Building cardio-oncology nursing capacity in Asia: Current practice and future directions.
- 1School of Nursing and Health Sciences, Hong Kong Metropolitan University, Hong Kong SAR.
- 2Cardio-Oncology Centre of Excellence, Royal Brompton Hospital, Part of Guy's and St Thomas' NHS Foundation, London, United Kingdom.
- 3School of Nursing & Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.
Abstract
Cardio-oncology has developed rapidly as cancer survival improves and cardiovascular complications related to cancer treatment receive increasing attention. In Asia, however, the development of cardio-oncology nursing remains uneven. This narrative review summarizes the available evidence on cardio-oncology services and nursing practice in Asia, with most of the published literature coming from China, Japan, and South Korea, together with reports from other Asian settings where available. Current evidence is largely derived from tertiary or specialist centers. Nursing roles, educational preparation, models of care, and nursing-sensitive outcomes are not consistently described. Reported nursing activities include cardiovascular risk assessment, symptom monitoring, patient education, treatment adherence support, care coordination, and survivorship care. Common challenges include limited specialist education, fragmented oncology and cardiology services, unequal access to specialist care, differences in nursing regulation and scope of practice, and limited nursing research from Asian settings. Based on the available regional evidence and relevant international experience, we propose competency-based and service-capacity frameworks to guide local service development and future evaluation. Initial development should focus on staff preparation and clear pathways for cardiovascular risk identification, referral, and escalation. More specialized nursing roles, including nurse-led and advanced-practice services, may be developed where workforce capacity, professional regulation, and clinical governance allow.
Related
- Artificial Intelligence and AI-Adjacent Digital Technologies in Nursing Practice Within Gastroenterology: A Scoping Review of Current Applications, Challenges, and Future Directions.
- Enhancing oncology nursing capacity in Cameroon: A mixed-methods evaluation of a palliative and psychosocial care training program
- Pharmacist-led redesign of chemotherapy delivery and supportive care: effects on infusion capacity, aseptic workload, costs and resource stewardship in oncology practice
- Current state and future directions of nursing and allied health research in implantable left ventricular assist devices
- Perioperative inflammation in gynecologic oncology: nursing strategies for enhanced recovery and complication prevention
BibTeX
@article{liu2026building,
title = {{Building cardio-oncology nursing capacity in Asia: Current practice and future directions.}},
author = {Xianliang Liu and Mubei Yang and Priya Reehal and Geraldine A Lee},
journal = {Asia-Pacific journal of oncology nursing},
year = {2026},
month = sep,
doi = {10.1016/j.apjon.2026.101031},
url = {https://europepmc.org/article/MED/42996991},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Building cardio-oncology nursing capacity in Asia: Current practice and future directions.
AU - Xianliang Liu
AU - Mubei Yang
AU - Priya Reehal
AU - Geraldine A Lee
PY - 2026
DA - 2026/09/15
JO - Asia-Pacific journal of oncology nursing
DO - 10.1016/j.apjon.2026.101031
UR - https://europepmc.org/article/MED/42996991
AB - Cardio-oncology has developed rapidly as cancer survival improves and cardiovascular complications related to cancer treatment receive increasing attention. In Asia, however, the development of cardio-oncology nursing remains uneven. This narrative review summarizes the available evidence on cardio-oncology services and nursing practice in Asia, with most of the published literature coming from China, Japan, and South Korea, together with reports from other Asian settings where available. Current evidence is largely derived from tertiary or specialist centers. Nursing roles, educational preparation, models of care, and nursing-sensitive outcomes are not consistently described. Reported nursing activities include cardiovascular risk assessment, symptom monitoring, patient education, treatment adherence support, care coordination, and survivorship care. Common challenges include limited specialist education, fragmented oncology and cardiology services, unequal access to specialist care, differences in nursing regulation and scope of practice, and limited nursing research from Asian settings. Based on the available regional evidence and relevant international experience, we propose competency-based and service-capacity frameworks to guide local service development and future evaluation. Initial development should focus on staff preparation and clear pathways for cardiovascular risk identification, referral, and escalation. More specialized nursing roles, including nurse-led and advanced-practice services, may be developed where workforce capacity, professional regulation, and clinical governance allow.
SN - 2347-5625
SN - 2349-6673
ER -