scholarly journals The Use Of Spikes Protocol In Cancer: An Integrative Review

10.3823/2324 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Fernando Henrique De Sousa ◽  
Vitor Engrácia Valenti ◽  
Mariana P. Hamaji ◽  
Carla Ap. P. De Sousa ◽  
David Matthew Garner ◽  
...  
Keyword(s):  
Health Professionals ◽  
Bad News ◽  
Integrative Review ◽  
Medical Professionals ◽  
Limiting Factor ◽  
Patient Relationship ◽  
Inclusion Criteria ◽  
Medical Subject Headings ◽  
Main Effects

This is an integrative review which aimed to evaluate the use of the SPIKES protocol in Oncology. We selected articles published in Medline and CINAHL databases between 2005-2015, in English, with the descriptors defined by the Medical Subject Headings (MeSH):cancer, neoplasms, plus the uncontrolled descriptor: protocol spikes.  Six articles met the inclusion criteria and were analyzed in full, three thematic categories were established: aspects inherent to the health care professional; Aspects related to the patient and aspects related to the protocol. The main effects of the steps of SPIKES protocol can provide the strengthening of ties between health professionals and patients, and ensure the maintenance and quality of this relationship.  The results indicate an important limiting factor for effective doctor-patient relationship, the little training provided to medical professionals communication of bad news, verified by the difficulty reported in this moment through interviews in the analyzed studies.

scholarly journals Influence of Sexuality on the Health of the Elderly in Process of Dementia: Integrative Review

Aquichan ◽  
2020 ◽  
Vol 20 (1) ◽  
pp. 1-13
Author(s):  
Edison Vitório de Souza Júnior ◽  
Cristiane dos Santos Silva ◽  
Poliana Souza Lapa ◽  
Laís Emily Souza Trindade ◽  
Benedito Fernandes da Silva Filho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Web Of Science ◽  
The Elderly ◽  
Health Science ◽  
Integrative Review ◽  
Inclusion Criteria ◽  
Medical Subject Headings ◽  
Beneficial Effects ◽  
Perception Of Quality

Objective: this work sought to inquire on the influence of sexuality on the health of the elderly during dementia. Materials and Methods: this was an integrative review. A careful search was conducted in nine databases; however, only five databases provided articles fulfilling the scope of the study: Medline, Lilacs, BDENF, Scopus, and Web of Science (WoS). The health science descriptors (DeCS) were adopted: “sexualidad”, “demencia” and “anciano”, and the descriptors cataloged in the Medical Subject Headings (MeSH): “sexuality”, “dementia” and “aged”. After applying the inclusion criteria, eight articles were selected to comprise the study sample. Results: the practice of sexuality influences upon the health of the elderly with dementia with some beneficial effects, given that it provides, especially, better perception of quality of life and wellbeing. Nevertheless, it cannot be generalized due to methodological insufficiency evidenced in the studies found to construct this review. Conclusions: due to the limitation of studies addressing the theme and the methodological insufficiency of those included in this review, it is necessary to conduct research that shows in depth the influence of sexuality on this population, given that it can be constituted as another approach for the promotion and protection of health in the elderly with dementia.

Empathy in the nurse–patient relationship in geriatric care: An integrative review

2018 ◽  
Vol 26 (6) ◽  
pp. 1585-1600 ◽  
Author(s):  
Tiago José Silveira Teófilo ◽  
Rafaella Felix Serafim Veras ◽  
Valkênia Alves Silva ◽  
Nilza Maria Cunha ◽  
Jacira dos Santos Oliveira ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
Care Setting ◽  
Experimental Studies ◽  
Geriatric Care ◽  
Assessment Tools ◽  
Integrative Review ◽  
Ethical Aspect ◽  
Patient Relationship

