摘要:

When the focus of care for the cancer patient shifts from cure to palliation, the need for specific comfort measures becomes the primary nursing concern. The purpose of this descriptive study is to identify and describe comfort needs of advanced cancer patients as reported by nursing staff. More than 140 professional and paraprofessional nursing staff members on staff at Calvary Hospital, the only Joint Commission on Accreditation of Hospitals accredited acute-care hospital in the United States that cares solely for advanced cancer patients, responded to a self-report survey that asked the question, “What do you do to provide comfort for patients?” The data, which are descriptive of behaviors associated with providing comfort, were categorized into seven identified components of the hospital's philosophy of care—physiological, psychosocial, spiritual, patient's rights and dignity, family/friend involvement, reduction of the severity of the illness, and use of the multidisciplinary team. The findings suggest that comfort is perceived as encompassing a wide range of nursing activities, as responses were, to a varying extent, representative of all categories. The findings provide areas for consideration when planning comfort measures and may be beneficial in enhancing the nursing care of advanced cancer patients in a variety of settings.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

The purpose of this methodologic study is twofold: (a) to determine what types of information (cognitive versus behavioral) patients with cancer who were initiating radiation therapy (RT), preferred; and (b) to test two instruments in obtaining this differentiation of preference of type of information. Using a longitudinal design, 60 patients were interviewed twice, once at the initiation of RT and again (4–7 weeks later) at the completion of RT. The Health Opinion Survey, a general 16-item instrument, and the Health Care Preference Survey, a clinically RT-specific, seven-item instrument, were used to determine the patients' preference for type of information. State-Trait Anxiety and Cancer Health Locus of Control were measured at these two interviews as well. Findings revealed that the majority of patients (n = 38) preferred cognitive information, although this preference decreased significantly over time. Control, anxiety, and demographic variables were significantly associated with the preference for type of information. Complexities of measuring the preferred type of information require further research.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Identification of communication problems between nurses and physicians in relation to informed consent for bone marrow transplantation (BMT) is the principal concern of this research. Sixteen oncology nurses and five oncology physicians were interviewed in regard to their perceptions of informed consent with adult BMT patients and their roles and responsibilities in the consent process. The interviews were audiotape-recorded and transcribed. Content analysis of the transcriptions revealed that the nurses focused on the process of informed consent, whereas physicians focused on the options and outcomes. The roles and responsibilities identified for the nurse, physician, and patient in the consent process by nurses and physicians demonstrated a mixture of agreement and disagreement. The principal nursing roles and responsibilities identified were patient advocacy and patient education. The principal roles and responsibilities identified for the physicians were providing the patient with information and validating patient understanding. For the patient, participating in the consent process and being receptive to information were seen as the major roles and responsibilities. The findings are discussed in relation to current research. Implications for bone marrow transplantation nursing practice and recommendations for research are provided.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

This descriptive study explored the demands made by spouse caregivers of terminally ill, adult cancer patients. A one-time, semistructured, at-home interview with 65 spouses, was conducted by the investigator. Content analyses of spouse caregiver interviews revealed nine major categories of caregiving demands. The demand reported most frequently (by 69% of the sample) was managing the physical care, treatment regimen, and imposed changes. The two next most frequently reported caregiving demand categories (both reported by 39% of the sample) were managing the household and finances and standing by. The other six categories included alterations in spouse caregiver's well being and patterns of living, constant vigilance, unmet expectations from health care system, cancer itself, anticipating the future, and alterations in relationship with ill spouse. This research provides new information as to the demands experienced by family members who are caring for a spouse with advanced cancer in the home.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

A community needs assessment found that locating available cancer-related resources was a top priority of professionals, cancer patients, and their families. The LYFe Foundation, a local nonprofit organization, published a small resource manual called the Cancer Services Directory (CSD). However, it had a small circulation. With the collaborative effort of three graduate nursing students, the LYFe Foundation began a wider distribution process. The Resources Made Public (RMP) model was developed to assist in the dissemination of CSDs throughout the community.

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

The highly specialized skills involved in the care of cancer patients are not consistently addressed at the baccalaureate level of nursing education. This curricular deficiency was most clearly documented in a national survey of cancer education in schools of nursing. Survey results indicated that the most frequent amount of time devoted to cancer nursing content was 14.5 h. In response to this curricular deficit, nurse educators, students, and American Cancer Society personnel from a large midwestern city banded together to develop a cancer education workshop specifically designed to meet the needs of nursing students. The initial 1-day workshop took place in 1984 and was so successful that it has become an annual event. During the 4 years that the Nursing Student Cancer Workshop has been offered, 809 students have participated. Student evaluations reveal that the workshop enhances the learning of cancer concepts presented within their baccalaureate nursing programs. The purpose of this article is to describe the objectives, development, results, and future plans of this unique cancer nursing educational project. It is hoped that this project will motivate and encourage nurse educators nationwide

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0162-220X    

出版商:OVID    

年代:1987

数据来源: OVID