Factors influencing Canadian oncology nurses discussing cannabis use with patients experiencing chemotherapy-induced nausea

Tianhao Xiao, J. Craig Phillips, Gail Macartney, Dawn Stacey

Abstract


A descriptive, cross-sectional study was conducted to determine factors influencing Canadian oncology nurses discussing cannabis use with patients experiencing chemotherapy-induced nausea (CIN). A survey invitation and three reminders were sent to 678 members of the Canadian Association of Nurses in Oncology (CANO) between February 8 and April 10, 2022. An educator sent an extra invitation to 131 oncology nurses in Eastern Ontario. The survey was based on the Ottawa Model of Research Use. Twenty-seven opened the link to the survey and 25 responded. Of 25 nurses, 11 (47.8%) correctly answered the knowledge question about the effectiveness of cannabis for CIN. The top three barriers to discussing cannabis use were social stigma, nurses’ lack of knowledge, and lack of guidance within the workplace. All participants identified needing continuing education and written guidance about use of cannabis for CIN. Although few oncology nurses responded to the survey, most indicated feeling inadequately prepared to discuss cannabis use with patients experiencing CIN.


Full Text:

PDF

References


Balneaves, L., & Alraja, A. A. (2019). “Guarding their practiceâ€: A descriptive study of Canadian nursing policies and education related to medical cannabis. BMC Nursing, 18(1), 66–66. https://doi.org/10.1186/s12912-019-0390-7

British Columbia College of Nurses & Midwives. (2021). Legislation relevant to nurses’ practice. https://www.bccnm.ca/Documents/regulation/LegislationRelevantNursesPractice.pdf

Canadian Association of Nurses in Oncology (CANO). (2019, November 28). “About usâ€. https://www.cano-acio.ca/page/about_us

Canadian Institute for Health Information. (2019). Nursing in Canada, 2018: A lens on supply and workforce. https://www.cihi.ca/sites/default/files/document/regulated-nurses-2018-report-en-web.pdf

Canadian Nurses Association (CNA). (n.d). Understanding cannabis in clinical practice. CNA learning centre. https://www.cna-aiic.ca/en/policy-advocacy/advocacy-priorities/cannabis

Cancer Care Ontario. (2019). Summary of 2019 antiemetic recommendations [Ebook] (p. 3). https://www.cancercareontario.ca/en/file/49566/download?token=sVDajTLI

Chow, R., Valdez, C., Chow, N., Zhang, D., Im, J., Sodhi, E., & Lock, M. (2020). Oral cannabinoid for the prophylaxis of chemotherapy-induced nausea and vomiting – A systematic review and meta-analysis. Supportive Care in Cancer, 28(5), 2095–2103. https://doi.org/10.1007/s00520-019-05280-4

Cohen, D., & Crabtree, B. (2008). Evaluative criteria for qualitative research in health care: Controversies and recommendations. Annals of Family Medicine, 6(4), 331–339. https://doi.org/10.1370/afm.818

College of Nurses of Ontario. (2023, March 17). Medical cannabis. https://www.cno.org/en/learn-about-standards-guidelines/educational-tools/ask-practice/medical-marijuana/

Connelly. (2016). Cross-sectional survey research. Medsurg Nursing, 25(5), 369–370.

Dillman, D. A., Smyth, J. D., & Christian, L. M. (2014). Internet, phone, mail, and mixed-mode surveys: The tailored design method (4th edition.). Wiley.

Dranitsaris, G., Molassiotis, A., Clemons, M., Roeland, E., Schwartzberg, L., Dielenseger, P., Jordan, K., Young, A., & Aapro, M. (2017). The development of a prediction tool to identify cancer patients at high risk for chemotherapy-induced nausea and vomiting. Annals of Oncology, 28(6), 1260–1267. https://doi.org/10.1093/annonc/mdx100

Drosdowsky, A., Blaschke, S., Koproski, T., Fullerton, S., Thakerar, A., Ellen, S., Phipps-Nelson, J., & de Neef, C. (2020). Cancer patients’ use of and attitudes towards medicinal cannabis. Australian Health Review, 44(4), 650–655. https://doi.org/10.1071/AH19066

Duran, M., Pérez, E., Abanades, S., Vidal, X., Saura, C., Majem, M., Arriola, E., Rabanal, M., Pastor, A., Farré, M., Rams, N., Laporte, J. R., & Capellà , D. (2010). Preliminary efficacy and safety of an oromucosal standardized cannabis extract in chemotherapy-induced nausea and vomiting. British Journal of Clinical Pharmacology, 70(5), 656–663. https://doi.org/10.1111/j.1365-2125.2010.03743.x