Introduction: Empathy is a complex human experience that involves the subjective intersection of different individuals. In the context of nursing care in the geriatric setting, the benefits of empathetic relationships are directly related to the quality of the practice of nursing. Objective: Analyze scientific production on the benefits of empathy in the nurse–patient relationship in the geriatric care setting. Methods: An integrative review of the literature was performed using the PubMed, Cochrane, CINAHL, Scopus, PsycINFO, and Web of Science databases. The articles retrieved were organized, evaluated, and classified based on the level of scientific evidence. Results: Relationships of empathy between nurses and older people were analyzed in quasi-experimental studies using different assessment tools, the majority of which had moderate levels of validity and reliability. Studies with a qualitative approach discussed the meaning of empathy in terms of the quality of care offered, compassion, and vulnerability. Discussion: Levels of empathy increase when activities are developed with the aim of teaching, sensitization, and training for relational care between nursing staff and older people. The analysis of empathetic relationships is important to the evaluation of the quality of care provided to older people. Conclusion: Empathy in the nurse–patient relationship in the geriatric care setting is an important ethical aspect that contributes to the quality of the practice of nursing. The present findings indicate the need for more robust assessment tools with adequate psychometric properties and the descriptive analysis of empathy.

The Physician–Patient Relationship and Medical Ethics in Japan

1994 ◽  
Vol 3 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Ryuji Ishiwata ◽  
Akio Sakai
Keyword(s):  
Health Care ◽  
Brain Death ◽  
Organ Transplantation ◽  
Terminal Care ◽  
General Meeting ◽  
Medical Professionals ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Physician Patient

In April 1991, a general meeting of the Japanese Medical Conference (called ev 4 years) was held in Kyoto and attracted 32,500 participants, the largest number ever. The theme of the meeting was “Medicine and Health Care in Transition,” and the program Included panel discussions on “How to Promote the Quality of Health Care” and “How Terminal Care Should Be Provided” and symposia on “Diagnosis of Brain Death and Its Problems,” “The Propriety of Organ Transplantation,” and “Brain Death and Organ Transplantation.” These titles reveal not only how medical professionals in Japan perceive the present situatior healthcare but also the Issues that most concern them.

scholarly journals Class II malocclusion treatment using high-pull headgear with a splint: a systematic review

2013 ◽  
Vol 18 (2) ◽  
pp. 21e1-21e7 ◽  
Author(s):  
Helder B. Jacob ◽  
Peter H. Buschang ◽  
Ary dos Santos-Pinto
Keyword(s):  
Scientific Evidence ◽  
Class Ii ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Inclusion Criteria ◽  
Medical Subject Headings ◽  
Significant Treatment ◽  
Randomized Controlled ◽  
Electronic Database Search

OBJECTIVE: To systematically review the scientific evidence pertaining to the effectiveness of high-pull headgear in growing Class II subjects. METHODS: A literature survey was performed by electronic database search. The survey covered the period from January 1966 to December 2008 and used Medical Subject Headings (MeSH). Articles were initially selected based on their titles and abstracts; the full articles were then retrieved. The inclusion criteria included growing subjects between 8 to 15 years of age, Class II malocclusion treatment with high-pull headgear, and a control group with Class II malocclusion. References from selected articles were hand-searched for additional publications. Selected studies were evaluated methodologically. RESULTS: Four articles were selected; none were randomized controlled trials. All of the articles clearly formulated their objectives and used appropriate measures. The studies showed that high-pull headgear treatment improves skeletal and dental relationship, distal displacement of the maxilla, vertical eruption control and upper molars distalization. One of the studies showed a slight clockwise rotation of the palatal plane; the others showed no significant treatment effect. The mandible was not affected by the treatment. CONCLUSION: While there is still a lack of strong evidence demonstrating the effects of high-pull headgear with a splint, other studies indicate that the AP relations improve due to distalization of the maxilla and upper molars, with little or no treatment effects in the mandible. Greater attention to the design should be given to improve the quality of such trials.

scholarly journals Decision making by health professionals during COVID-19: an integrative review

2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
Camila Oliveira Valente ◽  
Fernanda Rios da Silva ◽  
Fernanda Carneiro Mussi ◽  
Maria Ribeiro Lacerda ◽  
Kátia Santana Freitas ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Professionals ◽  
Health Workers ◽  
Scientific Production ◽  
Integrative Review ◽  
Relational Autonomy ◽  
Inclusion Criteria ◽  
Clinical Prognosis ◽  
Personal Motivation

