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Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1051232


Objetivo: desvelar os sentidos dos acadêmicos de enfermagem acerca do cuidado de enfermagem. Método: pesquisa de natureza qualitativa na abordagem fenomenológica pautada no referencial teórico, filosófico, metodológico de Martins Heidegger. Foram participantes 13 acadêmicos de enfermagem do último período de graduação em uma Faculdade de Enfermagem de uma Universidade da Zona da Mata Mineira, que nos meses de setembro de 2015 realizaram depoimentos em encontro empático sobre o cuidado de enfermagem. Resultado: da análise compreensiva emergiu as Unidades de significação: Se colocar no lugar do outro, dar amor, carinho e ver o paciente como um todo e Conhecer a teoria para poder colocar o cuidado em prática. Conclusão: desvelou-se a dicotomia entre o conhecimento teórico e a prática, bem como a importância de se transpor o cuidado técnico para um cuidado holístico/acolhedor e humanístico

Objective: The study's purpose has been to address the meanings of nursing care from the nursing students' viewpoint. Methods: Qualitative research in the phenomenological approach based on the theoretical, philosophical and methodological framework of Martins Heidegger. Participants were 12 nursing students attending the last graduation semester at a Nursing School of a University located in the countryside of the Minas Gerais State. The nursing students gave statements during an empathic meeting on nursing careover September 2015. Result: Based on the data comprehensive analysis, the Units of meaning came about as follows: Putting yourself in other's shoes, give love and affection; Seeing the patient as a whole; and, Knowing the theory to put care into practice. Conclusion: The dichotomy between theoretical and practical knowledge was revealed, as well as the importance of transposing technical care to holistic/welcoming and humanistic care

Objetivo: revelar los sentidos de los universitarios de Enfermería acerca de la atención en enfermería. Método: investigación de carácter cualitativo con aproximación fenomenológica guiada por el referencial teórico, filosófico, metodológico de Martins Heidegger. Participaron 13 universitarios de enfermería del último curso de una facultad de enfermería en una universidad en la Zona da Mata Mineira, en el mes de septiembre de 2015 se tomó sus testimonios en el encuentro empático sobre la atención de enfermería. Resultado: el análisis global reveló las unidades de significado: Ponerse en lugar de otro, dar amor, afecto y mirar al paciente en su conjunto, y conocer la teoría para poner en práctica el cuidado. Conclusión: ee desveló la dicotomía entre el conocimiento teórico y la práctica, así como la importancia de traspasar el cuidado técnico a un cuidado holístico/acogedor y humanístico

Humanos , Masculino , Femenino , Adulto , Filosofía en Enfermería , Estudiantes de Enfermería , Educación en Enfermería/métodos , Atención de Enfermería , Actitud del Personal de Salud , Rol de la Enfermera/psicología , Investigación Cualitativa , Existencialismo , Relaciones Interpersonales
Eur J Oncol Nurs ; 42: 153-161, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31557665


PURPOSE: Caring for cancer patients can be highly stressful for both family caregivers and oncology professionals. These high levels of stress can lead to poorer patient outcomes and increased risk of health problems for the caregivers themselves. Art therapy may help these caregivers as art-making can be a relaxing and enjoyable form of self-expression and art therapists can support individuals in expressing and processing challenging emotions. Research on art-making or art therapy with caregivers of cancer patients has shown some positive results, but its interpretation is limited by the use of multifaceted interventions. METHOD: In this mixed-methods study we compared two brief arts-based approaches for both professional and informal caregivers: single sessions of coloring or open-studio art therapy, with a 45-minute session each. Assessments imcluded self-reports of affect, stress, self-efficacy, anxiety, burnout arnd creative agency alongside salivary biomarkers before and after the session. Open-ended questions, field notes and observations formed the qualitative part of the study. RESULTS: Thirty-four professional (n=25) and informal (n=9) caregivers participated. Participants in both conditions showed increases in positive affect, creative agency, and self-efficacy and decreases in negative affect, anxiety, perceived stress, and burnout. Participants in both conditions expressed enjoyment, relaxation, appreciation of time away from stressors, creative problem solving, a sense of flow, and personal and existential insight. The two approaches also elicited distinct experiences with participants reporting that they found improved focus in coloring and appreciated the support and freedom of expression in open studio art therapy. CONCLUSIONS: These findings suggest that even brief art-making interventions can be beneficial for stressed caregivers of cancer patients. As experience with art-making increased the impact, repeated sessions may be even more useful. We recommend that oncology units have dedicated studio spaces with therapeutic support and different forms of art-making available to meet individual caregiver needs.

