scholarly journals Bridging clinic: The initial medical management of patients with newly diagnosed pancreatic cancer

2018 ◽  
Vol 10 (3) ◽  
pp. 261-268 ◽  
Author(s):  
Loveena Sreedharan ◽  
Bhaskar Kumar ◽  
Anna Jewell ◽  
Paul Banim ◽  
Andreas Koulouris ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Nurse Practitioners ◽  
Healthcare Professionals ◽  
Well Being ◽  
Cancer Treatments ◽  
Common Cancer ◽  
Time Period ◽  
Management Of Complications ◽  
Poor Nutritional Status ◽  
The Uk

Pancreatic cancer is the 11th most common cancer in the UK and has the worst prognosis of any tumour with minimal improvements in survival over recent decades. As most patients are either ineligible for surgery or may decline chemotherapy, the emphasis is on control of symptoms and management of complications such as poor nutritional status. The time period between informing the patient of their diagnosis and commencing cancer treatments presents a valuable opportunity to proactively identify and treat symptoms to optimise patients’ overall well-being. The ‘bridging clinic’, delivered by a range of healthcare professionals from gastroenterologists to nurse practitioners, can provide this interface where patients are first informed of their diagnosis and second supportive therapies offered. In this article, we provide a structure for instituting such supportive therapies at the bridging clinic. The components of the clinic are summarised using the mnemonic INDASH (Information/Nutrition/Diabetes and Depression/Analgesia/Stenting/Hereditary) and each is discussed in detail below.

scholarly journals “At Least until the Second Wave Comes…”: A Twitter Analysis of the NHS and COVID-19 between March and June 2020

2021 ◽  
Vol 18 (8) ◽  
pp. 3943
Author(s):  
Kathy McKay ◽  
Sarah Wayland ◽  
David Ferguson ◽  
Jane Petty ◽  
Eilis Kennedy
Keyword(s):  
Health Care ◽  
Social Media ◽  
Content Analysis ◽  
Well Being ◽  
Profound Impact ◽  
Time Period ◽  
Twitter Analysis ◽  
The Uk ◽  
Media Narratives ◽  
Second Wave

In the UK, tweets around COVID-19 and health care have primarily focused on the NHS. Recent research has identified that the psychological well-being of NHS staff has been adversely impacted as a result of the COVID-19 pandemic. The aim of this study was to investigate narratives relating to the NHS and COVID-19 during the first lockdown (26 March–4 July 2020). A total of 123,880 tweets were collated and downloaded bound to the time period of the first lockdown in order to analyse the real-time discourse around COVID-19 and the NHS. Content analysis was undertaken and tweets were coded to positive and negative sentiments. Five main themes were identified: (1) the dichotomies of ‘clap for carers’; (2) problems with PPE and testing; (3) peaks of anger; (4) issues around hero worship; and (5) hints of a normality. Further research exploring and documenting social media narratives around COVID-19 and the NHS, in this and subsequent lockdowns, should help in tailoring suitable support for staff in the future and acknowledging the profound impact that the pandemic has had.

scholarly journals ‘Should I Stay, or Should I Go?’ Psychological Distress Predicts Career Change Ideation among Intensive Care Staff in Lithuania and the UK Amid COVID-19 Pandemic

2021 ◽  
Vol 18 (5) ◽  
pp. 2660
Author(s):  
Ieva Norkiene ◽  
Lina Jovarauskaite ◽  
Monika Kvedaraite ◽  
Encarl Uppal ◽  
Mandeep Kaur Phull ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Healthcare Professionals ◽  
Psychosocial Support ◽  
Career Change ◽  
Well Being ◽  
Self Report ◽  
Care Staff ◽  
Psychological Well Being ◽  
The United Kingdom ◽  
The Uk