ABSTRACT Objective: To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic. Methods: Integrative review in the databases CINAHL, MEDLINE, Scopus, ScienceDirect, WoS, and BVS. Inclusion criteria: original articles available in full, in any language, related to the object investigated. Results: During this pandemic, health workers have been making decisions based on ethical/bioethical principles (utility, beneficence, non-maleficence, autonomy, justice, proportionality, flexibility, clinical prognosis, duration of the need, and fair health attention), values (solidarity, equality, equity, utilitarianism, relational autonomy, reliability, reciprocity, maximization of the benefits and resources, and prioritization of those in worse conditions), beliefs and personal motivation, protocols, directives, tools, algorithms, recommendations, and criteria. Final considerations: Decision making has never been so necessary as in this pandemic. This article is not a recipe for the professionals, since decision making is based on numerous factors. However, it provides them with a foundation that can be helpful in this difficult process.

Intervening factors in the feeding of infants vertically-exposed to HIV: an integrative review

2017 ◽  
Vol 41 ◽  
pp. 1
Author(s):  
MarÍlia Alessandra Bick ◽  
Polyana de Lima Ribeiro ◽  
Tamiris Ferreira ◽  
Stela Maris de Mello Padoin ◽  
Cristiane Cardoso de Paula
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Scientific Literature ◽  
Integrative Review ◽  
Socioeconomic Conditions ◽  
Inclusion Criteria ◽  
Knowledge And Attitudes ◽  
Inadequate Nutrition ◽  
Intervening Factors

Objective To evaluate the available scientific literature on factors that may intervene in the adequate feeding of infants vertically-exposed to HIV. Methods This was an integrative review of the literature, performed on the LILACS, PubMed and Scopus databases in February 2017. The search was guided by the question “What are the factors involved in feeding infants vertically-exposed to HIV.” Selected studies met the inclusion criteria of being research articles published in English, Portuguese, or Spanish. Articles excluded were those on exclusive breastfeeding. There was no need to perform a temporal cut off of the studies. Results In all, the 32 primary studies selected showed that intervening factors were of three types: individual, such as maternal feelings and desires, beliefs, and practical difficulties; social, such as socioeconomic conditions, social support, and stigma; and political, such as health services structure and organization, supplies, health care guidance, and the knowledge and attitudes of health care professionals. Conclusions The factors that interfere with feeding infants vertically-exposed to HIV may be independent or associated with each other. To reduce the risk of inadequate nutrition and its associated diseases, actions must be taken to identify and minimize these factors, guaranteeing a better quality of life and reduction of infant morbidity and mortality.

scholarly journals Validity of an instrument to evaluate the immunobiological cold chain

2020 ◽  
Vol 38 (2) ◽  
pp. 170-181
Author(s):  
Maíla Martins Oliveira ◽  
Valéria Conceição De Oliveira ◽  
Ana Paula Ferreira ◽  
Ilka Afonso Reis ◽  
Heloísa De Carvalho Torres ◽  
...  
Keyword(s):  
Health Professionals ◽  
Content Validity ◽  
Delphi Technique ◽  
Integrative Review ◽  
Cold Chain ◽  
Methodological Study ◽  
Validity Index ◽  
Logical Model ◽  
Content Validity Index

Objective: To develop and to test the validity of content and layout of a multidimensional tool to evaluate maintenance of the cold chain for immunobiological conservation.Method: A methodological study carried out in three steps: integrative review; development of theoretical and logical model for the development of the tool; implementation of the Delphi Technique to test the validity of content and layout. The Content Validity Index (CVI) and Content Validity Ratio (CVR) were calculated considering appropriate those values greater than or equal to 75% and 0.4, respectively.Results: The instrument consisted of 7 questions about structure and 20 about process, subdivided into three components: Transportation/Reception (n=3); Storage/Handling (n=13); Supervision/Permanent education (n=4). The CVI value was 87.4%, with values equal to 85.7% and 89% in the structure and process dimensions, respectively. The process components obtained CVI values equal to 88.9, 88.9 and 89.2%, respectively. The CVR was 0.8, with values equal to 0.7 and 0.8 in the structure and process dimensions. As for the layout validation, the questionnaire was considered intelligible.Conclusion: The study provides an instrument with validity of content and layout for health professionals in charge of the supervision of activities of immunobiological conservation, ensuring the maintenance of the immunogenic quality of the products offered to the population.