Terapia con Arte , Cuidadores/psicología , Neoplasias/psicología , Neoplasias/terapia , Oncología por Radiación , Adulto , Ansiedad/prevención & control , Agotamiento Profesional/prevención & control , Emociones , Empatía , Existencialismo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Proyectos Piloto
Int J Qual Stud Health Well-being ; 14(1): 1651171, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31411129


Aims and objectives: The aim was to gain in-depth understanding about individuals' existential experiences of living with obesity. Background: People living with obesity face great vulnerability and existential challenges. The different treatments offered do not seem to meet the individual needs of persons with obesity. A deeper understanding of existential experiences from an individual perspective is needed to individualize treatment. Design: An exploratory phenomenological-hermeneutical design was used to gain a greater understanding of the existential experiences involved in living with obesity. Methods: The participants represented a convenient sample. 18 qualitative interviews were conducted and subjected to phenomenological-hermeneutical analysis. Results: Four themes emerged: shaped by childhood; captured by food; depressed by the culture; and judged by oneself. Conclusions: The burden of being obese can be experienced as being objectified and alienated as a human being. We need to turn towards a life-world perspective, seeing each human being as a living body to overcome objectification and alienation, and then move them towards becoming subjects in their own lives, through giving space for self-love. Health care workers need to assist persons living with obesity to reduce objectification and alienation. It is important to develop intervention that has an individual, holistic approach.

Adaptación Psicológica , Existencialismo/psicología , Obesidad/psicología , Estrés Psicológico , Adulto , Anciano , Femenino , Hermenéutica , Humanos , Masculino , Persona de Mediana Edad
Int J Qual Stud Health Well-being ; 14(1): 1658843, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31451104


Purpose: The aim of this study is to describe young women's (16-25 years old) experiences of living with existential concerns for which they have sought support from healthcare professionals, teachers, family, or friends, among others. Methods: This phenomenological study is based on a reflective lifeworld research (RLR) approach. Nine young women were interviewed about their experience of living with existential concerns. Results: The results show the essential meaning of the phenomenon of "existential concerns" that can be described as living a life that is marked in a profound way by a feeling of being lost in an unknown terrain. To further understand the essential meaning, four constituents are described: the unpredictable body, longing for comprehension, playing a game, and longing to share one's vulnerability. Conclusions: Young women with existential concerns are vulnerable, as they are profoundly influenced by these concerns. They have to navigate through daily life while trying to fit in and to make their situation comprehensible. These young women have a longing to share their existential concerns with a trustworthy person, while at the same time they fear revealing their existential concerns and risking being rejected by others. A lifeworld-led, caring science approach, intertwined with the results of the present study, has the potential to direct caring practice.

Actividades Cotidianas/psicología , Adaptación Psicológica , Existencialismo/psicología , Calidad de Vida/psicología , Adolescente , Adulto , Femenino , Humanos , Investigación Cualitativa , Suecia , Adulto Joven
Arq. bras. psicol. (Rio J. 2003) ; 71(2): 84-98, mai.-ago 2019.
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1010387


Este ensaio trata de uma discussão teórico-crítica sobre o dispositivo de internação compulsória, especificamente nos casos relacionados ao uso de crack. A construção teórica partirá de algumas reflexões sobre o olhar do outro como parte integrante desse fenômeno, através de uma analogia com o mito da Medusa. A análise terá como base a perspectiva existencialista de Jean-Paul Sartre, trazendo para a discussão o contexto neoliberalista, liberdade, campo dos possíveis, má-fé, estigma e o ser-para-outro. Dessa discussão, emerge o questionamento da internação compulsória como medida de tratamento para pessoas que fazem uso de crack. Essas pessoas, sob o olhar do outro, já têm suas possibilidades barradas em função do uso da substância, sendo que a imposição desse tratamento culmina em seu assujeitamento e objetificação

