The Roles of Nurses in Caring for Patients Receiving Immune Checkpoint Inhibitors
Keywords:
role of nurses, immunotherapy, immune checkpoint inhibitorsAbstract
Immune checkpoint inhibitors or immunotherapy have been increasingly used in cancer treatment. If patients do not receive appropriate care before, during, and after receiving immunotherapy, it may affect the efficacy and safety of the treatment. Therefore, nurses responsible for drug administration must have appropriate knowledge and competence by applying knowledge gained from empirical evidence to patient care. This article discusses the mechanism of action, drug types, and the role of nurses in the process before, during, and after receiving immunotherapy.
References
Immune Checkpoint Inhibitors - NCI [Internet]. [cited 2024 Aug 25]. Available from: https://www.cancer.gov/about-cancer/treatment/types/immunotherapy/checkpoint-inhibitors
Wiley K, Lefebvre KB, Wall L, Baldwin-Medsker A, Nguyen K, Marsh L, et al. Immunotherapy Administration: Oncology Nursing Society Recommendations. Number 2 /April 2017 [Internet]. 2017 Apr 1 [cited 2024 Aug 26];21:5–7. Available from: https://www.ons.org/cjon/21/2-0/supplement/immunotherapy-administration-oncology-nursing-society-recommendations
Immunotherapy Is Rapidly Changing Nursing Practice [Internet]. [cited 2024 Aug 26]. Available from: https://www.oncnursingnews.com/view/immunotherapy-is-rapidly-changing-nursing-practice
Shiravand Y, Khodadadi F, Kashani SMA, Hosseini-Fard SR, Hosseini S, Sadeghirad H, et al. Immune Checkpoint Inhibitors in Cancer Therapy. Current Oncology [Internet]. 2022 May 1 [cited 2024 Aug 25];29:3044. Available from: /pmc/articles/PMC9139602/
Postow MA, Sidlow R, Hellmann MD. Immune-Related Adverse Events Associated with Immune Checkpoint Blockade. New England Journal of Medicine [Internet]. 2018 Jan 11 [cited 2024 Aug 25];378:158–68. Available from: https://www.nejm.org/doi/full/10.1056/NEJMra1703481
Puzanov I, Diab A, Abdallah K, Bingham CO, Brogdon C, Dadu R, et al. Managing toxicities associated with immune checkpoint inhibitors: Consensus recommendations from the Society for Immunotherapy of Cancer (SITC) Toxicity Management Working Group. J Immunother Cancer [Internet]. 2017 Nov 21 [cited 2024 Aug 25];5:1–28. Available from: https://link.springer.com/articles/10.1186/s40425-017-0300-z
Schneider BJ, Naidoo J, Santomasso BD, Lacchetti C, Adkins S, Anadkat M, et al. Management of Immune-Related Adverse Events in Patients Treated with Immune Checkpoint Inhibitor Therapy: ASCO Guideline Update. Journal of Clinical Oncology [Internet]. 2021 Dec 20 [cited 2024 Aug 25];39:4073–126. Available from: https://ascopubs.org/doi/10.1200/JCO.21.01440
3549-Immunotherapy blood test monitoring recommendations | eviQ [Internet]. [cited 2024 Aug 25]. Available from: https://www.eviq.org.au/clinical-resources/side-effect-and-toxicity-management/immunological/3549-immunotherapy-blood-test-monitoring-recommend#history
Peterson, DNP, RN, AGNP-c C. An AP Perspective on Infusion Reactions in the Era of Immunotherapy. J Adv Pract Oncol [Internet]. 2022 Apr 1 [cited 2024 Aug 25];13:247. Available from: /pmc/articles/PMC9126347/
Peterson C. Management of Immunotherapy Infusion Reactions. 2023.
Barroso A, Estevinho F, Hespanhol V, Teixeira E, Ramalho-Carvalho J, Araújo A. Management of infusion-related reactions in cancer therapy: strategies and challenges. ESMO Open. 2024;9:102922.
