Psychologists involved in cancer palliative care in Japan: A nationwide survey

2014 ◽  
Vol 13 (2) ◽  
pp. 327-334 ◽  
Author(s):  
Kasumi Nakajima ◽  
Yumi Iwamitsu ◽  
Mei Matsubara ◽  
Akira Oba ◽  
Kei Hirai ◽  
...  
Keyword(s):  
Palliative Care ◽  
Mental State ◽  
Questionnaire Survey ◽  
Medical Staff ◽  
Nationwide Survey ◽  
Psychological Support ◽  
Knowledge And Skills ◽  
Staff Members ◽  
Adequate Knowledge ◽  
Training Expectations

AbstractObjective:The aim of this study was to clarify, using a nationwide survey, what is perceived as necessary knowledge and skills for psychologists involved in cancer palliative care in Japan, the expectations of medical staff members, and the degree to which these expectations are met.Method:We conducted a questionnaire survey of psychologists involved in cancer palliative care. A total of 419 psychologists from 403 facilities were asked to fill out the questionnaire and return it anonymously. Some 401 psychologists (89 males, 310 females, and 2 unspecified; mean age, 37.2  ±  9.5 years) responded about necessary knowledge and skills for psychologists working in cancer palliative care, the necessity for training, expectations at their current workplace, and the degree to which expectations are met.Results:More than 90% of participants responded that many kinds of knowledge and skills related to the field of cancer palliative care are necessary. Over 80% of participants indicated a necessity for training related to these knowledge and skills. Although more than 50% (range, 50.1–85.8%) of participants responded that such services as “cooperation with medical staff within a hospital,” “handling patients for whom psychological support would be beneficial,” and “assessment of patients' mental state” were expected at their workplace, fewer than 60% (31.4–56.9%) responded that they actually performed these roles.Significance of Results:Our results show that many psychologists in cancer palliative care feel unable to respond to the expectations at their current workplace and that they require more adequate knowledge and skills related to cancer palliative care to work effectively. No other nationwide surveys have generated this type of information in Japan, so we believe that the results of our study are uniquely important.

scholarly journals Psychological impact and implementation of preventative measures in hemodialysis centers during the COVID-19 pandemic: a provincial questionnaire survey in China

2021 ◽  
Author(s):  
Yuanhan Chen ◽  
Yanhua Wu ◽  
Penghua Hu ◽  
Xia Fu ◽  
Shuangxin Liu ◽  
...  
Keyword(s):  
Rural Areas ◽  
Questionnaire Survey ◽  
Medical Staff ◽  
Psychological Impact ◽  
Guangdong Province ◽  
Psychological Status ◽  
Staff Members ◽  
Preventative Measures ◽  
Tertiary Hospitals ◽  
Novel Coronavirus

Abstract Objectives This study investigated the psychological status of patients and staff, and the implementation of preventative measures in hemodialysis centers in Guangdong province, China, during the 2019 novel coronavirus disease (COVID-19) pandemic. Methods An electronic questionnaire survey was carried out anonymously between March 28 and April 3, 2020. All of the 516 hemodialysis centers registered in Guangdong province were invited to participate in the survey. The questionnaires were designed to investigate the psychological status of hemodialysis patients and general staff members (doctors, nurses, technicians, and other staff), and to address the implementation of preventative measures for administrators (directors or head nurses) of the hemodialysis centers. Results A total of 1782 patients, 3400 staff, and 420 administrators voluntarily participated in this survey. Patients living in rural areas reported a higher incidence of severe anxiety compared to those living in other areas (in rural areas, towns, and cities, the incidence rate was 17.0%, 9.0%, and 8.9%, respectively, P < 0.001). Medical staff were less likely to worry about being infected than non-medical staff (13.1% vs 30.3%, respectively, P < 0.001). With respect to the implementation of preventative measures, hemodialysis centers in general hospitals outperformed stand-alone blood purification centers, while tertiary hospitals outperformed hospitals of other levels. However, restrictions regarding the admission of non-resident patients were lower in tertiary hospitals than in other hospitals. In this situation, only one patient imported from Hubei province was diagnosed with COVID-19. Conclusions COVID-19 did not significantly affect the psychological status of most patients and medical staff members. Due to the implementation of comprehensive preventative measures, there were no cluster outbreaks of COVID-19 in hemodialysis centers. This provincial-level survey may provide referential guidance for other countries and regions that are experiencing a similar pandemic.