This essay is about a theoretical-critical discussion about the compulsory hospitalization device, specifically in cases related to the use of crack. The theoretical development will start from some thoughts about the gaze of the other as an integrating part of this phenomena, through the analogy with the Medusa myth. The analysis will have as a basis the existentialist perspective of Jean-Paul Sartre, bringing to the discussion the neoliberalist context, freedom, possible fields, bad faith, stigma and being-for-others. From this discussion, the debate of compulsory hospitalization as an action of treatment for people who use crack emerges. These people, under the gaze of the other, already have their opportunities restrained as a result of the use of the substance, since the imposition of this treatment culminates in their antipersonification and objectification

Este ensayo trata de una discusión teórico-crítica sobre el dispositivo de internación obligatoria, específicamente en los casos relacionados con el uso de crack. La construcción teórica partirá de algunas reflexiones sobre la mirada del otro como parte integrante de ese fenómeno, a través de una analogía con el mito de la Medusa. El análisis tendrá como base la perspectiva existencialista de Jean-Paul Sartre, trayendo para la discusión el contexto neoliberalista, libertad, campo de los posibles, mala fe, estigma y el ser-para-otro. De esta discusión, emerge el cuestionamiento de la internación obligatoria como medida de tratamiento para personas que hacen uso de crack. Esas personas, bajo la mirada del otro, ya tienen sus posibilidades barradas en función del uso de la sustancia, siendo que la imposición de ese tratamiento culmina en su sometimiento y objetivación.

Humanos , Cocaína Crack , Existencialismo , Estigma Social , Tratamiento Psiquiátrico Involuntario , Mitología/psicología
Nurse Educ Today ; 80: 78-84, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31280009


BACKGROUND: Effective communication by nurses is crucial to ensure patient safety. A structured communication program increases communication clarity, education satisfaction, and positivity during interprofessional collaboration among students. In an effort to facilitate effective communication between nurses and physicians, the well-known structured communication tool SBAR (Situation, Background, Assessment, and Recommendation) has been extensively used in clinical and educational settings. OBJECTIVES: The purpose of the study is to investigate the impact of an SBAR communication program on communication performance, perception, and practicum-related outcomes in senior-year nursing students. METHOD: The study employed a non-equivalent control group quasi-experimental design and implemented the tool in the pediatric nursing practicum of a nursing school. The experimental group participated in a SBAR program, where role playing using SBAR techniques for different scenarios was used to improve practical communication among nursing students. The SBAR program was developed based on Kolb's Experiential Learning Theory. Communication performance was assessed via the SBAR communication tool and the communication clarity scale. Communication perception was measured by handover confidence level. Practicum-related outcomes of clinical practice self-efficacy, perceived nurse-physician collaboration, and practicum satisfaction, were also evaluated. RESULTS: The experimental group demonstrated significantly higher SBAR communication (p < .001), communication clarity (p < .001), and handover confidence (p < .001) than the control group. Clinical practice self-efficacy, perceived nurse-physician collaboration, and practicum satisfaction did not differ. CONCLUSIONS: The SBAR program in a pediatric nursing practicum improves SBAR communication, communication clarity, and perceived handover confidence in senior-year nursing students.

