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1.
Clin J Oncol Nurs ; 24(5): 586-590, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-32945791

RESUMO

As the coronavirus spread from Asia to Western Europe and North America, healthcare institutions in the Middle East, Africa, South Asia, and Latin America prepared for the COVID-19 pandemic. Interprofessional task forces were established to coordinate institutions' responses, inventory supplies of personal protective equipment, educate staff and patients, develop procedures for triaging patients and prioritizing care, and provide support to nurses to mitigate their stress. Despite challenges, nurses continued to deliver quality care to patients with cancer.


Assuntos
Infecções por Coronavirus/epidemiologia , Países em Desenvolvimento , Neoplasias/enfermagem , Pandemias , Pneumonia Viral/epidemiologia , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/virologia , Educação em Enfermagem/organização & administração , Humanos , Equipamento de Proteção Individual , Pneumonia Viral/virologia , Qualidade da Assistência à Saúde
2.
Rech Soins Infirm ; (141): 60-69, 2020 06.
Artigo em Francês | MEDLINE | ID: mdl-32988191

RESUMO

Nurses in Lebanon are poorly prepared to provide palliative care (PC), and practice in this area is poorly documented. This qualitative descriptive study aimed to understand the reality of nursing practice in PC, with terminally ill cancer patients, within an interdisciplinary team. A simple case study was conducted with eleven nurses, three families, an interdisciplinary team, and national experts in PC. Data analysis, carried out with triangulation of both methods and sources, highlighted a humanist relationship characterized by caring, transcending the five central emerging themes : the perception of PC as a means of offering a better quality of life, comprehensive patient care, interdisciplinarity, spirituality, and family support during PC. The results could provide empirical foundations to guide the development of PC nursing practice in the country.


Assuntos
Enfermagem de Cuidados Paliativos na Terminalidade da Vida , Neoplasias/enfermagem , Equipe de Assistência ao Paciente/organização & administração , Humanos , Líbano , Estudos de Casos Organizacionais , Pesquisa Qualitativa
4.
Rev Lat Am Enfermagem ; 28: e3275, 2020.
Artigo em Português, Espanhol, Inglês | MEDLINE | ID: mdl-32491120

RESUMO

OBJECTIVE: to develop a Navigation Program for cancer patients, based on the model proposed by The GW Cancer Institute at George Washington University, adapted to the reality of a Brazilian High Complexity Center in Oncology. METHOD: a convergent care research applied in the development of a patient navigation care process, based on the model proposed by George Washington University, adapted for a High Complexity Center in Oncology in Brazil. Phases of the Convergent Assistance Research: conception, instrumentation, scrutiny, analysis and interpretation. These were correlated with the stages of the Program Development Cycle. Scale designed to categorize patients into navigation levels, validated by the Delphi Technique, with 12 specialists. RESULTS: in the diagnosis, patients with head and neck cancer were defined for inclusion in the Navigation Program. Planning and implementation took place simultaneously, allowing the basic formatting of the program and its processes to be designed. Navigation Needs Assessment Scale designed to select the patient to join the Program and determine the recommended support. The scale validation had a consensus index of 96.42%. Evaluation of the stages of the cycle occurred through the adapted Plan/Do/Check/Act cycle. CONCLUSION: a Navigation Program was developed adapted to the Brazilian reality, and attributions of the navigators were created.


Assuntos
Neoplasias/terapia , Navegação de Pacientes/organização & administração , Idoso , Brasil , Feminino , Acesso aos Serviços de Saúde/organização & administração , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/diagnóstico , Neoplasias/enfermagem , Papel do Profissional de Enfermagem , Enfermagem Oncológica , Navegação de Pacientes/métodos , Literatura de Revisão como Assunto
5.
Rech Soins Infirm ; (140): 107-116, 2020 03.
Artigo em Francês | MEDLINE | ID: mdl-32524798