Siegel RD, LeFebvre KB, Temin S, Evers A, Barbarotta L, Bowman RM, et al. Antineoplastic Therapy Administration Safety Standards for Adult and Pediatric Oncology: ASCO-ONS Standards. https://doi.org/101200/OP2400216 [Internet]. 2024 May 22 [cited 2024 Aug 25]; Available from: https://ascopubs.org/doi/10.1200/OP.24.00216
Preparation, Storage and Administration of KEYTRUDA® (pembrolizumab) | HCP [Internet]. [cited 2024 Aug 25]. Available from: https://www.keytrudahcp.com/dosing/preparation-storage-administration/
LIBTAYO® (cemiplimab-rwlc) Dosing & Administration [Internet]. [cited 2024 Aug 25]. Available from: https://www.libtayohcp.com/dosing
IMFINZI® (durvalumab) Dosing for Unresectable Stage III NSCLC [Internet]. [cited 2024 Aug 25]. Available from: https://www.imfinzihcp.com/non-small-cell-lung-cancer/stage-3/durvalumab-nsclc-infusion-dosage.html
Saad P, Kasi A. Ipilimumab. StatPearls [Internet]. 2023 Apr 10 [cited 2024 Aug 25]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK557795/
Preparation & Administration | OPDIVO® (nivolumab) [Internet]. [cited 2024 Aug 25]. Available from: https://www.opdivohcp.com/dosing/preparation-administration
TECENTRIQ® (atezolizumab) offers 3 flexible dosing options [Internet]. [cited 2024 Aug 25]. Available from: https://www.tecentriq-hcp.com/sclc/dosing-and-administration/dosing.html
Dosing & Administration | BAVENCIO® (avelumab) For HCPs [Internet]. [cited 2024 Aug 25]. Available from: https://www.bavencio.com/en_US/hcp/uc-home/dosing.html
Sujira Foongfaung. Nursing Management of Hypersensitivity and Infusion Reaction from Intravenously Administered Chemotherapeutic Agents. Thai Cancer J. 2018;38:20-41.
Dine J, Gordon R, Shames Y, Kasler MK, Barton-Burke M. Immune Checkpoint Inhibitors: An Innovation in Immunotherapy for the Treatment and Management of Patients with Cancer. Asia Pac J Oncol Nurs [Internet]. 2017 Apr [cited 2024 Aug 24];4:127–35. Available from: https://pubmed.ncbi.nlm.nih.gov/28503645/
Nguyen EE, Winokur E. Immunotherapy Adverse Events: An Emergency Nursing Perspective. J Emerg Nurs [Internet]. 2019 Nov 1 [cited 2024 Aug 24];45:699–706. Available from: https://pubmed.ncbi.nlm.nih.gov/31402127/
Rubin KM, Hoffner B, Bullock AC. Caring for Patients Treated with Checkpoint Inhibitors for the Treatment of Metastatic Merkel Cell Carcinoma. Semin Oncol Nurs [Internet]. 2019 Oct 1 [cited 2024 Aug 24];35. Available from: https://pubmed.ncbi.nlm.nih.gov/31514991/
Teixeira-Poit SM, Sawicki K, O’Kelley W, Hardin M, Jenkins M, Gudena V. Efficacy of a Patient Education Session for Cancer Patients Receiving Immunotherapy. Semin Oncol Nurs [Internet]. 2023 Aug 1 [cited 2024 Aug 24];39. Available from: https://pubmed.ncbi.nlm.nih.gov/37179177/
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Thailand's National Cancer Institute Foundation

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความทีตีพิมพ์ในวารสารโรคมะเร็งนี้ถือว่าเป็นลิขสิทธิ์ของมูลนิธิสถาบันมะเร็งแห่งชาติ และผลงานวิชาการหรือวิจัยของคณะผู้เขียน ไม่ใช่ความคิดเห็นของบรรณาธิการหรือผู้จัดทํา