Existencialismo/psicología , Modelos Educacionales , Enfermería Pediátrica/educación , Estudiantes de Enfermería/psicología , Comunicación , Bachillerato en Enfermería/métodos , Bachillerato en Enfermería/normas , Humanos , Aprendizaje Basado en Problemas/métodos , Autoeficacia , Estudiantes de Enfermería/estadística & datos numéricos
Eur J Oncol Nurs ; 41: 97-103, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31358264


PURPOSE: Healthy lifestyle adoption among breast cancer (BC) survivors remains a poorly understood process. This study aimed to qualitatively examine the unique change trajectories of BC survivors who partook in a pilot version of the Healthy Lifestyle Modification After Breast Cancer (HLM-ABC) intervention. METHODS: A sample of four BC survivors were studied intensively through longitudinal interviews conducted at four time points with each participant: (1) pre-treatment, (2) mid-way treatment, (3) post-treatment, and (4) three-months following their participation in the HLM-ABC. A multiple-case study, narrative analysis was applied to 15 interviews, resulting in individual narratives as well as shared 'thematic intersections' elucidating cross-participant experiences. RESULTS: The findings showed that participants offered unique styles of authorship, characterized by diverse struggles, victories, and motivational insights, organized around the following intersecting themes: (1)Weight management prescription as a motivator or deterrent, (2) 'Time for me' is time away from my family, and (3) Patterns of opposition to lifestyle change. These women's rich, storied accounts suggest experiences of personal growth and imply that existential concerns can be both motivating and deterring in relation to health behavior change. CONCLUSION: This research provides a comprehensive and nuanced grasp of healthy lifestyle modification in the survivorship stage of BC.

Neoplasias de la Mama/psicología , Supervivientes de Cáncer/psicología , Existencialismo , Conductas Relacionadas con la Salud , Estilo de Vida , Motivación , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Persona de Mediana Edad , Proyectos Piloto
BMC Med Ethics ; 20(1): 34, 2019 05 14.
Artículo en Inglés | MEDLINE | ID: mdl-31088444


BACKGROUND: In Switzerland, people can be granted access to assisted suicide (AS) on condition that the person whose wish is to die performs the fatal act, that he has his decisional capacity and that the assisting person's conduct is not selfishly motivated. No restrictions relating to the ground of suffering are mentioned in the act. Existential suffering as a reason for wanting to die, however, gives raise to controversial issues. Moreover, existential suffering lacks definition and no consensus exists on how to evaluate and manage it. This study explores the perspectives of care professionals and volunteers from a "right-to-die organization" on existential suffering as a motive for assisted suicide requests. METHODS: A qualitative study based on face-to-face interviews was conducted with twenty-six participants: palliative care and primary care providers as well as EXIT right-to-die organization volunteers. Elements from the grounded theory approach were used. RESULTS: The twenty-six participants described existential suffering in a multiplicity of individual ways. In total, sixty-three stories were recounted. Their representations were grouped into eight categories: physical decline and its consequences, loneliness, fear of the future, life is over, loss of social significance, loss of hope for a better future, being a financial burden and loss of pleasurable activities. According to all participants, suffering coming from the loss of self-identity was always linked to physical decline, as if one's image completely defined someone's identity. Society's perception of old people and vulnerable people were also often questioned. Another interesting point was that only four stories referring to a "pure" existential suffering were found. This suffering was related to a feeling that life has come to an end, without identification of any other related restriction or suffering. CONCLUSIONS: Existential suffering is multifaceted. Legislators and right-to-die organisations have to address the question of what make a AS acceptable. The plurality of existential suffering implies the need of a very personalized care. A better understanding of what it is made of could provide a "toolbox" to people concerned by these requests, helping them to explore it in order to offer suffering people a wider range of alternatives.

Estrés Psicológico/psicología , Suicidio Asistido/ética , Adulto , Anciano , Anciano de 80 o más Años , Actitud del Personal de Salud , Existencialismo , Femenino , Humanos , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Derecho a Morir/ética , Suicidio Asistido/psicología , Suiza
Nurs Outlook ; 67(5): 540-557, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31040052


BACKGROUND: Attention to the existential dimension of an individual's experience during serious illness is important. However, existential concerns continue to be poorly defined in literature, leading to neglect in the clinical realm. PURPOSE: This concept analysis seeks to clarify the concept of the existential experience within the context of adults with advanced cancer. METHODS: Rodgers' evolutionary method of concept analysis was used. DISCUSSION: Existential experience in adults with advanced cancer is a dynamic state, preceded by confronting mortality, defined by diverse reactions to shared existential challenges related to the parameters of existence (body, time, others, and death), resulting in a dialectical movement between existential suffering and existential health, with capacity for personal growth. Personal factors and the ability to cope appear to influence this experience. CONCLUSION: These findings can drive future research and enhance clinician ability to attend to the existential domain, thereby improving patient experience at end-of-life.

