowledge.Nurses participating in the study were mainly
                      working in certified cancer care institutions $(70.1\%).$
                      More than one-third of the 184 participants felt rather
                      poorly or very poorly informed and reported low
                      self-efficacy in counseling. Although working in certified
                      institutions was found to increase the likelihood of
                      accurately recalling the fatigue-related guidelines (OR =
                      6.24, $95\%$ CI = [1.71, 22.74], p < .01), few of the
                      participants in this study knew any. Despite this, the
                      majority was aware of the empirical evidence supporting
                      physical activity $(92.4\%),$ yoga $(79.9\%),$
                      psychotherapeutic interventions $(76.7\%),$
                      mindfulness-based interventions $(69\%),$ and exercise
                      $(60.3\%).$ Recommendation rates were heterogeneous. Those
                      participants working in certified institutions were more
                      likely to know about the empirical evidence related to
                      exercise (OR = 3.03, $95\%$ CI = [1.49, 6.18], p < .01),
                      which was positively associated with both recommending
                      exercise and self-assessing one's subjective knowledge as
                      high. Cancer-related fatigue is addressed minimally in basic
                      nursing training and moderately $(30.4\%)$ to
                      comprehensively $(29.9\%)$ in advanced nursing training. The
                      participants suggested various strategies to improve related
                      training.Most of the participants work in certified
                      institutions but lack guidelines-related knowledge.
                      Nevertheless, the participants had a fairly good awareness
                      of interventions effective in reducing fatigue. However,
                      awareness of the empirical evidence for exercise as one of
                      the most promising treatment options was relatively low.
                      Based on these findings, guidelines-oriented training is
                      needed to strengthen related knowledge, particularly
                      regarding self-efficacy in counseling in nurses. Awareness
                      of this frequent sequelae should be raised early during
                      basic nursing training and be covered comprehensively in
                      advanced oncology nursing training. In general, the role of
                      nurses within multidisciplinary teams in fatigue care needs
                      to be determined to enable effective collaboration.},
      keywords     = {Humans / Cross-Sectional Studies / Female / Male /
                      Neoplasms: complications / Neoplasms: nursing / Neoplasms:
                      psychology / Adult / Fatigue: etiology / Surveys and
                      Questionnaires / Middle Aged / Germany / Health Knowledge,
                      Attitudes, Practice},
      cin          = {C110},
      ddc          = {610},
      cid          = {I:(DE-He78)C110-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:40162696},
      doi          = {10.1097/jnr.0000000000000666},
      url          = {https://inrepo02.dkfz.de/record/300315},
}