Erickson, P. G. (1998). Neglected and rejected: A case study of the impact of social research on Canadian drug policy. Canadian Journal of Sociology, 23(2/3), 263–280. https://doi.org/10.2307/3341968

Eysenbach, G. (2004). Improving the quality of Web surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Journal of Medical Internet Research, 6(3), e34. https://doi.org/10.2196/jmir.6.3.e34

Galanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021). Nurses’ burnout and associated risk factors during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Advanced Nursing, 77(8), 3286–3302. https://doi.org/10.1111/jan.14839

Graham, I. D., & Logan, J. (2004). Innovations in knowledge transfer and continuity of care. The Canadian Journal of Nursing Research, 36(2), 89–103.

Graham, I. D., Logan, J., Bennett, C. L., Presseau, J., O’Connor, A. M., Mitchell, S. L., Tetroe, J. M., Cranney, A., Hebert, P., & Aaron, S. D. (2007). Physicians’ intentions and use of three patient decision aids. BMC Medical Informatics and Decision Making, 7, 20. https://doi.org/10.1186/1472-6947-7-20

Government of Canada. (2021). Cannabis legalization and regulation. https://www.justice.gc.ca/eng/cj-jp/cannabis/

Harnisch, B., Wambeam, R. A., & Canen, E. L. (2020). Views of marijuana in Wyoming. Wyoming Survey & Analysis Center.

Harrison, M. B., & Graham, I. D. (2021). Knowledge translation in nursing and healthcare: A roadmap to evidence-informed practice. John Wiley & Sons, Inc.

Hasler, W. L., & Chey, W. D. (2003). Nausea and vomiting. Gastroenterology, 125(6), 1860–1867. https://doi.org/10.1053/j.gastro.2003.09.040

Hathaway, A. D., & Erickson, P. G. (2003). Drug reform principles and policy debates: Harm reduction prospects for cannabis in Canada. Journal of Drug Issues, 33(2), 465–495. https://doi.org/10.1177/002204260303300209

Hawley, P., & Gobbo, M. (2019). Cannabis use in cancer: A survey of the current state at BC Cancer before recreational legalization in Canada. Current Oncology, 26(4), e425–e432. https://doi.org/10.3747/co.26.4743

Hawley, P., Gobbo, M., & Afghari, N. (2020). The impact of legalization of access to recreational Cannabis on Canadian medical users with Cancer. BMC Health Services Research, 20(1), 977–977. https://doi.org/10.1186/s12913-020-05756-8

Hennrich, P., Arnold, C., & Wensing, M. (2021). Effects of personalized invitation letters on research participation among general practitioners: A randomized trial. BMC Medical Research Methodology, 21(1), 247. https://doi.org/10.1186/s12874-021-01447-y

Herek, G., Gillis, J. R., & Cogan, J. C. (2009). Internalized stigma among sexual minority adults: Insights from a social psychological perspective. Journal of Counseling Psychology, 56(1), 32–43. https://doi.org/10.1037/a0014672

Khenti, A. (2014). The Canadian war on drugs: Structural violence and unequal treatment of Black Canadians. The International Journal of Drug Policy, 25(2), 190–195. https://doi.org/10.1016/j.drugpo.2013.12.001

Lambert, V., & Lambert, C. (2012). Editorial: Qualitative descriptive research: An acceptable design. Pacific Rim International Journal of Nursing Research, 16(4), 255 – 256.

Le Dain, G. (1972). Cannabis: A report of the commission of inquiry into the non-medical use of drugs. Information Canada.

Macari, D. M., Gbadamosi, B., Jaiyesimi, I., & Gaikazian, S. (2020). Medical cannabis in cancer patients: A survey of a community hematology oncology population. American Journal of Clinical Oncology, 43(9), 636–639. https://doi.org/10.1097/COC.0000000000000718

Machado Rocha, F. C., Stéfano, S. C., De Cássia Haiek, R., Rosa Oliveira, L. M., & Da Silveira, D. X. (2008). Therapeutic use of cannabis sativa on chemotherapy-induced nausea and vomiting among cancer patients: Systematic review and meta-analysis. European Journal of Cancer Care, 17(5), 431–443. https://doi.org/10.1111/j.1365-2354.2008.00917.x

