scholarly journals Attitudes and opinions towards suicidality in professionals working with oncology patients: results from an online survey

2021 ◽  
Author(s):  
Bianca Senf ◽  
Paula Maiwurm ◽  
Jens Fettel
Keyword(s):  
Cancer Patient ◽  
Cancer Patients ◽  
Assisted Suicide ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Loss Of Control ◽  
Online Questionnaire ◽  
Oncological Patients ◽  
Personal Experiences ◽  
Commit Suicide

Abstract Objective To explore and describe attitudes and opinions towards suicidality in healthcare professionals (HCPs) working with oncological patients. Methods A 48-item online questionnaire was developed and distributed to HCPs working with cancer patients. Three hundred fifty-four answered questionnaires were analyzed. Results The majority of HCPs reported that they were able to understand why a cancer patient would commit suicide (87.8%) or would seek help from an assisted suicide organization (ASO; 83.9%). The understandable reasons were pain and physical impairments (51.4%), social isolation (19.8%), loss of control and autonomy (18.1%), terminal disease (17.2%), loss of meaning (15.3%), desperation (14.7%), and psychic distress (9.3%). Personal experiences with suicidality lead only 44.8% of HCPs to believe that thereby they would be better able to understand a patients’ wish for suicide. Religion was negatively associated with understanding of suicide and why a cancer patient would seek help from an ASO. Knowledge of suicidality was positively associated with why a cancer patient would seek help from an ASO. Conclusions There is still little knowledge in oncology about the relation of HCPs’ attitudes toward suicidality in their patients and how those attitudes influence their behavior, especially care and treatment of patients. More research on this topic is needed. It stands to reason that more education about suicidality in cancer patients seems likely to improve understanding and attitudes and thereby influence care for cancer patients.

scholarly journals Attitudes And Opinions Towards Suicidality In Professionals Working With Oncology Patients: Results From An Online Survey

2021 ◽  
Author(s):  
Bianca Senf ◽  
Paula Maiwurm ◽  
Jens Fettel
Keyword(s):  
Cancer Patient ◽  
Cancer Patients ◽  
Assisted Suicide ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Loss Of Control ◽  
Online Questionnaire ◽  
Physical Impairments ◽  
Personal Experiences ◽  
Commit Suicide

Abstract Objective: To explore and describe attitudes and opinions towards suicidality in healthcare professionals (HCP) working with oncological patients.Methods: A 48-item online questionnaire was developed and distributed to HCPs working with cancer patients. Three hundred fifty-four answered questionnaires were analyzed.Results: The majority of HCPs reported that they were able to understand why a cancer patient would commit suicide (87.8%) or would seek help from an assisted suicide organization (ASO; 83.9%). Understandable reasons were pain and physical impairments (34.7%), social isolation (13.4%), loss of control and autonomy (12.2%), terminal disease (11.6%), loss of meaning (10.3%), desperation (9.9%), and psychic distress (6.3%). Personal experiences with suicidality lead only 44.8% of HCPs to believe that thereby they would be better able to understand a patients’ wish for suicide. Religion was negatively associated with understanding of suicide and why a cancer patient would seek help from an ASO. Knowledge of suicidality was positively associated with why a cancer patient would seek help from an ASO.Conclusions: There is still little knowledge in oncology about the relation of HCPs’ attitudes toward suicidality in their patients and how those attitudes influence their behavior, especially care and treatment of patients. More research on this topic is needed. It stands to reason that more education about suicidality in cancer patients seems likely to improve understanding and attitudes and thereby influence care for cancer patients.

scholarly journals The provision of nutritional advice and care for cancer patients: a UK national survey of healthcare professionals

2020 ◽  
Author(s):  
Jane L. Murphy ◽  
Fehmidah Munir ◽  
Fiona Davey ◽  
Laura Miller ◽  
Ramsey Cutress ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Nutrition Education ◽  
National Survey ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Professional Groups ◽  
Nutritional Guidelines ◽  
Nutritional Advice ◽  
Information Awareness ◽  
And Training

