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Page: 89 DOI: 10.1097/NCC.0b013e31819ac87f Authors: Given, Barbara PhD, RN, FAAN, Editorial Board Member
Page: 90 DOI: 10.1097/01.NCC.0000339261.06442.7d Authors: Otte, Julie L. PhD, RN; Carpenter, Janet S. PhD, RN
Page: 105 DOI: 10.1097/NCC.0b013e31819b9ca0
Page: 107 DOI: 10.1097/NCC.0b013e3181982d4c Authors: Satia, Jessie A. PhD, MPH; Walsh, Joan F. PhD; Pruthi, Raj S. MD
Page: 117 DOI: 10.1097/01.NCC.0000339264.52184.b0
Page: 118 DOI: 10.1097/NCC.0b013e3181982d36 Authors: Bell, Kirsten PhD; Lee, Joyce MA; Ristovski-Slijepcevic, Svetlana PhD
Page: 127 DOI: 10.1097/NCC.0b013e3181982d7b Authors: Gursoy, Ayla Akkas PhD; Ylmaz, Fatma MSc [latin dotless i]; Nural, Nesrin PhD; Kahriman, Ilknur MSc; Yigitbas, Ca[latin small letter g with caron]la MSc; Erdol, Hacer MSc; Kobya Bulut, Hacer MSc; Yesilcicek, Kymet MSc [latin dotless i]; Karadeniz Mumcu, Havva MSc; Hindistan, Sevilay PhD
Page: 134 DOI: 10.1097/01.NCC.0000339265.29313.aa
Page: 135 DOI: 10.1097/NCC.0b013e3181982c2e Authors: Lee, Dong-Suk PhD, RN; Yang, Han-Kwang MD, PhD; Kim, Jong-Won MD, PhD; Yook, Jeong-Whan MD, PhD; Jeon, Seong-Hoon MD, PhD; Kang, Sung-Hak MD, PhD; Kim, Young-Ju PhD
Page: 143 DOI: 10.1097/01.NCC.0000339262.44560.92 Authors: Waltman, Nancy L. PhD, APRN; Ott, Carol D. PhD, RN; Twiss, Janice J. PhD, APRN; Gross, Gloria J. PhD, RN, NHA; Lindsey, Ada M. PhD, RN, FAAN
Page: 151 DOI: 10.1097/01.NCC.0000339263.52184.7e Authors: Tang, Siew Tzuh DNS
Page: 158 DOI: 10.1097/NCC.0b013e3181982ca1 Authors: Peddle, Carolyn J. MA; Jones, Lee W. PhD; Eves, Neil D. PhD; Reiman, Tony MD; Sellar, Christopher M. MSc; Winton, Timothy MD; Courneya, Kerry S. PhD
Page: 166 DOI: 10.1097/NCC.0b013e3181982c6e Authors: Jones, Randy A. PhD, RN; Steeves, Richard PhD, RN, FAAN; Williams, Ishan PhD
Each of the successful treatment options for men with prostate cancer is accompanied by its unique side effect profile. However, treatment with androgen deprivation therapy (ADT) and the resulting castrate level of testosterone lead to profound changes in one's physical appearance. The goal of this descriptive study was to describe the relationship between changes in body image and quality of life (QOL) among prostate cancer survivors based upon whether or not treatment was with ADT. A convenience sample of 132 men (aged ≥60 years) with prostate cancer were recruited from the oncology and urology outpatient departments at an urban Veterans Affairs Medical Center. The participants completed 2 established questionnaires, the Body Image Scale and the Quality of Life Index-Cancer Version. Descriptive and inferential statistics were used in the analysis. There was no difference in QOL based on ADT. There was a significant negative correlation between body image dissatisfaction and QOL. The findings add to our knowledge regarding body image and QOL among men with prostate cancer, provide a foundation for future research endeavors, and support the development of evidence-based interventions to mitigate body image dissatisfaction. Page: E1 DOI: 10.1097/NCC.0b013e3181982d18 Authors: Harrington, Joanne M. PhD, APRN, BC, AOCNP; Badger, Terry A. PhD, RN, FAAN
Using a qualitative approach, this article aims to describe the experiences of Hong Kong Chinese fathers whose children were diagnosed with acute lymphocytic leukemia. The experiences and coping strategies used were viewed from the gender perspective. Two in-depth interviews scheduled to coincide with the disease trajectory of acute lymphocytic leukemia were conducted with 9 fathers, and data were analyzed using the matrix system described by Miles and Huberman. Four categories were identified, including fathers' initial reactions to the child's confirmed diagnosis, the decision to disclose the child's diagnosis to others, social support of the fathers, and their effective coping mechanisms. Previous research has shown that men are expected to be emotionally strong to support their spouse. Findings from this study indicate that Hong Kong Chinese fathers need emotional support especially at the onset of the child's diagnosis. Implications for healthcare professionals include the need for ongoing psychosocial support and education over the course of the child's illness. Thus, assessment of the different coping strategies used by the fathers plays a vital role in providing quality care to these fathers. Limitations of the study and recommendations for future research are also included. Page: E8 DOI: 10.1097/01.NCC.0000339260.98818.9c Authors: Wills, Betty Shuc Han PhD, RN
Page: 1 DOI: 10.1097/01.NCC.0000343361.68129.36 Authors: Hinds, Pamela S. PhD, RN, FAAN, Editor in Chief
Page: 2 DOI: 10.1097/01.NCC.0000343363.75752.f1 Authors: Lehto, Rebecca H. PhD, RN, OCN; Cimprich, Bernadine PhD, RN, FAAN
Page: 10 DOI: 10.1097/01.NCC.0000343364.13871.5b
Page: 11 DOI: 10.1097/01.NCC.0000343372.24517.bd Authors: Lambert, Sylvie D. N, PhD(c); Loiselle, Carmen G. N, PhD; Macdonald, Mary Ellen PhD
Page: 24 DOI: 10.1097/01.NCC.0000343360.90999.8b
Page: 26 DOI: 10.1097/01.NCC.0000343373.01646.91 Authors: Lambert, Sylvie D. N, PhD(c); Loiselle, Carmen G. N, PhD; Macdonald, Mary Ellen PhD
Page: 37 DOI: 10.1097/01.NCC.0000343371.24517.66 Authors: Loiselle, Carmen G. PhD, RN; Dubois, Sylvie PhD(c), MEd, MBA, RN
Page: 45 DOI: 10.1097/01.NCC.0000343368.06247.74 Authors: Bernhardson, Britt-Marie RN; Tishelman, Carol PhD, RN; Rutqvist, Lars Erik MD, PhD
Page: 54 DOI: 10.1097/01.NCC.0000343369.06247.3d
Page: 55 DOI: 10.1097/01.NCC.0000343374.09270.ff Authors: Svensson, Helene PhD(c), RN; Brandberg, Yvonne PhD; Einbeigi, Zakaria MD, PhD; Hatschek, Thomas MD, PhD; Ahlberg, Karin PhD, RN
Page: 64 DOI: 10.1097/01.NCC.0000343366.21495.c1 Authors: Chen, Wei-Ti DNSc, RN, CNM
Page: 73 DOI: 10.1097/01.NCC.0000343367.98623.83 Authors: Bowman, Karen F. PhD; Rose, Julia H. PhD, MA; Radziewicz, Rosanne M. CNS, BC; O'Toole, Elizabeth E. MD; Berila, Rose A. MSN, RN
Page: 82 DOI: 10.1097/01.NCC.0000343362.68129.ed Authors: Putwatana, Panwadee DSc (Nutrition), RN; Sanmanowong, Phichanee MNS, RN; Oonprasertpong, Ladawal DNS, RN; Junda, Tiraporn PhD, RN; Pitiporn, Supaporn BSc, PhD; Narkwong, Ladawan MD
