scholarly journals “Continuous Shadow of Mother’s Breast Cancer”: Exploring the Voice of Daughters

2021 ◽  
Author(s):  
Su Ying Fang ◽  
Yu-Ming Wang ◽  
Kuo-Ting Lee
Keyword(s):  
Breast Cancer ◽  
Health Care Professionals ◽  
Emotional Reactions ◽  
Information Support ◽  
Adult Daughters ◽  
Sufficient Information ◽  
High Risk Populations ◽  
The Voice ◽  
Depth Interviews ◽  
Taking Care

Abstract Purpose: Women whose mothers have been diagnosed with breast cancer are concerned about their mothers’ illness and fear developing cancer themselves. This study aims to understand daughters’ lived experiences after their mothers have been diagnosed with breast cancer in Taiwan. Method: In-depth interviews were conducted to understand the daughters’ emotional reactions to their mothers’ diagnoses, their challenges with taking care of their mothers, and their concerns or perceptions regarding their own risks of developing breast cancer. Themes were identified through a content analysis. Results: An analysis of 18 transcripts revealed six themes: “taking care of my mother is my responsibility”, “desiring sufficient information/support”, “feeling helplessness in providing care”, “expecting a cancer diagnosis in fear”, “anticipating a resolution other than surveillance”, and “worrying about myself is not a priority”. Conclusion: The daughters prioritized the responsibility of caring for their mothers physically and psychologically rather than managing their own cancer concerns. Health care professionals should be aware of these priorities to provide education regarding the care of high-risk populations and psychological support to the adult daughters.

scholarly journals Gender Differences in the Attitudes of Parents Living with Adult Children with Schizophrenia

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 836
Author(s):  
Tzu-Pei Yeh ◽  
Ying-Wen Lin ◽  
Hsing-Yu Liu ◽  
Tzu-Ching Yang ◽  
Wen-Jiuan Yen ◽  
...  
Keyword(s):  
Gender Differences ◽  
Adult Children ◽  
Chinese Culture ◽  
Medical Center ◽  
Adult Daughters ◽  
Qualitative Research Design ◽  
The Family ◽  
Central Taiwan ◽  
Depth Interviews ◽  
Taking Care

Background: This paper explored the gender differences in the attitudes of parents toward taking care of their adult daughters or sons with schizophrenia, and focused on how parents define and think about the roles of their children, and how they cope with fulfilling the expected roles. Methods: Qualitative research design and purpose sampling were used to enroll parents who had adult patients with schizophrenia at a medical center in central Taiwan. Semi-structured in-depth interviews were conducted and content analysis was used to analyze the data. Results: Seven main themes emerged from the data provided by ten parents living with adult children with schizophrenia. Three themes that focused on gender difference are listed: parents continue to expect their sons with schizophrenia to carry on the family name; society as a whole expects males to be the “head of the family”; male family members are supposed to assume the responsibility of caring for siblings with schizophrenia. Conclusions: The results of the study could help clinical professionals to understand and have greater empathy with regard to the difficulties for families and the concerns of parents taking care of their children with schizophrenia in the specific context of Chinese culture, and to provide more efficient and responsive assistance.

scholarly journals Hidden Tales of Ebola: Airing the Forgotten Voices of Ugandan “Ebola Nurses”

2021 ◽  
pp. 104365962110179
Author(s):  
Isaac Okello Wonyima ◽  
Susan Fowler-Kerry ◽  
Grace Nambozi ◽  
Charlotte Barry ◽  
Jeanie Wills ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Access To Treatment ◽  
Care Workers ◽  
Free Health Care ◽  
Control And Prevention ◽  
Holistic Practice ◽  
Phenomenological Design ◽  
Depth Interviews ◽  
Current Reality

Introduction According to the Centers for Disease Control and Prevention, Ebola has affected the lives of thousands, including health care workers. With few studies describing the experience of nurses who survived Ebola, the study aimed to describe Ugandan nurses’ experiences. Method Using a phenomenological design, in-depth interviews were conducted among five Ugandan nurses who contracted Ebola and survived. Result Thematic analysis revealed themes of expectations of dying, hopelessness, loneliness, and betrayal by family, community, and the health system. Discussion Results support the need for policies targeting holistic practice protocols to protect all health care professionals during future outbreaks. Last, nursing survivors should have access to government-guaranteed support programs, including free health care and financial stipends. These results and recommendations transcend to the current reality of living with COVID-19 (coronavirus disease 2019). Efficient practice protocols could protect all rights and privileges and contribute to access to treatment and stigma removal.

scholarly journals Harvesting Health Knowledge: Breast Cancer Perceptions in the South Florida Latinx Farmworker Community