scholarly journals Doctor Patient Communication: A Review

2015 ◽  
Vol 32 (2) ◽  
pp. 84-88 ◽  
Author(s):  
Tahmina Begum
Keyword(s):  
Health Professionals ◽  
Effective Communication ◽  
Patient Communication ◽  
Professional Communication ◽  
Mutual Understanding ◽  
Patient Relationship ◽  
Doctor Patient Communication ◽  
Patients Satisfaction ◽  
The Core

Communication between patients and health professionals is seen as the core clinical function in building a therapeutic doctor-patient relationship, which is the heart and art of the medicine. Patients’ satisfaction is strongly influenced by the quality of the communication that occurs. Effective communication is the basis of mutual understanding and trust. This paper aims to raise awareness on the important issues involved in doctor-patient and inter-professional communication among the medical professionals.J Bangladesh Coll Phys Surg 2014; 32: 84-88

scholarly journals Reiki as nursing care to people in mental suffering: an integrative review

2021 ◽  
Vol 74 (suppl 3) ◽  
Author(s):  
Cândida Maria Rodrigues dos Santos ◽  
Marília de Oliveira Crispim ◽  
Thassia Thame de Moura Silva ◽  
Rute Costa Régis de Souza ◽  
Cecília Maria Farias de Queiroz Frazão ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nursing Care ◽  
Health Professionals ◽  
Web Of Science ◽  
Quality Standards ◽  
Integrative Review ◽  
Standards Of Care ◽  
Final Sample ◽  
Time Restriction

ABSTRACT Objective: To analyze the scientific evidences of the use of Reiki as a care strategy to people in mental suffering. Methods: Integrative review in the databases PubMed, Scielo, Web of Science, and BVS. The study included articles in English, Portuguese, and Spanish, with no time restriction, which answer to the guiding question that was created in accordance to the PICo strategy: “What are the scientific evidences on the use of Reiki as a care strategy to people in mental suffering?” Gray literature was not considered. Results: Ten articles made up the final sample. The use of the Reiki therapy had benefits as a strategy to care for stress, anxiety, depressive symptoms, pain relief, and quality of life improvements, whether the therapy was used isolated or to complement other treatments. Conclusion: The development of the competence of nurses and other health professionals in the use of Reiki can contribute to improve the quality standards of care.

scholarly journals Virtual Reality Use Among Persons With Dementia: An Integrative Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 822-823
Author(s):  
Justine Sefcik ◽  
Darina Petrovsky ◽  
Pamela Cacchione ◽  
Sungho Oh ◽  
George Demiris
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Cognitive Deficits ◽  
Data Extraction ◽  
Integrative Review ◽  
Improve Quality ◽  
Inclusion Criteria ◽  
Data Bases ◽  
Published Research

Abstract It is not well understood how virtual reality (VR) is currently used by older adults who have cognitive deficits due to dementia. The aim of this integrative review was to examine and report on published research exploring VR use among older adults with dementia. We searched 3 data bases for publications and used Whittemore and Knafl’s methodology for data extraction. Out of 122 articles we identified 24 that met our inclusion criteria, 15 published in 2012 and later. Most articles (12) used VR for assessment, and the others used VR for cognitive training (5) and as an intervention (3) (i.e., for exercise). Sample sizes were 30 or fewer persons with dementia. There is heterogeneity in the types of VR equipment, experiences, and foci of assessment through VR use. We identify opportunities to further explore VR as an intervention for persons with dementia to improve quality of life.

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