Abstract Purpose People living with and beyond cancer often experience nutrition-related issues and should receive appropriate advice on nutrition that is consistent and evidence based. The aim of this study was to investigate current practice for the provision of nutritional care by healthcare professionals (HCPs) from a UK national survey produced by the National Institute for Health Research (NIHR) Cancer and Nutrition Collaboration. Methods An online survey sent to professional groups and networks included questions on discussing nutrition, providing information, awareness of guidelines, confidence in providing nutritional advice, training and strategies for improving nutritional management. Results There were 610 HCPs who responded including nurses (31%), dietitians (25%), doctors (31%) and speech and language therapists (9%). The majority of HCPs discusses nutrition (94%) and provides information on nutrition (77%). However, only 39% of HCPs reported being aware of nutritional guidelines, and just 20% were completely confident in providing nutritional advice. Awareness of guidelines varied between the different professional groups with most but not all dietitians reporting the greatest awareness of guidelines and GPs the least (p = 0.001). Those HCPs with a greater awareness of guidelines had received training (p = 0.001) and were more likely to report complete confidence in providing nutritional advice (p = 0.001). Conclusion Whilst HCPs discuss nutrition with cancer patients and may provide information, many lack an awareness of guidelines and confidence in providing nutritional advice. To ensure consistency of practice and improvements in patient care, there is scope for enhancing the provision of appropriate nutrition education and training.

scholarly journals Application of the Stress and Anxiety to Viral Epidemics-6 (SAVE-6) and Coronavirus Anxiety Scale (CAS) to Measure Anxiety in Cancer Patient in Response to COVID-19

2020 ◽  
Vol 11 ◽  
Author(s):  
Myung Hee Ahn ◽  
Jihoon Lee ◽  
Sooyeon Suh ◽  
Sangha Lee ◽  
Hwa Jung Kim ◽  
...  
Keyword(s):  
Mental Health ◽  
Cancer Patient ◽  
Cancer Patients ◽  
Social Adjustment ◽  
Functional Impairment ◽  
Anxiety Scale ◽  
Online Questionnaire ◽  
Patients With Cancer ◽  
Study Population ◽  
Social Adjustment Scale

This study investigated the usefulness of the six-item Stress and Anxiety to Viral Epidemics (SAVE-6) scale and the Coronavirus Anxiety Scale (CAS) as tools to assess anxiety related to coronavirus disease (COVID-19) in cancer patients. A total of 221 patients with cancer responded to an anonymous online questionnaire between 15 July and 15 August 2020. The functional impairment of the patients was assessed using the Work and Social Adjustment Scale (WSAS), and the SAVE-6 and CAS were also applied. Among these 221 cancer patients, 110 (49.8%) had SAVE-6 scores ≥ 15 and 21 (9.5%) had CAS scores ≥ 5. Within the study population, 104 (47.1%) and 29 (13.1%) patients had WSAS scores ≥ 11 (moderate to severe functional impairment) and ≥ 21 (severe functional impairment), respectively. The correlations between the SAVE-6 and WSAS (p < 0.001) and CAS (p < 0.001) scores were statistically significant. The cut-off for the SAVE-6 was 15 points, while that for the WSAS was 11. Our results suggested that the SAVE-6 and CAS could be used to evaluate moderate and severe degrees of functional impairment related to mental health, respectively, in cancer patients during viral epidemics.

Euthanasia and physician-assisted suicide in cases of terminal cancer: the opinions of physicians and nurses in Greece

2008 ◽  
Vol 48 (4) ◽  
pp. 333-341 ◽  
Author(s):  
Efi Parpa ◽  
Kyriaki Mystakidou ◽  
Eleni Tsilika ◽  
Pavlos Sakkas ◽  
Elisabeth Patiraki ◽  
...  
Keyword(s):  
Cancer Patient ◽  
Cancer Patients ◽  
Assisted Suicide ◽  
Terminally Ill ◽  
Respiratory Arrest ◽  
Terminal Cancer ◽  
Physician Assisted Suicide ◽  
Advanced Cancer Patients ◽  
Terminally Ill Cancer Patients ◽  
Hastened Death

