Oncology nurses′ experience of palliative care: a qualitative study / 中国实用护理杂志

Objective To explore the experience of palliative care among oncology nurses and provide suggestion to the training program for oncology specialized nurses. Methods Using the qualitative research and 13 oncology nurses were selected. Data were collected by depth interviews. Results the experience of palliative care among oncology nurses included acknowledge the importance of palliative care; increasing sense of achievement and occupational self-identity for nurses; Facing with difficulty and Challenge. Conclusion Palliative care plays important role in oncology nursing and nurses need more focused training on Psychological, social and spiritual care.

Evaluation of the reliability and validity of Chinese-version Good Death Inventory among oncology nurse specialist / 中国实用护理杂志

Objective@#To evaluate the reliability and validity of Chinese-version Good Death Inventory among oncology nurse specialists.@*Methods@#A further revision has been made in the Chinese-version Good Death Inventory from Taiwan experts through expert review and preliminary experiment. The reliability and validity of the Chinese-version GDI was evaluated among 180 oncology nurse specialists.@*Results@#The Chinese-version of GDI was easy to understand. Most respondents finished the whole scale in 25 minutes and the valid response rate of the scale was100%. The I-CVI value of each item was 0.67-1.00, S-CVI/Ave was 0.938. KMO was 0.832, and the revised Chinese-version GDI consisted of 54 items in 18 dimensions (Core 10 Domains and Optional 8 Domains). The total scale′ s Cronbach′ s alpha coefficient was 0.950, split-half reliability coefficient was 0.832. Cronbach′ s alpha of Core 10 Domains was 0.938 and that of Optional 8 Domains was 0.876.@*Conclusions@#The Chinese-version GDI is a valid scale to measure end-of-life care comprehensive outcomes from Chinese oncology nurse specialists′ perspective.

Development of training curriculum in sexual health of breast cancer patients for oncology nurse / 中国实用护理杂志

Objective To develop a curriculum of a training course for oncology nurses in regard to patient education in sexuality for breast cancer patients. Methods Delphi Method was used in the study. Two rounds of questionnaire investigation were conducted among 21 specialists in breast nursing care, sexology, and psychology. The curriculum was developed after revised based on the comments and suggestions brought up in the experts. Results The training curriculum in sexual health of the breast cancer patients for oncology nurse consisted of 5 sections, professional education, sexology, medicine, psychology and practice, which were divided into 45 teaching topics included in 13 courses. The comments of the specialists on the training curriculum were consistent. The coefficients of variation ranged from 0.07 to 0.20. The coordination coefficient was 0.344. Conclusions The current study developed an integral curriculum for oncology nurses in regard to patient education in sexuality for breast cancer patients, which will benefit oncology nurses for their nursing practice.

Representações sociais sobre o câncer entre familiares de pacientes em tratamento oncológico / Social representations about cancer among relatives of patient undergoing oncological treatment / Representaciones sociales del cáncer entre familiares de pacientes en tratamiento oncológico

O câncer é uma enfermidade cercada de estigmas a qual afeta emocionalmente seus portadores, assim como os seus familiares. A pesquisa teve como objetivo apreender as representações sociais sobre o câncer entre familiares de pacientes submetidos a tratamento oncológico em um hospital de São Luís-Ma. Tratou-se de um estudo de natureza exploratório-descritiva com abordagem qualitativa, em que se seguiram os pressupostos da Teoria das Representações Sociais para fundamentação da pesquisa. Os sujeitos da pesquisa foram 102 familiares de pacientes em tratamento oncológico ambulatorial e a amostra foi do tipo aleatória e espontânea. Os dados foram coletados a partir da Técnica de Evocação Livre de Palavras e analisados com o auxílio do software EVOC 2003. A análise do quadro de quatro casas demonstrou uma representação negativa do câncer por parte dos familiares, com as seguintes palavras: desespero, dor, medo, morte, sofrimento, tratamento e tristeza como núcleo central das representações. E a palavra esperança constitui a primeira periferia. O estudo sobre as representações sociais do câncer entre os familiares de pacientes oncológicos mostrou-se de grande relevância, pois apresentou o sentimento presente entre os familiares daqueles acometidos pela doença.