The COVID-19 pandemic had a significant effect on healthcare globally. Additional pressure created by coronavirus adversely affected the mental health and psychological well-being of healthcare workers, leading many to question their desire and willingness to continue working in healthcare. This study aimed to identify predictors for career change ideation among healthcare professionals in two countries; Lithuania and the United Kingdom amid the coronavirus pandemic. In total, 610 healthcare professionals from Lithuania and the UK (285 and 325, respectively) participated in a survey from May to August 2020. Psychological distress and psychological well-being were measured using the self-report scales “DASS-21” and “WHO-5”. Almost half of the sample (49.2%), 59.6% and 40.0% in Lithuanian and the UK, respectively, exhibited career change ideation, the country effect was significant (AOR = 2.21, p < 0.001). Stronger ideation to leave healthcare was predicted by higher levels of depression (AOR = 1.10, p = 0.005), stress (AOR = 1.10, p = 0.007), anxiety surrounding inadequate personal protective equipment (AOR = 2.27, p = 0.009), and lower psychological well-being scores (AOR = 1.10, p = 0.007). We conclude that psychosocial support must be provided for healthcare professionals to prevent burnout and loss of staff amid the pandemic.

scholarly journals Understanding the lived experiences of Healthcare Professionals during the COVID-19 Pandemic: An Interpretative phenomenological analysis

2020 ◽  
Author(s):  
Emily McGlinchey ◽  
Catherine Hitch ◽  
Sarah Butter ◽  
Laura Mccaughey ◽  
Emma Berry ◽  
...  
Keyword(s):  
Mental Health ◽  
Northern Ireland ◽  
Lived Experiences ◽  
Interpretative Phenomenological Analysis ◽  
Healthcare Professionals ◽  
Well Being ◽  
Phenomenological Analysis ◽  
Snowball Sampling ◽  
The Uk ◽  
Qualitative Methodologies

Background: Little research has examined mental health and well-being in the context of healthcare professionals (HCP) working during the COVID-19 pandemic within the UK. To our knowledge, no research has employed qualitative methodologies in order to examine this. We therefore aim to address this gap in research by qualitatively examining the lived experiences of HCPs in Northern Ireland, working during the early stages of the pandemic and lockdown period (14.04.20 and 29.04.20).Method: Interpretative phenomenological analysis (IPA) was used to qualitatively examine the lived experiences of healthcare professionals, who were working during the COVID-19 outbreak. Ten HCPs were recruited via a social media campaign and snowball sampling. All interviews were conducted via telephone and transcribed verbatim. Results: Three superordinate themes with subordinate themes were elicited through the analysis. Theme one broadly captured present and future challenges of HCPs working during the pandemic. Theme two captured the mental health and wellbeing of HCPs and theme three captured HCPs’ perceptions of the attitudes of the general public towards HCPs. Conclusions: To the authors’ knowledge this is the first study to explore in depth, the unique experiences of frontline HCPs in Northern Ireland, offering a detailed account of the challenges confronted in these unprecedented circumstances and highlighting support needs within this cohort.

scholarly journals Healthcare Professionals’ Views on the Most Important Outcomes for Non- Infectious Uveitis of the Posterior Segment: A Qualitative Study

2021 ◽  
Author(s):  
Mohammad O. Tallouzi ◽  
David J. Moore ◽  
Nicholas Bucknall ◽  
Philip. I Murray ◽  
Melanie J. Calvert ◽  
...  
Keyword(s):  
Disease Control ◽  
Nurse Practitioners ◽  
Psychosocial Adjustment ◽  
Access To Health Care ◽  
Healthcare Professionals ◽  
Core Outcome Set ◽  
Well Being ◽  
Posterior Segment ◽  
Focus Group Data ◽  
Infectious Uveitis