Process Evaluation of the Regional Referral Clinical Pathway for Home-Based Palliative Care and Outreach Program: A Questionnaire Survey of the Medical Staff and Bereaved Families

2021 ◽  
pp. 104990912110559
Author(s):  
Nozomu Murakami ◽  
Kouichi Tanabe ◽  
Tatsuya Morita ◽  
Yasunaga Fujikawa ◽  
Shiro Koseki ◽  
...  
Keyword(s):  
Palliative Care ◽  
Clinical Pathway ◽  
Questionnaire Survey ◽  
Medical Staff ◽  
Response Rate ◽  
Outreach Program ◽  
Home Based ◽  
Regional Medical ◽  
Questionnaire Surveys ◽  
At Home

Background: The purpose of this study was to clarify how the Regional Referral Clinical Pathway for Home-based Palliative Care (RRCP-HPC) and an outreach program by a palliative care team (PCT) lead to an improvement in the outcome. Design and Methods: We conducted questionnaire surveys using the mailing method involving the regional medical staff involved in cancer patients introduced to the PCT of a single hospital, as well as bereaved families. The questionnaire was prepared through interviews with the medical staff and bereaved families. Subsequently, factor analysis was performed to identify factor structures and calculate the correlation coefficient with each outcome. Results: For the questionnaire survey involving the medical staff, responses were collected from 119 regional medical institutions and 84 regional medical staff. The response rate per institution was 51.3%. Similarly, for the questionnaire survey involving bereaved families, the response rate was 42.4%. For the survey involving the medical staff, 6 factors, such as “improved awareness of an interdisciplinary team,” were extracted. For the survey involving the bereaved families, 4 factors, such as “improvement of communications between patients and healthcare professionals,” were extracted. There were significant (≥moderate) correlations between these factors and all outcomes. Conclusion: In this study, we clarified the process of achieving palliative care until death at home without difficulties using the outreach program and RRCP-HPC. The results suggest the importance of improving communications. The outreach program and RRCP-HPC may have contributed to palliative care at home without difficulties through an improvement in communications.

Benzodiazepines for cancer dyspnoea: a nationwide survey of palliative care physicians

2019 ◽  
Vol 10 (2) ◽  
pp. 205-208 ◽  
Author(s):  
Yoshinobu Matsuda ◽  
Ryo Matsunuma ◽  
Kozue Suzuki ◽  
Masanori Mori ◽  
Hiroaki Watanabe ◽  
...  
Keyword(s):  
Palliative Care ◽  
Questionnaire Survey ◽  
Nationwide Survey ◽  
High Baseline ◽  
Future Studies ◽  
Opioid Dose ◽  
Patients With Cancer

ObjectivesIt is unclear whether patients with non-specific dyspnoea are suitable candidates for studies investigating the effectiveness of benzodiazepines against dyspnoea. The objective of this survey was to investigate suitable subjects for studies of benzodiazepines for cancer dyspnoea.MethodsA nationwide questionnaire survey was conducted among 536 Japanese-certified palliative care physicians. We randomly selected 268 physicians and inquired about their approach to dyspnoea management in patients with cancer, with and without anxiety, as follows: (1) Administration of a benzodiazepine. (2) Administration or titration of an opioid. We also asked them to consider their approach in the following situations: (1) Opioid-naïve. (2) Low-to-moderate baseline opioid dose. (3) High baseline opioid dose. We assessed the use of specific benzodiazepines separately.ResultsOverall, 192 physicians responded to the questionnaire (71.6%). For patients without anxiety, the proportion of participants reporting that they frequently or very frequently ‘administer a benzodiazepine’ increased with baseline opioid dose (opioid-naïve: 5.2%, low-to-moderate: 11.5%, high: 26.0%). The proportion of participants reporting that they frequently or very frequently ‘administer or titrate an opioid’ decreased with baseline opioid dose (opioid-naïve: 83.3%, low-to-moderate: 73.4%, high: 41.1%). The pattern was similar for patients with anxiety, although more respondents said they prescribe benzodiazepine for these patients (naïve: 22.4%, low-to-moderate: 34.4%, high: 45.8%) and fewer prescribed an opioid. Alprazolam and lorazepam are frequently used.ConclusionPatients with anxiety or receiving a high baseline opioid dose could be potential candidates for future studies investigating the effectiveness of benzodiazepines against cancer dyspnoea.