Adaptación Psicológica , Existencialismo/psicología , Neoplasias/psicología , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad
Eur J Cancer Care (Engl) ; 28(5): e13078, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31038245


OBJECTIVE: This study explored the experiences and perceived changes of breast cancer (BC) patients after participating in 16-weekly sessions of Supportive-Expressive Group Therapy (SEGT). METHODS: A semi-structured interview adapted from Elliott's Client Change Interview was carried out with 12 women (aged 33-60 years) with BC, about 6 months after completing the treatment. RESULTS: Content analysis identified four main themes: expectations and motivations to participate in SEGT, group processes and experiences, perceived changes enhanced by SEGT and perceptions about the therapeutic relationship. The most helpful aspects of SEGT mentioned by participants were as follows: the expression/normalisation of feelings, thoughts and reactions; the improvement of social support; and the learning opportunities obtained through sharing of experiences among participants. Additionally, participants mentioned that SEGT contributed to improve personal and social skills, such as the capacity to express emotions and the ability to establish satisfactory interpersonal relationships. CONCLUSIONS: Based on the participants' experiences, SEGT seems to be an effective intervention to support women facing BC during the initial phase of cancer. The use of SEGT by health care professionals is encouraged, but the specific needs/problems of each group member should be carefully attended.

Neoplasias de la Mama/psicología , Psicoterapia de Grupo , Apoyo Social , Adulto , Existencialismo , Femenino , Humanos , Persona de Mediana Edad , Motivación , Investigación Cualitativa
Int J Palliat Nurs ; 25(5): 233-243, 2019 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-31116658


BACKGROUND: Existential distress is a term used when patients who are coming towards the end of their lives exhibit profound suffering, related particularly to their thoughts on life and existence. The clinical expression of this phenomenon has not been widely researched, and so specialist palliative care nurses were asked how they identify and manage this patient cohort. AIMS: To explore how palliative-care nurses identify patients with existential distress and manage their needs. METHODS: A qualitative descriptive design with thematic content analysis of transcribed interviews. FINDINGS: Behavioural changes, agitation, social withdrawal and communication difficulties are identified as indicators of possible existential distress. Susceptible patient groups are identified. Nurses acknowledged that caring for patients with existential distress can be emotionally demanding. Being present and building relationships with patients are identified as enabling meaning-making. Sedation for refractory distress is seen as a last resort. CONCLUSION: Early identification of existential distress by carers could enable timely intervention (counselling, psychotherapy and or spiritual guidance) to improve the patients' quality of life in the terminal phase of their illness and avoid intractable or refractory existential distress that may necessitate palliative sedation.

Existencialismo/psicología , Rol de la Enfermera/psicología , Cuidados Paliativos/psicología , Calidad de Vida/psicología , Estrés Psicológico/diagnóstico , Estrés Psicológico/enfermería , Cuidado Terminal/psicología , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Femenino , Humanos , Masculino , Persona de Mediana Edad
Bioethics ; 33(4): 439-447, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-31115085


Patients at the end of their life who express a wish to die sometimes explain their wish as the desire not to be a burden to others. This feeling needs to be investigated as an emotion with an intrinsically dialogical structure. Using a phenomenological approach, two key meanings of the feeling of being a burden to others as a reason for a wish to die are identified. First, it is an existential suffering insofar as it contains the perception of a plight so desperate that it can only be relieved by the end of the patient's existence. Second, it is an empathic concern that implies caring about those who bear the burden of caring for the person at the end of their life. It is therefore a moral emotion, encompassing a series of difficulties, including the subjective perception of a stark imbalance between giving and taking, the adequacy of the representation of the caregiver burden in the patient's mind, and the danger of diminishing the worth of one's life out of shame or self-denigration. R. D. Laing's terminology of crossed perspectives in interexperience is used to systematically distinguish the actual caregiver burden, the patient's view of the caregiver burden, the stress for the patient in feeling that s/he is a burden to the caregiver, and the caregiver's view of the patient's stress. The sense of being a burden implies the belief that the caregiver feels burdened, and the fear that this burden could become unbearable.

