The significance of fatigue in relatives of palliative patients

2010 ◽  
Vol 8 (2) ◽  
pp. 137-142 ◽  
Author(s):  
Maria E. Carlsson
Keyword(s):  
Palliative Care ◽  
Pilot Study ◽  
Psychosocial Support ◽  
Clinical Settings ◽  
Cross Sectional ◽  
Study Population ◽  
Cross Sectional Design ◽  
Palliative Phase ◽  
Close Family ◽  
Palliative Patients

AbstractObjective:The aim of this study was to explore the significance of fatigue among relatives of palliative patients.Method:This pilot study has a descriptive and cross-sectional design and is the report of four open-ended questions focusing on the relatives' experiences of fatigue. The study population consisted of relatives of patients who were cared for in palliative care settings either at home or in an institution in Uppsala County during a specific day.Results:The relatives were very tired and identified worries, uncertainty, the patient's suffering, and many demands as the causes for the fatigue. The most obvious consequences of the tiredness were a lack of motivation, feelings of insufficiency and apathy, and putting their own interests aside. Many relatives expressed that having the company of close family members, taking exercise and spending time outdoors gave them strength to carry on. The health care system could make the situation easier for relatives of patients in palliative care by providing good care for the patient, and psychosocial support and respite care for the relatives.Significance of results:The result of the pilot study is only preliminary, but it showed that relatives caring for patients in a late palliative phase suffer from great fatigue and require more attention, both scientifically and in the clinical settings.

Nurses experience of communication with palliative patients in critical care unit: Saudi experience

2016 ◽  
Vol 5 (2) ◽  
pp. 102 ◽  
Author(s):  
Hanan Alshehri ◽  
Samantha Ismaile
Keyword(s):  
Palliative Care ◽  
Critical Care ◽  
Do Not Resuscitate ◽  
Cross Sectional ◽  
Advanced Directives ◽  
Critical Care Units ◽  
Feeding Tubes ◽  
Common Causes ◽  
Cross Sectional Design ◽  
Palliative Patients

Communication is crucial regardless of a patient's condition in Critical Care Units (CCU). However; communication barriers are common in CCU. In recent years there has been a rapid growth within hospital settings in the provision of palliative care according to patient needs. The purpose of the research study was to investigate nurses’ experiences of communication with palliative patients in CCU. A cross sectional design was conducted using questionnaire. The study sample included nurses who were working in CCU. The total number of completed and submitted questionnaires were 61. The majority of respondents were females. The results show that 49% of respondents have experienced difficulties in palliative care tasks while 41% respondents have complications with communication in palliative care. Also, nurses who took part in this study reported difficultly in discussing decisions such as advanced directives, do not resuscitate orders, and feeding tubes. In conclusion, nurses experience difficulty with communication whilst carrying out palliative care tasks in critical care units. The common causes of communication difficulty are because of the complexity of palliative care tasks, language barriers, shortage of staff and feeling un-empowered. Moreover, there is a lack of education programs centered around enhancing communication difficulties between nurses and palliative patients.

Factors associated with feelings of reward during ongoing family palliative caregiving

2014 ◽  
Vol 13 (3) ◽  
pp. 505-512 ◽  
Author(s):  
Anette Henriksson ◽  
Ida Carlander ◽  
Kristofer Årestedt
Keyword(s):  
Palliative Care ◽  
Family Caregivers ◽  
Influential Factors ◽  
Cross Sectional ◽  
Spousal Relationship ◽  
Factors Associated ◽  
Specialized Palliative Care ◽  
Cross Sectional Design ◽  
Bereaved Family ◽  
Demographic Background

