{"entity":{"id":"oncology-nursing","kind":"technology","name":"Oncology nursing and nurse-led care","aka":[],"tldr":"Specialist nurses deliver most cancer treatment and much of its safety, education and support; nurse-led clinics, navigation and symptom management improve outcomes and are the backbone of care in low-resource settings.","summary":"Oncology nurses administer chemotherapy and immunotherapy (ONS/ASCO safety standards), manage toxicities, educate patients, coordinate care and lead follow-up. Evidence: nurse navigation improves timeliness and satisfaction and reduces disparities (Freeman, Harlem 1990); nurse-led follow-up is as safe as physician follow-up in breast and lung cancer; advanced practice nurses expand capacity; nurse-led telephone triage and PRO monitoring reduce admissions. Global shortages (WHO 'State of the World's Nursing') and task-shifting in LMICs (e.g. nurse-delivered chemotherapy in Rwanda, Malawi) make nursing the rate-limiting resource for expanding cancer care. Specialty certification (OCN), the Oncology Nursing Society (US), EONS (Europe) and ISNCC (global) set standards.","status":"standard-of-care","asOf":"2026-09-08","wikipedia":"https://en.wikipedia.org/wiki/Oncology_nursing","links":[{"label":"Oncology Nursing Society","url":"https://www.ons.org/"},{"label":"ISNCC","url":"https://www.isncc.org/"},{"label":"Freeman patient navigation (CA Cancer J Clin 2011)","url":"https://doi.org/10.3322/caac.20111"}],"tags":["gap-fill","supportive","workforce"],"related":[],"cancers":[],"sections":["supportive-care"],"technologies":["epro-symptom-monitoring","telehealth-oncology","palliative-care","global-oncology-access"],"targets":[],"drugs":[],"companies":[],"institutions":[],"pathways":[],"terms":["oncology-workforce"],"trials":[],"people":[],"bottlenecks":[],"keyPapers":["paper-paskett-ca-cancer-j-clin"],"journals":["cancer-nursing","clinical-journal-of-oncology-nursing","european-journal-of-oncology-nursing","journal-of-pediatric-hematology-oncology-nursing","oncology-nursing-forum","seminars-in-oncology-nursing"],"dependsOn":[],"notes":[],"principle":"Competency-based specialist nursing practice across the pathway (administration, toxicity management, education, navigation, survivorship, palliative care), with expanded roles where physician capacity is limited.","strengths":["Nurse navigation and nurse-led follow-up have randomised and observational support","Scalable in LMICs through task-shifting","Central to safety of high-risk therapies (CAR-T, immunotherapy)"],"limitations":["Global shortage and burnout","Scope-of-practice restrictions vary","Under-recognised in research and funding"]},"route":"/technologies/oncology-nursing/","neighbours":{"section":[{"id":"supportive-care","kind":"section","name":"Supportive Care & Survivorship","route":"/fronts/supportive-care/"}],"technology":[{"id":"rejuv-access-survivorship-care-australia","kind":"technology","name":"After treatment in Australia: a stated model of survivorship care","route":"/technologies/rejuv-access-survivorship-care-australia/"},{"id":"rejuv-access-survivorship-care-lmic","kind":"technology","name":"After treatment in low and middle income countries: mostly nothing","route":"/technologies/rejuv-access-survivorship-care-lmic/"},{"id":"rejuv-access-survivorship-care-nordic","kind":"technology","name":"After treatment in the Nordic countries: rehabilitation written into the pathway","route":"/technologies/rejuv-access-survivorship-care-nordic/"},{"id":"rejuv-measure-epro-as-treatment","kind":"technology","name":"Asking people how they are, every week, as a treatment in its own right","route":"/technologies/rejuv-measure-epro-as-treatment/"},{"id":"rejuv-rehab-cancer-rehabilitation","kind":"technology","name":"Cancer rehabilitation: the discipline that puts function back","route":"/technologies/rejuv-rehab-cancer-rehabilitation/"},{"id":"palliative-care","kind":"technology","name":"Early integrated palliative care","route":"/technologies/palliative-care/"},{"id":"epro-symptom-monitoring","kind":"technology","name":"Electronic patient-reported outcome (ePRO) symptom monitoring","route":"/technologies/epro-symptom-monitoring/"},{"id":"global-oncology-access","kind":"technology","name":"Global oncology and access in low- and middle-income countries","route":"/technologies/global-oncology-access/"},{"id":"telehealth-oncology","kind":"technology","name":"Telehealth and hospital-at-home in oncology","route":"/technologies/telehealth-oncology/"},{"id":"rejuv-measure-epro-implementation","kind":"technology","name":"What has actually been implemented since those trials, and what has not","route":"/technologies/rejuv-measure-epro-implementation/"}],"term":[{"id":"cancer-health-disparities","kind":"term","name":"Cancer health disparities and equity","route":"/terms/cancer-health-disparities/"},{"id":"oncology-workforce","kind":"term","name":"Oncology workforce","route":"/terms/oncology-workforce/"}],"paper":[{"id":"paper-paskett-ca-cancer-j-clin","kind":"paper","name":"Patient navigation: an update on the state of the science","route":"/key-papers/paper-paskett-ca-cancer-j-clin/"}],"journal":[{"id":"cancer-nursing","kind":"journal","name":"Cancer nursing","route":"/journals/cancer-nursing/"},{"id":"clinical-journal-of-oncology-nursing","kind":"journal","name":"Clinical journal of oncology nursing","route":"/journals/clinical-journal-of-oncology-nursing/"},{"id":"european-journal-of-oncology-nursing","kind":"journal","name":"European journal of oncology nursing","route":"/journals/european-journal-of-oncology-nursing/"},{"id":"journal-of-pediatric-hematology-oncology-nursing","kind":"journal","name":"Journal of pediatric hematology/oncology nursing","route":"/journals/journal-of-pediatric-hematology-oncology-nursing/"},{"id":"oncology-nursing-forum","kind":"journal","name":"Oncology nursing forum","route":"/journals/oncology-nursing-forum/"},{"id":"seminars-in-oncology-nursing","kind":"journal","name":"Seminars in oncology nursing","route":"/journals/seminars-in-oncology-nursing/"}],"person":[{"id":"kate-granger","kind":"person","name":"Kate Granger","route":"/people/kate-granger/"}]}}