scholarly journals Concept Analysis of Futile Care in the Oncology Nursing: A Hybrid Model

2020 ◽  
Vol 8 (E) ◽  
pp. 172-180
Author(s):  
Forough Rafii ◽  
Hadi Ranjbar ◽  
Mohammadreza Dinmohammadi ◽  
Farshid Alazmani Noodeh

BACKGROUND: With the advances in medical technology and care of patients with cancer, the concept of futile care attracted more attention in the field of oncology. Futile care in the context of oncology nursing is an ambiguous and complex concept. Despite the importance of it in the professional care for patients with cancers, it was not defined clearly in the social and cultural contexts of Iran. OBJECTIVE: The aim of this study was to clarify and identify the components and inner structures of futile care from the perspective of nurses dealing with patients with advanced cancer using a hybrid model. METHODS: In the present study, the concept of futile care was analyzed based on the hybrid model in three phases including theoretical, fieldwork, and final analytical phase. In the theoretical phase, the related studies were analyzed. In the fieldwork phase, 10 interviews were conducted with nurses in oncology departments. Finally, the concept attributes were determined through a general analysis of the results of theoretical and fieldwork phases. RESULTS: The definition of the concept of futile care in oncology is continuous clinical services without reaching to desired outcome with simultaneous unrelated responsibilities for nurses. These services were provided to patients that have poor prognosis and they do not result on improve of patient’s survival or quality of life. The most important consequences of futile care are job burnout for nurses, unnecessary suffering for patients, and heavy expenses for health system. CONCLUSION: Futile care in oncology nursing has severe outcomes on nurses. Based on the definition, new scales can be developed to assess the futile care among nurses in oncology settings.

2012 ◽  
Vol 20 (2) ◽  
pp. 362-368 ◽  
Author(s):  
Juliana Maria de Paula ◽  
Helena Megumi Sonobe ◽  
Adriana Cristina Nicolussi ◽  
Márcia Maria Fontão Zago ◽  
Namie Okino Sawada

This study aimed to investigate the frequency of symptoms of depression in patients with cancer of the head and neck undergoing radiotherapy treatment, in the initial, middle and final stages of the treatment. This is a prospective exploratory quantitative study of 41 patients with head and neck cancer, undergoing radiotherapy treatment in the Oncology Outpatient Clinic of the Beneficência Portuguese Hospital of Ribeirão Preto. Data were collected through the Beck Depression Inventory instrument, and analyzed quantitatively by means of the Statistical Package for the Social Sciences. Symptoms of dysphoria were found to increase throughout the treatment, as well as the number of patients with depression. The results show the importance for the healthcare professionals to detect the prevalence and the levels of the symptoms of depression, since these symptoms tend to increase and may lead to consequences such as a lack of adherence to treatment and a decrease in the quality of life of these patients.


Author(s):  
Антон Мурзин ◽  
Anton Murzin

A single-industry town, or monotown, is a socio-economic system that possesses specific goals and functions as vectors of its development. In this connection, relatively new social requirements appear along with the traditional evolutionary factors. These new requirements involve conditions for the formation of human capital assets, the level of sociocultural infrastructure, the quality of urban communities, and the degree of development of communications. Therefore, the list of strategic criteria for the development of single-industry towns should include indicators of the quality of the social sphere and the quality of life of the population. The research develops evaluation approaches based on identification of the concept and definition of the structural components of the urban social sphere. The paper proposes methods for forecasting the level of the social infrastructure of a single-industry city. The study features the case of Shakhty, a large mining community in the Rostov region. The research defines the necessity for monitoring the dynamics of the development of the social sphere in single-industry towns, formulates groups of criteria for effectiveness management, summarizes the principles of their scaling, and provides recommendations for evaluation of the socio-economic development level. An analysis of the dynamics of the social sphere development in a single-industry town should become an adequate non-ideological integral social and economic criterion for the effectiveness and efficiency of municipal management.


2014 ◽  
Vol 25 (4) ◽  
pp. 105-120
Author(s):  
Aleksandra Bulatovic

The concept of well being has become the main criterion to assess quality of life in contemporary society. Individual well-being describes the individual quality of life, while social well-being refers to quality of life in a society. Given that well-being has a multitude of dimensions, a unique definition of it is elusive to scholars. In this article social well-being is conceptualised as a dynamic process within the context set by social integration as one?s relationship to society and the community. This includes the quality of interaction between the individual and society and one?s ?social actualisation? understood as the realisation of one?s social capacities. Social actualisation also involves one?s ability to influence social processes and to benefit from social cohesion, which consists, in any society, of the quality, organisation and functioning of the social world. Hence the ability to impact society is an integral part of individual well being. This paper suggests that philosophical practice as a new paradigm in the humanities holds out promise for the improvement of both individual and social well-being.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Loai Abu Sharour ◽  
Sulaiman Al Sabei ◽  
Maryam Al Harrasi ◽  
Samah Anwar ◽  
Ayman Bani Salameh ◽  
...  

1997 ◽  
Vol 67 (4) ◽  
pp. 635-658 ◽  
Author(s):  
Kathleen Weiler

In this article, Kathleen Weiler reflects on the historiography of Country Schoolwomen, her recent study of women teachers in rural California. Using a broad definition of feminist research, Weiler summarizes some of the most salient issues currently under debate among feminist scholars. She raises questions about the nature of knowledge, the influence of language in the social construction of gender, and the importance of an awareness of subjectivity in the production of historical evidence. Using several cases from Country Schoolwomen, Weiler discusses the importance of considering the conditions under which testimony is given, both in terms of the dominant issues of the day — for example, the way womanliness or teaching is presented in the authoritative discourse — and the relationship between speaker and audience. She concludes that a feminist history that begins with a concern with the constructed quality of evidence moves uneasily between historical narrative and a self-conscious analysis of texts.