RESUMO

Background : In France, home parenteral nutrition (HPN) is managed by two parallel healthcare systems : in approved specialist centers (HPN > 12 weeks), and outside of these approved specialist centers (HPN<12 weeks). Objective : To prospectively evaluate infectious and vascular complications in adult cancer patients undergoing HPN administered via a central venous line, outside of approved specialist HPN centers. Methods : Our observational prospective study included adult patients with cancer, hospitalized for 48 hours or more, and under HPN. They had a WHO performance status of ≤ 2 and had had a nutritional consultation before discharge. Results : 25 patients were included in the study, with a median age of 63 years [19­74]. Weight loss of ≥ 5% was reported in 79% of patients. The Ingesta score was < 7 in 96% of cases. 87% of patients presented chill or body temperature variation episodes, with a median of 2 episodes [1­6] per patient. The median delay between end of hospitalization and the first chill episode was 11 days [1­85]. A vascular complication (obstruction without thrombosis) was reported in one patient. Discussion : This high number of infectious episodes requires improvement of patient care when it comes to strictly adhering to the recommendations. Getting the approved specialist HPN centers to work together and share care protocols could be the first important step.


Assuntos
Neoplasias/enfermagem , Enfermeiras Especialistas , Papel do Profissional de Enfermagem , Nutrição Parenteral no Domicílio/enfermagem , Adulto , Idoso , França , Humanos , Pessoa de Meia-Idade , Estudos Prospectivos
6.
Artigo em Inglês | MEDLINE | ID: mdl-32526823

RESUMO

Cancer caregiving is associated with burden and a poor psychological state. However, there is no previous information about the predictive utility of specific burden domains on anxiety and depression in the first six months after a partner's cancer diagnosis. In a longitudinal study, 67 caregivers completed the Zarit Burden Interview (ZBI) and Hospital Anxiety and Depression Scale (HADS) at T1 (45-60 days after diagnosis) and T2 (180-200 days after diagnosis). Most of the caregivers were female (65.7%, mean age = 51.63, SD = 13.25), while patients were mostly male (56.7%). The TRIPOD checklist was applied. ZBI scores were moderate and HADS anxiety reached significant values. There were no differences in ZBI and HADS between T1 and T2. The relationship between burden, anxiety, and depression were more consistent at T2, while emotional burden at T1 were related and predicted anxiety and depression at T2. Some burden domains were related and predicted anxiety in caregivers in the first six months after partner cancer diagnosis. This information could be useful to prevent the onset of these symptoms in the first six months after diagnosis.


Assuntos
Ansiedade , Cuidadores , Depressão , Neoplasias , Adulto , Idoso , Cuidadores/psicologia , Efeitos Psicossociais da Doença , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Neoplasias/enfermagem , Qualidade de Vida
7.
Artigo em Inglês | MEDLINE | ID: mdl-32545445

RESUMO

BACKGROUND: The aim of this study was to describe the correlations between the psychosocial burden on male caregivers and their perception of social support, as well as distress, anxiety, and depression among their partners in the first six months after a cancer diagnosis. METHODS: A cross-sectional, longitudinal and observational study was conducted on a group of 61 couples, with the use of Zarit Burden Interview (ZBI), Caregiver Burden Scale (CBS), Berlín Social Support Scales (BSSS), Hospital Anxiety and Depression Scale (HADS) and Distress Thermometer (DT). Statistical analysis was performed using Statistica v.13. RESULTS: A strong positive correlation between the ZBI and CBS, as well as between support-seeking and the emotional involvement of male partners, was documented. The negative correlation between the lack of instrumental support and a much greater burden on caregivers, in emotional, social, and family life was documented. The level of distress, anxiety, and depression, as well as family problems reported by female patients, were positively correlated with the male caregiver's burden. A demographic analysis showed significant relationships between the number of offspring and the negative health indicators of patients and their partners. IMPLICATIONS: The obtained results encourage deeper reflection on the need to improve the availability of instrumental support for male caregivers and support for families with an oncological ill parent in caring for minor children, and to maintain the social activity of the caregiver.


Assuntos
Cuidadores , Emoções , Neoplasias , Apoio Social , Adulto , Berlim , Cuidadores/psicologia , Criança , Efeitos Psicossociais da Doença , Estudos Transversais , Depressão , Feminino , Humanos , Masculino , Neoplasias/enfermagem , Qualidade de Vida
8.
Artigo em Inglês | MEDLINE | ID: mdl-32575778