AbstractObjective:Of the few studies that have paid attention to feelings of reward in family palliative caregiving, most are retrospective and examine the experiences of bereaved family caregivers. Although feeling rewarded has been described as an influence that may facilitate the way family caregivers handle the caregiving situation, no study has sought to identify the factors associated with feelings of reward while providing ongoing family palliative care. The aim of this study, therefore, was to identify influential factors in feelings of reward experienced by family palliative caregivers.Method:Our study had a correlational cross-sectional design. Family caregivers (n = 125) of patients receiving specialized palliative care were consecutively recruited from four settings. These caregivers answered a questionnaire that included the Rewards of Caregiving Scale (RCS). This questionnaire included questions about demographic background and scales to measure preparedness for caregiving, feelings of hope, perceived health, and symptoms of anxiety and depression. Correlation and regression analyses were conducted to identify factors associated with rewards.Results:The results demonstrated that the more prepared caregivers with higher levels of hope felt more rewarded, while caregivers with higher levels of anxiety and those in a spousal relationship with the patient felt less rewarded by caregiving.Significance of results:It seems reasonable that feeling rewarded can be a significant contributor to the overall experience of providing ongoing palliative care. The situation of family caregivers has been shown to be multifaceted and complex, and such covariant factors as preparedness, anxiety, hope, and being in a spousal relationship with the patient to influence this experience.

HUBUNGAN INTELEGENSI DENGAN PERILAKU NERS TINGKAT II STIKES SANTA ELISABETH MEDAN

2016 ◽  
Vol 1 (1) ◽  
pp. 21-30
Author(s):  
Imelda Derang
Keyword(s):  
Student Nurses ◽  
Sampling Technique ◽  
P Value ◽  
Test Results ◽  
Cross Sectional ◽  
Intelligence Level ◽  
Level Ii ◽  
Study Population ◽  
Cross Sectional Design ◽  
The Relationship

Intelligence is the ability to apply the knowledge and experiences that have been gained into the effort tasks are challenging and flexible book. Behaviour is an action that involves aspects of affective, cognitive, and psychomotor. Goal: This study aims to determine the relationship between the behavior of student nurses intelligence level II STIKes Santa Elisabeth Medan. Method: This study uses correlation with cross sectional design. The study population was all students / i Ners Level II STIKes Santa Elisabeth Medan as 65. The samples used were 65 respondents, the sampling technique in this research is using purposive sampling. The instrument of this study using questionnaire and observation sheets by using product moment test person. Result: Intelligence students as many as 30 people (46.2%) classified as having an average level of intelligence. A total of 32 people (49.2%) classified as well-behaved students. Person product moment test results obtained p value = 0.172 where a significant level of p> 0.05 so that this value proves that the absence of a relationship between the behavior of student nurses intelligence level II STIKes Santa Elisabeth Medan. Conclusion: Recommended for institutions, motivating students in balancing the behavior and intelligence. 

The Short Demoralization Scale (SDS): A new tool to appraise demoralization in palliative care patients

2017 ◽  
Vol 15 (5) ◽  
pp. 516-523 ◽  
Author(s):  
Laura Galiana ◽  
David Rudilla ◽  
Amparo Oliver ◽  
Pilar Barreto
Keyword(s):  
Palliative Care ◽  
Depression Scale ◽  
Cost Effective ◽  
Assessment Tools ◽  
Cross Sectional ◽  
Brief Assessment ◽  
Palliative Care Setting ◽  
Cross Sectional Design ◽  
The One ◽  
Demoralization Scale

ABSTRACTObjective:The Demoralization Scale (DS) is the most widely used measure for assessing demoralization. Following the recent clamor for brief assessment tools, and taking into account that demoralization has proved to be a symptom that needs to be controlled and treated in the palliative care setting, a shorter scale is needed. The aim of the present research is to introduce and evaluate the Short Demoralization Scale (SDS).Method:We employed a cross-sectional design that included a survey of 226 Spanish palliative care patients from the Hospital General Universitario de Valencia. We employed the SDS, the DS, and the Hospital Anxiety and Depression Scale (HADS).Results:The confirmatory factor analysis supported the one-factor structure of the SDS (χ2(5) = 12.915; p = 0.024; CFI = 0.999; RMSEA = 0.084; CI95% = [0.028, 0.141]). The reliability was found to be appropriate, with a value of Cronbach's alpha (α) equal to 0.920. A cutoff criterion of 10 was established, which favored the interpretability of the instrument.Significance of results:The SDS corrects previous limitations, has a simple scoring system, is cost-effective, and is widely and fully available. In addition, our findings demonstrate that the SDS can be employed effectively in the clinical context.

