Current Issue : April - June Volume : 2017 Issue Number : 2 Articles : 8 Articles
Breast cancer is a heterogeneous and complex disease with different situations of\nthreat to their patients, which can cause psychological discomfort, anxiety and a depressed\nstate in women. The aim of this study was to analyze the performance of\nnursing to psychological repercussions on living with breast cancer. This is a descriptive\nand cross-sectional study with qualitative characteristics. It was conducted with\nprofessional nurses in Basic Health Units (UBS) in the municipality of Juazeiro do\nNorte-CE, Northeast of Brazil, located in the region of Cariri. The study began to be\ndeveloped after the approval of the Research Ethics Committee, CAAE: 50809315.8.\n0000.5624. Data collection occurred through a semi-structured interview. For the interpretation\nof the results, the technique of content analysis was used. The results\nshowed that nurses realize that emotional support, care and assistance in coping,\nimprove the construction of a good performance of the professional nurse. However,\nit is possible to realize the need for information and qualified assistance by multidisciplinary\nteam to these patients and even their family members. It was identified as\ndifficulty in assisting the denial of patient to start the treatment, but the facility is in\nthe intimacy that the professional nurse can engage with the customer. It highlighted\nthe care through dialogue and health education. And, finally, the nurse is aware of\nsuch importance of his/her role when supporting the patient. Thus, the improvement\nof professional assistance was evidenced as regards emotional support, reception,\nqualified listening, health education measures leading to self-knowledge, self-esteem\nand acceptance of the disease and the creation of bonds with the patients....
Background: Procedural pain reduces the quality of life of cancer patients. Although there are recommendations\nfor its prevention, there are some obstacles for its management. The purpose of this study was to analyze the\nbarriers to procedural pain prophylaxis in cancer patients reflecting the views of the nurses.\nMethods: We used qualitative methodology based on semi-structured interviews conducted with nurses, focusing\non practices of venipuncture-induced and needle change for implantable central venous access port (ICVAP) pain\nmanagement in cancer patients. A thematic analysis approach informed the data analysis.\nResults: Interviews were conducted with 17 nurses. The study highlighted 4 main themes; technical and relational\nobstacles, nurses� professional recognition, the role of the team, and organizational issues. Participants understood\nthe painful nature of venipuncture. Despite being aware of the benefits of the anesthetic patch, they did not utilize\nit in a systematic way. We identified several barriers at different levels: technical, relational and previous experience\nof incident pain. Several organizational issues were also highlighted (e.g. lack of protocol, lack of time).\nConclusions: The prevention of venipuncture-induced cancer pain requires a structured training program, which\nshould reflect the views of nurses in clinical practice....
This study aims to analyze the descriptions in breast cancer journals written\nby patients and to understand the experience of benefit finding among patients\nwith breast cancer. We selected 22 such breast cancer journals written\nby patients published after 2000 in Japan. The extracted statements related to\nbenefit finding of patients experiencing breast cancer from the 22 journals\nwere subjected to a qualitative analysis, and the following seven benefit finding\nelements were extracted: ââ?¬Å?Gratitude toward othersââ?¬Â, ââ?¬Å?Benefits due to cancerââ?¬Â,\nââ?¬Å?Happiness at living a normal lifeââ?¬Â, ââ?¬Å?Realization of and satisfaction with\nmy growthââ?¬Â, ââ?¬Å?Awareness of the meaning of my existenceââ?¬Â, ââ?¬Å?Hopes for lifeââ?¬Â,\nand ââ?¬Å?Willingness to contribute to othersââ?¬Â. These benefit findings suggest that\nthese particulars fulfill cultural, practical, spiritual, and social meanings, and\nlead to self-revaluation in daily life....
Background: Cachexia is defined as the on-going loss of skeletal muscle mass that cannot be fully reversed by\nconventional nutritional support. It is found in up to 80% of patients with advanced cancer and has profound\npsycho-social consequences for patients and their families. Previous studies demonstrate that many healthcare\nprofessionals receive little formal education in cachexia management leading them to feel that they have limited\nunderstanding of the syndrome and cannot intervene effectively. This study aims to examine the value of a\ndedicated cachexia clinic and its influence on staff understanding and practice.\nMethods: An exploratory qualitative study was conducted. The study employed semi-structured interviews with a\nrange of healthcare professionals responsible for designing and delivering cancer care in a large teaching hospital\nin Australia. This hospital had a dedicated cachexia clinic.\nResults: In-depth interviews were conducted with 8 healthcare professionals and senior managers. Four themes\nwere identified: formal and informal education; knowledge and understanding; truth telling in cachexia and\npalliative care; and, a multi-disciplinary approach. Findings show that improved knowledge and understanding\nacross a staff body can lead to enhanced staff confidence and a willingness to address cancer cachexia and its\nconsequences with patients and their families.\nConclusion: Comparisons with similar previous research demonstrate the advantages of providing a structure for\nstaff to gain knowledge about cachexia and how this can contribute to feelings of improved understanding and\nconfidence necessary to respond to the challenge of cachexia....
