Nursing care based on the Support-Based Spiritual Care Model increases hope among women with breast cancer in Iran

2021 ◽  
Author(s):  
Edris Khezri ◽  
Mohammad Iraj Bagheri-Saveh ◽  
Marya Maryam Kalhor ◽  
Mozhgan Rahnama ◽  
Daem Roshani ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Nursing Care ◽  
Spiritual Care ◽  
Care Model

Needs in breast cancer patients (pts) during chemotherapy: Customer satisfaction evaluation

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e20679-e20679
Author(s):  
V. D. Ferrari ◽  
L. Ferrari ◽  
S. Grisanti ◽  
F. Consoli ◽  
F. Valcamonico ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Nursing Care ◽  
Spiritual Care ◽  
Statistical Evaluation ◽  
Palliative Chemotherapy ◽  
Breast Cancer Patients ◽  
Eligibility Criteria ◽  
Customer Satisfaction Evaluation ◽  
Satisfaction Evaluation

e20679 Background: Satisfied patients demonstrate higher levels of compliance for the course of their treatment and the probability of successful treatment completion thus considerably increases. Analysis of pts needs is the base of pts satisfaction. The present analysis aims to identify the needs of our in-outpatients who received chemotherapy. Methods: 134 pts with breast cancer who underwent chemotherapy during 3 months (from 15 September to 30 November) were eligible for study. We administered the “Need Evaluation Questionnaire” (NED) validated by U.O. Psiconcologia Istituto Nazionale Tumori Mi) to 125 pts after consent, 9 pts (7%) refused to answer items. NED was built on 23 items in 7 domains of necessity: 1) information on diagnoses, prognoses, diagnostics tests and treatments (items 1–4); 2) relationship between pts and physicians or nurses (items 5–8), 3) nursing and supportive care (items 9 -13) 4) Hospital service (item 14); 5) economical aspects (items 15–16); 6) psychological, ethical, spiritual care (items 17,18,19,23); 7) relationship with relative. NED makes a quantitative evaluation of necessity with simple questions. Eligibility criteria required age ≥ 18 yrs (median age of pts was 55 yrs), histologically proven breast cancer; at lest 1 completed cycles of neoadjuvant or adjuvant or palliative chemotherapy. 96 (77%) pts completed questionnaire by their self, and 29 pts (23%) were helped because of practical problems (infusional therapy, no glasses at so on ). We choose a descriptive quantitative statistical evaluation for every item. Results: 93 % of pts completed NED questionnaire. More significant data were reported afterward and answers were allocated among the 7 domains: 1) more information about prognosis was required by 52 % of pts; 2) 90 % of pts thought that physicians embroiled them in therapeutic choices, but 36% of pts required information about future and quality of life 3) 96% of pts considered very good nursing care; 4) positive for all pts 5) 26% of pts required more informations about insurance, tickets 6) 13 and 14 % of pts required psychological or spiritual relationship; 7) women generally had support by relatives. Conclusions: this analysis shows that needs of our pts generally received responses, but answers also emphasized assurances on pts’ future. No significant financial relationships to disclose.

scholarly journals Barriers for the inclusion of sexuality in nursing care for women with gynecological and breast cancer: perspective of professionals

2015 ◽  
Vol 23 (1) ◽  
pp. 82-89 ◽  
Author(s):  
Simone Mara de Araújo Ferreira ◽  
Thais de Oliveira Gozzo ◽  
Marislei Sanches Panobianco ◽  
Manoel Antônio dos Santos ◽  
Ana Maria de Almeida
Keyword(s):  
Breast Cancer ◽  
Nursing Care ◽  
Nursing Assistants ◽  
University Hospital ◽  
Biomedical Model ◽  
Institutional Dynamics ◽  
Individual Interviews ◽  
The Social ◽  
Care Practices ◽  
Two Sectors

AIM: qualitative study, which aimed to identify the barriers that influence nursing care practices related to the sexuality of women with gynecological and breast cancer.METHODS: the study was conducted with 16 professionals of the nursing area (nurses, nursing technicians and nursing assistants) from two sectors of a university hospital situated in the state of São Paulo, Brazil. The data was collected using semi-structured, in-depth individual interviews. All the interviews were recorded and the participants' responses were identified and categorized using Content Analysis.RESULTS: three major themes were identified. These are as follows: 1) barriers related to the biomedical model; 2) barriers related to institutional dynamics and 3) barriers related to the social interpretations of sexuality.CONCLUSIONS: the results of this study showed that the systematized inclusion of this issue in nursing care routines requires changes in the health paradigm and in the work dynamic, as well as reflection on the personal values and social interpretations related to the topic. A major challenge is to divest sexuality of the taboos and prejudices which accompany it, as well as to contribute to the nursing team being more aware of the difficulties faced by women with gynaecological and breast cancer.

