Motivational Incongruence and Well-Being at the Workplace: Person-Job Fit, Job Burnout, and Physical Symptoms

Abstract Purpose This pilot-controlled trial aimed to examine the feasibility and acceptability of hypnosis-derived communication (HC) administered by trained nurses during outpatient chemotherapy to optimize symptom management and emotional support — two important aspects of patient well-being in oncology. Methods The trial was conducted in two outpatient oncology units: (1) intervention site (usual care with HC), and (2) control site (usual care). Nurses at the intervention site were invited to take part in an 8-h training in HC. Participants’ self-ratings of symptoms and emotional support were gathered at predetermined time points during three consecutive outpatient visits using the Edmonton Symptom Assessment Scale and the Emotional Support Scale. Results Forty-nine patients (24 in the intervention group, 25 in the control group) with different cancer types/stages were recruited over a period of 3 weeks and completed the study. All nurses (N = 10) at the intervention site volunteered to complete the training and were able to include HC into their chemotherapy protocols (about ± 5 min/intervention). Compared to usual care, patients exposed to HC showed a significant reduction in physical symptoms during chemotherapy. In contrast, perception of emotional support did not show any significant effect of the intervention. Participants exposed to HC report that the intervention helped them relax and connect on a more personal level with the nurse during chemotherapy infusion. Conclusions Our results suggest that HC is feasible, acceptable, and beneficial for symptom management during outpatient chemotherapy. While future studies are needed, hypnosis techniques could facilitate meaningful contacts between cancer patients and clinicians in oncology. Trial registration Clinical Trial Identifier: NCT04173195, first posted on November 19, 2019

Download Full-text

A journey to a new stable state—further development of the postoperative recovery concept from day surgical perspective: a qualitative study

BMJ Open ◽

10.1136/bmjopen-2020-037755 ◽

2020 ◽

Vol 10 (9) ◽

pp. e037755

Author(s):

Ulrica Nilsson ◽

Maria Jaensson ◽

Karin Hugelius ◽

Erebouni Arakelian ◽

Karuna Dahlberg

Keyword(s):

Stable State ◽

Recovery Process ◽

Well Being ◽

Day Surgery ◽

Physical Symptoms ◽

Postoperative Recovery ◽

Four Dimensions ◽

Adult Participants ◽

Starting Point ◽

Patients Experience

ObjectiveThis study aims to further develop the concept analysis by Allvin et al in 2007 and Lundmark et al in 2016 from the perspective of day-surgery patients. Also, to describe how patients experience postoperative recovery in relation to the identified dimensions and subdimensions and to interpret the findings in order to get a deeper understanding of the concept postoperative recovery.DesignDescriptive qualitative design with a theoretical thematic analysis.SettingSix day-surgery departments in Sweden.ParticipantsThirty-eight adult participants who had undergone day surgery in Sweden. Participants were purposively selected.ResultsFour dimensions—physical, psychological, social and habitual—were confirmed. A total of eight subdimensions were also confirmed, two from Allvin et al’s study and six from Lundmark et al’s study. Recovery included physical symptoms and challenges coping with and regaining control over symptoms and bodily functions. Both positive and negative emotions were present, and strategies on how to handle emotions and achieve well-being were established. Patients became dependent on others. They coped with and adapted to the recovery process and gradually stabilised, reaching a new stable state.ConclusionPostoperative recovery was described as a process with a clear starting point, and as a dynamic and individual process leading to an experience of a new stable state. The recovery process included physical symptoms, emotions and social and habitual consequences that challenges them. To follow-up and measure all four dimensions of postoperative recovery in order to support and understand the process of postoperative recovery is, therefore, recommended.

Download Full-text

A Tale of Two Emotions: The Diverging Salience and Health Consequences of Calmness and Excitement in Old Age

Innovation in Aging ◽

10.1093/geroni/igaa057.2138 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 626-627

Author(s):

Jeremy Hamm ◽

Carsten Wrosch ◽

Meaghan Barlow ◽

Ute Kunzmann

Keyword(s):

Older Adults ◽

Old Age ◽

Perceived Control ◽

Positive Emotions ◽

Multilevel Models ◽

Growth Models ◽

Well Being ◽

Physical Symptoms ◽

Health Consequences ◽

Younger Adults

Abstract Using two studies, we examined the late life prevalence and health consequences of discrete positive emotions posited to motivate rest and recovery (calmness) or pursuit of novelty and stimulation (excitement). Study 1 assessed the salience of these discrete emotions in older adults (n=73, Mage=73) relative to younger adults (n=73, Mage=23) over a one-week period. Multilevel models showed that older (vs. younger) adults reported higher calmness and lower excitement. Study 2 examined the longitudinal health consequences of calmness and excitement in old age (n=336, Mage=75), as moderated by perceived control. Multilevel growth models showed that calmness, but not excitement, buffered against 10-year declines in psychological well-being (perceived stress, depressive symptoms) and physical health (physical symptoms, chronic conditions) for older adults with low perceived control. Results suggest that positive emotions with disparate motivational functions become more (calmness) or less (excitement) salient and have diverging implications for health in old age.