scholarly journals PENGARUH KEPATUHAN IBU HAMIL TERHADAP KEBERHASILAN PENANGANAN PREEKLAMPSIA DI RUMAH SAKIT SANTA ELISABETH BATAM TAHUN 2014

2020 ◽  
Vol 28 (2) ◽  
pp. 156
Author(s):  
Liilis Sumardiani
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Third Trimester ◽  
Cross Sectional ◽  
Health Checks ◽  
High Risk Factors ◽  
Light Activity ◽  
Study Population ◽  
Cross Sectional Design ◽  
Success Of Treatment

Preeclampsia and eclampsia is a pregnancy complication caused directly by pregnancy itself. Successful handling of preeclampsia is determined by the compliance of pregnant women in antenatal care. Pregnant women who do not checkups cause no detection of high risk factors experienced during pregnancy. This is because women do not obey the doctor's orders to carry out checks ANC, diet and adequate rest.This study aims to identify and analyze the effect of maternal adherence (Antenatal Care, diet and rest) to the successful treatment of preeclampsia in Batam Elisabeth Hospital in 2014. The method used is explanatory survey with cross sectional design. The study population is the entire third trimester pregnant women. The research sample that is the entire third trimester pregnant women who checkups at Saint Elisabeth Hospital Batam as many as 47 people. Data were analyzed by multiple logistic regression.The results showed that there was influence compliance in the rest of the successful handling of preeclampsia (p = 0.002), whereas compliance in Antenatal care (p = 0.076) and compliance in the diet (p = 0.631) did not affect the success of treatment of preeclampsia.It is advisable for pregnant women to reduce the routine activities and undertake light activity in an effort to prevent preeclampsia, and it is expected that health professionals, in order to provide counseling for pregnant women who perform health checks, on the benefits of antenatal care, follow the diet and rest in improving maternal health during pregnancy.

scholarly journals The Role of Nurse in the Form of Palliative Care on the Quality of Life of Patients with Cervical Cancer

2020 ◽  
Vol 3 (2) ◽  
pp. 29
Author(s):  
Rita Kirana ◽  
Tut Barkinah ◽  
Vonny Khresna Dewi
Keyword(s):  
Quality Of Life ◽  
Cervical Cancer ◽  
Palliative Care ◽  
Linear Regression Analysis ◽  
Structured Interview ◽  
Cross Sectional ◽  
Nurse Role ◽  
Cross Sectional Design ◽  
Question Form

The diagnosis of cervical cancer has become a big burden for both patients and families. Most patients with advanced stage cancer have a low quality of life score which indicates they have a problem. while the family may not be ready to carry out its role in the quality of life of patients with cervical cancer. The objective of this research was to identify the correlation of nurse support in the form of palliative care on the quality of life of patients with cervical cancer. This research employed cross-sectional design. Population in this research was all patients with cervical cancer in gynecology ward in Banjarmasin. Participant for this research were patients with cervical cancer and nurses. Data were taken by structured interview and task question form. Linear regression analysis was applied with level of significance ≤0.05. The results shown that most nurses ha good level of their role in the form of palliative care while most patients also have moderate level of quality of life. Also there are significance correlations of nurse role in the form of palliative care on the quality of life of patients with cervical cancer. Keywords: cervical cancer; quality of life; palliative care; nurse; role

A cross-sectional pilot study of compassion fatigue, burnout, and compassion satisfaction in pediatric palliative care providers in the United States

2018 ◽  
Vol 17 (03) ◽  
pp. 269-275 ◽  
Author(s):  
Samuel M. Kase ◽  
Elisha D. Waldman ◽  
Andrea S. Weintraub
Keyword(s):  
United States ◽  
Palliative Care ◽  
Pilot Study ◽  
Compassion Fatigue ◽  
Compassion Satisfaction ◽  
Clinical Situation ◽  
The United States ◽  
Pediatric Palliative Care ◽  
Care Providers ◽  
Cross Sectional