Abstract BackgroundUveitis refers to a range of conditions that result in intraocular inflammation. Non-infectious Intermediate, posterior and panuveitis are the most serious forms of uveitis grouped as Non-Infectious Uveitis affecting the Posterior Segment (NIU-PS). To evaluate new and existing treatments trialists and clinicians aim to report certain measurements known as outcomes. The aim of this study was to understand the perspectives of healthcare professionals on what outcomes they thought important for adult patients with NIU-PS and their carers.MethodsTwelve semi-structured telephone interviews were undertaken to understand the perspectives of healthcare professionals - ophthalmologists (n=5), nurse practitioners (n=3) and health policy-makers/commissioners (n=4) on outcomes for NIU-PS. Interviews were audio recorded, transcribed and thematically analysed and a domain framework developed with focus group data from patients and carers applied to the data. Findings were compared with the views of patients and carers and outcomes abstracted from a previously published systematic review.ResultsEleven core domains were identified as important to healthcare professionals, which is broadly comparable to those previously identified by patients and carers: (1) visual function, (2) symptoms, (3) functional ability, (4) impact on relationships, (5) financial impact, (6) psychological morbidity and emotional well-being (7) psychosocial adjustment to uveitis, (8) doctor / patient / interprofessional relationships and access to health care, (9) treatment burden, (10) treatment side effects, (11) disease control. Healthcare professionals placed more emphasis on some items and identified additional outcomes, particularly in the disease control domain.ConclusionAlthough healthcare professionals recognise all of the same domains as patients/carers these findings are not yet implemented in practice or clinical research. These findings provide the basis to reflect on the nature of those outcomes at present used in uveitis clinical practice and clinical trials with those utilised in the development process of a core outcome set for NIU-PS.

Pancreatic Cancer

2012 ◽  
Vol 5 (6) ◽  
pp. 345-350 ◽  
Author(s):  
Ruchit Sood ◽  
Karen Neoh ◽  
Ranjeeta Bakashi ◽  
Katherine Argyle ◽  
Rodger Toner
Keyword(s):  
Pancreatic Cancer ◽  
Early Recognition ◽  
Signs And Symptoms ◽  
Delay In Diagnosis ◽  
National Statistics ◽  
Common Cancer ◽  
Painless Jaundice ◽  
Average Size ◽  
The Uk ◽  
Late Stages

Pancreatic cancer is the tenth most common cancer in the UK and the fifth leading cause of cancer death (UK). According to the Office for National Statistics, there were 8085 new cases and 7781 deaths in 2008, highlighting its extremely poor prognosis. The average-size GP practice is likely to see at least one case of pancreatic cancer per year. Currently, only 13% of cases are diagnosed through the 2 week wait referral pathway, with 47% presenting as hospital emergencies. Delay in diagnosis can be multifactorial. Early symptoms tend to be non-specific and signs and symptoms such as painless jaundice and weight loss do not present until late stages. Early recognition by the GP is crucial as surgical resection offers the best chance of survival. GPs also play a crucial role in providing palliative care in patients who have unresectable disease.

Pancreatic cancer

2019 ◽  
Vol 12 (9) ◽  
pp. 492-496
Author(s):  
Matthew C M Mortimer ◽  
Jessica L Ovens
Keyword(s):  
Pancreatic Cancer ◽  
Palliative Care ◽  
Early Recognition ◽  
Early Stage ◽  
Survival Rates ◽  
Cancer Death ◽  
Common Cause ◽  
Common Cancer ◽  
The Uk

Pancreatic cancer is the eleventh most common cancer in the UK, yet it is the fifth most common cause of cancer death. In the UK, the age-standardised incidence has risen by 11% over the last decade. The symptoms are often vague, and as a result, it rarely presents at an early stage. Prognosis is determined by stage at presentation, therefore prompt recognition and referral of suspicious symptoms is vital. Survival rates remain poor, with just a 3% rate of 5-year survival. GPs therefore have an important role in both the early recognition and palliative care of patients with pancreatic cancer.

scholarly journals Organisational factors: impacting on health for ambulance personnel

2019 ◽  
Vol 8 (2) ◽  
pp. 134-146
Author(s):  
Juliet Harrison
Keyword(s):  
Well Being ◽  
High Rate ◽  
Post Traumatic Stress ◽  
Ambulance Personnel ◽  
Content Type ◽  
Ovid Medline ◽  
Time Period ◽  
Negative Effect ◽  
The Uk ◽  
Organisational Factors