Cancer is a disease surrounded by stigmas which emotionally affects their carriers as well as their families. The research aimed to apprehend thesocial representations of cancer among relatives of patients undergoing cancer treatment in a hospital in São Luís-Ma. This was a study of exploratoryand descriptive qualitative approach, where for reasons of research, followed by the assumptions of the Social Representation Theory. The studysubjects were 102 relatives of patients in outpatient cancer treatment and the sample of random and spontaneous type. Data were collected throughthe Summoning Technique Free of words and analyzed with the assistance of the software EVOC 2003. The analysis of the four houses picture showeda negative representation of cancer by family members, with the words, despair, pain, fear, death, suffering, treatment and sadness as the centerpieceof representations, and the word hope is the first periphery. The study on the social representations of cancer among family members of cancerpatients proved to be of great importance, as presented in the present feeling among the families of those affected by the disease.

El cáncer es una enfermedad rodeada de estigmas que afecta emocionalmente tanto a los pacientes como a sus familiares. La presente investigacióntuvo como objetivo aprehender las representaciones sociales del cáncer entre familiares de pacientes sometidos a tratamiento oncológico en unhospital de San Luís-Ma. Se trata de un estudio cualitativo exploratorio y descriptivo que siguió las concepciones de la teoría de las representacionessociales. Los sujetos del estudio eran 102 familiares de pacientes en tratamiento oncológico ambulatorio; el muestro era aleatorio espontáneo. Losdatos eran recogidos siguiendo la técnica de evocación libre de palabras y analizados con ayuda del software EVOC 2003. El análisis del cuadro decuatro casilleros indicó que la representación del cáncer de los familiares era negativa, con las siguientes palabras: desesperación, dolor, miedo ,muerte, sufrimiento, tratamiento y tristeza como núcleo central de las representaciones. La palabra esperanza era la primera periférica. El estudiosobre las representaciones sociales del cáncer entre familiares de pacientes oncológicos resultó ser de gran importancia pues mostró el sentimientolatente entre los familiares de los afectados por la enfermedad.

Stress reaction investigation and analysis on oncology nurse who suffered from the patients ′ suicide events / 重庆医学

Objective To investigate how patients′ suicide events affects the nurses psychologically ,and seeking for the proper intervention when it happens .Methods Using the Zung self‐evaluating forms (SAS)and self‐made questionnaire to investi‐gate 41 oncology nurse and analyze the data .Results Three days after the patients′ suicide events ,the nurses′ SAS score was (63 .30 ± 9 .21) ,which was prominently different from the average score of nurses who did not face incidents like this (P< 0 .05) ;during the following four weeks ,the nurses′ working state and personal life experience was hugely influenced ,experience of mental stress were severe .Conclusion The management should realize that the impact ,which was caused by these incidents that the pa‐tients committed suicide ,would render psychological damage to the nurses .Therefore ,it is necessary to build up an intervention sys‐tem to prevent the nurses from suffering psychological problems .

Application of focus group interview to explore oncology nurse communication difficulties / 中国实用护理杂志

Objective To explore the reason and influence of communication difficulties between oncology nurses and patients or families of patients,and to obtain some relevant advice about communication difficulties.Methods This study used focus group to interview 24 oncology nurses who were selected from the First Affiliated Hospital of Chongqing Medical University by homogeneous sampling method,and were randomly divided into three groups (8 in each group).The data were processed and analyzed by content analysis.Results The reasons why oncology nurses had communication difficulties with patients and their families were as follows:putting forward negative problems about their disease,ineffective communication and conflicts with patients,families.The communication difficulties showed negative effect on oncology nurses.Oncology nurses thought that the main reason of communication difficulties lied in the deficiency of institution and propounded the suggestion to resolve it.Conclusions oncology nurses were tend to have difficulty in communicating with patients and their families in the long-term work,especially in the period of crisis:early diagnosis of tumor stage,relapse,advanced cancer and some special dates (birthday,parties etc.).Therefore,oncology nurses,patients and their families need to be supported.To solve the difficulties of communication could reduce the negative emotions of patients and their family,such as anxiety,frustration,helplessness,so as to improve the quality of care and life of patients.