AbstractObjectiveCompassion fatigue (CF) is secondary traumatic distress experienced by providers from contact with patients' suffering. Burnout (BO) is job-related distress resulting from uncontrollable workplace factors that manifest in career dissatisfaction. Compassion satisfaction (CS) is emotional fulfillment derived from caring for others. The literature on BO in healthcare providers is extensive, whereas CF and CS have not been comprehensively studied. Because of ongoing exposure to patient and family distress, pediatric palliative care (PPC) providers may be at particular risk for CF. We conducted a cross-sectional pilot study of CF, BO, and CS among PPC providers across the United States.MethodThe Compassion Fatigue and Satisfaction Self-Test for Helpers and a questionnaire of professional and personal characteristics were distributed electronically and anonymously to PPC physicians and nurses. Logistic and linear regression models for CF, BO, and CS as a function of potential risk factors were constructed.ResultsThe survey response rate was 39%, primarily consisting of female, Caucasian providers. The prevalence of CF, BO, and CS was 18%, 12%, and 25%, respectively. Distress about a “clinical situation,” physical exhaustion, and personal loss were identified as significant determinants of CF. Distress about “coworkers,” emotional depletion, social isolation, and “recent involvement in a clinical situation in which life-prolonging activities were not introduced” were significant determinants of BO. Physical exhaustion, personal history of trauma, “recent involvement in a clinical situation in which life-prolonging activities were not introduced,” and not discussing distressing issues were significant predictors of lower CS scores.Significance of resultsCF and BO directly influence the well-being and professional performance of PPC providers. To provide effective compassionate care to patients, PPC providers must be attentive to predictors of these phenomena. Further work is needed to explore additional causes of CF, BO, and CS in PPC providers as well as potential interventions.

scholarly journals Attitudes and Associated Factors towards Care for Dying Patients among Non-Palliative Care Nurses, Yogyakarta, Indonesia

2021 ◽  
Vol 5 (1) ◽  
pp. 9-16
Author(s):  
Titih Huriah ◽  
Nurul Hidayah ◽  
Akichika Mikami
Keyword(s):  
Palliative Care ◽  
Informal Education ◽  
Death And Dying ◽  
Terminally Ill ◽  
Chi Square ◽  
Cross Sectional ◽  
Dying Patients ◽  
Demographic Questionnaire ◽  
The Family ◽  
Cross Sectional Design

Background: The increment of terminal health problems causes the demand for palliative care to increase. Nurses’ attitudes toward palliative care have critical implications on the quality of care for terminally ill patients. This study aimed to investigate non-palliative care nurses’ attitudes towards death and dying patients in palliative care in Indonesia.Method: A cross-sectional design was performed in four general hospitals, five primary health centers, and three nursing homes in Yogyakarta. Systematic random sampling was the method employed. The research instrument used Frommelt Attitudes towards Care of the Dying (FATCOD). FATCOD is a 30-item tool using a five-point Likert scale to indicate respondents' attitudes toward caring for dying patients. Attitudes had two categories, namely favorable (≥ mean score of the total score of (FATCOD) Scale) and unfavorable ( mean score of the total score of (FATCOD) Scale). Two hundred seventeen (217) non-palliative care nurses completed the FATCOD and a ten-item demographic questionnaire. The data analysis used descriptive statistics, chi-square, and linear regression.Results: The total FATCOD score achieved in this study was 111.29±9.44 (range 30–150). Concerning nurses’ attitudes towards the family members of terminally ill dying patients, the score was 39.85 (±4.12) out of a possible 50. Besides attitudes towards patient care provision, the score was 71.43 (±6.39) out of a possible 100. The nurses' attitudes towards the dying patients showed that the favorable and unfavorable attitudes had almost the same percentage. Of significance, working experience variables were associated with attitudes in the total FATCOD and patient FATCOD. Working experience and level of education were related to attitudes towards the family FATCOD.Conclusion: Non-palliative care nurses had a favorable attitude towards palliative care. The ministry of health should give awareness by providing various training, workshop, formal and informal education about PC for nurses.

