Context Distressing symptoms interfere with quality of life in patients with lung cancer. Algorithm-based clinical decision support (CDS) to improve evidence-based management of isolated symptoms appears promising but no reports yet address multiple symptoms. Objectives This study examined the feasibility of CDS for a Symptom Assessment and Management Intervention targeting common symptoms in patients with lung cancer (SAMI-L) in ambulatory oncology. The study objectives were to evaluate completion and delivery rates of the SAMI-L report and clinician adherence to the algorithm-based recommendations. Methods Patients completed a Web-based symptom-assessment, and SAMI-L created tailored recommendations for symptom management. Completion of assessments and delivery of reports were recorded. Medical record review assessed clinician adherence to recommendations. Feasibility was defined as ≥ 75% report completion and delivery rates and ≥ 80% clinician adherence to recommendations. Descriptive statistics and generalized estimating equations were used for data analyses. Results Symptom assessment completion was 84% (95% CI: 81–87%). Delivery of completed reports was 90% (95% CI: 86–93%). Depression (36%), pain (30%) and fatigue (18%) occurred most frequently, followed by anxiety (11%) and dyspnea (6%). On average, overall recommendation adherence was 57% (95% CI: 52–62%) and was not dependent on the number of recommendations (P = 0.45). Adherence was higher for anxiety (66%; 95% CI: 55–77%), depression (64%; 95% CI: 56–71%), pain (62%; 95% CI: 52–72%), and dyspnea (51%; 95% CI: 38–64%) than for fatigue (38%; 95% CI: 28–47%). Conclusion CDS systems, such as SAMI-L, have the potential to fill a gap in promoting evidence-based care.

Health literacy and HIL are closely associated with insurance status and access to health care for Spanish-speaking communities, indicating the need for further research and enhanced public health efforts to improve knowledge and awareness around navigating health care systems.

Worldwide, Islam is the second most populous religion and, in many countries in the Middle East, South and Southeast Asia, and Africa, it is the predominant religion. The population of Muslims in the United States is projected to dramatically increase in the next few decades. Understanding the role of Islam for people who believe in and follow Islam-Muslims-will provide nurses with important perspectives that affect health behaviors, cancer screening, treatment decision-making, and end-of-life care.
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Objectives.) Guided) by) a) sociological) model) of) the) effects) of) neighborhood) segregation) and)a)quality)of)health)model)that)includes)the)relationship)between)structure,)process,) and) outcomes) applied) to) neighborhoods,) this) study) examines) the) effect) of) perceived) neighborhood)safety)and)poverty)on)selfTrated)health)status)across)Asian,)Black,)Latino,) and)White)Americans.)

Background: Breast cancer is the most diagnosed cancer in women, with mammography being the most efficient at detecting early-stage breast cancer. Arab Muslim women living in the United States are an understudied minority group with cultural differences that may influence their utilization of mammography. Objective: Guided by the Neuman Systems Model, this study aimed to determine correlates of using mammography, including acculturation, modesty, and breast cancer knowledge, of Arab Muslim women living in New England aged 40 years and older. Interventions/Methods: A correlational study design was used with 118 Arab Muslim women with a survey that included sociodemographic data, acculturation, Islamic modesty, and breast cancer knowledge scales. Results: The screening rate for women aged 50 years and older was statistically significant in comparison to the Center for Disease Control report (2018) (Z = −2.15, P < .01). Multivariate analysis revealed that modesty (odds ratio = 0.90; confidence interval [0.81-0.99]; P = 0.04), decreased length of stay in the United States (r = 0.34; P < .01), and the use of the Arabic language in the survey (r = −0.20; P < .05) were negatively associated with mammography use. Conclusions: Educational and cultural factors may influence use of mammography screening by Arab Muslim women living in the United States. Implications for Practice: The study findings underscore the need for a better understanding of modesty by health care providers to enhance use of mammography by Arab Muslim women. What is Foundational: Cultural, educational, and religious variables may be drivers of decreased mammography use in minority women. Barriers to breast cancer detection can be overcome by improving sensitivity to such variables.