RESUMO

Background: Few studies in Asian countries have explored the emotional entanglements and conflicts that surrogates often experience during the medical decision-making process. This study was to explore decision-making processes in surrogates of cancer patients in a Taiwan intensive care unit (ICU). This qualitative study surveyed a purposive sample of surrogates (n = 8; average age, 48 years) of cancer patients in the ICU of a medical center in Taiwan. A phenomenological methodology was used, and a purposive sample of surrogates of cancer patients were recruited and interviewed during the first three days of the ICU stay. Results: Based on the interview results, four themes were generalized through text progression: (1) Use love to resist: internal angst. This theme was related to the reflexive self -blame, the feelings of inner conflict, and the reluctance to make healthcare decisions, which surrogates experienced when they perceived suffering by the patient. (2) Allow an angel to spread love among us: memories and emotional entanglements. Memories of the patient caused the surrogate to experience emotional entanglements ranging from happiness to sadness and from cheerfulness to anger. (3) Dilemmas of love: anxiety about ICU visitor restrictions. The confined space and restricted visiting hours of the ICU limited the ability of surrogates to provide emotional support and to share their emotions with the patient. (4) Suffocating love: entanglement in decision-making. Emotional entanglements among family members with different opinions on medical care and their struggles to influence decision-making often prevented surrogates from thinking logically. Conclusions: Expression of emotions by ICU surrogates is often restrained and implicit, particularly in Asian populations. These results can help health professionals understand the psychological shock and inner conflict experienced by surrogates and provide a useful reference for improving their communications with surrogates.


Assuntos
Tomada de Decisões , Neoplasias , Procurador , Adulto , Ásia , Humanos , Unidades de Terapia Intensiva , Pessoa de Meia-Idade , Neoplasias/enfermagem , Taiwan
9.
Clin J Oncol Nurs ; 24(3): 3, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: covidwho-343724

RESUMO

eHealth applications will become a more prevalent operational component of the standard of care. They will continue to be reliable methods to expedite patient-provider communication, meet surveillance milestones, and provide timely symptom management.


Assuntos
Infecções por Coronavirus/epidemiologia , Neoplasias/enfermagem , Pandemias , Pneumonia Viral/epidemiologia , Telemedicina , Humanos
10.
Clin J Oncol Nurs ; 24(3): 244-248, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: covidwho-343094

RESUMO

During the COVID-19 pandemic, in-person provision of cancer genetic counseling and education services was not possible for a prolonged period. This article outlines why such services can continue remotely, despite the disruption of a pandemic, as well as describes the strengths and limitations of remote counseling to individuals and families about their hereditary risk for developing cancer. Considerations for the provision of remote counseling and some of the challenges of telehealth, with potential solutions, are described.


Assuntos
Infecções por Coronavirus/epidemiologia , Aconselhamento Genético/métodos , Neoplasias/enfermagem , Pandemias , Pneumonia Viral/epidemiologia , Telemedicina , Humanos , Neoplasias/genética
13.
Clin J Oncol Nurs ; 24(3): 244-248, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-32441683

RESUMO

During the COVID-19 pandemic, in-person provision of cancer genetic counseling and education services was not possible for a prolonged period. This article outlines why such services can continue remotely, despite the disruption of a pandemic, as well as describes the strengths and limitations of remote counseling to individuals and families about their hereditary risk for developing cancer. Considerations for the provision of remote counseling and some of the challenges of telehealth, with potential solutions, are described.


Assuntos
Infecções por Coronavirus/epidemiologia , Aconselhamento Genético/métodos , Neoplasias/enfermagem , Pandemias , Pneumonia Viral/epidemiologia , Telemedicina , Humanos , Neoplasias/genética
14.
Clin J Oncol Nurs ; 24(3): 3, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-32441700

RESUMO

eHealth applications will become a more prevalent operational component of the standard of care. They will continue to be reliable methods to expedite patient-provider communication, meet surveillance milestones, and provide timely symptom management.


Assuntos
Infecções por Coronavirus/epidemiologia , Neoplasias/enfermagem , Pandemias , Pneumonia Viral/epidemiologia , Telemedicina , Humanos
15.
Am J Nurs ; 120(6): 21, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32443117

RESUMO

Editor's note: The mission of Cochrane Nursing is to provide an international evidence base for nurses involved in delivering, leading, or researching nursing care. Cochrane Corner provides summaries of recent systematic reviews from the Cochrane Library. For more information, see https://nursing.cochrane.org.