In an ever more burdened healthcare system, there is an urgent need to investigate whether patients benefit from the resources allocated to nurses' communication skills training in terms of improved patient outcomes. This study aimed to evaluate a standardized two 2-day (33 hours) communication skills training program in nursing cancer care. Twenty-four nurses in an oncology outpatient clinic participated and were randomly assigned to the intervention program or a control group. A total of 413 patients treated in the clinic during 2 recruitment periods (before and after the communication skills training) completed a questionnaire package assessing the nurse-patient relationship, psychological well-being, and cancer-related self-efficacy. Nurse group differences in change scores between time points (baseline, 1 week, and 3 months after the communication skills training) on measures related to communication and work-related stress were all nonsignificant. Time-by-group analyses of patient data showed no training effect on patient perception of nurse empathy and attentiveness, and we found no training effect on patients' anxious/depressed, angry, or positive mood, as well as no effect on cancer-related self-efficacy. The results were unable to support the hypotheses that nurse communication skills training would be associated with improved nurse and patient outcomes. Page: E1 DOI: 10.1097/01.NCC.0000343365.13871.12 Authors: Rask, Mette Trollund MSc, RN; Jensen, Mette Lund MSc; Andersen, Jorn MDSci, MD; Zachariae, Robert MDSci, MSc
Cultural issues have become an increasingly important consideration in healthcare. Such cultural issues, however, are underresearched in Australia, especially in palliative care. This study has sought to address this gap, exploring the social construction of cultural issues in palliative care by oncology nurses. A grounded theory approach was used. Semistructured interviews with 7 Australian oncology nurses provided the data for the study. The core category emerging from the study was that of accommodating cultural needs whereby to meet patients' specific cultural requirements, nurses actively found ways to accommodate the needs of patients and their families. This process often included compromise and negotiation whereby limits were set. In addition, the use of cross-cultural communication strategies emerged from the data as an important feature of cultural care. A series of subcategories were also identified as factors that could influence the process by which nurses would accommodate cultural needs. Page: E12 DOI: 10.1097/01.NCC.0000343370.16894.b7 Authors: Huang, Ya-Ling MN, RN; Yates, Patsy PhD, MSocSc, DipAppSci, RN; Prior, Deborah PhD, RN
DOI: 10.1097/01.NCC.0000339259.98818.11
Page: 415 DOI: 10.1097/01.NCC.0000339240.66538.3a Authors: Hinds, Pamela S. PhD, RN, FAAN, Editor in Chief
Page: 417 DOI: 10.1097/01.NCC.0000339252.91194.6c Authors: Herbenick, Debra PhD, MPH; Reece, Michael PhD, MPH; Hollub, Ariane MEd; Satinsky, Sonya MPH; Dodge, Brian PhD, MS
Page: 426 DOI: 10.1097/01.NCC.0000339250.83571.b0 Authors: Bugge, Kari E. MNSC, RN; Helseth, Solvi PhD, MNSC, RN; Darbyshire, Philip PhD, MN, DipN(Lond), RNT, RNMH, RSCN
Page: 435 DOI: 10.1097/01.NCC.0000339253.68324.19 Authors: Lobchuk, Michelle M. PhD, RN; Murdoch, Tammy MN, RN; McClement, Susan E. PhD, RN; McPherson, Christine PhD, RN
Page: 444 DOI: 10.1097/01.NCC.0000339249.45453.97 Authors: Bond, Stewart M. PhD, RN, AOCN; Neelon, Virginia J. PhD, RN
Page: 452 DOI: 10.1097/01.NCC.0000339244.58914.4a Authors: Fall-Dickson, Jane M. PhD, RN, AOCN; Mock, Victoria DNS, RN, FAAN+; Berk, Ronald A. PhD; Grimm, Patricia M. PhD, RN, APRN, BC; Davidson, Nancy MD; Gaston-Johansson, Fannie PhD, RN, FAAN
Page: 462 DOI: 10.1097/01.NCC.0000339247.60700.86 Authors: Tian, Jun PhD; Chen, Zhen-chun PhD; Hang, Li-fang
Page: 468 DOI: 10.1097/01.NCC.0000339239.28420.30
Page: 470 DOI: 10.1097/01.NCC.0000339255.75947.a8 Authors: Sherwood, Paula R. PhD, RN, CNRN; Donovan, Heidi S. PhD, RN; Rosenzweig, Margaret PhD, RN, CRNP-C, AOCN; Hamilton, Rebekah PhD, RN; Bender, Catherine M. PhD, RN
Page: 477 DOI: 10.1097/01.NCC.0000339256.14066.9c
Page: 478 DOI: 10.1097/01.NCC.0000339257.14066.d5 Authors: Crighton, Margaret H. PhD, RN; Coyne, Bridget M. MSN, CRNP; Tate, Judith MSN, RN; Swigart, Valerie PhD, RN; Happ, Mary Beth PhD, RN
Page: 484 DOI: 10.1097/01.NCC.0000339258.21689.63
Page: 485 DOI: 10.1097/01.NCC.0000339251.83571.f9 Authors: Pasacreta, Jeannie V. PhD, RN; Kenefick, Amy L. PhD, APRN; McCorkle, Ruth PhD, FAAN
Page: 491 DOI: 10.1097/01.NCC.0000339245.53077.76 Authors: Siekkinen, Mervi MNSc, RTT; Salantera, Sanna PhD, RN; Rankinen, Sirkku PhD(c), MNSc, RN; Pyrhonen, Seppo MD, PhD; Leino-Kilpi, Helena PhD, RN
The purpose of this study was to investigate potential predictors (patient variables) that would result in oncology nurses' recognition of and response to patient-initiated humor (PIH). Participants included 47 nurses of an 80-member Oncology Nursing Society chapter (57% response rate), which yielded 232 usable vignettes. Previously collected qualitative data of patient-nurse conversations were used to construct simulated vignettes using a factorial survey design. Five randomly generated vignettes containing 14 independent patient variables with different levels were used to examine nurses' identification of PIH. The unit of analysis in factorial survey is the vignette. Multiple regression and analysis of variance were used to analyze variables in each vignette. Two of 14 variables were significant: "verbal" (actual words the patient spoke) and "intonation" (inflection, pitch, or manner of speech). A 2×2 factorial analysis of variance using verbal and intonation variables revealed that oncology nurses' recognition of and response to PIH were primarily predicted by patients' verbal words. This study distinguishes PIH as a patient-initiated behavior rather than nurse-driven interventions and is a new venue for research in patient-nurse interactions. Results demonstrate the central role of patient-centered communication to inform clinical practice about patient preferences, individualized integration/participation in their care, and a knowledge base of patient-centered behaviors for outcomes of personal importance Page: E1 DOI: 10.1097/01.NCC.0000339243.51291.cc Authors: Adamle, Kathleen N. PhD, RN, AOCN; Ludwick, Ruth PhD, RN,C, CNS; Zeller, Richard PhD; Winchell, Janice BS