The aim of this study was to investigate the opinions of physicians and nurses on euthanasia and physician-assisted suicide in advanced cancer patients in Greece. Two hundred and fifteen physicians and 250 nurses from various hospitals in Greece completed a questionnaire concerning issues on euthanasia and physician-assisted suicide. More physicians (43.3%) than nurses (3.2%, p<0.0005) reported that in the case of a cardiac or respiratory arrest, they would not attempt to revive a terminally ill cancer patient. Only 1.9% of physicians and 3.6% of nurses agreed on physician-assisted suicide. Forty-seven per cent of physicians and 45.2% of nurses would prefer the legalization of a terminally ill patient's hastened death; in the case of such a request, 64.2% of physicians and 55.2% of nurses (p=0.06) would consider it if it was legal. The majority of the participants tended to disagree with euthanasia or physician-assisted suicide in terminally ill cancer patients, probably due to the fact that these acts in Greece are illegal.

scholarly journals WILLINGNESS TO WORK AMONGST AUSTRALIAN FRONTLINE HEALTHCARE WORKERS DURING AUSTRALIA’S FIRST WAVE OF COVID-19 COMMUNITY TRANSMISSION: RESULTS OF AN ONLINE SURVEY

2021 ◽  
pp. 1-24
Author(s):  
Michella Hill ◽  
Erin Smith ◽  
Brennen Mills
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Protective Equipment ◽  
Online Questionnaire ◽  
Public Health Emergencies ◽  
Community Transmission ◽  
Frontline Healthcare Workers ◽  
Insight Into

Abstract Objectives The majority of research investigating healthcare workers’ (HCWs) willingness to work during public health emergencies asks participants to forecast their perceptions based on hypothetical emergencies, rather than in response to actual public health emergencies they have experienced. This research explored frontline HCWs willingness to work during Australia’s first wave of the COVID-19 pandemic among frontline HCWs. Methods Participants (n=580) completed an online questionnaire regarding their willingness to work during the pandemic. Results Forty-two percent of participants reported being less willing to work during the pandemic compared to before. Availability of personal protective equipment (PPE), concern expressed by family members, and viral exposure were significant barriers. One-third of participants disagreed that some level of occupational risk for exposure to infectious disease was acceptable. One-quarter of participants had received communications from their workplace concerning obligations to work during COVID-19. Conclusions The COVID-19 pandemic has impacted Australian frontline HCWs’ willingness to work. Scarcity of PPE and exposure to the virus were the most cited reasons impacting on willingness to work. Appropriate policies and practices should be implemented and communicated efficiently to frontline HCW’s. This research provides insight into the lived experiences of Australian healthcare professionals’ willingness to work during a pandemic.

scholarly journals Application of the Stress and Anxiety to Viral Epidemic-6 (SAVE-6) and Coronavirus Anxiety scales (CAS) to measure cancer patient anxiety in response to the COVID-19

2020 ◽  
Author(s):  
Myung Hee Ahn ◽  
Jihoon Lee ◽  
Sooyeon Suh ◽  
Sangha Lee ◽  
Hwa Jung Kim ◽  
...  
Keyword(s):  
Mental Health ◽  
Cancer Patient ◽  
Cancer Patients ◽  
Social Adjustment ◽  
Functional Impairment ◽  
Patient Anxiety ◽  
Online Questionnaire ◽  
Patients With Cancer ◽  
Study Population ◽  
Social Adjustment Scale