Purpose The purpose of this paper is to establish if organisational factors are leading to a negative effect on ambulance personnel’s health. In recent years, frontline ambulance personnel have displayed a consistent high rate of sickness amongst healthcare workers within the National Health Service in the UK. Post-traumatic stress disorder (PTSD) has previously been cited, but organisational factors may be stressors to health. Design/methodology/approach A search of electronic databases MEDLINE EBSCO, MEDLINE OVID, MEDLINE PUBMED, AMED, CINAHL, Web of Science, Zetoc within the time period of 2000–2017 resulted in six mixed methods studies. Hand searching elicited one further study. The literature provided data on organisational and occupational stressors (excluding PTSD) relating to the health of 2,840 frontline ambulance workers in the UK, Australia, Norway, the Netherlands and Canada. The robust quantitative data were obtained from validated questionnaires using statistical analysis, whilst the mixed quality qualitative data elicited similar themes. Narrative synthesis was used to draw theories from the data. Findings Organisational factors such as low job autonomy, a lack of supervisor support and poor leadership are impacting on the health and well-being of frontline ambulance workers. This is intertwined with the occupational factors of daily operational demands, fatigue and enforced overtime, so organisational changes may have a wider impact on daily occupational issues. Originality/value The findings have possible implications for re-structuring organisational policies within the ambulance service to reduce staff sickness.

scholarly journals Kidney Care during COVID-19 in the UK: Perspectives of Healthcare Professionals on Impacts on Care Quality and Staff Well-Being

2021 ◽  
Vol 19 (1) ◽  
pp. 188
Author(s):  
Archontissa Maria Kanavaki ◽  
Courtney Jane Lightfoot ◽  
Jared Palmer ◽  
Thomas James Wilkinson ◽  
Alice Caroline Smith ◽  
...  
Keyword(s):  
Online Survey ◽  
Healthcare Professionals ◽  
Healthcare Access ◽  
Healthcare Delivery ◽  
Well Being ◽  
Care Quality ◽  
Free Text ◽  
Structured Interviews ◽  
The Uk ◽  
The Impact

In light of the rapid changes in healthcare delivery due to COVID-19, this study explored kidney healthcare professionals’ (HCPs) perspectives on the impact of these changes on care quality and staff well-being. Fifty-nine HCPs from eight NHS Trusts across England completed an online survey and eight took part in complementary semi-structured interviews between August 2020 and January 2021. Free-text survey responses and interviews were analysed using inductive thematic analysis. Themes described the rapid adaptations, concerns about care quality, benefits from innovations, high work pressure, anxiety and mental exhaustion in staff and the team as a well-being resource. Long-term retention and integration of changes and innovations can improve healthcare access and efficiency, but specification of conditions for its use is warranted. The impact of prolonged stress on renal HCPs also needs to be accounted for in quality planning. Results are further interpreted into a theoretical socio-technical framework.

scholarly journals Let us do better: learning lessons for recovery of healthcare professionals during and after COVID-19

BJPsych Open ◽  
2021 ◽  
Vol 7 (5) ◽  
Author(s):  
Esther Murray ◽  
Kenneth R. Kaufman ◽  
Richard Williams
Keyword(s):  
Mental Health ◽  
Healthcare Provider ◽  
Healthcare Professionals ◽  
Well Being ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Healthcare Staff ◽  
The Uk

The COVID-19 pandemic emphasises the need to rethink and restructure the culture of healthcare organisations if we are to ensure the long-term well-being and mental health of healthcare provider organisations and their staff. In this paper, we recognise the high levels of stress and distress among staff of healthcare services before the COVID-19 pandemic began. We identify lessons for care of healthcare staff and illustrate the paths by which support mobilises and later deteriorates. Although this paper focuses on NHS staff in the UK, we contend that similar effects are likely in most healthcare systems.

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