Aim and objectives The study's purpose was to examine the association between rumination, fatigue and psychological resilience among cancer survivors. Background Cancer is a disease that causes difficult lives in individuals. Individuals can struggle with cancer‐related fatigue (CRF) and ruminative thoughts during and after the disease process. However, it can also be seen that some individuals make sense out of their cancer experience and turn into stronger individuals. Design A cross‐sectional design. Methods This study was conducted from February through November 2020. Data were collected from 159 cancer survivors using Event Related Rumination Inventory, Cancer Fatigue Scale and Connor‐Davidson Resilience Scale. Results The findings showed that intrusive rumination significantly and negatively mediated psychological resilience but significantly and positively mediated with CRF. In contrast, deliberate rumination was significantly and positively mediated psychological resilience but significantly and negatively mediated with CRF. The effects of intrusive and deliberate rumination on fatigue were .431 (CI =0.042–0.635) and −.285 (CI = −0.163 to 0.491), respectively. In addition, the effects of intrusive and deliberate rumination on psychological resilience were −.253 (CI = −0.177 to 0.447) and .304 (CI = 0.045–0.124), respectively. Conclusions The findings underline the mediating role of rumination on CRF and psychological resilience among cancer survivors. The findings also delineate the associations between rumination, CRF and psychological resilience, which differ based on rumination type. Relevance to clinical practice The findings are particularly important to oncology nurses, who are the main sources of psychosocial care. To support cancer survivors and mobilise their resources, oncology nurses should be made aware of the different types and effects of rumination. With the help of this awareness, oncology nurses can enhance managing intrusive rumination, replacing intrusive ruminations with deliberate ones, mobilising resources and promoting psychological resilience.

ÖzKanser bireyleri bilişsel, duygusal, fiziksel, sosyal yönlerden etkileyebilen, oldukça yaygın görülen bir hastalıktır. Bireylerin tanı almalarından itibaren düşünce sistemini etkileyerek olumsuz ruminatif düşüncelere neden olabilmekte ve bu düşünceler çeşitli psikososyal problemlerle sonuçlanabilmektedir. Süreç içerisinde yaşanılması olası olumsuz ruminatif düşünce sistemi iyi yönetilemediğinde kanser deneyimi yaşayan bireylerin tükenmişlik yaşamasına neden olabilmektedir. Kansere bağlı tükenmişlik olarak adlandırılan bu durum, bireylerin sadece hastalık sürecini değil remisyon dönemini de etkileyebilmektedir. Öte yandan, yaşanılan olumsuz deneyimlerin üstesinden gelebilme gücünü temsil eden psikolojik sağlamlık, bireylerin olumlu ruminatif düşüncelere odaklanabilmesine olanak sağlayabilmektedir. Böylece, bireyler travmatik yaşam deneyiminden yaşamı yeniden anlamlandırabilme, sürece uyum sağlayabilme ve hatta psikolojik açıdan güçlenme gibi olumlu çıkarımlarda bulunabilmektedir. Bu makalenin amacı, ruminasyon, kansere bağlı tükenmişlik ve psikolojik sağlamlık kavramlarının açıklanması ve kanser süreci üzerine olası etkilerinin ortaya konulmasıdır.

The COVID-19 pandemic, which has been rapidly affecting the entire world, affects people physically, cognitively, spiritually, and socially due to its high contagiousness and mortality rates, its onset with asymptomatic symptoms, its unpredictable future, and the lack of a cure. These effects may result in individuals struggling intensely against various thoughts about the process. This repetitive and disturbing way of thinking, called rumination, which can occur in individuals’ stressful situations, can adversely affect their mental health. On the other hand, when ruminative thoughts are managed appropriately, they can empower individuals to exit the process and be replaced by positive thoughts. Therefore, during the COVID-19 pandemic, it is important to understand individuals’ ruminative thinking systems regarding the process. This review aimed to explain the concept of rumination during the COVID-19 pandemic and its possible effects on mental health.

Aim: This study aimed to examine the effects of interventions on rumination among individuals with cancer.Design: A systematic review and meta-analysis. Data Sources: Six databases (Scopus, Cochrane Central Register of Controlled Trials (CENTRAL), PsyArticles, CINAHL, PubMed and Web of Science) were searched for relevant articles published between January 2000 and April 2020.Review methods: The findings of experimental studies (including both experimental and control groups) related to interventions to effect rumination of individuals with cancer were included. Comprehensive meta-analysis was used to analyse the data. Hedges' g and 95% confidence intervals (CIs) were computed to estimate the effect. Additionally, funnel plots were created and heterogeneity was analysed using the I 2 test. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was used. Results: Eight studies, which included a total sample of 856 individuals with cancer, were included. Half of the studies (n = 4) were randomised controlled trials, and six of them had conducted mindfulness-based interventions. The interventions had significant effects on rumination among individuals with cancer (z = −2.356, Q = 167.663, p < 0.001, I 2 = 95.825%). The effect size was −0.894 (95% CI = [−1.638, −0.150]) and statistically significant (p < 0.001). Conclusion:The interventions had reduced rumination among individuals with cancer. These effects should be interpreted with caution because there was a high level of heterogeneity. However, only a few studies were included, and the findings underscore the need for further research. Impact: Many individuals are likely to benefit from rumination-focused interventions, especially mindfulness-based interventions. Nurses should utilise available opportunities to facilitate the optimal management of cancer-related rumination.

Objectives: This study aimed to describe nursing students' experiences of talking about death with terminally ill patients with cancer. Methods:The study adopted a qualitative design, and participants (n = 28) were final-year undergraduate nursing students. Data were collected by conducting indepth semi-structured face-to-face interviews using a pilot-tested interview guide.The researchers followed a systematic data analysis procedure which is an appropriate method of analysis when aiming to create knowledge based on experiences and meanings from cross-case analysis.Results: The responses of the nursing students were subsumed under the following three themes: (1) 'balance on the rope', (2) 'who would even want to talk about death' and (3) 'need to talk but …'. The findings suggest that many nursing students do not believe that they are competent enough to talk about death with terminally ill patients with cancer, even though they believe it is essential to end-of-life care. Conclusion:The findings underscore the importance of examining students' perspectives on death, which not only shapes their experiences of caring for terminally ill patients but also influences the quality of care. Further, students feel unprepared for talking to terminally ill patients with cancer and require support to avoid ignoring calls to speak about death.