This study investigated the usefulness of the 6-item Stress and Anxiety to Viral Epidemics (SAVE-6) scale and the Coronavirus Anxiety Scale (CAS) as tools to assess anxiety related to coronavirus disease (COVID-19) in cancer patients. A total of 221 patients with cancer responded to an anonymous online questionnaire between July 15 and August 15, 2020. The functional impairment of the patients was assessed using the Work and Social Adjustment Scale (WSAS), and the SAVE-6 and CAS were also applied. Among these 221 cancer patients, 110 (49.8%) had SAVE-6 scores ≥15 and 21 (9.5%) had CAS scores ≥5. Within the study population, 104 (47.1%) and 29 (13.1%) patients had WSAS scores ≥11 (moderate to severe functional impairment) and ≥21 (severe functional impairment), respectively. The correlations between the SAVE-6 and WSAS (p &lt; 0.001) and CAS (p &lt; 0.001) scores were statistically significant. The cut-off for the SAVE-6 was 15 points, while that for the WSAS was 11. Our results suggested that the SAVE-6 and CAS could be used to evaluate moderate and severe degrees of functional impairment related to mental health, respectively, in cancer patients during viral epidemics.

Consensus on evidence-based medicine curriculum contents for healthcare schools in Brazil

2021 ◽  
pp. bmjebm-2020-111397
Author(s):  
Gabriela Andrade Araujo ◽  
Luis Claudio Lemos Correia ◽  
Julia Rodrigues Siqueira ◽  
Leandro Calazans Nogueira ◽  
Ney Meziat-Filho ◽  
...  
Keyword(s):  
Evidence Based Medicine ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Expert Panel ◽  
Evidence Based ◽  
Moderate Degree ◽  
Online Questionnaire ◽  
The Mean ◽  
Based Medicine ◽  
Total Workload

ObjectivesHealthcare professionals need to take into account their knowledge, skills and attitudes to develop a focused clinical question, perform an effective search of the literature, critically appraise the evidence, and apply to the clinical context and evaluate the effectiveness of the process. To date, there is a lack of consensus on evidence-based medicine (EBM) curriculum for undergraduate healthcare students in Brazil. The aim of this study was to develop a consensus on EBM curriculum contents for healthcare schools in Brazil considering expert opinion.DesignModified three-round Delphi methodology.SettingOnline survey.ParticipantsThe expert panel was composed of 40 healthcare professionals from different specialties. Most of the participants (n=24; 60%) were female with the age between 30 and 44 years. Participants were also experts in the field of epidemiology, biostatistics or public health. The mean experience of experts in teaching EBM was 9.5 years.Main outcome measuresAn online questionnaire consisting of 89 items related to EBM was sent to the experts. The experts ranked each item of EBM curriculum considering the importance of each item as omitted, mentioned, explained or practised. The last section of the questionnaire was composed of ‘additional content’ where the experts evaluated only if an item should be included or not, the form of offering the EBM contents and the total workload (in hours/semester). Open-ended questions were present in each section to give the opportunity to experts to insert suggestions. Items that reached values greater than or equal to 70% of agreement among experts was considered definitive for the curriculum. Items between 51% and 69% of agreement were included for the next round and those items with less than or equal to 50% of agreement were considered unnecessary and were excluded. In the third round, the EBM contents were classified according to the degree of consensus as follow: strong (≥70% of agreement), moderate (51%–69% of agreement) and weak (50% of agreement) based on the maximum consensus reached.ResultsOf the 89 initial contents, 32 (35.9%) reached a strong degree of consensus, 23 (25.8%) moderate degree of consensus, two (2.2%) weak degree of consensus and 35 items were not recommended (≤50% of agreement). The workload suggested by experts should be between 61 and 90 hour/semester and an EBM curriculum should be offered with epidemiology and biostatistics as prerequisites. Regarding the importance of each item, 29 (72.5%) should be explained and 25 (27.5%) should be practised with exercises.ConclusionsThe consensus on an EBM curriculum for Brazilian healthcare schools consists of 54 items. This EBM curriculum also presents the degree of consensus (strong, moderate and weak), the importance of each item (mentioned, explained and practised with exercises). A total workload of between 60 and 90 hours per semester was suggested and the EBM curriculum should be offered with epidemiology and biostatistics as prerequisites, but also EBM contents should be included within other disciplines throughout the entire undergraduate course.