Actitud Frente a la Muerte , Cuidadores , Emociones , Relaciones Interpersonales , Motivación , Cuidado Terminal/psicología , Muerte , Empatía , Existencialismo , Familia , Amigos , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud , Humanos , Principios Morales , Autoimagen , Estrés Psicológico/etiología , Cuidado Terminal/ética , Enfermo Terminal/psicología
Int J Older People Nurs ; 14(3): e12234, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31025806


AIM: To explore existential loneliness among older people in different healthcare contexts from the perspective of healthcare professionals. BACKGROUND: Professionals meet and care for older people in most care contexts and need to be prepared to address physical, psychological, social and existential needs. Addressing existential loneliness can be both challenging and meaningful for professionals and is often not prioritised in times of austerity. DESIGN: A multiple case study design was used. METHODS: Focus group interviews were conducted with healthcare professionals (n = 52) in home, residential, hospital and palliative care settings. The analysis was performed in two steps: firstly, a within-case analysis of each context was conducted, followed by a cross-case analysis. FINDINGS: Differences and similarities were observed among the care contexts, including for the origin of existential loneliness. In home care and residential care, the focus was on life, the present and the past, compared to hospital and palliative care, in which existential loneliness mainly related to the forthcoming death. The older person's home, as the place where home care or palliative care was received, helped preserve the older person's identity. In hospital and palliative care, as in institutional care, the place offered security, while in residential care, the place could make older people feel like strangers. Creating relationships was considered an important part of the professionals' role in all four care contexts, although this had different meanings, purposes and conditions. CONCLUSIONS: The context of care matters and influences how professionals view existential loneliness among older people and the opportunities they have to address existential loneliness. IMPLICATIONS FOR PRACTICE: Support for professionals must be tailored to their needs, their education levels and the context of care. Professionals need training and appropriate qualifications to address existential loneliness related to existential aspects of ageing and care.

Anciano/psicología , Actitud del Personal de Salud , Hogares para Ancianos , Soledad/psicología , Anciano de 80 o más Años , Existencialismo , Femenino , Grupos Focales , Anciano Frágil , Humanos , Masculino
Support Care Cancer ; 27(12): 4713-4721, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30963295


PURPOSE: The purpose of this study was to examine the associations between self-reported spiritual/religious concerns and age, gender, and emotional challenges among cancer survivors who have completed a 5-day rehabilitation course at a rehabilitation center in Denmark (the former RehabiliteringsCenter Dallund (RC Dallund)). METHODS: The data stem from the so-called Dallund Scale which was adapted from the NCCN Distress Thermometer and comprised questions to identify problems and concerns of a physical, psychosocial, and spiritual/religious nature. Descriptive statistics were performed using means for continuous variables and frequencies for categorical variables. Odds ratios were calculated by logistic regression. RESULTS: In total, 6640 participants filled in the questionnaire. Among participants, 21% reported one or more spiritual/religious concerns, the most reported concerns related to existence and guilt. Having one or more spiritual/religious concerns was significantly associated with age (OR 0.88), female gender (OR 1.38), and by those reporting emotional problems such as being without hope (OR 2.51), depressed (OR 1.49), and/or anxious (OR 1.95). Among participants, 8% stated they needed help concerning spiritual/religious concerns. CONCLUSIONS: Cancer patients, living in a highly secular country, report a significant frequency of spiritual/religious and existential concerns. Such concerns are mostly reported by the young, female survivors and by those reporting emotional challenges. Spiritual/religious and existential concerns are often times tabooed in secular societies, despite being present in patients. Our results call for an increased systemic attention among health professionals to these concerns, and a particular focus on identifying and meeting the spiritual/religious and existential concerns of women, the young and those challenged by hopelessness, depression, and anxiety.