Assuntos
Neoplasias/tratamento farmacológico , Ototoxicidade/prevenção & controle , Platina/efeitos adversos , Amifostina/normas , Amifostina/uso terapêutico , Humanos , Neoplasias/enfermagem , Ototoxicidade/tratamento farmacológico , Ototoxicidade/enfermagem , Platina/farmacologia , Platina/uso terapêutico , Guias de Prática Clínica como Assunto , Tiossulfatos/normas , Tiossulfatos/uso terapêutico
16.
Int J Nurs Pract ; 26(4): e12842, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32347599

RESUMO

BACKGROUND: Education plays an important role in cancer symptom management for patients and their families. With the advancement of information and communication technology, there may be additional evidence for the use of mobile apps to support patient and family education. PURPOSE: The purpose of this review was to explore and synthesize scientific literature about cancer symptom management mobile apps that can be used by patients and their families. METHODS: This review adopted a scoping review study framework, using electronic databases including EBSCO, PubMed, ProQuest, Science Direct, and Google Scholar using search keywords: 'caregiver family', 'mobile application', 'symptom management' and 'palliative care'. Of a total of 2633 papers found, 11 papers were selected. FINDINGS: Assessment tools are a major component of mobile apps in reporting and assessing symptoms to provide appropriate education. The information in mobile apps is delivered through various mediums that include modules, videos, avatars and cultural integration features. CONCLUSION: Mobile apps can improve provision of palliative care in several ways, most importantly by increasing the knowledge of the patient's family to manage cancer symptoms. Nurses are expected to play an active role in finding and utilizing appropriate mobile apps to assist families in managing a patient's symptoms at home.


Assuntos
Cuidadores , Aplicativos Móveis , Neoplasias/enfermagem , Gerenciamento Clínico , Humanos , Cuidados Paliativos , Telemedicina
17.
J Clin Nurs ; 29(15-16): 2953-2966, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32320511

RESUMO

AIMS AND OBJECTIVES: To evaluate the knowledge and attitudes towards sexual and gender minority (SGM) oncology patients' needs among advanced practice providers (APPs). BACKGROUND: SGM individuals experience health disparities, in part due to lack of access to knowledgeable providers. Despite the important role of APPs in cancer care, less is known about their attitudes and knowledge towards SGM cancer patients. DESIGN: Cross-sectional study. METHODS: A survey of APPs at a National Cancer Institute-Designated Comprehensive Cancer Center assessed self-reported demographics, attitudes, knowledge and postsurvey confidence in knowledge of SGM oncology patient needs. Reporting of this study adheres to STROBE guidelines. RESULTS: Knowledge of health needs was low with an average of 2.56 (SD = 1.27) items answered correctly out of 6. The majority of APPs self-reported being comfortable treating SGM patients (93.6% and 87.2%, respectively), but less confident in knowledge of their health needs (68.0% and 53.8%, respectively). Although less than half of APPs believed education should be mandatory (44.9%), 79.5% were interested in education about SGMs' unique health needs. Political affiliation, medical specialty, licensure, and having SGM friends or family were associated with various attitude items, but not knowledge. Moderation analyses indicated that APPs who had greater overall knowledge scores were more likely to agree, on average, that knowing sexual orientation, gender identity and sex assigned at birth are important to providing quality oncology care. CONCLUSION: APPs report being comfortable providing care for SGMs with cancer, but knowledge gaps remain that may inhibit the quality of care provided. Given the interest in education, results would support the development of SGM-related healthcare training for oncology APPs. RELEVANCE TO CLINICAL PRACTICE: Targeted education for providers during training and continuing education is likely to improve the provision of quality care for SGMs with cancer.


Assuntos
Prática Avançada de Enfermagem/métodos , Atitude do Pessoal de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Neoplasias/enfermagem , Minorias Sexuais e de Gênero/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Autorrelato , Inquéritos e Questionários
18.
Nursing ; 50(5): 54-60, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32332507

RESUMO

Oncology nurses are at increased risk for compassion fatigue compared with those in other specialties. This article describes a quality improvement project to create self-compassion tool kits by incorporating the input and opinions of the frontline staff.