2021 ◽  
pp. 104973232110035
Author(s):  
Felicia Casanova ◽  
Felicia M. Knaul ◽  
Natalia M. Rodriguez
Keyword(s):  
Breast Cancer ◽  
Community Health ◽  
Health Care Services ◽  
Health Knowledge ◽  
Health Workers ◽  
Cancer Education ◽  
Breast Cancer Diagnosis ◽  
South Florida ◽  
Theory Approach ◽  
Depth Interviews

South Florida agricultural regions, home to Latinx immigrant farmworkers, report higher rates of late-stage breast cancer diagnosis than national, state, and county-level averages. We conducted a community-based qualitative study on the needs, health knowledge gaps, barriers to breast cancer screening, and the role of community health workers (CHWs) in supporting the community’s access to early detection services. We conducted three CHW focus groups (FGs) ( n = 25) and in-depth interviews ( n = 15), two FGs ( n = 18) and in-depth interviews ( n = 3) with farmworker community members, and informal interviews with cancer clinicians ( n = 7). Using a grounded theory approach, five core themes regarding the community’s barriers to accessing health care services emerged: (a) lack of information; (b) social and economic barriers; (c) cultural factors; (d) fears and mistrust; and (e) psychosocial concerns. Findings yield implications for community health practice, the potential impact of CHWs, and the production of breast cancer education to improve health equity along with the care continuum.

scholarly journals The sexual lives of breast cancer patients: Coping with changes associated with treatment

2017 ◽  
Vol 6 (1) ◽  
pp. 61
Author(s):  
Ayumi Yoshikawa ◽  
Shinya Saito ◽  
Makiko Kondo ◽  
Yuko Tsuyumu ◽  
Naruto Taira ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Hormone Therapy ◽  
Sexual Activity ◽  
Cancer Patients ◽  
Sexual Life ◽  
Breast Cancer Patients ◽  
Coping Methods ◽  
Virtuous Cycle ◽  
Depth Interviews ◽  
Analyze Data

Objective: To clarify how breast cancer patients undergoing post-surgical hormone therapy cope with changes in their sexual lives and support themselves and their partners during these changes.Methods: Participants were 37 breast cancer patients undergoing post-surgical hormone therapy and attending mammary outpatient clinics. In-depth interviews and grounded theory were used to collect and analyze data, respectively.Results: First, sexual life was divided into four groups: “No complaint” regarding sexual activity, “Slight discord”, “Handicapped in meeting a life partner” and “Uninterested” in sexual activity. Sexual life during surgical-hormone therapy did not change significantly from sexual life before breast cancer. Second, meanings of sexual activity for breast cancer patients were divided into five, “Regaining femininity”, “Confirming love”, “Sharing pleasure”, “Response to partner’s higher desire” and “Procreation”. They differed by group. Third, coping strategies were divided into six, “Virtuous cycle to confirm love and regain lost femininity”, “Struggle to avoid relationship crisis”, “Reconfirmation of partner’s affection by his abstinence”, “Attempt to recover the sexual activity they hope for”, “Pursuing children or assuaging partner’s desire by other means” and “Difficulty making a partner continue to have sexual activity”.Conclusions: Nurses should screen breast cancer patients for changes in their sexual lives and to ascertain what sexual activity means to patients, and support them in selecting appropriate coping methods.

P91 From initial breast cancer visit to hospitalisation: taking care of women with breast cancer pathology

2010 ◽  
Vol 14 ◽  
pp. S51-S52
Author(s):  
L. Rubio ◽  
B. Rossetti ◽  
F. Didier ◽  
A. Maldifassi ◽  
P. Arnaboldi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Pathology ◽  
Breast Cancer Pathology ◽  
Taking Care

scholarly journals Assessment of the Accuracy of the Gail Model in Women With Atypical Hyperplasia

2008 ◽  
Vol 26 (33) ◽  
pp. 5374-5379 ◽  
Author(s):  
V. Shane Pankratz ◽  
Lynn C. Hartmann ◽  
Amy C. Degnim ◽  
Robert A. Vierkant ◽  
Karthik Ghosh ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care Professionals ◽  
Breast Disease ◽  
Develop Breast Cancer ◽  
Atypical Hyperplasia ◽  
Individual Risk ◽  
Breast Cancers ◽  
Gail Model ◽  
Patient Counseling

Purpose An accurate estimate of a woman's breast cancer risk is essential for optimal patient counseling and management. Women with biopsy-confirmed atypical hyperplasia of the breast (atypia) are at high risk for breast cancer. The Gail model is widely used in these women, but has not been validated in them. Patients and Methods Women with atypia were identified from the Mayo Benign Breast Disease (BBD) cohort (1967 to 1991). Their risk factors for breast cancer were obtained, and the Gail model was used to predict 5-year–and follow-up–specific risks for each woman. The predicted and observed numbers of breast cancers were compared, and the concordance between individual risk levels and outcomes was computed. Results Of the 9,376 women in the BBD cohort, 331 women had atypia (3.5%). At a mean follow-up of 13.7 years, 58 of 331 (17.5%) patients had developed invasive breast cancer, 1.66 times more than the 34.9 predicted by the Gail model (95% CI, 1.29 to 2.15; P < .001). For individual women, the concordance between predicted and observed outcomes was low, with a concordance statistic of 0.50 (95% CI, 0.44 to 0.55). Conclusion The Gail model significantly underestimates the risk of breast cancer in women with atypia. Its ability to discriminate women with atypia into those who did and did not develop breast cancer is limited. Health care professionals should be cautious when using the Gail model to counsel individual patients with atypia.