scholarly journals Hubungan Karakteristik Perawat Dengan Pelaksana Asuhan Keperawatan Spiritual Islami Di Ruang Inap Dewasa Rumah Sakit Kabupaten Bandung

2020 ◽  
Vol 7 (2) ◽  
pp. 125
Author(s):  
Inggriane Dewi ◽  
Rahmat Sastro ◽  
Suryadi Alamsyah
Keyword(s):  
Nursing Care ◽  
Spiritual Care ◽  
Direct Action ◽  
Spiritual Needs ◽  
P Value ◽  
Training Experience ◽  
Cross Sectional ◽  
Care Nurse ◽  
Data Collection Technique ◽  
Nursing Diagnoses

Kesenjangan antara pemenuhan kebutuhan spiritual oleh perawat dengan yang diterima oleh pasien rawat inap dewasa di rumah sakit Kabupaten Bandung ini mendorong sebuah penelitian dengan tujuan menganalisis implementasi asuhan keperawatan spiritual muslim di ruang rawat inap dewasa. Desain penelitian yang digunakan dalam penelitian ini adalah deskriptif korelatif, dengan pendekatan Cross Sectional sampel dalam penelitian ini adalah semua perawat pelaksana yang melakukan tindakan langsung kepada pasien yaitu sebanyak 39 orang dan pasien yang telah dirawat di ruangan ≥ 3 hari. Teknik pengambilan data dengan menggunakan kuesioner bagi perawat dan pasien, selain itu peneliti melakukan observasi terhadap dokumentasi asuhan spiritual Islami yang telah dilakukan perawat serta wawancara pada perawat.Hasil penelitian menunjukan pelaksanaan spiritual care Islami di ruang rawat inap dewasa ini, sebagian besar belum terlaksana (53%), data didukung oleh pernyataan pasien (68%) mengatakan kurang mendapatkan asuhan spiritual dari perawat serta aspek pendokumentasian yang kurang (33%) untuk pengkajian dan penegakan diagnosa keperawatan, sementara untuk perencanaan, implementasi dan evaluasi 100% tidak terdokumentasi. Terdapat hubungan antara jenis kelamin, pelatihan dan lama kerjaperawat  dengan pelaksanaan asuhan keperawatan spiritual Islami (nilai P = 0,000) dan terdapat hubungan jenis kelamin dan lama kerja perawat dengan pendokumentasian asuhan keperawatan spiritual Islami dengan (nilai P 0,000).Kata kunci                : asuhan keperawatan spiritual islami; perawat; dokumentasiTHE CORRELATION BETWEEN NURSE CHARACTERISTICS AND THE IMPLEMENTATION OF ISLAMIC SPIRITUAL NURSING CARE IN ADULT WARD OF BANDUNG DISTRICT HOSPITAL Abstract  The gap between the fulfillment of spiritual needs by nurses and those received by adult inpatients room at Bandung Regency hospital encourages a study with the aim of analyzing the implementation of Muslim spiritual nursing care in adult inpatients. The research design used in this study was descriptive correlative, with a cross sectional approach. The sample in this study were all nurses who took direct action on the patient, as many as 39 people and patients who had been treated in the room ≥ 3 days. The data collection technique used a questionnaire for nurses and patients. In addition, the researcher made observations on the documentation of Islamic spiritual care that had been carried out by nurses and interviews with nurses. The results of the study show that the implementation of Islamic spiritual care in inpatient rooms today has not largely been implemented (53%), the data is supported by statements of patients (68%) saying they do not get spiritual care from nurses and lack of documentation (33%) for assessment and enforcement of nursing diagnoses, while for planning, implementation and evaluation they are 100% undocumented. There is a relationship between gender, training experience and length of work of nurses with the implementation of Islamic spiritual nursing care (value P = 0.000) and there is a relationship between gender and length of work of nurses with documentation of Islamic spiritual nursing care with (P value 0,000).. Keywords: islamicspiritual nursing care;nurse; documentation

scholarly journals Determinant Factors of Supervisor Model 4S (Structure, Skill, Support, Sustainability) Against the Implementation of Islamic Spiritual Care

2021 ◽  
Vol 12 (1) ◽  
pp. 33-41
Author(s):  
Inggriane Puspita Dewi ◽  
Dewi Mustikaningsih
Keyword(s):  
Nursing Care ◽  
Spiritual Care ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Adult Inpatient ◽  
Supervision Model ◽  
Spearman Test ◽  
The Relationship