The role of the breast care nurse (BCN) in the Queensland's Supporting Rural Women With Breast Cancer Project was evaluated by mixed methodology. Through questionnaire and interview, patients provided views about the nurse's role under the categories of awareness, access, coordination, information, and psychosocial, emotional, and practical support. Of the 51 participants, 37 resided in rural and remote areas. Eighteen lived between 100 and 500 miles from specialized breast care services. The BCN met patients at their regular hospital visits and was available by telephone at any time. There was overwhelming agreement among the participants that the timing of contact, ease of accessibility, information provided, and support offered were extremely valuable in making their treatment and recovery easier. Most participants would recommend hospitals with a BCN to their friends. Members of the multidisciplinary care team provided views on awareness of the BCN, influence on care management, communication, and patient outcomes. They recognized the benefits of the BCN to patients and to coordination and liaison of the team. The findings concur with unpublished Australian reports that demonstrate the success of BCNs. The BCN model of care could be used to support other medical conditions in rural and remote Australia. Page: E10 DOI: 10.1097/01.NCC.0000339246.60700.cf Authors: Eley, Robert M. PhD, CBiol; Rogers-Clark, Cath PhD, RN; Murray, Kay BA(Hons), MSPD
Multiple studies have examined the quality of life of cancer patients before or after treatment, but few have evaluated the impact of a specific course of treatment on cancer patients' quality of life. Using a longitudinal design, we examined the quality of life of 24 women and 8 men before receiving their initial course of chemotherapy and again at 21 days after the first course of chemotherapy. The study was carried out at the outpatient chemotherapy unit of a university hospital located in the city of Izmir, West Turkey. Research data were collected using a patient demographic form and the Rolls Royce Model Quality of Life Scale. All of the postchemotherapy mean scores from the quality-of-life instrument were statistically significantly lower at day 21, except for the cognitive functioning subscale. Overall, initial chemotherapy was found to have a significantly negative effect on the quality of life of cancer patients. Nurses can help patients prepare for an initial decrease in their quality of life early in treatment. Page: E19 DOI: 10.1097/01.NCC.0000339248.37829.c2 Authors: Turgay, Ayse San PhD, RN; Khorshid, Leyla PhD, RN; Eser, Ismet PhD, RN
Findings from studies of massage, one of the most commonly used nonpharmacological nursing interventions for managing cancer pain, are inconsistent. The purpose of this article was to elucidate the methodological underpinnings of these inconsistencies with a systematic review of study design, methods, and massage efficacy in adult patients with cancer. A total of 15 studies published in English between 1986 and 2006 were identified by searching in 6 electronic databases. An author-developed tool and an adapted assessment tool were used to extract information from each study and examine the quality of reviewed studies. Methodological issues that potentially account for discrepancies across studies included less rigorous inclusion criteria, failure to consider potential confounding variables, less than rigorous research designs, inconsistent massage doses and protocols, measurement errors related to sensitivity of instruments and timing of measurements, and inadequate statistical power. Areas for future study include determination of appropriate cutoff values of selected outcome measures, delivery of equal doses along with standardized massage protocols, examination of length of massage effects over time, and use of single-blinding randomized clinical trials with large sample sizes. Page: E24 DOI: 10.1097/01.NCC.0000339242.51291.85 Authors: Jane, Sui-Whi PhD, RN; Wilkie, Diana J. PhD, RN, FAAN; Gallucci, Betty B. PhD, RN; Beaton, Randal D. PhD, EMT
Women affected by breast cancer experience an array of quality-of-life issues that affect their daily living in both short-term and long-term survivorship. Because African American women experience disparities in breast cancer survival, their quality-of-life concerns may paint a different picture from those of other racial and ethnic groups. To gain a better understanding of quality of life in African American women breast cancer survivors, we conducted a review, using an adaptation of Brenner's quality-of-life proximal-distal continuum, of studies that have investigated these women's experiences and associated variables. Twenty-six studies, qualitative and quantitative, were reviewed that identified both deficits and positive outcomes of breast cancer treatment and sequelae, including physical, emotional, social, and patient-provider problems as well as heightened spirituality and positive growth. Although overall global quality of life was favorable in both African American and white survivors, differences existed in the nature and extent of deficits between these 2 survivor groups. Nursing implications of this review point to the need for further rigorous research and wide dissemination of results. Recommendations for practice include tailoring assessments and interventions within the context of the lives of African American women breast cancer survivors. Page: E36 DOI: 10.1097/01.NCC.0000339254.68324.d7 Authors: Russell, Kathleen M. DNS, RN; Von Ah, Diane M. PhD, RN; Giesler, R. Brian PhD; Storniolo, Anna M. MD; Haase, Joan E. PhD, RN
Page: 333 DOI: 10.1097/01.NCC.0000305755.81485.44 Authors: Hinds, Pamela S. PhD, RN, FAAN, Editor in Chief
Page: 334 DOI: 10.1097/01.NCC.0000305769.27227.67 Authors: Kozachik, Sharon L. PhD, RN; Bandeen-Roche, Karen PhD
Page: 344 DOI: 10.1097/01.NCC.0000305770.27227.b1
Page: 345 DOI: 10.1097/01.NCC.0000305758.66238.a1 Authors: Ryde, Kerstin MPH, RN; Strang, Peter MD, PhD; Friedrichsen, Maria PhD, SRN
Page: 354 DOI: 10.1097/01.NCC.0000305756.58615.81 Authors: Wilkinson, Susie PhD; Lockhart, Karen; Gambles, Maureen; Storey, Lesley PhD
Page: 361 DOI: 10.1097/01.NCC.0000305754.73862.9f
Page: 363 DOI: 10.1097/01.NCC.0000305762.89109.29 Authors: Chen, Hsiu-Mei MN, RN
Page: 370 DOI: 10.1097/01.NCC.0000305766.42475.33 Authors: Cantrell, Mary Ann PhD, RN; Conte, Teresa MSN, CRNP
Page: 380 DOI: 10.1097/01.NCC.0000305763.89109.60 Authors: Persson, Carina PhD(c); Sundin, Karin PhD, MS, RNT
