Sexual well-being in cancer and palliative care: an assessment of healthcare professionals’ current practice and training needs

2017 ◽  
pp. bmjspcare-2016-001305 ◽  
Author(s):  
Aoife Gleeson ◽  
Emily Hazell
Keyword(s):  
Palliative Care ◽  
Current Practice ◽  
Healthcare Professionals ◽  
Well Being ◽  
Training Needs ◽  
And Training

The Experiences of People With Advanced Cancer and Professionals Participating in a Program With Focus on Rehabilitation and Palliative Care

2022 ◽  
pp. 003022282110583
Author(s):  
Mette Raunkiær
Keyword(s):  
Palliative Care ◽  
Advanced Cancer ◽  
Gain Control ◽  
Well Being ◽  
Focus Group Interviews ◽  
Everyday Activities ◽  
Rehabilitation Programs ◽  
Physical Functions ◽  
Group Interviews ◽  
And Training

The study’s aim is to explore the experiences of people with advanced cancer and professionals participating in a program with focus on rehabilitation and palliative care. The study is based on two adjusted rehabilitation programs for 33 people with advanced cancer and 12 professionals. An observational study was conducted among the participants and two focus group interviews with 10 professionals. The analytic themes were “Lightness and happiness to gain control in everyday life,” “Community and closeness,” and “Training as a happiness and changing agent.” The activities had to support physical functions and everyday activities promoting body identity and well-being as well as emotions like closeness, lightness, and happiness in groups with like-minded people and at home with a partner and other family members. These activities and theory of emotions and body can expand the understanding of palliative care and rehabilitation as separated or integrated perspectives theoretical and in practice.

scholarly journals The perception of barriers concerning opioid medicines: A survey examining differences between policy makers, healthcare professionals and other stakeholders

2019 ◽  
Vol 34 (4) ◽  
pp. 493-503
Author(s):  
Marjolein JM Vranken ◽  
Lisa Linge-Dahl ◽  
Aukje K Mantel-Teeuwisse ◽  
Lukas Radbruch ◽  
Marie-Hélène DB Schutjens ◽  
...  
Keyword(s):  
Palliative Care ◽  
Healthcare Professionals ◽  
Perceived Barriers ◽  
Financial Resources ◽  
Policy Makers ◽  
Opioid Medication ◽  
Stakeholder Groups ◽  
Inadequate Knowledge ◽  
Relevant Stakeholder ◽  
And Training

Background: In many countries, the consumption of opioid medicines is too low to meet population needs. Discussions within the Access To Opioid Medication in Europe project indicated that there may be significant differences in the perception of barriers for their adequate use, depending on the stakeholders. Aim: The aim of this study was to examine the perception of barriers and their impact concerning opioid medicines, comparing policy makers, healthcare professionals working in the field of pain management, palliative care or harm reduction and other stakeholders. Design: Data were collected using a questionnaire partially constructed from existing surveys, reviewed for content validity by four experts and pilot-tested in Latvia. Setting/participants: Participants of the Access to Opioid Medication in Europe national conferences were invited to complete the questionnaire. Stakeholder groups were compared using non-parametric rank-sum tests. Results: In total, 199 participants (54%) in seven countries completed the questionnaire. Most frequently rated major barriers included lack of financial resources and inadequate knowledge, skills and training among policy makers (55%–66%). Overall, policy makers perceived issues less often as major barriers or having major impact (29% barrier, 32% impact) compared to other stakeholders (36%–42% barrier, 39%–51% impact). Significant differences were seen on several aspects. For example, excessive regulation or bureaucracy for prescribing was rated as having major impact by 55%–57% of healthcare professionals in contrast to only 20% of the policy makers ( p = 0.002). Conclusion: Multiple barriers may play an important role, partly depending on the perspective of the stakeholder involved. Hence, when addressing perceived barriers, it is important to include all relevant stakeholder groups. Only then, effective and widely supported solutions can be implemented.

scholarly journals ‘There’s a Catch-22’ – The complexities of pain management for people with advanced dementia nearing the end of life: A qualitative exploration of physicians’ perspectives

