The association between the strength of the working alliance and sharing concerns by advanced cancer patients: a pilot study

2015 ◽  
Vol 24 (1) ◽  
pp. 319-325 ◽  
Author(s):  
Gil Bar-Sela ◽  
Sivan Yochpaz ◽  
Rachel Gruber ◽  
Doron Lulav-Grinwald ◽  
Inbal Mitnik ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cancer Patients ◽  
Working Alliance ◽  
Advanced Cancer ◽  
Advanced Cancer Patients

scholarly journals Shifting Palliative Care Paradigm in Primary Care From Better Death to Better End-of-Life : A Swiss Pilot Study

2021 ◽  
Author(s):  
Johanna Sommer ◽  
Christopher Chung ◽  
Dagmar M. Haller ◽  
Sophie Pautex
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Palliative Care ◽  
Pilot Study ◽  
End Of Life ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Communication Skills ◽  
Advanced Cancer Patients

Abstract Background: Patients suffering from advanced cancer often loose contact with their primary care physician (PCP) during oncologic treatment and palliative care is introduced very late.The aim of this pilot study was to test the feasibility and procedures for a randomized trial of an intervention to teach PCPs a palliative care approach and communication skills to improve advanced cancer patients’ quality of life. Methods: Observational pilot study in 5 steps. 1) Recruitment of PCPs. 2) Intervention: training on palliative care competencies and communication skills addressing end-of-life issues.3) Recruitment of advanced cancer patients by PCPs. 4) Patients follow-up by PCPs, and assessment of their quality of life by a research assistant 5) Feedback from PCPs using a semi-structured focus group and three individual interviews with qualitative deductive theme analysis.Results: 8 PCPs were trained. PCPs failed to recruit patients for fear of imposing additional loads on their patients. PCPs changed their approach of advanced cancer patients. They became more conscious of their role and responsibility during oncologic treatments and felt empowered to take a more active role picking up patient’s cues and addressing advance directives. They developed interprofessional collaborations for advance care planning. Overall, they discovered the role to help patients to make decisions for a better end-of-life.Conclusions: PCPs failed to recruit advanced cancer patients, but reported a change in paradigm about palliative care. They moved from a focus on helping patients to die better, to a new role helping patients to define the conditions for a better end-of-life.Trial registration : The ethics committee of the canton of Geneva approved the study (2018-00077 Pilot Study) in accordance with the Declaration of Helsinki

A pilot study to evaluate the effect of reflexology on mood and symptom rating of advanced cancer patients

2002 ◽  
Vol 16 (6) ◽  
pp. 544-545 ◽  
Author(s):  
C SK Ross ◽  
J Hamilton ◽  
G Macrae ◽  
C Docherty ◽  
A Gould ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Advanced Cancer Patients ◽  
Symptom Rating

Perceptions of the working alliance among medical staff and cancer patients

2015 ◽  
Vol 14 (3) ◽  
pp. 199-203 ◽  
Author(s):  
Gil Bar-Sela ◽  
Inbal Mitnik ◽  
Doron Lulav-Grinwald
Keyword(s):  
Cancer Patients ◽  
Working Alliance ◽  
Advanced Cancer ◽  
Medical Staff ◽  
Medical Setting ◽  
Advanced Cancer Patients ◽  
Staff Members ◽  
Working Alliance Inventory ◽  
Significant Difference ◽  
Staff Interactions

ABSTRACTObjective:A working alliance (WA) is considered an essential factor in therapeutic relationships, relating to the mutual and interactive aspects of the relationship. In the medical setting, a WA has been found to be related to various positive outcomes; however, it has previously been investigated solely from the patient's perspective. The aim of the current study was to measure the concept from both sides of the patient–medical staff interaction.Method:Physicians, nurses, and advanced cancer patients completed the Working Alliance Inventory–Short Revised.Results:Some 32 physicians, 39 nurses, and 52 advanced cancer patients completed the study. Senior staff members rated the WA higher than trainees, both among physicians and nurses. Physicians and nurses rated the “bonds” subscale highest, while patients rated “goals” at the highest level. In addition, a significant difference was demonstrated between physicians and patients, with patients rating the WA higher.Conclusions:These preliminary findings demonstrate different perspectives among advanced cancer patients and medical staff interactions. Future studies should investigate the interactive aspects of the WA concept in the medical setting.Significance of results:Awareness of the working alliance in patient–staff interactions may improve the quality of treatment given to patients confronting cancer.

An Exercise Intervention for Advanced Cancer Patients Experiencing Fatigue: A Pilot Study

2000 ◽  
Vol 16 (3) ◽  
pp. 30-36 ◽  
Author(s):  
Davina Porock ◽  
Linda J. Kristjanson ◽  
Karen Tinnelly ◽  
Trish Duke ◽  
Joanne Blight
Keyword(s):  
Pilot Study ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Exercise Intervention ◽  
Advanced Cancer Patients

Effectiveness of aroma massage on advanced cancer patients with constipation: A pilot study

2011 ◽  
Vol 17 (1) ◽  
pp. 37-43 ◽  
Author(s):  
T.K.T. Lai ◽  
M.C. Cheung ◽  
C.K. Lo ◽  
K.L. Ng ◽  
Y.H. Fung ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Advanced Cancer Patients
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