Page: 389 DOI: 10.1097/01.NCC.0000305759.04357.1b Authors: Nikoletti, Sue PhD, BSc (Hons), RN; Young, Jeanne PhD(c), BSc (Hons), RN; Levitt, Michael MBBS (UWA), FRACS; King, Mary DipContinence, DipNatTherapy, BAppScN, RN, STN; Chidlow, Christine PostGradDipPhy (Women's Health), BAppSc (Phy); Hollingsworth, Shelley BSc (Hlth Inf Man), BA (Psychology)
Page: 399 DOI: 10.1097/01.NCC.0000305760.04357.96 Authors: Siefert, Mary Lou DNSc, AOCN; Williams, Anna-leila PhD(c), MPH, PA-C; Dowd, Michael F. PhD; Chappel-Aiken, Lolita EdD, RN; McCorkle, Ruth PhD, FAAN
Page: 408 DOI: 10.1097/01.NCC.0000305768.19604.ce Authors: Alexeeva, Iana MSc; Thomas, Bejoy Cherian PhD; Pelletier, Guy PhD
This study examined statistical methods to identify and quantify symptom clusters in diverse disciplines, discussed methodological issues in symptom cluster research in oncology, and provided guidance to researchers and clinicians as to the choice and conceptual implications of particular methods. Correlation and related measures of association show the mathematical evidence of a concurrent tendency for 2 or more symptoms. Graphical modeling reveals a more concrete image of possible symptom clusters and provides an idea as to how and why they are correlated. Structural equation modeling can be used to identify symptom clusters with a large number of symptoms, complex relationships, and/or directional relationships. Factor analysis can identify groups of symptoms which are interrelated due to a common underlying cause. Cluster analysis can group symptoms which have similar patterns across patients and find clinical subgroups based on symptom experience. The best strategy to study symptom clusters is to combine various methods while recognizing the strengths and limitations inherent in each method. A tight partnership of clinicians, clinical oncology researchers, and statisticians is essential. Designing a research to identify symptom clusters involves practical issues related to levels of measurement, dimensionality, confounding variables, symptom selection, and heuristic versus deterministic search. Page: E1 DOI: 10.1097/01.NCC.0000305757.58615.c8 Authors: Kim, Hee-Ju PhD, RN; Abraham, Ivo L. PhD, RN, FAAN
In Italy, the role of a nurse in cancer research is beginning to develop, but instruments developed to delineate the dimensions of the Italian clinical trials nursing role are lacking. This study aimed to translate into Italian the Clinical Trials Nursing Questionnaire (CTNQ) and assess its content validity, internal consistency, and stability reliability. Forward-backward translation and review by experts were performed to assess linguistic and content validation. Internal consistency reliability was computed using Cronbach α and by administering the translated CTNQ to a sample of 30 research nurses coming from different Italian districts. To determine the test-retest reliability, a copy of the questionnaire was given again to a subgroup of 10 research nurses. The pretest and posttest scores were compared using κ coefficient. The comparison of the target language version with the original version allowed us to consider the translation of CTNQ as acceptable. The analyses revealed a Cronbach α coefficient of .98 for the frequency scale and .96 for the importance scale. The overall κ coefficient was 0.98 for the frequency scale and 0.99 for the importance scale. The CTNQ is a valid and reliable instrument for the assessment of the research nurse's role in Italy. Page: E11 DOI: 10.1097/01.NCC.0000305761.11980.cc Authors: Catania, Gianluca RN; Poire, Ilaria RN; Dozin, Beatrice PhD; Bernardi, Matteo RN; Boni, Luca MD
Breast cancer remains the most common cancer in women, and screening mammography is the best method for early detection. Approximately 10% to 15% of women undergoing screening mammography have abnormal or incomplete findings that require further diagnostic studies. The time to follow up is reported to be between 9 weeks and more than 19 weeks. Evidence indicates that a delay of more than 3 months in women with symptomatic breast cancer is associated with increased rates of breast cancer recurrence and death. The reasons for the delay are varied, and study findings suggest that minority and low-income women experience more delays than other groups do. The results from 22 studies are summarized. The identified barriers to completion of screening mammography were grouped as patient, provider, and system categories. Most of the studies were descriptive, retrospective studies that describe and measure the barriers in varied ways. Patient barriers were the most extensively described barrier, with little attention given to specific provider and system barriers. Women of nonwhite race with lack of insurance emerged as a subgroup that experienced more delay after abnormal or incomplete results. Provider and system barriers are also not well documented, and further exploration of these barriers is also recommended. Page: E16 DOI: 10.1097/01.NCC.0000305764.96732.45 Authors: Wujcik, Debra PhD, RN, AOCN; Fair, Alecia Malin DrPH, CHES
This article explores the process of coming to a place of knowing one's diagnosis of cancer. The study was guided by the philosophy of hermeneutic phenomenology, with data collected via unstructured in-depth interviews. This article focuses on 10 people who received a cancer diagnosis (recipients). The analysis of the recipient narratives offered an interpretation of the phenomenon of receiving bad news as a process occurring over a period of time and not as a one-off event in time. The concept of bad news as a trajectory was clearly evident in the narratives and was represented through 3 themes: "disturbance of the everyday world," "surfacing within the lived world," and "embodiment within the lived world." The findings are consistent with the literature addressing diagnosis and end-of-life issues. Understanding the phenomenon of "knowing" is crucial in helping the healthcare professional recognize the changing information and psychosocial needs of the recipient as they experience the trajectory of bad news. Page: E31 DOI: 10.1097/01.NCC.0000305767.42475.7a Authors: Tobin, Gerard A. PhD, MSc, BSc, RGN, RMN, RNT; Begley, Cecily PhD, MSc, FTCD RN, RM