Supervivientes de Cáncer/psicología , Existencialismo/psicología , Neoplasias/psicología , Secularismo , Espiritualidad , Adaptación Psicológica , Ansiedad/psicología , Trastornos de Ansiedad/psicología , Dinamarca , Depresión/psicología , Trastorno Depresivo/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Religión , Encuestas y Cuestionarios
Sex Reprod Healthc ; 19: 88-94, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30928141


OBJECTIVE: Mothers who have negative breastfeeding experiences due to initial breastfeeding difficulties are in demanding existential situations. Therefore, it is important for healthcare professionals to identify and address such breastfeeding problems. The aim of this study was to develop an instrument designed to assess existential aspects of mothers' initial breastfeeding difficulties and evaluate its psychometric properties. METHODS: This study reports on the development of a new instrument and was carried out in three steps: (1) a questionnaire about various existential aspects of initial breastfeeding difficulties, based on 66 items derived from two phenomenological studies, was developed; (2) information was collected using the questionnaire; (3) and the resulting data were statistically analysed. Spearman's correlation coefficient was used to assess comparative validity; exploratory factor analysis with principal axis factoring and varimax rotation were used to assess construct validity; and Cronbach's alfa was used to assess internal consistency and reliability. Three hundred and nine Swedish-speaking mothers aged 20-46 participated in the study. RESULTS: Correlation and factor analysis of the 66 items revealed that 16 of the items were of psychometric value and valid. Factor analysis generated three factors that accounted for 62.9% of the total variance: Mother-Child Interdependency, Exposure and Vulnerability and Security and Trust. The instrument shows adequate sensitivity to identify existential aspects of mothers' initial breastfeeding difficulties. CONCLUSION: The instrument satisfactorily assesses existential aspects of initial breastfeeding difficulties and can be used as a sensitive tool by healthcare professionals to screen for and identify mothers who have negative breastfeeding experiences.

Lactancia Materna/psicología , Madres/psicología , Encuestas y Cuestionarios , Adulto , Existencialismo , Análisis Factorial , Humanos , Persona de Mediana Edad , Psicometría , Reproducibilidad de los Resultados , Autoeficacia , Confianza , Adulto Joven
Arq. bras. psicol. (Rio J. 2003) ; 71(1): 158-173, jan.-abr. 2019.
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1007689


Neste estudo discutimos as diferentes interpretações acerca do fenômeno suicídio no que diz respeito à ênfase na culpabilização da sociedade, do indivíduo, ou ainda, na ausência de culpado, em que o suicídio é tomado como possibilidade existencial. Após tais discussões, apresentamos os argumentos controversos sobre a necessidade de formação de redes de ajuda. A posição que sustentamos tem como base a fenomenologia e a hermenêutica em que o fenômeno de pôr fim à vida é tomado em seu caráter mais originário. Para tanto, esclarecemos como passamos da ideia de pôr fim à vida ao suicídio e como esse ato ganha o estatuto de coragem ou covardia em uma perspectiva da biopolítica. Apresentamos as diferentes lidas do profissional de psicologia com aqueles que decidem pôr fim à vida. E passamos a discutir o ato de dar fim à vida em seu caráter de desespero, desmedida e patologia para, então, podermos argumentar a favor de uma interpretação existencial

In this study we debate many interpretations about the suicide phenomenon with regard to society, individual, or the absence of guilt. In this way the suicide is taken as an existential possibility. We present the controversial arguments about the need of training care networks. The position we hold is based on phenomenology and hermeneutics in which the phenomenon of ending one's own life is taken in its most originating status. Therefore, we clarify how the idea of putting an end to life becomes suicide and how this act gained the status of courage or cowardice in a bio-political perspective. We present the differences of psychologists work regarding the decision to end one's own life. And we think upon the act of ending life in its character of despair, pathology and immensurable so that we can argue pro an existential interpretation