The Design and Evaluation of an Intelligent Pain Management System (IPMS) in Cancer Patient Care

2020 ◽  
pp. 199-218
Author(s):  
Y. Ken Wang ◽  
Juan J. Gu ◽  
Yunheng Sun ◽  
Feng Jiang ◽  
Hongwei Hua ◽  
...  
Keyword(s):  
Pain Management ◽  
Cancer Patient ◽  
Patient Care ◽  
Cancer Patients ◽  
Management System ◽  
Healthcare Professionals ◽  
System Development ◽  
Low Cost ◽  
Management Tool ◽  
Development Lifecycle

This case study reviews the design and development of a mobile-based intelligent pain management system (IPMS) app in cancer patient care and pain management in a rural hospital in China. Healthcare professionals were involved throughout the design to the evaluation stages. The IPMS facilitated real-time pain recording and timely intervention among cancer patients with pain. To evaluate the effectiveness of the IPMS, a clinical trial was administrated under the supervision of healthcare professionals. The result confirmed that the IPMS was a feasible, effective, and low-cost pain management tool for cancer patients and healthcare professionals. This case provides preliminary data to support the potentials of using IPMS in cancer pain management and emphasized that the involvement of healthcare professional throughout the system development lifecycle is crucial to the successful implementation of the IPMS.

Evaluating the implementation potential of a transcultural tool for Tamil migrants with gestational diabetes mellitus living in Switzerland

2017 ◽  
Vol 2 (2) ◽  
Keyword(s):  
Diabetes Mellitus ◽  
Logistic Regression ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Binary Logistic Regression ◽  
Private Practices ◽  
Populations At Risk ◽  
Management Procedures

Background: Gestational diabetes mellitus is a condition that affects many pregnancies and ethnicity appears to be a risk factor. Data indicate that approximately 18% of Tamil women are diagnosed with gestational diabetes mellitus. Today, approximately 50,000 of Tamils live in Switzerland. To date, there is no official tool available in Switzerland that considers the eating and physical activity habits of this migrant Tamil population living in Switzerland, while offering a quick overview of gestational diabetes mellitus and standard dietetics management procedures. The NutriGeD project led by Bern University of Applied Sciences in Switzerland aimed at closing this gap. The aim of this present study was to evaluate the implementation potential of the tools developed in the project NutriGeD for dietetic counseling before their wide scale launch in Swiss hospitals, clinics and private practices. Method: An online survey was developed and distributed to 50 recruited healthcare professionals working in the German speaking region of Switzerland from October – December 2016 (31% response rate). The transcultural tools were sent to participants together with the link to the online survey. The evaluation outcome was analysed using binary logistic regression and cross tabulation analysis with IBM SPSS version 24.0, 2016. Results: 94% (N=47) respondents believed that the transcultural tools had good potential for implementation in hospitals and private practices in Switzerland. A binary logistic regression analysis revealed that the age of participants had a good correlation (42.1%) on recommending the implementation potential of the transcultural tool. The participants with age group 34- 54 years old where the highest group to recommend the implementation potential of the transcultural tool and this was found to be statistically significant (p=0.05). 74% (34 out of 50) of the respondents clearly acknowledged the need for transcultural competence knowledge in healthcare practices. 80% (N =40) of the respondents agreed that the information presented in the counseling display folder was important and helpful while 60% (N= 30) agreed to the contents being clinically applicable. 90% (N=45) participants recommended the availability of the evaluated transcultural tools in healthcare settings in Switzerland. Conclusion: The availability in healthcare practice of the evaluated transcultural tools was greatly encouraged by the Swiss healthcare practitioners participating in the survey. While they confirmed the need for these transcultural tools, feed-backs for minor adjustments were given to finalize the tools before their official launch in practice. The developed materials will be made available for clinical visits, in both hospitals and private practices in Switzerland. The Migmapp© transcultural tool can serve as a good approach in assisting healthcare professionals in all fields, especially professionals who practice in areas associated with diet - related diseases or disorders associated with populations at risk.

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