ABSTRACT
Objective:to determine how suffering is inadolescents with CD and to understand its meaning for these adolescents. Method:A groundedtheory study was developed with 15 adolescents diagnosed with CD attended at children and juvenile psychiatry units in Vizcaya (Spain). 25 in-depth interviews that were analyzed following the constant comparative method of Strauss and Corbin were performed through the software NVivo version 9 for qualitative analysis. Results:The central category "FeelingSick" identifies the substantive theory generated that expresses how and what is the meaning of suffering for adolescents with CD. This suffering precedes CD and unfolds into five main categories: Absence of childhood; Complex parental relationships; Signs of suffering; Awareness of suffering and; Softeningthe suffering. Final Considerations:The early approach to CD is recommended for the identification of suffering in children before they become adolescents through interventions in the family, school and health care
Objetivo: determinar cómo es sufrimiento en los adolescentes con TC y comprender su significado para estos adolescentes. Metodo:Se llevó a caboun estudio de Teoría Fundamentada, con 15 adolescentes diagnosticados de TC atendidos en unidades de psiquiatría infanto-juvenil de Vizcaya (España). Se realizaron 25 entrevistas en profundidad que fueron analizadas siguiendo el método comparativo constante de Strauss y Corbin utilizando el programa NVivo versión 9 para el análisis cualitativo. Resultado: Lacategoría central "Pasarlo Mal" identifica la teoría sustantiva generada que expresa cómo es y cuál es el significado del sufrimiento para los adolescentes con TC. Este sufrimiento es anterior al TC y se desdobla en cinco categorías principales: Infancia ausente; Relaciones parentales complejas; Señales del sufrimiento; Concienciación del sufrimiento y; Suavizar el sufrimiento. Considerações finales:Por tanto, se recomienda el abordaje temprano del TC mediante la identificación de sufrimiento en los niños y niñas antes de llegar a ser adolescentes, a través de intervenciones en la familia, en la escuela, y en la atención de salud.
Subject(s)
Humans , Male , Female , Adolescent , Adolescent , Psychological Distress , Psychiatry , Awareness , Family , Health Personnel , Knowledge , Crisis Intervention , Delivery of Health CareABSTRACT
AIM: This paper is intended to put knowledge in conflict management into practice through reflecting on a nursing case study. BACKGROUND: Nursing organizations are particularly vulnerable to conflict as the context of nurses' work may be difficult and stressful. Power conflict is argued to be an important source of tension within nursing units. Learning to manage conflict at an early stage is therefore crucial to the effective functioning of nursing organizations. EVALUATION: A nursing case study that illustrates power conflict in an oncology nursing unit is displayed and reflection on conflict management from the case is provided. KEY ISSUES: There is no appropriate or inappropriate strategy to deal with conflict. However, detecting initial symptoms of conflict and adopting the most effective behaviour to conflict resolution is essential in nursing units. CONCLUSION: Further nursing education in conflict management for staff nurses and nurse managers is greatly needed.
Subject(s)
Attitude of Health Personnel , Conflict, Psychological , Interprofessional Relations , Nurse Administrators/psychology , Nursing Staff, Hospital/psychology , Adaptation, Psychological , Avoidance Learning , Communication , Competitive Behavior , Cooperative Behavior , Health Services Needs and Demand , Hospital Units/organization & administration , Humans , Leadership , Motivation , Negotiating , Nurse Administrators/education , Nurse Administrators/organization & administration , Nursing Methodology Research , Nursing Staff, Hospital/education , Nursing Staff, Hospital/organization & administration , Oncology Nursing/organization & administration , Organizational Culture , Power, Psychological , Problem Solving , Social Dominance , Time Factors , Workplace/organization & administration , Workplace/psychologyABSTRACT
AIMS: This paper presents a review of the informational and emotional needs of long-term breast cancer survivors, with particular attention to the different needs of women according to their age and to critiquing healthcare provision to these women. BACKGROUND: Women with a history of breast cancer are the largest group of cancer survivors. While they may be disease-free, their cancer diagnosis has ongoing physical and psychosocial implications for their lives and well-being. METHODS: A literature search for the period 1985 to March 2004 was undertaken using the CINAHL, MEDLINE, CANCERLIT, PubMed and CUIDEN databases and the keywords long-term, breast cancer survivors, needs and social support. Hand-searching was also done, and reference lists of papers were examined for relevant studies. RESULTS: Survivors of breast cancer continue to experience informational and emotional needs during their long-term survivorship, and variation in the amount and type of support required is age-related. However, women's needs are often unmet by oncology teams and they have to find other sources of support, such as self-help groups. Thus, ongoing care is required after completion of medical treatment, and nurses have a significant contribution to make here. CONCLUSIONS: Nursing research on long-term breast cancer survivorship is limited. Future studies need to investigate the unmet needs of long-term survivors of breast cancer and, specifically, explore the kind of support women would like to receive from oncology teams, and particularly from breast cancer nurses.