Highly accurate and predictive models are essential components to promote early breast cancer screening in primary care or home care settings. This study was conducted to demonstrate how the relevant variable selection process influenced the predictive performance of the model to identify individuals at high risk for breast cancer. As such, as a strategy to increase the predictive performance of the models, a systematic review of previously published articles was conducted to select important risk factors for breast cancer. Through the systematic literature review and the application of variable selection methods, 13 final risk factors were identified. Logistic regression and naive Bayes predictive modeling techniques were used. Both models had higher predictive performances than previously developed models. It is believed that the systematic literature review process contributed to the identification of relevant variables and increased the predictive performance of the models. This study also implies that the naive Bayes was equivalent to and could be preferred over logistic regression. Page: E40 DOI: 10.1097/01.NCC.0000305765.34851.e9 Authors: Lee, Sun-Mi PhD, RN, MPH; Park, Jin-Hee MSN, RN; Park, Han-Jong MSN, RN
Page: 259 DOI: 10.1097/01.NCC.0000305736.26335.57 Authors: Hinds, Pamela S. PhD, RN, FAAN
Page: 261 DOI: 10.1097/01.NCC.0000305737.26335.1e Authors: Feeny, David PhD; Furlong, William J. MSc; Barr, Ronald D. MD, MBChB
Page: 263 DOI: 10.1097/01.NCC.0000305734.80592.40 Authors: Coleman, Elizabeth Ann PhD, RNP, AOCN; Coon, Sharon PhD, RN, AOCN; Hall-Barrow, Julie EdD(c), MS; Richards, Kathy PhD, RN; Gaylor, David PhD; Stewart, Beth BS
Page: 265 DOI: 10.1097/01.NCC.0000305738.33958.9f Authors: Duncan, Jennifer G. PhD, RN; Forbes-Thompson, Sarah PhD, RN; Bott, Marjorie J. PhD, RN
Page: 273 DOI: 10.1097/01.NCC.0000305739.11088.55
Page: 274 DOI: 10.1097/01.NCC.0000305744.64452.fe Authors: Liao, Mei-Nan MSN; Chen, Miin-Fu MD, FACS; Chen, Shin-Cheh MD; Chen, Ping-Ling PhD, MPH
Page: 284 DOI: 10.1097/01.NCC.0000305743.64452.30 Authors: Steele, Rose PhD, RN; Fitch, Margaret I. PhD, RN
Page: 292 DOI: 10.1097/01.NCC.0000305745.41582.73 Authors: De Graves, Sharon PhD, BN, RN, Grad Dip in Advanced Clinical Nursing (Paediatrics); Aranda, Sanchia PhD, MN, BAppSci, RN
Page: 302 DOI: 10.1097/01.NCC.0000305747.49205.b1 Authors: Paim, Carolina Rodrigues MS; de Paula Lima, Elenice Dias Ribeiro PhD, RN; Fu, Mei R. PhD, MS, MA, RN, APRN-BC; de Paula Lima, Alexandre MD; Cassali, Geovanni Dantas PhD
Page: 310 DOI: 10.1097/01.NCC.0000305735.88216.74
Page: 312 DOI: 10.1097/01.NCC.0000305740.18711.c6 Authors: Ekti Genc, Rabia PhD, RN; Conk, Zeynep PhD, RN
Page: 318 DOI: 10.1097/01.NCC.0000305748.43367.1b Authors: Hoga, Luiza Akiko Komura PhD; Mello, Debora S. RN; Dias, Aretuzza F. RN
Page: 326 DOI: 10.1097/01.NCC.0000305749.50991.b1 Authors: Mystakidou, Kyriaki MD, PhD; Tsilika, Eleni BSc, MSc; Parpa, Efi BA, MA; Galanos, Antonis BSc; Vlahos, Lambros MD, PhD
Korean immigrant women, who compose 1 of 6 major subpopulations in Asian Americans in the United States, are reported to have far lower rates of breast cancer screening than do women in general. Despite the sporadically reported cognitive, affective, and environmental constraints to the screening practices, to date, no research has been conducted to investigate the sociocultural contexts within which women in this population seek help for breast health. The purpose of this study is to explore and interpret the sociocultural processes of breast cancer screening among Korean immigrant women using the grounded theory method. Twenty Korean immigrant women, aged between 20 and 81 years, participated in a set of 2 consecutive qualitative interviews conducted in the Korean language. The qualitative data were transcribed and analyzed using the constant comparison technique. "Balancing relationships within a discordant world" is the core concept of the process of breast cancer screening among Korean immigrant women. There are sociocultural discords in perceptions of breast cancer and screening procedures between Asian ways of thinking and Western biomedical premises. The elicited situation-specific theory sheds light on what Western healthcare professionals have missed and what they should consider caring for culturally diverse populations. Page: E1 DOI: 10.1097/01.NCC.0000305742.56829.fc Authors: Suh, Eunyoung Eunice PhD, FNP, RN
Loco-regional recurrence after radical primary treatment of oral cancer is associated with poor prognosis and major patient and carer distress. The patient's psychosocial response to recurrence is underreported in the literature. This is one of the few papers to address in detail this stage in a patient's cancer journey. Qualitative methodology was used. Patients were recruited over a 13-month period. Analysis of recorded transcripts from 9 patients suggested that their illness experience and psychological response to diagnosis were multifaceted. Six key themes were identified, which were subdivided into 23 categories. Themes included emotional reactions, reevaluation, active coping strategies, life changes, support, and improvement in relationships. Emotional reactions ranged from shock and devastation, to fear and uncertainty, to hopelessness, to shame, to denial. Not all reactions were negative, and more positive experiences such as new found openness and improvement in relationships were expressed. There is heightened emotional vulnerability, and this leads to potentially difficult management issues among clinicians and members of the multidisciplinary team. Extreme sensitivity is required by all the individuals involved in providing healthcare at this acute time of patient and carer distress. Page: E11 DOI: 10.1097/01.NCC.0000305750.50991.67 Authors: Griffiths, Mark J. D Clin Psy, MSc, BA; Humphris, Gerry M. PhD, D Clin Psy; Skirrow, Paul M. D Clin Psy, M Phil, BSc; Rogers, Simon N. MD, FDS, RCS, FRCS