Assuntos
Fadiga por Compaixão/prevenção & controle , Neoplasias/enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Oncológica , Melhoria de Qualidade/organização & administração , Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/psicologia , Unidades Hospitalares/organização & administração , Humanos , Pesquisa em Avaliação de Enfermagem , Medição de Risco , Autocuidado , Inquéritos e Questionários
19.
Pediatr Blood Cancer ; 67(7): e28345, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32333636

RESUMO

OBJECTIVE: Childhood cancer can have short- and long-term impacts on parents' finances and employment. It is important to understand how families adjust to the financial and employment changes caused by childhood cancer, the ongoing impacts after treatment completion, and which families need more targeted support. Qualitative research is necessary to facilitate an in-depth understanding of the employment and financial impacts on families and to capture parents' complex and nuanced experiences and perspectives. METHODS: We interviewed 56 parents of childhood cancer survivors (M = 2.13 years after treatment completion; 89% mothers) using the vocational and financial impact section of the Psychosocial Adjustment to Illness Scale-Carer Interview Form. We analyzed interviews using content analysis. RESULTS: Parents reported multiple sources of financial toxicity including travel to and from the hospital and needing to reduce their working hours during their child's cancer treatment. Workplace flexibility was an important factor to protect against unwanted vocational changes. After treatment completion, families living in low socioeconomic areas commonly reported ongoing financial difficulties. Mothers, particularly those who were on maternity leave when their child was diagnosed with cancer, reported ongoing employment impacts including unemployment. CONCLUSIONS: Clinical staff including social workers could more consistently assess families' financial distress and refer to professional services who can offer guidance for financial decision-making as standard care. Flexible workplace agreements appear important for parents of children with cancer. Our findings can assist organizations to understand that cancer-related disruptions are likely to continue after treatment completion, and therefore should offer benefits to parents where possible.


Assuntos
Efeitos Psicossociais da Doença , Emprego/estatística & dados numéricos , Neoplasias/economia , Neoplasias/enfermagem , Pais/psicologia , Retorno ao Trabalho/psicologia , Adulto , Criança , Pré-Escolar , Conflito Psicológico , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/terapia , Prognóstico , Pesquisa Qualitativa , Estudos Retrospectivos , Fatores Socioeconômicos , Adulto Jovem
20.
Support Care Cancer ; 28(11): 5381-5395, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32144583

RESUMO

BACKGROUND: In spite of the necessity of implementing spiritual care practices for cancer patients, there is no clear process in this regard in palliative care programs of the health system of countries. The present study was designed with the aim of developing a clinical practice guideline of spiritual care in cancer patients for oncology nurses in the current context. METHODS: This is a multi-method study which was conducted in five stages within the framework of the National Institute for Health and Care Excellence (NICE) guideline. A research committee consisting of four focal and 16 secondary members was formed. The stages included determining the scope of the study, developing guideline (a qualitative study and a systematic review, triangulation of the data, and producing a preliminary draft), consultation stage (validation of the guideline in three rounds of the Delphi study), as well as revision and publication stages. RESULTS: The clinical guideline of spiritual care with 84 evidence-based recommendations was developed in three main areas, including the human resources, care settings, and the process of spiritual care. CONCLUSIONS: We are hoping by applying this clinical guideline in oncology settings to move towards an integrated spiritual care plan for cancer patients in the context of our health system. Healthcare organizations should support to form spiritual care teams under supervision of the oncology nurses with qualified healthcare providers and a trained clergy. Through holistic care, they can constantly examine the spiritual needs of cancer patients alongside their other needs by focusing on the phases of the nursing process.


Assuntos
Neoplasias/enfermagem , Enfermagem Oncológica , Cuidados Paliativos , Guias de Prática Clínica como Assunto , Padrões de Prática em Enfermagem , Terapias Espirituais/normas , Atitude do Pessoal de Saúde , Clero , Aconselhamento Diretivo/normas , Aconselhamento Diretivo/estatística & dados numéricos , Prática Clínica Baseada em Evidências/estatística & dados numéricos , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Humanos , Irã (Geográfico)/epidemiologia , Oncologia/normas , Oncologia/estatística & dados numéricos , Neoplasias/psicologia , Enfermagem Oncológica/normas , Enfermagem Oncológica/estatística & dados numéricos , Cuidados Paliativos/métodos , Cuidados Paliativos/psicologia , Cuidados Paliativos/normas , Cuidados Paliativos/estatística & dados numéricos , Padrões de Prática em Enfermagem/normas , Padrões de Prática em Enfermagem/estatística & dados numéricos , Pesquisa Qualitativa , Terapias Espirituais/psicologia , Espiritualidade
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