Support by peers in the clinical team in oncology: Perception of the contribution of patient advisors to improve the patient experience.

57 Background: Since 2018, three establishments in Quebec have introduced patient advisors (PA) in their healthcare team in order to improve cancer patients’ experience. These PA, who have had a cancer experience, meet patients undergoing radiotherapy treatments or in oncogenetics for breast cancer on the healthcare site. They conduct consultations to complete the offer of services by bringing emotional, informational, and educational support. Methods: A longitudinal study of multiple cases was completed from January to June 2020. After each accompaniment, the PA filled out a logbook to document the main themes covered and the accompanied patient fill out a survey to evaluate their experience one week after the intervention. A qualitative analysis of the logbook content and descriptive statistics were conducted. The REDCAP platform was used for monitoring the process of data collection and to administer the surveys online. Results: In total, 67 patients were accompanied by 4 PA. 71 logbooks were completed by the PA. The logbooks show that 70.3% of accompaniments took place right before radiotherapy and 63.6% following the results of the genetic test in oncogenetics. 50% of meetings took place in person in the establishment (in a space dedicated to the PA or not) and 45.8% were by phone. The meetings lasted approximately 37 minutes (min: 15 minutes and max: 90 minutes). The majority only met once (93.1 %). The most common themes discussed are: the role of the PA (94.1%), returning to day life (57.6%) and dealing with stress and anxiety (52.2%). 96% of PA felt that they did not encounter any difficulties during the accompaniment. For the accompanied women, the partnership was most beneficial for their experience with the illness (sharing experiences of side-effects, on the impact of the illness on every day life, with their social circle). 79% of patients found that the accompaniment met their needs. 90% of patients estimate that these meetings are complimentary to the healthcare professionals’ interventions. Finally, 89.5% of accompanied patients think that it would be very important to develop these types of meetings on a larger scale. Concerning the adaptation of spaces for the meetings, 26.3% are very satisfied and 26.3% are rather satisfied (probably an area for improvement). Conclusions: Overall, the partnerships seem to answer the needs of the accompanied patients and the PA can share their experience inside the clinical team.

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Factors associated with emotional exhaustion in healthcare professionals involved in the COVID-19 pandemic: an application of the job demands-resources model

International Archives of Occupational and Environmental Health ◽

10.1007/s00420-021-01669-z ◽

2021 ◽

Author(s):

Serena Barello ◽

Rosario Caruso ◽

Lorenzo Palamenghi ◽

Tiziana Nania ◽

Federica Dellafiore ◽

...

Keyword(s):

Emotional Exhaustion ◽

Patient Engagement ◽

Healthcare Professionals ◽

Job Demands ◽

Cross Sectional Study ◽

Personal Resources ◽

Sectional Study ◽

Cross Sectional ◽

The Impact

Abstract Purpose The purpose of the present cross-sectional study is to investigate the role of perceived COVID-19-related organizational demands and threats in predicting emotional exhaustion, and the role of organizational support in reducing the negative influence of perceived COVID-19 work-related stressors on burnout. Moreover, the present study aims to add to the understanding of the role of personal resources in the Job Demands-Resources model (JD-R) by examining whether personal resources—such as the professionals’ orientation towards patient engagement—may also strengthen the impact of job resources and mitigate the impact of job demands. Methods This cross-sectional study involved 532 healthcare professionals working during the COVID-19 pandemic in Italy. It adopted the Job-Demands-Resource Model to study the determinants of professional’s burnout. An integrative model describing how increasing job demands experienced by this specific population are related to burnout and in particular to emotional exhaustion symptoms was developed. Results The results of the logistic regression models provided strong support for the proposed model, as both Job Demands and Resources are significant predictors (OR = 2.359 and 0.563 respectively, with p < 0.001). Moreover, healthcare professionals’ orientation towards patient engagement appears as a significant moderator of this relationship, as it reduces Demands’ effect (OR = 1.188) and increases Resources’ effect (OR = 0.501). Conclusions These findings integrate previous findings on the JD-R Model and suggest the relevance of personal resources and of relational factors in affecting professionals’ experience of burnout.