There are few scientific publications available with a focus on the value of supportive care services for patients with brain tumors and their families. The present study is part of a project where a specialist nurse (SN) function was implemented for patients with malignant glioma and their next-of-kin. The purpose of the present study was to identify how next-of-kin made use of the SN function. To identify what they asked for when they contacted the nurse is a way of understanding the vulnerability of family members and thus to learn how to provide better support to the benefit of the family. In accordance to a design inspired by action research, the SN approached patients and next-of-kin during diagnosis at the Department of Oncology/Neurosurgery and informed them that they could use her as a resource when they wanted. The SN documented all contacts with the next-of-kin of 16 consecutive patients in field notes during the course of the disease: telephone calls and personal meetings-who contacted whom, about what, and with what outcome. In addition, summarizing interviews were conducted. The study is based on the field notes and complemented with the interview data. Different needs were expressed throughout the relationship between the next-of-kin and the SN: initially, conversation about the sick family member was paramount, but as time passed, talk about oneself came to the forefront, and thereafter, they also commented on the relationship to the SN in a more personal tone. The relationship to the SN per se is important-the SN function can be far more than a provider of information. Altogether, the platform provided by the SN easily lends itself to the conceptualization of "a secure base" in attachment theory. Page: E18 DOI: 10.1097/01.NCC.0000305741.18711.8f Authors: Spetz, Agneta RN; Henriksson, Roger MD, PhD; Salander, Par MSc, PhD
The purpose of this study is to estimate the effectiveness of psychological intervention on personality change, enhancing perceived emotional support, and, ultimately, assisting in the adaptive coping and psychological well-being of Japanese primary breast cancer patients. The intervention consists of 3 sessions that include providing medical and psychological information and counseling using the structured association technique. The participants were 28 primary breast cancer patients (14 for the experimental group and 14 for the control group). Participants were assessed at 3 to 4 days after surgery (preintervention) and 3 months (postintervention) and 6 months(follow-up) after discharge using 5 scales: the self-repression scale, the Japanese version of the self-esteem scale, the emotional support scale, the Japanese version of the Mental Adjustment to Cancer Scale, and the Japanese version of the Hospital Anxiety and Depression Scale. The intervention seemed to have enhanced the short-term personality change, adaptive coping, and psychological well-being of primary breast cancer patients. However, further trials will be needed with larger samples to corroborate the findings. Page: E27 DOI: 10.1097/01.NCC.0000305746.49205.f8 Authors: Maeda, Takako MS, RN; Kurihara, Hiroko RN; Morishima, Isamu MD; Munakata, Tsunetsugu DHSc
The purpose of this study was to explore, through in-depth semistructured interviews, the lived experience of Lebanese family caregivers of cancer patients and acquire a better knowledge of the meaning and interpretation of their experience. The study design was based on the Utrecht School of Phenomenology. This study followed purposeful sampling, in which 9 participants with a mean age of 51 years were selected. Data were analyzed using the hermeneutic phenomenological approach based on the Utrecht School of Phenomenology. Eight core themes describing the participants' lived experience emerged from the interviews: living with fears and uncertainty, loss of happiness, feeling of added responsibility, living in a state of emergency, sharing the pain, living the dilemma of truth telling, disturbed by being pitied, and reliance on God. The results of this study challenge nurses to be conscious of the nature and difficulties that family caregivers are encountering. Page: E36 DOI: 10.1097/01.NCC.0000305751.28120.f4 Authors: Doumit, Myrna A. A. PhD, RN; Huijer, Huda Abu-Saad PhD, RN, FEANS; Kelley, Jane H. PhD, RN; Nassar, Nada MSN, RN
Page: A2 DOI: 10.1097/01.NCC.0000305718.52777.d4
Page: 173 DOI: 10.1097/01.NCC.0000305717.52777.30 Authors: Hinds, Pamela S. PhD, RN, FAAN
Page: 175 DOI: 10.1097/01.NCC.0000305727.50098.b5 Authors: Visovsky, Constance G. PhD, RN, ACNP; Berger, Ann M. PhD, RN, AOCN, FAAN; Kosloski, Karl D. PhD; Kercher, Kyle PhD
Page: 182 DOI: 10.1097/01.NCC.0000305722.75647.26 Authors: Waltman, Nancy L. PhD, APRN; Ott, Carol D. PhD, RN, OCN; Twiss, Janice J. PhD, APRN; Gross, Gloria J. PhD, RN; Lindsey, Ada M. PhD, RN, FAAN; Moore, Timothy E. MD
Page: 190 DOI: 10.1097/01.NCC.0000305723.83271.37
Page: 191 DOI: 10.1097/01.NCC.0000305721.98518.7c Authors: de Nijs, Ellen J. M. CNS, MSc; Ros, Winand PhD; Grijpdonck, Mieke H. PhD
Page: 207 DOI: 10.1097/01.NCC.0000305716.45153.73
Page: 209 DOI: 10.1097/01.NCC.0000305729.57722.a7 Authors: Feng, Suwen MD; Chen, Liping MD; Wang, Guidi MD; Chen, Aishuang BA; Qiu, Yeqing BA
Page: 214 DOI: 10.1097/01.NCC.0000305725.65345.f3 Authors: Currin, Jennifer LMSW, OSW-C; Meister, Edward Anton PhD
Page: 222 DOI: 10.1097/01.NCC.0000305724.83271.f9 Authors: de Veer, Anke J.E. PhD; Francke, Anneke L. PhD, RN; Poortvliet, Ernst-Paul MSc, RN
Page: 229 DOI: 10.1097/01.NCC.0000305731.95839.ca Authors: Woodgate, Roberta Lynn PhD, RN
Page: 239 DOI: 10.1097/01.NCC.0000305733.80592.8e Authors: Colson, Kathleen RN, BSN, BS; Doss, Deborah S. RN, OCN; Swift, Regina RN, BSN; Tariman, Joseph RN, APN, MN, BC, OCN
Page: 250 DOI: 10.1097/01.NCC.0000305726.72969.07 Authors: Lin, Hung-Ru PhD, RN
Fatigue, rated by adolescents as the most distressing symptom experienced during cancer treatment, is essential to the successful clinical care of patients of every culture and nationality. Efforts to provide relief from such symptom, in any area of the world, have been hampered by the lack of reliable and valid instruments used to measure fatigue. Our aims were to examine the semantic, conceptual, and normative equivalence of the Chinese version of the Fatigue Scale-Adolescent (FS-A-C) to the original Fatigue Scale-Adolescent (FS-A) and to estimate the reliability and validity of the FS-A-C. We recruited 51 Taiwanese adolescents in various stages of different types of cancer in this cross-sectional study. Results indicated that the initial panel estimates of semantic, conceptual, and normative equivalence of the FS-A-C with the original instrument (FS-A) were positive. The FS-A-C had acceptable internal consistency (Cronbach α = .89) and moderate-to-high content validity (content validity index ranges from 87% to 100%). In addition, the FS-A-C achieved known-groups validity (anemic adolescents reporting higher fatigue than nonanemic adolescents do) and initial construct validity (a significant association between the FS-A-C and the Anxious/Depressed subscale). Its use in measuring the intensity of fatigue in adolescents is likely to yield accurate assessments of their fatigue that could prompt clinical efforts to relieve their fatigue-related distress. Page: E1 DOI: 10.1097/01.NCC.0000305732.03464.29 Authors: Chiang, Yi-Chien PhD Candidate, RN; Hinds, Pamela S. PhD, RN, FAAN; Yeh, Chao-Hsing PhD, RN; Yang, Chao-Ping MD; Srivastava, Deo Kumar PhD