2016 ◽  
Vol 31 (8) ◽  
pp. 734-742 ◽  
Author(s):  
Bannin De Witt Jansen ◽  
Kevin Brazil ◽  
Peter Passmore ◽  
Hilary Buchanan ◽  
Doreen Maxwell ◽  
...  
Keyword(s):  
Palliative Care ◽  
Pain Management ◽  
End Of Life ◽  
Knowledge Exchange ◽  
Structured Interview ◽  
Training Needs ◽  
Advanced Dementia ◽  
Treatment Approaches ◽  
The Impact ◽  
And Training

Background: Pain management is a cornerstone of palliative care. The clinical issues encountered by physicians when managing pain in patients dying with advanced dementia, and how these may impact on prescribing and treatment, are unknown. Aim: To explore physicians’ experiences of pain management for patients nearing the end of life, the impact of these on prescribing and treatment approaches, and the methods employed to overcome these challenges. Design: Qualitative, semi-structured interview study exploring barriers to and facilitators of pain management, prescribing and treatment decisions, and training needs. Thematic analysis was used to elicit key themes. Setting/participants: A total of 23 physicians, responsible for treating patients with advanced dementia approaching the end of life, were recruited from primary care ( n = 9), psychiatry ( n = 7) and hospice care ( n = 7). Results: Six themes emerged: diagnosing pain, complex prescribing and treatment approaches, side effects and adverse events, route of administration, importance of sharing knowledge and training needs. Knowledge exchange was often practised through liaison with physicians from other specialities. Cross-speciality mentoring and the creation of knowledge networks were believed to improve pain management in this patient population. Conclusion: Pain management in end-stage dementia is complex, requiring cross-population of knowledge between palliative care specialists and non-specialists, in addition to collateral information provided by other health professionals and patients’ families. Regular, cost- and time-effective mentoring and ongoing professional development are perceived to be essential in empowering physicians to meet clinical challenges in this area.

Circumstances Related to Moral Distress in Palliative Care: An Integrative Review

2020 ◽  
pp. 104990912097882
Author(s):  
Carla Corradi-Perini ◽  
Julianna Rodrigues Beltrão ◽  
Uiara Raiana Vargas de Castro Oliveira Ribeiro
Keyword(s):  
Palliative Care ◽  
Healthcare Professionals ◽  
Moral Distress ◽  
Well Being ◽  
Integrative Review ◽  
Death Process ◽  
Communication Problems ◽  
Ethical Conflicts ◽  
Relief Of Suffering ◽  
The Face

Background: The practice of palliative care is involved with ethical conflicts related to the life-death process and relief of suffering. The inability to act in the face of such dilemmas, due to internal or external barriers, can cause moral distress in the healthcare professionals. Objective: The purpose of this integrative review is to analyze which circumstances cause moral distress in healthcare professionals who work in palliative care. Methods: An integrative review of the literature was made in the SCIELO and PubMed databases, based on the descriptors “palliative care” and “moral distress.” Articles published between 2015-2020, in Portuguese, Spanish and English were included, following the PRISMA criteria. Results: From a selection of 97 documents, 56 were completed reviewed and 23 studies were included in the review. Most articles refer to the nursing area, followed by multidisciplinary studies. The circumstances related to moral distress were identified involving: personal aspects; patients and caregivers; team; environment and organization. Communication problems, lack of resources and witnessing professionals giving false hope to patient and family members were the events related to moral distress most mentioned by the articles in the review. Recommendations for reducing and preventing moral distress include empowerment and educational programs in bioethics and palliative care. Conclusions: Moral distress is an evident phenomenon in palliative care, involving different situations that can impact on quality-of-care provided as well as the well-being of the healthcare professionals.

Promoting resiliency among palliative care clinicians: Stressors, coping strategies, and training needs

2013 ◽  
Author(s):  
Giselle K. Perez ◽  
Vivian Haime ◽  
Vicki Jackson ◽  
Darshan Mehta ◽  
Elyse R. Park
Keyword(s):  
Palliative Care ◽  
Coping Strategies ◽  
Training Needs ◽  
And Training

America's economic competitiveness

1989 ◽  
Vol 3 (4) ◽  
pp. 195-200
Author(s):  
Lawrence P. Grayson
Keyword(s):  
21St Century ◽  
Education System ◽  
Well Being ◽  
Education And Training ◽  
Training Needs ◽  
Economic Competitiveness ◽  
The World ◽  
The Usa ◽  
And Training

If the USA is to retain its preeminent economic position in the world it must improve the quality of its education and training. This article discusses the contribution of education to a nation's well-being, examines the current education system in the USA and analyses education and training needs for the 21st century.

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