Download Full-text

The Mediating Role of Subjective Well-Being in Job Burnout and Generativity Concern

Proceedings of the 3rd International Conference on Economics and Management, Education, Humanities and Social Sciences (EMEHSS 2019) ◽

10.2991/emehss-19.2019.11 ◽

2019 ◽

Author(s):

Xingniu Lan

Keyword(s):

Well Being ◽

Job Burnout ◽

Subjective Well Being ◽

Mediating Role

Download Full-text

Livelihood vs. Life: The Occupational Well-Being of Women Musician Survivors of Breast Cancer

Medical Problems of Performing Artists ◽

10.21091/mppa.2012.1004 ◽

2012 ◽

Vol 27 (1) ◽

pp. 15-20 ◽

Cited By ~ 1

Author(s):

Sarah Schmalenberger ◽

Charles E Gessert ◽

Jean E Giebenhain ◽

Lisa D Starr

Keyword(s):

Breast Cancer ◽

Side Effects ◽

Cancer Treatment ◽

Body Movement ◽

Well Being ◽

Physical Symptoms ◽

Breast Cancer Treatment ◽

Upper Body ◽

Long Term Effects ◽

Cancer Treatments

The Life and Livelihood Study was designed to describe and understand the experience of women musicians treated for breast cancer. This report focuses on Phase I of the study, a web-based survey that examined subjects’ physical symptoms and side effects following breast cancer treatment. Subjects were recruited nationally, using advertisements in musicians’ publications and presentations at national meetings. Subjects were asked about specific side effects or symptoms they had experienced, their severity and duration, and the effects of symptoms on their capacity to make music. Subjects were also asked what aspect of their breast cancer treatment they associated with each symptom and were invited to provide comments. A total of 321 individuals logged on: 100 met all inclusion criteria. Of these, 90 completed the entire survey. Commonly reported symptoms included fatigue (70%), problems with cognition (53%), limitations in upper body movement (51%), and pain (45%). Many reported that their symptoms were of moderate or greater intensity, and that they persisted for >12 months or were ongoing. The survey documented that many subjects experienced diminished capacity to function as musicians, especially due to pain, limitations in upper body and extremity movement, numbness in the chest and/or arms, contracture/fibrosis, and shortness of breath. These findings are consistent with emerging studies that describe long-term effects of breast cancer treatments. In planning for breast cancer treatment, rehabilitation and survivorship, consideration should be given to how treatment is likely to affect fitness for ongoing professional work.

Download Full-text

How Different Health Literacy Dimensions Influences Health Status and Well-being among Men and Women: The Mediating Role of Health Behaviors

10.21203/rs.3.rs-23168/v2 ◽

2020 ◽

Author(s):

Fan Zhang ◽

Peggy Pui-Lai Or ◽

Joanne Wai-Yee Chung

Keyword(s):

Health Literacy ◽

Health Behaviors ◽

Health Knowledge ◽

Well Being ◽

Physical Symptoms ◽

Literacy Skills ◽

Subjective Well Being ◽

Positive Health ◽

Cross Sectional Survey ◽

Men And Women

Abstract Background. Health literacy, the ability to access, understand, evaluate, and apply health information, was found to contribute to positive health outcomes, possibly via promoting healthy behaviors. However, the specific pathways linking different health literacy skills to health and well-being has remained unclear. Methods. A cross-sectional survey with structural questionnaires was administered among 2236 community-based adults in Hong Kong (mean age = 46.10 ±19.05). Health literacy was measured by HLS-Asian-47. Participants' health behavior, physical conditions, and subjective well-being were reported.Results. With structural modeling path analysis, health literacy in finding and understanding information showed a direct effect on enhancing physical health. While applying information capacity had an indirect positive effect via promoting health behaviors, which was moderated by sex. Only among women, this indirect effect predicting fewer physical symptoms and better well-being was significant.Conclusions. Although similar patterns were found in physical condition and well-being, distinct direct and indirect pathways were found of different health literacy dimensions for men and women. Based on the findings, by targeting specific health literacy skills, education programs should be developed to enhance women’s health knowledge, and men's application of the knowledge in healthy lifestyle.