Parental conceptions of the rotavirus vaccine during implementation in Stockholm: A phenomenographic study

2017 ◽  
Vol 21 (4) ◽  
pp. 476-487 ◽  
Author(s):  
Eva Sjögren ◽  
Lina Schollin Ask ◽  
Åke Örtqvist ◽  
Margareta Asp
Keyword(s):  
Health Care Professionals ◽  
Successful Implementation ◽  
Child Health Care ◽  
Rotavirus Vaccine ◽  
Stockholm County ◽  
Immunization Program ◽  
Rotavirus Infection ◽  
Phenomenographic Study ◽  
Depth Interviews ◽  
Child Immunization Program

In 2014, Stockholm became the first Swedish county to introduce the rotavirus vaccine, which is given from as early as six weeks of age. The aim of this study was to describe parental conceptions of rotavirus infection and vaccination during its implementation as part of the child immunization program, as their support is vital for any new vaccine. The study followed a descriptive, qualitative design with a phenomenographic approach. Ten in-depth interviews with parents were conducted in Stockholm County, transcribed and analyzed to describe qualitatively different conceptions of rotavirus infection and vaccination. Four main categories were identified: to vaccinate without doubt, hesitant to vaccinate, risky to vaccinate, and unnecessary to vaccinate. All the parents had in common the desire to protect their children from suffering, either by vaccinating their child in order to avoid rotavirus infection or by not vaccinating their child because of concerns about the side effects. It is important that child health-care professionals understand the variations of conceptions that influence the parents’ decisions and that these conceptions may differ considerably. Individualized parental information about rotavirus infection and vaccination would help to achieve a successful implementation of the vaccination program.

Application of transfer pricing as a management accounting tool in the project management system

2021 ◽  
pp. 43-53
Author(s):  
N. P. Agafonova
Keyword(s):  
Project Management ◽  
Management Accounting ◽  
Transfer Pricing ◽  
Information Support ◽  
Sufficient Information ◽  
Project Management System ◽  
Management Concept ◽  
Modern Economic ◽  
High Level ◽  
The Cost

Modern economic conditions, due to the high level of competition, lead to the need to search for internal reserves to improve the efficiency of economic entities, one of the solutions to this problem can be considered the application of the management concept “project management”. However, its full implementation is impossible without sufficient information support, which is eliminated as a result of the use of various management accounting tools, one of which is transfer pricing. The article presents the results of a study on the use of transfer education in determining the cost of implementing an agricultural project.

The Voice of Experience: Diet and Weight Change in Women with Breast Cancer Associate with Psychosocial and Treatment-Related Challenges

2017 ◽  
Vol 78 (2) ◽  
pp. 74-80 ◽  
Author(s):  
Vivienne Vance ◽  
Sharon Campbell ◽  
Linda Mccargar ◽  
Marina Mourtzakis ◽  
Rhona Hanning
Keyword(s):  
Breast Cancer ◽  
Food Intake ◽  
Weight Change ◽  
Early Stage ◽  
Qualitative Interviews ◽  
Dietary Interventions ◽  
Related Factors ◽  
Food Cravings ◽  
Psychosocial Challenges ◽  
The Voice

Purpose: This study investigated relationships between psychosocial and treatment-related factors, diet, and weight change in women treated with chemotherapy for early-stage breast cancer. Methods: Comprehensive qualitative interviews were conducted with 28 women who were within 12 months of completing chemotherapy treatment. Results: Changes in food intake and eating patterns were universal over the course of chemotherapy, with broad variability in treatment effects and associated dietary responses linked to weight change. Increased appetite, food cravings, and intake of energy-dense comfort foods were more common among women who gained weight during treatment (n = 11). Changes in taste, nausea, and emotional distress were central in promoting these dietary responses. Women who lost weight during treatment (n = 6) tended to report more severe and persistent side effects of treatment leading to poor appetite and lower food intake, and they were more likely to live alone. Conclusions: While the etiology of weight change in this population is complex, this study suggests that changes in food intake related to treatment and psychosocial challenges may play an important role for some women. These findings may help to identify women who are most at risk of weight change during treatment and may inform the development of tailored dietary interventions.

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