The purpose of this study was to evaluate the validity and reliability of the Taiwanese version of the M. D. Anderson Symptom Inventory (MDASI-T) in Taiwanese adolescent cancer patients. One hundred eight adolescent cancer patients were interviewed using the MDASI-T, and the results were then used to establish the psychometric properties of this instrument. Data were analyzed by factor analysis, cluster analysis, Pearson correlation, Mann-Whitney U test, and descriptive statistics. The construct validity was determined using a confirmatory factor analysis with oblimin rotation. The concurrent validity demonstrated moderate correlations between the MADSI-T subscale scores and the Medical Outcome Study 36-Item Short-Form Health Survey. Known-group validity was established by comparing MDASI-T scores between adolescent cancer patients with a low functional status and those with a high functional status (Karnofsky Performance Status scores ≤ 80 and >80, respectively). The alpha coefficient of the symptoms severity and interference subscales demonstrated good internal consistency. There was acceptable test-retest stability of the MDASI-T in 35 adolescents during a 3-day interval. This study provides evidence that the MDASI-T is a reliable and valid instrument for measuring cancer-related symptoms in Taiwanese adolescents with cancer. Page: E9 DOI: 10.1097/01.NCC.0000305728.50098.51 Authors: Tseng, Tsui-Hwa RN, MS; Cleeland, Charles S. PhD; Wang, Xin Shelley MD; Lin, Chia-Chin PhD, RN
Asians have been reported to rarely complain about pain and to delay seeking help until pain becomes severe. Even in Asian countries, cancer pain has been reported to be underestimated and inadequately managed. Despite these findings, very little is still known about Asian American cancer patients' pain experience. The purpose of this study was to explore Asian American cancer patients' pain experience using a 6-month online forum among 27 Asian American cancer patients. Nine online forum topics on cancer pain experience were used for the data collection. The data were analyzed using thematic analysis. Three themes emerged through the data analysis process: (a) "pain is a natural thing," (b) "keep things as usual," and (c) "mind is over body." Asian American cancer patients considered pain as their bodies' spontaneous reactions to cancer that could not be avoided. They believed that it was very important to keep things as usual so that they could have a sense of being normal again. The participants thought that cancer and pain could be overcome through positive thinking. The findings suggest more in-depth cultural studies on pain experience among diverse subethnic groups of Asian American cancer patients. Page: E17 DOI: 10.1097/01.NCC.0000305730.95839.83 Authors: Im, Eun-Ok PhD, MPH, RN, CNS, FAAN; Liu, Yi MSN, RN; Kim, Young Hee PhD, RN; Chee, Wonshik PhD
This article describes an advanced intervention for spiritual healing that evolved from spirit-body healing, a hermeneutic phenomenological research study. The research study examined the lived experience of art and healing with cancer patients in the Arts in Medicine program at Shands Hospital, University of Florida. Max Van Manen's method of researching the lived experience was used in 63 patients over a 4-year period. Healing themes that emerged from the research were (1) go into darkness, (2) go elsewhere, (3) art becomes the turning point, (4) slip through the veil, (5 ) know the truth and trust the process, (6) embody your spirit, (7) feel the healing energy of love and compassion, and (8) experience transcendence. The intervention we offer allows nurses to apply creativity and guided imagery as advanced therapeutics and to continue to provide the leadership needed for integrating spiritual healing into patient care. It is one that personifies the nursing mission formalized by many hospitals: a commitment to treat the bodies, minds, and spirits of patients to the best of our ability as part of our routine care. Page: E24 DOI: 10.1097/01.NCC.0000305719.90894.e9 Authors: Lane, Mary Rockwood PhD, RN
Breast cancer is a devastating event for a woman. Physical changes and psychological problems, treatment to improve the patient's condition, and increased survival rates compared with other cancers manifest the importance of quality of life in these patients. This quality of life is affected by how the patients adjust to their situation. Hence, to understand adjustment to breast cancer, this research aimed to investigate the experience from the patients' perspective and how they interact with others and interpret their experiences in adjusting to the disease. A qualitative research approach based on grounded theory was used. The data were the result of 45 interviews with patients in different phases of their illness trajectory during 1 year, 6 interviews with families, and 10 observation sessions. The main categories that emerged were perceived threat to live, religious aspects, supportive dimensions, will to recover, increase in endurance, barriers to efforts leading to health, living with the disease with tolerance, and inhibitors and facilitators of tolerance. These main categories were understood as passages to reach evolutionary peaceful coexistence. Adjustment to breast cancer has positive evolutional process, and its direction is toward better adjustment. By positive mental reconstruction, the patients feel that they can live with their disease. Page: E32 DOI: 10.1097/01.NCC.0000305720.98518.35 Authors: Taleghani, Fariba PhD, MSN; Yekta, Zohreh Parsa PhD, MSN; Nasrabadi, Alireza Nikbakht PhD, MSN, BSN; Kappeli, Silvia RN, PD, PhD
Page: 87 DOI: 10.1097/01.NCC.0000305691.90002.86 Authors: Hinds, Pamela S. PhD, RN, FAAN
Page: 88 DOI: 10.1097/01.NCC.0000305708.37530.ee Authors: Martinez, Cristina RN, BA; Garcia, Montse BSc, PhD; Mendez, Elvira MD; Peris, Merce MD; Fernandez, Esteve MD, PhD
Page: 95 DOI: 10.1097/01.NCC.0000305706.91787.8e Authors: Gunnarsdottir, Sigridur PhD, RN; Ward, Sandra PhD, RN; Serlin, Ronald C. PhD
Page: 102 DOI: 10.1097/01.NCC.0000305707.29906.69