Introduction: The supervision model commonly applied in nursing is the 4S model, namely the Structure, Skill, Support and Sustainability (4S) stages. This supervision model can be applied by the head of the room and the head of the shift as a supervisor in overseeing the implementation of Islamic spiritual nursing care in adult inpatient rooms. Purpose: to analyze the relationship between the role of the 4S supervisor model and the implementation of Islamic spiritual nursing care in adult inpatient rooms. Methods: the study used a cross sectional method. The sampling technique with a proportionate stratified random sampling was 62 nurses. Data analysis used univariate, bivariate analysis with Spearman test, and multivariate with logistic regression. Results: showed the role of the 4S supervisor model was good (88.7%), the implementation of Islamic nursing care was good category (52%), there was a relationship between the role of model supervision 4S with the implementation of Islamic spiritual care, with a significance value of <0.0001 and the strongest relationship between the 4S model and the implementation of Islamic spiritual care is the variable skill and sustainability, seen from the significance value for skills of 0.05 (Pvalue ≤0.05), and sustainability of 0.01 (Pvalue ≤0.05). The strength of the relationship is seen based on the OR [EXP {B}] value, respectively, skill (0.194) and sustainability (0.109). Discussion: The probability of nurses implementing Islamic nursing care well is 90% if they provide Islamic spiritual nursing care skills and continuous supervision by the hospital supervisor. 

Breast Cancer Stage Is Associated With Exceeding Target Price in the Oncology Care Model

2021 ◽  
Author(s):  
Ryan B. Thomas ◽  
Vittorio Maio ◽  
Anna Chen ◽  
Seojin Park ◽  
Dexter Waters ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Academic Medical Center ◽  
Stage Iv ◽  
Cost Of Care ◽  
Mean Difference ◽  
Cancer Stage ◽  
Care Model ◽  
Target Price ◽  
Old Patients ◽  
Oncology Care

PURPOSE: To explore mean difference between Oncology Care Model (OCM) total costs and target price among breast cancer episodes by stage under the Centers for Medicare and Medicaid Services OCM payment methodology. METHODS: Breast cancer episodes from OCM performance period 1-4 reconciliation reports (July 1, 2016-July 1, 2018) were linked with health record data from a large, academic medical center. Demographics, total cost of care (TCOC), and target price were measured by stage. Adjusted differences between TCOC and target price were compared across cancer stage using multivariable linear regression. RESULTS: A total of 539 episodes were evaluated from 252 unique patients with breast cancer, of which 235 (44%) were stage I, 124 (23%) stage II, 33 (6%) stage III, and 147 (27%) stage IV. About 37% of episodes exceeded target price. Mean differences from target price were –$1,782, $2,246, –$6,032, and $11,379 all in US dollars (USD) for stages I through IV, respectively. Stage IV episodes had highest mean TCOC ($44,210 USD) and mean target price ($32,831 USD) but also had higher rates of chemotherapy, inpatient admission, and novel therapy use. After adjusting for covariates, stage IV and ≥ 65-year-old patients had the highest mean difference from target price ($17,175 USD; 95% CI, $12,452 to $21,898 USD). CONCLUSION: Breast cancer episodes in older women with distant metastases most frequently exceeded target price, suggesting that target price did not adequately account for complexity of metastatic cancers. A metastatic adjustment introduced in PP7 represents a promising advancement in the target price methodology and an impact evaluation will be needed.

scholarly journals Sleep quality of women with gynecological and breast cancer

2006 ◽  
Vol 14 (6) ◽  
pp. 872-878 ◽  
Author(s):  
Renata Furlani ◽  
Maria Filomena Ceolim
Keyword(s):  
Breast Cancer ◽  
Sleep Quality ◽  
Nursing Care ◽  
Pittsburgh Sleep Quality Index ◽  
Night Sleep ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Waking Up ◽  
Careful Assessment

Subjective sleep quality has been recognized as a valuable indicator of health and quality of life. This exploratory and descriptive study aimed at describing habitual sleep quality of women suffering from gynecological and breast cancer and comparing habitual versus sleep quality during hospitalization. Twenty-five women admitted in hospital for clinical treatment of cancer completed the Pittsburgh Sleep Quality Index (PSQI) within 72 hours after admission and again just before discharge. Fifty-two percent of subjects reported habitual bad sleep quality, and this proportion increased to 80% of subjects during hospital stay. Subjects indicated the following most frequent causes of night sleep disturbance: need to go to the toilet, waking up early and receiving nursing care during the night. Results point to the importance of including careful assessment of sleep quality and environment in nursing care planning for oncology patients, mainly during hospitalization.

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