McNeeley, S. (2012). Sensitive issues in surveys: Reducing refusals while increasing reliability and quality of responses to sensitive survey items. In Handbook of Survey Methodology for the Social Sciences (pp. 377–396). Springer New York. https://doi.org/10.1007/978-1-4614-3876-2_22

National Comprehensive Cancer Network. (2021). NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) Antiemesis [Ebook] (1st ed.). Retrieved 7 October 2021, from https://www.nccn.org/professionals/physician_gls/pdf/antiemesis.pdf

Oldfield, K., Eathorne, A., Tewhaiti-Smith, J., Beasley, R., Semprini, A., & Braithwaite, I. (2020). Experiences, patient interactions and knowledge regarding the use of cannabis as a medicine in a cohort of New Zealand doctors in an oncology setting. Postgraduate Medical Journal, postgradmedj-2020-139013. Advance online publication. https://doi.org/10.1136/postgradmedj-2020-139013

Oncology Nursing Society. (2019). Cannabis/Cannabinoids. https://www.ons.org/CannabisCannabinoids?topic=761

&display=pepnavigator&sort_by=created&items_per_page=50.

Panozzo, S., Le, B., Collins, A., Weil, J., Whyte, J., Barton, M., Coperchini, M., Rametta, M., & Philip, J. (2020). Who is asking about medicinal cannabis in palliative care? Internal Medicine Journal, 50(2), 243–246. https://doi.org/10.1111/imj.14732

Reblin, M., Sahebjam, S., Peeri, N. C., Martinez, Y. C., Thompson, Z., & Egan, K. M. (2019). Medical cannabis use in glioma patients treated at a comprehensive cancer center in Florida. Journal of Palliative Medicine, 22(10), 1202–1207. https://doi.org/10.1089/jpm.2018.0528

Reid, M. (2020). A qualitative review of cannabis stigmas at the twilight of prohibition. Journal of Cannabis Research, 2(1), 46–46. https://doi.org/10.1186/s42238-020-00056-8

Rosenbaum, J., & Lidz, C. W. (2007). Maximizing the results of internet surveys. Psychiatry Information in Brief, 4(2), 1017. https://doi.org/10.7191/pib.1017. https://escholarship.umassmed.edu/pib/vol4/iss2/1

Saadeh, C. E., & Rustem, D. R. (2018). Medical marijuana use in a community cancer center. Journal of Oncology Practice, 14(9), e566–e578. https://doi.org/10.1200/JOP.18.00057

Stacey, D. (2020). The pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) project. The Ottawa Hospital Research Institute & University of Ottawa. https://ktcanada.ohri.ca/costars/COSTaRS_Practice_Guides_ENGLISH_Jan2020.pdf

Stacey, D. (2006). The Ottawa Hospital Research Institute. (2006). Factors influencing health professionals providing support for patients preparing to make health decisions: A survey tool. Retrieved 15 October 2021, from https://decisionaid.ohri.ca/docs/implement/Pract-DS-Needs_Values.pdf

Stacey, D., Carley, M., Ballantyne, B., Skrutkowski, M., Whynot, A., & Pan-Canadian Oncology Symptom Triage and Remote Support COSTaRS Team (2015). Perceived factors influencing nurses’ use of evidence-informed protocols for remote cancer treatment-related symptom management: A mixed methods study. European Journal of Oncology Nursing, 19(3), 268–277. https://doi.org/10.1016/j.ejon.2014.11.002

Stacey, D., & Graham, I. D., O’Connor, A. M., & Pomey, M. P. (2005). Barriers and facilitators influencing call center nurses’ decision support for callers facing values-sensitive decisions: A mixed methods study. Worldviews on Evidence-Based Nursing, 2(4), 184–195. https://doi.org/10.1111/j.1741-6787.2005.00035.x

Waissengrin, B., Urban, D., Leshem, Y., Garty, M., & Wolf, I. (2015). Patterns of use of medical cannabis among Israeli cancer patients: A single institution experience. Journal of Pain and Symptom Management, 49(2), 223–230. https://doi.org/10.1016/j.jpainsymman.2014.05.018

Zylla, D., Steele, G., Eklund, J., Mettner, J., & Arneson, T. (2018). Oncology clinicians and the Minnesota medical cannabis program: A survey on medical cannabis practice patterns, barriers to enrollment, and educational needs. Cannabis and Cannabinoid Research, 3(1), 195–202. https://doi.org/10.1089/can.2018.0029


Refbacks

  • There are currently no refbacks.


Bookmark and Share