Page: 103 DOI: 10.1097/01.NCC.0000305702.07035.4d Authors: Chen, Lih-Mih RN, PhD; Miaskowski, Christine PhD, RN, FAAN; Dodd, Marylin PhD, RN, FAAN; Pantilat, Steven MD
Page: 108 DOI: 10.1097/01.NCC.0000305703.07035.04
Page: 109 DOI: 10.1097/01.NCC.0000305694.74754.7b Authors: Tsay, Shiow-Luan PhD, RN; Chen, Hsiao-Ling MS, RN; Chen, Su-Chiu MS, RN; Lin, Hung-Ru PhD, RN; Lin, Kuan-Chia PhD
Page: 116 DOI: 10.1097/01.NCC.0000305700.05250.9d Authors: Gaugler, Joseph E. PhD; Linder, Jeanette MD; Given, Charles W. PhD; Kataria, Ritesh MD; Tucker, Galina MD; Regine, William F. MD
Page: 124 DOI: 10.1097/01.NCC.0000305692.67131.34
Page: 126 DOI: 10.1097/01.NCC.0000305697.20497.4f Authors: Mizrahi, Ilana MA; Kaplan, Giora MA; Milshtein, Ellen MA; Reshef, Batia (Piki) MA; Baruch, Gilad Ben MD
Page: 134 DOI: 10.1097/01.NCC.0000305704.84164.54 Authors: Von Ah, Diane M. PhD, RN; Kang, Duck-Hee PhD, RN, FAAN; Carpenter, Janet S. PhD, RN
Page: 145 DOI: 10.1097/01.NCC.0000305698.97625.95 Authors: Fillion, Lise PhD; Gagnon, Pierre MD; Leblond, Francine RN; Gelinas, Celine PhD; Savard, Josee PhD; Dupuis, Rejeanne MA, MEd; Duval, Karine BA; Larochelle, Marie MD
Page: 160 DOI: 10.1097/01.NCC.0000305696.12873.0e Authors: Cinar, Nuray MD [spacing cedilla]; Seckin, Umit MD [spacing cedilla]; Keskin, Dilek MD; Bodur, Hatice MD; Bozkurt, Betul MD; Cengiz, Omer MD
Page: 166 DOI: 10.1097/01.NCC.0000305699.97625.dc Authors: Palese, Alvisa DNS, MNS, BNS, RN; Skrap, Miran MD; Fachin, Martina BNS, RN; Visioli, Sonia BA; Zannini, Lucia BA, PhD
Cancer pain is estimated to occur in 30% to 70% of patients with early-stage cancer and 60% to 95% with advanced cancer. Current research shows that cancer pain continues to be undertreated despite the availability of analgesics and established guidelines to maximize their effectiveness. The purpose of this study was to describe oncology patients' pain experience during an episode of hospitalization with particular emphasis on exploring the relationship between oncology patients' beliefs about pain and the treatment they received. Consecutive patients (n = 126) were interviewed 48 hours after admission to an urban and a regional hospital in Australia; 47.6% of patients had experienced moderate to severe pain in the previous 24 hours but had only received 40.4% of available analgesic. Patients held varying beliefs about pain and pain treatments in particular, 41% held strong beliefs about the potential for addiction to narcotics. Patients who held this belief reported higher current pain, worst pain intensity, and higher average pain intensity in the previous 24 hours. Effective pain management in the inpatient oncology setting continues to be an important clinical issue, and patients do not receive all available pain treatment. There may be an important association between patients' beliefs about pain and pain management and the pain management they receive. Page: E1 DOI: 10.1097/01.NCC.0000305693.67131.7d Authors: Cohen, Emma RN, BN(Hons), BAppSci(HlthProm), MRCNA; Botti, Mari RN, DipN, BA, PGDCAP, PhD, MRCNA; Hanna, Barbara RN, MidCert, IWC, BN(Hons), PhD, MRCNA; Leach, Sarah RN, BN(Hons), PhD; Boyd, Sam RN, BN(Hons); Robbins, Jennifer RN, BN(Hons)
Experiencing a diagnosis of cancer may dramatically alter the way a person feels about themselves, their body, and their significant relationships with others at sexual and intimate levels. The purpose of this article is to provide a critical analysis of the way patient sexuality and intimacy has been constructed throughout cancer and palliative care literature. A critique of 3 well-cited communication frameworks for health professionals: the PLISSIT, ALARM, and BETTER models, will be offered. In summary, a dominant emphasis throughout the literature explores the narrow relationship between cancer treatments and the impact of those treatments on patient sexual function or dysfunction, so that patient sexuality and intimacy are inextricably limited to fertility, contraception, menopausal, erectile functional, or capacity for intercourse. Few studies explore sexual or intimate issues that have arisen in the face of life-threatening illness, particularly when patients are older than 65 years. Despite being well cited during the past 30 years, the PLISSIT and ALARM counseling models are outdated in terms of more reflective, patient-centered, and negotiated forms of communication promoted throughout clinical practice guidelines and patient feedback in qualitative research. The BETTER communication model provides a significant step in assessing and documenting the patient's experience of sexuality after cancer. Page: E9 DOI: 10.1097/01.NCC.0000305695.12873.d5 Authors: Hordern, Amanda RN, BN, GradDipEd, MEd, PhD
This study aims to evaluate the effect of the intensity of interprofessional collaboration on hospitalized cancer patients. We conducted a cross-sectional study of 312 patients to examine the effects of intensity of interprofessional collaboration (low vs high intensity collaboration) on patient satisfaction, uncertainty, pain management, and length of stay. Data on the intensity of interprofessional collaboration, patient satisfaction, and uncertainty were collected from professionals and patients using valid and reliable instruments. Administrative and clinical records were used to calculate the index of pain management and length of hospital stay. The analysis revealed the existence of significant differences between patients who are cared for by teams operating with a high intensity of collaboration and those who are cared for by teams operating with a low intensity of collaboration, as measured by the mean satisfaction (P < .001) among a specific group of patients (patients who have a high level of education and perceive their state of health as poor), mean uncertainty (P = .047), and adequacy of pain management (P = .047). The analysis also found no significant difference (P = .217) in their length of hospital stay. The findings suggest that intensity of interprofessional collaboration has a positive effect on patient satisfaction, reduces uncertainty, and improves pain management, yet they also suggest that the degree of collaboration does not influence the length of hospital stay. Page: E18 DOI: 10.1097/01.NCC.0000305701.99411.ac Authors: San Martin-Rodriguez, Leticia PhD, MSc, RN; D'Amour, Danielle PhD, MSc, RN; Leduc, Nicole PhD
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