Download Full-text

Examining the Role of Person-Environment Fit in Improving Teaching Satisfaction and Subjective Well-Being

International Journal of Asian Business and Information Management ◽

10.4018/ijabim.2017100101 ◽

2017 ◽

Vol 8 (4) ◽

pp. 1-14

Author(s):

Imran Ali

Keyword(s):

Life Satisfaction ◽

Well Being ◽

Positive Influence ◽

Faculty Members ◽

Subjective Well Being ◽

Job Fit ◽

Person Fit ◽

Person Environment Fit ◽

Teaching Satisfaction ◽

Person Organization Fit

The current study examines the influence of person-environment fit constructs including; person-organization fit, person-job fit, person-vocation fit, person-group fit and person-person fit between teaching satisfaction and life satisfaction among faculty members. The study uses data collected from 509 faculty members teaching in different colleges and universities of Pakistan. The study found significantly positive influence of all person-environment fit dimensions including; person-organization fit, person-job fit, person-vocation fit, person-group fit and person-person fit on teaching satisfaction and life satisfaction perceptions among faculty members in Pakistan.

Download Full-text

Understanding Hospice Patients’ Beliefs About Their Life Expectancy: A Qualitative Interview Study

American Journal of Hospice and Palliative Medicine® ◽

10.1177/1049909120948486 ◽

2020 ◽

pp. 104990912094848

Author(s):

Jennifer M. Taber ◽

Clare L. Stacey ◽

Denice K. Sheehan

Keyword(s):

Life Expectancy ◽

Advanced Disease ◽

Well Being ◽

Physical Symptoms ◽

Future Research ◽

Common Source ◽

Structured Interviews ◽

Qualitative Interview Study ◽

Hospice Patients ◽

Length Of Life

Background: Patients with advanced disease often overestimate their life expectancy, which potentially impacts decision making. Objective: To examine the nature and source of hospice patients’ life expectancy estimates, about which little is known. Design: Using semi-structured interviews, patients were asked to estimate their life expectancy and elaborate on their response. Setting/Subjects: Participants were hospice patients ( n = 20, 55% male; 60% cancer). Measurement: We conducted thematic analysis using open and focused coding. Results: Many participants had difficulty answering the life expectancy question and expressed uncertainty about when they would die. One-third overestimated their length of life relative to actual survival. The most common source of patients’ prognostic beliefs was knowledge about their body, including physical symptoms and change over time. Half of patients reported that a provider had given them a prognostic estimate, and one-third agreed with, or gave estimates consistent with, the provider’s estimate. Some patients said providers do not know prognosis or that time of death was unknowable. Conclusions: Key findings were that 1) many hospice patients had difficulty estimating life expectancy, and 2) hospice patients’ life expectancy estimates were frequently based on their body and not on information from medical providers. These findings have implications for measuring prognostic awareness, as valid assessment is a necessary component of determining whether prognostic awareness is beneficial for patients. Future research should examine how life expectancy estimates are associated with well-being and whether results extend to larger samples of patients with advanced disease not in hospice.

Download Full-text

Sense of meaning influences mental functioning in chronic renal patients

Journal of Health Psychology ◽

10.1177/1359105318781908 ◽

2018 ◽

Vol 25 (12) ◽

pp. 1978-1988 ◽

Cited By ~ 2

Author(s):

Luca Iani ◽

Marco Lauriola ◽

Andrea-René Angeramo ◽

Elena Malinconico ◽

Piero Porcelli

Keyword(s):

Mental Health ◽

Renal Disease ◽

Physical Health ◽

End Stage Renal Disease ◽

Well Being ◽

Physical Symptoms ◽

Poor Mental Health ◽

Spiritual Well Being ◽

Stage Renal Disease ◽

End Stage

In this preliminary study, we examined whether aspects of spiritual well-being accounted for mental and physical health-related quality of life in 68 patients with end-stage renal disease, when controlling for age, type of treatment, physical symptoms, and worries. Hierarchical multiple regressions showed that meaning was associated with better mental health, while worry and physical symptoms also accounted for poor mental health. Faith and peace did not contribute to mental health. Older age, type of treatment (hemodialysis), and physical symptoms accounted for poor physical health. Our findings suggest that clinicians should include spiritual well-being in future interventions for end-stage renal disease patients.

Download Full-text