En este estudio discutimos las diferentes interpretaciones acerca del fenómeno suicidio en lo que se refiere al énfasis en la culpabilización de la sociedad, del individuo, o aún, en la ausencia de culpable, en que el suicidio es tomado como posibilidad existencial. Tras estos debates, presentamos los argumentos controvertidos sobre la necesidad de formación de redes de ayuda. La posición que sostenemos tiene como base la fenomenología y la hermenéutica en que el fenómeno de poner fin a la vida es tomado en su carácter más originario. Para ello, aclaramos cómo pasamos de la idea de poner fin a la vida al suicidio y cómo ese acto gana el estatuto de coraje o cobardía desde una perspectiva de la biopolítica. Presentamos las diferentes lecturas del profesional de psicología con aquellos que deciden poner fin a la vida. Y pasamos a discutir el acto de dar fin a la vida en su carácter de desesperación, desenfreno y patología para, entonces, poder argumentar a favor de una interpretación existencial

Humanos , Psicología Clínica , Suicidio , Existencialismo , Hermenéutica
Eur J Oncol Nurs ; 39: 81-89, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30850142


PURPOSE: The dignity of patients is a major concern among health professionals engaged in the care of individuals with advanced cancer. Although several dignity promoting interventions have been developed, none of them have focused on a positive, resource-based approach. The aim of our study, entitled Revie ⊕, was to assess the feasibility and acceptability of a theory-guided life-review intervention, focusing on strength and resources, for patients with advanced cancer and for nurses delivering the intervention. METHOD: Our 2015-2016 study was conducted with patients with advanced cancer in an ambulatory and an inpatient setting of a Swiss university hospital. An embedded concurrent mixed method design was used. The feasibility and acceptability of Revie ⊕ was explored, as were changes in the sense of dignity, posttraumatic growth, and satisfaction with life. RESULTS: A total of 41 patients received the intervention. The level of attrition was low (26%). Administering the Revie ⊕ intervention proved to be feasible. Participants (patients and nurses) considered the intervention helpful with a high level of satisfaction. A merged data analysis highlighted the need to address the patients' existential concerns. The majority of the participants found that the intervention helped them, and they recommend it for other patients. CONCLUSIONS: This study indicates that the Revie ⊕ intervention, which focuses on a resource-based approach, was perceived favorably by all of the participants. A change in the nurse-patient relationship was noted and it was deemed to be beneficial.

Neoplasias/psicología , Respeto , Anciano , Existencialismo , Estudios de Factibilidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neoplasias/patología , Neoplasias/terapia , Relaciones Enfermero-Paciente , Percepción , Suiza , Cuidado Terminal
Int J Qual Stud Health Well-being ; 14(1): 1588034, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30893016


PURPOSE: Experiencing breastfeeding difficulties poses a risk for early cessation of breastfeeding and decreases the likelihood of breastfeeding a future child. To further understand breastfeeding outcomes, the aim of this study is to explain the phenomenon of breastfeeding difficulties in order to understand how women's previous experiences of breastfeeding difficulties relate to their decisions about future breastfeeding. METHODS: A reflective lifeworld hermeneutical approach was adopted. The study consisted of 15 lifeworld interviews with eight women who had previously experienced difficulties with initial breastfeeding. RESULTS: Previously experienced breastfeeding difficulties represent an existential breastfeeding trauma in an individual woman's life, from which there are two intertwined pathways for future breastfeeding: a fear of breastfeeding, which renders the idea of future breastfeeding unthinkable, and a longing for breastfeeding, which increases the likelihood of future breastfeeding. Fear and longing are intertwined in ambiguous ways in an individual woman's life. CONCLUSION: Women with previous breastfeeding difficulties may bring negative breastfeeding experiences with them, which are etched into the woman's being as a mother as an embodied memory. A lifeworld-led caring science perspective as a foundation for care can contribute to the development of caring practices, which grasp the existential nature of the breastfeeding trauma.

Lactancia Materna/psicología , Toma de Decisiones , Emociones , Existencialismo , Madres/psicología , Trauma Psicológico , Adulto , Empatía , Miedo , Femenino , Hermenéutica , Humanos , Encuestas y Cuestionarios , Adulto Joven