Background: The emergence of oral delivery in cancer therapeutics is expected to result in an increased need for\nbetter coordination between all treatment stakeholders, mainly to ensure adequate treatment delivery to the\npatient. There is significant interest in the nurse navigation program�s potential to improve transitions of care by\nimproving communication between treatment stakeholders and by providing personalized organizational\nassistance to patients. The use of health information technology is another strategy aimed at improving cancer\ncare coordination that can be combined with the NN program to improve remote patient follow-up. However,\nthe potential of these two strategies combined to improve oral treatment delivery is limited by a lack of rigorous\nevidence of actual impact.\nMethods/design: We are conducting a large scale randomized controlled trial designed to assess the impact of\na navigation program denoted CAPRI that is based on two Nurse Navigators and a web portal ensuring coordination\nbetween community and hospital as well as between patients and navigators, versus routine delivery of oral anticancer\ntherapy. The primary research aim is to assess the impact of the program on treatment delivery for patients with\nmetastatic cancer, as measured by Relative Dose Intensity. The trial involves a number of other outcomes, including\ntumor response, survival, toxic side effects, patient quality of life and patient experience An economic evaluation\nadopting a societal perspective will be conducted, in order to estimate those health. care resources� used. A parallel\nprocess evaluation will be conducted to describe implementation of the intervention.\nDiscussion: If the CAPRI program does improve treatment delivery, the evidence on its economic impact will offer\nimportant knowledge for health decision-makers, helping develop new follow-up services for patients receiving oral\nchemotherapy and/or targeted therapy. The process evaluation will determine the best conditions in which such a\nprogram might be implemented....
The concept of patient advocacy has received international recognition over the last two decades. Although much researches has been done on nurses� attitudes in general, little has been done focusing particularly on oncology patient advocacy and almost no research was conducted in Saudi Arabian: The current study aimed to assess nurses� attitudes toward patient advocacy in oncology department University hospital. The study followed a cross-sectional descriptive design and was carried out in the oncology department at university hospital in Jeddah, kingdom of Saudi Arabian. All nurses (n= 46) who were working in the previously mentioned units and willing to participate in study were included. All of them were responsible for providing direct health care to oncology patients. Data gathering tool used was the Attitude toward patient advocacy instrument which was developed by Wu and BU (2008) and adapted to measure nurses ' attitudes toward advocacy of oncology patients. It consists of three components of nurses attitudes 64 items. This study found that the mean percentage scores of the participants' overall attitudes toward oncology patients advocacy was relatively positive 82.06 (SD 5.61). The highest mean scores percentages of participants' attitudes were found on nurses response to acting on behalf of patients dimension 84.80 (SD 5.92), However, participants' attitude to championing social justice dimension of patient advocacy was the least item 79.59 (SD 6.49). Also, the results explains the relationship between nurses' attitudes and socio demographic characteristics. Nurses who were working in oncology wards had positive attitude toward patient advocacy. This study recommended incorporating patient advocacy in their curricula or designed programs. It is necessary to be included in the Saudi nursing student curriculum, and it should be continued for nurses to improve the quality of this role. In addition, encourage non Saudi nurses specifically, those from different cultural backgrounds to express their feelings toward patient advocacy. The study highlights important issues to be considered in hospital settings that recruit healthcare providers of diverse nationalities and support changes needed in the workplace setting to promote advocacy action for the patients� sake....
Objective.Theaimof this study was to investigate the psychometric properties of the Family Inventory of Resources forManagement\n(FIRM) in a sample of family caregivers of cancer patients. Methods. In this methodological study, construct validity of the FIRM\nwas evaluated by known groups and convergent validity in a convenience sample of family caregivers of cancer patients (...
Objective: To describe the sociodemographic characteristics of women related to resistance\nto breast cancer. Methods: Cross-sectional study, with a quantitative approach,\nwhose research took place in the Basic Family Health Units of the municipality\nof Mossor�³. The study included 362 women aged between 40 and 69 years.\nOne used a validated questionnaire with questions divided into five blocks. The data\nwere entered in a spreadsheet, transferred to the SPSS software, and subsequently\ncoded to perform the analysis. The Research Ethics Committee of the State University\nof Rio Grande do Norte, in Opinion No. 356958, approved the project. Results:\nBlack women were two times more likely to be resistant when compared to white\nwomen (OR = 2.01, 95% CI = 1.12 - 3.69; p = 0.018). Women who have studied up to\nprimary school 122 (58.1%) were two times more likely to be resistant when compared\nto those 14 (6.7%) who studied up to higher education (OR = 2.69; 95% CI =\n1.31 - 5.48; p = 0.012). Women who had first-degree relatives with breast cancer 153\n(72.9%) were three times more likely to be resistant. Conclusions: The findings show\nthe need for investments in educational practices with a view to public awareness and\nprofessionalsâ�� training to disseminate information regarding tests used in practice\ndirected to womenâ��s health....
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