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Gender Development in 46,XY DSD: Influences of Chromosomes, Hormones, and Interactions with Parents and Healthcare Professionals

Scientifica ◽

10.6064/2012/834967 ◽

2012 ◽

Vol 2012 ◽

pp. 1-15 ◽

Cited By ~ 9

Author(s):

Amy B. Wisniewski

Keyword(s):

Healthcare Professionals ◽

Disorders Of Sex Development ◽

Gender Development ◽

Social Variables ◽

Sex Development ◽

Genital Ambiguity ◽

And Gender ◽

Social Components ◽

The Impact

Variables that impact gender development in humans are difficult to evaluate. This difficulty exists because it is not usually possible to tease apart biological influences on gender from social variables. People with disorders of sex development, or DSD, provide important opportunities to study gender within individuals for whom biologic components of sex can be discordant with social components of gender. While most studies of gender development in people with 46,XY DSD have historically emphasized the importance of genes and hormones on gender identity and gender role, more recent evidence for a significant role for socialization exists and is considered here. For example, the influence of parents’ perceptions of, and reactions to, DSD are considered. Additionally, the impact of treatments for DSD such as receiving gonadal surgeries or genitoplasty to reduce genital ambiguity on the psychological development of people with 46,XY DSD is presented. Finally, the role of multi-disciplinary care including access to peer support for advancing medical, surgical and psychosexual outcomes of children and adults with 46,XY DSD, regardless of sex of rearing, is discussed.

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The physician's disease: The impact of medical knowledge on personal illness

Palliative & Supportive Care ◽

10.1017/s1478951507070095 ◽

2007 ◽

Vol 5 (1) ◽

pp. 71-76 ◽

Cited By ~ 3

Author(s):

JEFFREY P. TUTTLE

Keyword(s):

Treatment Plan ◽

Medical Knowledge ◽

Sick Role ◽

Patient Relationship ◽

Physician Patient Relationship ◽

Consultation Room ◽

Patients Experience ◽

Physician Patient ◽

The Impact

Objective: When physicians confront a personal illness of a serious nature, they may discover that the transition to the sick role is challenging, and the inability to relinquish their stethoscope may cause undo anxiety. The physician–patient relationship is intrinsically asymmetrical, and the role of the physician is to regulate the amount of information patients need in order to become educated about their illness and to make informed decisions about their treatment plan. This article explores the challenges in the physician–patient relationship when the patient is also a physician.Methods: This article is a literature review of publications involving the unique challenges physician–patients experience when suffering from serious personal illness.Results: The medical knowledge physician–patients harbor has the potential to complicate their ability to cope with difficult or terminal diagnoses. Paradoxically, knowledge about a condition may fuel anxiety instead of alleviating the fear associated with the unknown. Medical knowledge therefore may entail a certain loss of innocence, and physicians are often unable to revert to being “mere” patients. Furthermore, managing this anxiety in physician–patients may prove to be challenging to the treating physician.Significance of results: From a medical perspective, physician–patients need to be addressed like any other patient. Psychologically, however, these patients are unique, and the specific challenges their education and experience bring into the consultation room needs to be explicitly addressed.

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Cancer, depression symptoms and quality of life: The role of creativity

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.537 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S470-S471 ◽

Cited By ~ 1

Author(s):

L. Delpech ◽

F. Sordes ◽

J.L. Sudres

Keyword(s):

Quality Of Life ◽

Depression Symptoms ◽

Diagnosis Of Cancer ◽

Depression Level ◽

Competing Interest ◽

Patients Experience ◽

The Impact

The diagnosis of cancer is associated with the occurrence of psychopathological symptoms, which cause even more difficulties to patients. Scientific research demonstrates that creativity could help increase the general population's quality of life and regulate their negative emotions, but only a few studies are available on the link between creativity and the regulation of patients’ respective experience. This study aims at (1) measuring the impact of creativity on the patient's level of depression and quality of life and (2) evaluating the psychopathological profile of the creative person. Thirty-five subjects undergoing chemotherapy treatment (age: 61 + 11) took part in this study. The experimental protocol is composed of creativity, depression and QoL tests. The results show that creativity is negatively correlated with depression level and positively with QoL (r = −45; P = <.05 and r=.54; P = <.01 respectively). The linear regressions show that creativity is a variable, which predicts a high QoL (F = 13.83; P=.001). Also, 29.5% of the QoL variability is explained by creativity. A cluster analysis sorted out three different groups: very creative persons (VCP); mildly creative persons (MCP); slightly creative persons (SCP). VCPs have a significantly lower level of depression and have a better QoL compared to SCPs. MCPs have a level of depression between the other groups and a similar level of QoL than VCPs. These results suggest that creativity could have a noticeable influence on how patients experience their cancer. Further studies on this phenomenon will be necessary for creativity to be taken into account for psychological follow-up in oncology.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Communities of practice: acknowledging vulnerability to improve resilience in healthcare teams