Coordinating Medical Literature with Patient Care

1977 ◽  
Vol 16 (04) ◽  
pp. 234-240 ◽  
Author(s):  
Joann Gustafson ◽  
J. Nelson ◽  
Ann Buller
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Medical Information ◽  
Medical Literature ◽  
Medical Information System ◽  
Staff Members ◽  
Information Displays ◽  
Medical Displays ◽  
Computerized Medical Information ◽  
The Given

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

Mastering the Job Market

2021 ◽  
Author(s):  
Elizabeth L. Shoenfelt
Keyword(s):  
Job Search ◽  
Technical Writing ◽  
American Psychological Association ◽  
Oral Communication ◽  
Nationwide Survey ◽  
Job Seekers ◽  
Job Market ◽  
Master's Programs ◽  
Knowledge And Skills ◽  
Business Acumen

Mastering the Job Market: Career Issues for Master’s Level Industrial-Organizational Psychologists is the definitive source for practical advice and data-based recommendations addressing key issues leading to successful careers as industrial-organizational (I-O) master’s practitioners. Both the U.S. Bureau of Labor Statistics and the American Psychological Association have reported a bright outlook for I-O master’s graduates. The increased interest in and growth of I-O master’s programs and graduates are attributed to higher visibility in the workplace, readily obtained jobs, interesting work, and great pay. A large nationwide survey of I-O master’s practitioners and their employers lays the foundation for the data-based recommendations throughout the book. Authors from top-ranked I-O master’s programs address topics such as the job search, applying for jobs, on-boarding, organizational roles, salaries, career transitions, and maintaining professionalism throughout one’s career. Critical insights into the nuts and bolts of conducting a job search and other specific strategies are provided to enable job seekers to land one or multiple job offers within six months of graduation. Competencies identified as essential for success as an I-O practitioner include core I-O knowledge and skills, as well as enabling competencies such as oral communication, business acumen, consulting skills, project management, ethics, and technical writing. Mentoring is discussed, and three best practices are recommended for maximizing mentoring relationships. Recommendations are made for professional development opportunities for I-O master’s graduates to increase their knowledge and skills and to advance their careers. Graduates overwhelmingly perceive their I-O master’s degree to be valuable for their career success.

scholarly journals Renal Consults from the Oncology Floor

2016 ◽  
Vol 1 (1) ◽  
pp. 5-8
Author(s):  
Mark A. Perazella
Keyword(s):  
Palliative Care ◽  
Kidney Disease ◽  
San Diego ◽  
Knowledge And Skills ◽  
Patients With Cancer ◽  
American Society

Onco-nephrology is a rapidly growing subspecialty area, which was born of the unique kidney disease and cancer connection that exists. In reality, this area of subspecialization combines the knowledge and skills of a number of specialty groups that includes nephrologists, oncologists, urologists, intensivists, pharmacologists, and palliative care specialists. In this inaugural issue of the Journal of Onco-Nephrology, a series of papers addressing the various forms of kidney disease that develop in patients admitted to the oncology floor is presented as part of the Onco-Nephrology Highlights section. These papers are based on a session at the American Society of Nephrology Kidney Week 2015 in San Diego, CA, USA, entitled “Renal Consults from the Oncology Floor.” The editors hope you find these 4 papers educational and practical in your care of patients with cancer and kidney disease.

scholarly journals Behavior and role of resident medical staff members and neighboring hospitals in the Great Hanshin Earthquake.

1996 ◽  
Vol 7 (12) ◽  
pp. 749-754
Author(s):  
Hidewaki Nakagawa ◽  
Tadashi Yasuda ◽  
Takashi Ukai
Keyword(s):  
Medical Staff ◽  
Staff Members ◽  
Hanshin Earthquake

scholarly journals Prophetic guidance training through the socratic method for MGBK in Pringsewu Regency

2021 ◽  
Vol 6 (7) ◽  
pp. 1163-1170
Author(s):  
Hardi Santosa ◽  
Hardi Prasetiawan
Keyword(s):  
Counseling Services ◽  
Guidance And Counseling ◽  
Socratic Method ◽  
Human Beings ◽  
Knowledge And Skills ◽  
National Education ◽  
Adequate Knowledge ◽  
National Education System ◽  
Service Activity ◽  
And Performance

Guidance and Counseling Teachers' Consultation (MGBK) is a community of teachers in the field of guidance and counseling. One of the main tasks of guidance and counseling teachers in schools is to guide students to become human beings with character as required by the National Education System Law No. 20 of 2003 concerning the complete goals of national education. However, not all guidance and counseling teachers have the competence to guard this goal. For this reason, guidance and counseling teachers need to be given training, so that they have adequate knowledge and skills in carrying out their duties. This training aims to increase the knowledge and skills of guidance and counseling teachers in implementing prophetic guidance. Prophetic guidance is designed with the aim of strengthening the character of students. The training method used socratic dialogue. The participants of the activity were 30 representatives from 30 high school, vocational, and MA schools in Pringsewu Regency, Lampung. The results of the training showed that 74% of participants stated that they really got the benefits and new knowledge, even as many as 61% of participants stated that they had increased their confidence. Thus, this service activity has a significant impact on improving the competence and performance of teachers in providing guidance and counseling services.

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