Investigation of status quo of nursing knowledge and behavior of cancer pain control among nurses in tumor department / 中国实用护理杂志

Objective To describe the current situation of oncology nurses' mastery of cancer pain-related knowledge and explore the correlation between the mastery of knowledge and nursing activities.Methods By convenient sampling,323 oncology nurses in four hospitals were recruited in the questionnaire study.Results Among the 40 pain-related knowledge questions assessed,the mean number of correctly answered questions was (19.33±3.96),with a range of 9 to 33,the correct answer rate for entire questionnaire was between 22.5％ to 81.5％,and the pass rate of the questionnaire was 0.62 ％; the score of the questionnaire had a positive correlation with pain assessment dimension and therapeutic communication and health education dimension;the self-rated score of pain-related knowledge had a positive correlation with the four dimensions; the times of nurses participating in cancer pain control study and the times of the department's cancer pain control study had a positive correlation with pain assessment dimension.Conclusions Oncology nurses did not grasp cancer pain-related knowledge well,and showed discrepancy in mastery of knowledge and nursing activities.Nursing management can strengthen nurses training in cancer pain management or increase the times of cancer pain control study to promote the implementation of cancer pain nursing activities,and to advance the quality of cancer pain nursing.

Sintomas estressantes e qualidade de vida entre homens com câncer / Symptom distress and quality of life in men with cancer

Pacientes oncológicos experimentam ocorrência de múltiplos sintomas, o que gera grandeimpacto em sua qualidade de vida. Percebemos que pouco influenciamos na qualidade devida de homens em tratamento oncológico, uma vez que não abordamos a saúde do homemna concepção relacional de gênero, além de, no Brasil, desconhecermos instrumentosválidos e confiáveis que avaliem a experiência de múltiplos sintomas. O SymptomExperience Index (SEI) é um instrumento desenvolvido e validado nos EUA que, a partirde 41 itens, em escala de Likert, identifica as ocorrências de sintomas e as intensidadesde estresses a eles relacionados para avaliação das experiências de sintomas. Nesteestudo, esse instrumento foi validado para versão em português (SEI-P), junto a 40 pessoassaudáveis, quanto à confiabilidade e consistência interna (Alfa de Cronbach = 0,96 e Coeficientede Correlação Intraclasse = 0,93) para posterior investigação da experiência de sintomas equalidade de vida entre homens com câncer de próstata (n=73), colorretal (n=45) e pulmão(n=20). A população estudada (n=138) estava na faixa etária de 32 a 88, a maioriaapresentava as seguintes características sociodemográficas: residia em Belo Horizonte,casada, baixa escolaridade, baixa renda familiar e era aposentada. Quanto às característicasclínicas apresentou desempenho clínico pessoal de 0 a 1 na escala ECOG (n=129/93,7%),relatou ser ex-fumantes (n=76/56%) e ter parado de consumir bebida alcoólica (n=58/42%),possuía comorbidades (n=96/70%) e metástase (n=72/53%). As ocorrências de sintomas(média/desvio padrão) foram mais intensas para: os homens com câncer de colorretal nosdomínios da fadiga (2,08 ± 2,41), distúrbios alimentares e gástricos (2,04 ± 2,54); os comcâncer de próstata envolveram os sintomas da fadiga (2,38 ± 2,69) e dificuldades no controlede micções (1,87 ± 2,05); para os com câncer de pulmão as maiores ocorrênciasencontraram-se no domínio neurológico (3,42 ± 3,10)...