Journal of Medical Ethics ◽

10.1136/medethics-2019-105865 ◽

2020 ◽

pp. medethics-2019-105865 ◽

Cited By ~ 1

Author(s):

Janet Delgado ◽

Janet de Groot ◽

Graham McCaffrey ◽

Gina Dimitropoulos ◽

Kathleen C Sitter ◽

...

Keyword(s):

Communities Of Practice ◽

Compassion Fatigue ◽

Healthcare Professionals ◽

Shared Knowledge ◽

Healthcare Team ◽

Self Awareness ◽

Professional Lives ◽

Healthy Work ◽

Inherent Vulnerability

The majority of healthcare professionals regularly witness fragility, suffering, pain and death in their professional lives. Such experiences may increase the risk of burnout and compassion fatigue, especially if they are without self-awareness and a healthy work environment. Acquiring a deeper understanding of vulnerability inherent to their professional work will be of crucial importance to face these risks. From a relational ethics perspective, the role of the team is critical in the development of professional values which can help to cope with the inherent vulnerability of healthcare professionals. The focus of this paper is the role of Communities of Practice as a source of resilience, since they can create a reflective space for recognising and sharing their experiences of vulnerability that arises as part of their work. This shared knowledge can be a source of strength while simultaneously increasing the confidence and resilience of the healthcare team.

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Role of pharmacist during the COVID-19 pandemic: a scoping review

10.1101/2020.06.30.20143859 ◽

2020 ◽

Cited By ~ 1

Author(s):

Marília Berlofa Visacri ◽

Isabel Vitória Figueiredo ◽

Tácio de Mendonça Lima

Keyword(s):

Healthcare Professionals ◽

Data Extraction ◽

The United States ◽

Pharmacist Intervention ◽

Future Research ◽

Patient Counseling ◽

Eligibility Criteria ◽

Satisfactory Description ◽

The Impact

AbstractBackgroundSince the start of the new Coronavirus (COVID-19) outbreak in December 2019, pharmacists worldwide are playing a key role adopting innovative strategies to minimize the adverse impact of the pandemic.ObjectivesTo identify and describe core services provided by the pharmacist during the COVID-19 pandemic.MethodsA literature search was performed in MEDLINE, Embase, Scopus, and LILACS for studies published between December 1st, 2019 and May 20th, 2020 without language restriction. Studies that reported services provided by pharmacists during the COVID-19 pandemic were included. Two independent authors performed study selection and data extraction with a consensus process. The pharmacist’s intervention identified in the included studies were described based on key domains in the DEPICT v.2.ResultsA total of 1,189 records were identified, of which 11 studies fully met the eligibility criteria. Most of them were conducted in the United States of America (n=4) and China (n=4). The most common type of publication were letters (n=4) describing the workplace of the pharmacist in hospitals (n=8). These findings showed the different roles of pharmacists during the COVID-19 pandemic, such as disease prevention and infection control, adequate storage and drug supply, patient care and support for healthcare professionals. Pharmacists’ interventions were mostly conducted for healthcare professionals and patients (n=7), through one-to-one contact (n=11), telephone (n=6) or video conference (n=5). The pharmacists’ main responsibility was to provide drug information for healthcare professionals (n=7) as well as patient counseling (n=8).ConclusionsA reasonable number of studies that described the role of the pharmacists during the COVID-19 pandemic were found. All studies reported actions taken by pharmacists, although without providing a satisfactory description. Thus, future research with more detailed description as well as an evaluation of the impact of pharmacist intervention is needed in order to guide future actions in this and-or other pandemic.