scholarly journals Gambaran Teknik Menyikat Gigi dan Indeks Plak pada Siswa SD GMIM Siloam Tonsealama

e-GIGI ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Princess Keloay ◽  
Christy N. Mintjelungan ◽  
Damajanty H. C. Pangemanan
Keyword(s):  
Sampling Method ◽  
Tooth Brushing ◽  
Plaque Index ◽  
Cross Sectional ◽  
Combination Technique ◽  
Control And Prevention ◽  
Study Population ◽  
The Mean ◽  
Cross Sectional Design ◽  
Grade 3

Abstract: In Indonesia, children dental and mouth health is on the apprehensive level. The caries prevalence in children of 5 to 9 years old is 92.6% and the proportion of brushing their teeth properly is only 1.4%. The control and prevention of plaque forming can be done in a simple, effective, and practical way through brushing the teeth thoroughly and regularly. This study was aimed to obtain the tooth brushing technique and plaque index among students at SD GMIM Siloam Tonsealama (elementary school). This was a descriptive study with a cross sectional design. Study population consisted of elementary students og grade 3 to 5. We used total sampling method. There were 42 students as subjects. Data were obtained by observing their tooth brushing techniques. The results showed that all students used combination technique of tooth brushing. Most students had plaque index of moderate category. The mean plaque index of the subjects was 2.67. In conclusion, students at GMIM in Tonsealama used combination technique of tooth brushing, and their plaque index was categorized as moderate.Keywords: plaque index, brushing teeth technique Abstrak: Kesehatan gigi dan mulut anak di Indonesia masih sangat memrihatinkan. Prevalensi karies pada anak usia 5-9 tahun dilaporkan mencapai 92,6%, dan proporsi waktu menyikat gigi dengan benar sebesar 1,4%. Usaha untuk mengontrol dan mencegah pemben-tukan plak dapat dilakukan secara sederhana, efektif, dan praktis yaitu dengan cara menggosok gigi secara teliti dan teratur. Penelitian ini bertujuan untuk mengetahui gambaran teknik menyikat gigi dan indeks plak siswa SD GMIM Siloam Tonsealama. Jenis penelitian ialah deskriptif dengan desain potong lintang. Populasi penelitian terdiri dari siswa sekolah dasar kelas 3 sampai dengan 5. Pengambilan sampel menggunakan total sampling. Terdapat seba-nyak 42 siswa sebagai subyek penelitian. Pengumpulan data menggunakan formulir pemeriksaan. Hasil penelitian menunjukkan bahwa teknik menyikat kombinasi digunakan oleh seluruh subyek. Indeks plak paling banyak pada kategori sedang. Rerata nilai indeks plak yaitu 2,67. Simpulan penelitian ini ialah teknik menyikat gigi yang digunakan oleh siswa SD GMIM di Tonsealama ialah teknik kombinasi dengan indeks plak tergolong kategori sedangKata kunci: indeks plak, teknik menyikat gigi

scholarly journals Burnout Syndrome In The Covid-19 Pandemic And The Virtualization Of Education

2021 ◽  
Vol 12 (3) ◽  
pp. 4750-4761
Author(s):  
Bellanire Ospina Orejarena, Carmen Rosa Mosquera Murillo, Judith Soledad Yangali Vicente
Keyword(s):  
Sequential Design ◽  
Burnout Syndrome ◽  
School Teachers ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Study Population ◽  
Cross Sectional Design ◽  
Mixed Approach ◽  
The Relationship ◽  
Qualitative Phase

The aim of the research is to determine the relationship between Burnout Syndrome in the framework of the COVID-19 pandemic and the virtualization of education in Colombian official school teachers during the year 2020. The study responds to the mixed approach and sequential design. In its quantitative phase it was deductive-hypothetical, applied, with a non-experimental cross-sectional design, and in its qualitative phase it was inductive, applied with a phenomenological-hermeneutic design. The data collection techniques used were the survey and the interview. The study population consisted of 1093 teachers from official schools in Floridablanca. For the quantitative approach, a non-probabilistic accidental sample of 110 teachers was used, and for the qualitative approach, a non-probabilistic convenience sample of 10 teachers was used. Among the final considerations it can be said that there is an inverse mean correlation between Burnout syndrome and the virtualization of education in this time of the Covid-19 pandemic; it is therefore considered that the effects of the pandemic have maximized the effects of the aforementioned syndrome on educational actors.

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