title: Physical Exercise and Cancer-Related Fatigue in Hospitalized Patients: Role of the Clinical Nurse Leader in Implementation of Interventions.
abstract: BACKGROUND
  Guidelines suggest that aerobic endurance training and moderate resistance training lessen the effects of cancer-related fatigue (CRF). However, specifics regarding frequency, intensity, and type of physical activity required to alleviate fatigue are less specific. In addition, outcomes of these interventions during the initial stages of active treatment are not well documented.
  
  
  OBJECTIVE
  The purpose of this article is to review the current evidence-based literature regarding the effects of physical exercise on CRF and the role that the clinical nurse leader (CNL) can play in implementing interventions to address CRF and promote physical exercise to improve patient outcomes.
  
  
  METHODS
  A literature review of the effect of physical exercise on CRF was conducted using the CINAHL®, PubMed, and Google Scholar databases.
  
  
  RESULTS
  As leaders in health care, CNLs have the knowledge and skill to take an active role in managing CRF and to develop evidence-based interventions to address fatigue in this patient population. Interventions may include creating and evaluating individualized exercise plans for inpatients with cancer and/or developing educational programs for the inpatient setting that may be continued after discharge and during outpatient treatment.
authors.affiliation: University of Maryland Medical System.
authors.forename: Katrina
authors.initials: K
authors.lastname: McGowan
mesh_terms: D055318:Evidence-Based Nursing; D015444:Exercise; D005221:Fatigue; D006760:Hospitalization; D006801:Humans; D007857:Leadership; D009369:Neoplasms / Q000503:physiopathology*; D009720:Nurse Clinicians
keywords: cancer program quality; caregiver strain and burden; complementary/alternative therapies; exercise/physical activity; fatigue; quality of life