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The Influence of Loneliness on The Mobile Phone Addiction of Contemporary College Students: The Mediating Role of Online Social Support

Journal of Psychology & Behavior Research ◽

10.22158/jpbr.v3n1p1 ◽

2021 ◽

Vol 3 (1) ◽

pp. p1

Author(s):

Wang Bei ◽

Su Yitong ◽

Li Zeyu

Keyword(s):

Social Support ◽

College Students ◽

Mobile Phone ◽

Short Form ◽

Online Social Support ◽

Mediating Role ◽

Mobile Phone Addiction ◽

Support Methods ◽

The Impact

Objectives: The purpose of this study was to explore the impact of loneliness on the mobile phone addiction, and to investigate the role of the psychological variable of online social support. Methods: 622 college students were surveyed by using the mobile phone addiction index (MPAI) scale, Online Social Support Questionnaire for College Students and the short-form of the UCLA Loneliness Scale. Results: The main effect of online social support and the mobile phone addiction on education level was significant. Loneliness was negatively correlated with online social support and the mobile phone addiction, online social support is positively correlated with the mobile phone addiction. Online social support was a complete mediator between loneliness and the mobile phone addiction.

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Transformational Leadership and Turnover Intentions: The Mediating Role of Employee Performance during the COVID-19 Pandemic

Administrative Sciences ◽

10.3390/admsci11030081 ◽

2021 ◽

Vol 11 (3) ◽

pp. 81

Author(s):

İlhami Yücel

Keyword(s):

Transformational Leadership ◽

High Performance ◽

Healthcare Professionals ◽

Turnover Intentions ◽

Employee Performance ◽

Individual Performance ◽

Transformational Leaders ◽

Mediating Role ◽

The Impact

The purpose of this research paper is to explain the impact of transformational leadership on employees’ turnover intentions in light of the mediating role of their individual performance. More precisely, we attempt to explain (a) how TL connects to employees’ turnover intentions, (b) how TL connects to employee performance, (c) how employee performance connects to turnover intentions, and (d) how employee performance mediates the connection between intentions and TL. Four hundred and seventy-eight Turkish healthcare professionals participated in this research. The results revealed that employee performance mediates the connection between turnover intentions and TL. In other words, transformational leaders encourage employee performance, which in turn decreases their turnover intentions. This research has important implications for reducing turnover in workplaces and increasing employee performance by facilitating a setting for high performance, since employees who are supported by their leaders are generally more committed to their organizations and exhibit better performance. This research answers calls to study the mediating function of the TL procedure, since the mediation clarifies the circumstances under which TL relates to the favorable results.

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Affordable Care Act: A review and discussion of its impact on healthcare today, and a primer for pharmacists

INNOVATIONS in pharmacy ◽

10.24926/iip.v4i1.292 ◽

2013 ◽

Vol 4 (1) ◽

Author(s):

Leo Lai Ho Lui ◽

Albert Wertheimer

Keyword(s):

United States ◽

Patient Care ◽

Affordable Care Act ◽

Healthcare Costs ◽

Healthcare Professionals ◽

The United States ◽

Patient Protection ◽

The Future ◽

The Impact

In the midst of countless healthcare debates, the Patient Protection and Affordable Care Act is written into legislation as a possible solution to the United States's rising healthcare costs. Individualized into nine titles, the act sought to provide additional coverage to millions of Americans while cutting down healthcare costs through numerous provisions effective into 2020. While the act has been challenged publicly and privately by the states, many healthcare professionals today, let alone the average American, are unaware and uneducated of what comprises the act, as well as the impact in which it has on the future of healthcare in the United States. With an increasing role of patient care placed upon pharmacists today, an understanding of the PPACA allows us to provide extensive answers to questions in which our patients may have. Type: Student Project

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Examining the role of the Internet in health behaviour

10.1093/oxfordhb/9780199561803.013.0022 ◽

2012 ◽

Author(s):

Elizabeth Sillence ◽

Pam Briggs

Keyword(s):

Health Behaviour ◽

Information Quality ◽

Healthcare Professionals ◽

The Internet ◽

Health Advice ◽

Qualitative Work ◽

Staged Model ◽

The Impact ◽

User Motivation

This article explores the role of the Internet in health behaviour, with particular emphasis on the issue of trust and trusting behaviours, as this is seen as key to determining the impact of the Internet on health outcomes. It is organized as follows. The first section discusses the role of the Internet in the context of health information and advice, exploring broader issues such as user motivation and outcomes in terms of perceived health benefits, as well as interactions with healthcare professionals. The article then goes on to examine the types of health websites available, and explores issues of advice and information quality. The following section examines the context of trust in relation to online health advice and information, and presents a staged model of trust that helps reconcile differences in the literature. The last section presents a validation of the staged model through in-depth, longitudinal qualitative work.

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