2008 ◽  
Vol 41 (1) ◽  
pp. 233-234
Author(s):  
Kristen Parris

Democracy, Charles Tilly, New York: Cambridge University Press, 2007, pp. xi, 227.The ideal of democracy is rarely challenged openly in the contemporary world, yet it remains one of the social science's essentially contested concepts. Despite a large and growing literature on the topic, there is little consensus on how we are to decide when a particular regime qualifies as a democracy or not. In his ambitious and forceful new book, Charles Tilly argues that this lack of a clear and accurate definition of democracy is of considerable consequence. Lucid explanations of democratization, political standing of regimes, related foreign policy decisions and the quality of people's lives are all at stake. Tilly devotes his first chapter to building a working definition of democracy before putting forward a cogent explanatory framework for understanding how and why democracies emerge and why they sometimes disappear and to demonstrate what difference it makes.


2018 ◽  
Vol 21 (9) ◽  
pp. 73-80
Author(s):  
D. S. Doktorova

This article is dedicated to issues of social solidarity actions and it`s features in modern Sociology theoretical framework. The literature review reviled that definition of social solidarity is a complex concept, which is not distinct from related definitions. Separation of Social solidarity characteristics form a significant contribution of this article. They exist in the group, where respect, mutual feelings, trust, unselfishness, pride and suffer from loss or betrayal occur. The forms of social solidarity existence have a substantial role and operate on different levels: around, for and according to something. Solidarity ties have a great importance, which quality depends on the level of covetousness. Such ties can also be motivating factors. Article describes the human behavior in the relations of social solidarity, which varies depending on level of organization, roles (major and secondary), scale. Time factor could be found in the center of the social solidarity concept. It can unite the group and have a simultaneous impact in past, present and future. This article shows the value of social solidarity brought by motives of the group members and moral rules, which might or might not be followed.


2020 ◽  
Vol 15 (47) ◽  
pp. 85-108
Author(s):  
Jovana Trajković

Low social awareness of disability issues maintains discriminatory attitudes in society and does not contribute to improving the position of persons with disabilities. The media play a significant role in this because they produce new or reproduce existing meanings through representation. The media represent different identities and act as a forum for the social construction of reality, they construct and reproduce the social definition of disability. A highly discriminatory society is the main reason for the difficult life of people with disabilities, but objective media coverage of the topic of disability and persons with disabilities can improve this situation. Such reporting would contribute to changing the stereotypical attitudes towards which a person with a disability is viewed as one who needs help and pity, without considering physical and cultural barriers created in society. If living conditions were adapted to people with disabilities to the extent that they were adapted to all other persons, the quality of life of persons with disabilities would be significantly improved. In the research conducted for the purposes of this paper, we came to the conclusion that print media in Serbia do not devote sufficient space to the topic of disability, and generally report stereotypically.


2021 ◽  
Vol 17 (1) ◽  
pp. 136-151
Author(s):  
M. Salim Ferwati ◽  
Ali Keyvanfar ◽  
Arezou Shafaghat ◽  
Omar Ferwati

Abstract Public spaces facilitate opportunities for social interaction and promote social life. The social-spatial complexity of public spaces can be explored through the relationship between built forms and users’ daily social activities. The contemporary needs of users have retrofitted or replaced the controversial public spaces such as streets, depriving the prime function of sustaining and facilitating social life. Thus, any factors influencing users’ social/public life impact the quality of public spaces. Also, contextualization and definition of public spaces necessitate an evaluation of their quality. The lack of a quality assessment directory (QAD) for evaluating multi-functional public spaces motivated us to address it. To achieve the aim, this research has conducted a systematic literature review applying the content analysis to explore the principles and indicators influencing and enhancing social interactions in multi-functional public space design and then performed a normalization analysis to measure the weight of each indicator. The QAD constitutes five criteria (C1 – Inclusiveness, C2 – Desirable activities, C3 – Comfort, C4 – Safety, C5 – Pleasurability), and forty-two (42) embedded sub-criteria. The research found that Inclusiveness (Wn C1 = 4.38) and Pleasurability (Wn C2 = 3.88) have received the highest weights. Also, the research found that the sub-criteria ‘Physical/visual connection or openness to adjacent spaces’ (Wn Sc.4.1 = 1.00), ‘Users of diverse ages’ and ‘Community gathering third places’ (Wn = 0.750) have received the highest weights. Using such a QAD, urban professionals can quantify the effectiveness and efficiency of public spaces’ environmental and physical qualities in promoting social interactions and sociability.


2018 ◽  
Vol 120 (5) ◽  
pp. 1-32
Author(s):  
William G. Tierney ◽  
Nidhi S. Sabharwal

Background/Context Developing countries desire institutions ranked as “world-class,” and want to increase postsecondary participation. Limited public monies require decisions that usually augment the welfare of one objective at the expense of another. An additional conundrum concerns the need for quality assurances. Research needs to be rigorous; students need to be well trained. The authors suggest that the social ecology of higher education has a crucial role to play in India. The challenges are whether to accommodate rapid expansion, how to improve the overall quality of the system, and invest in a research infrastructure. Purpose/Objective/Research Questions/Focus of Study The article's purpose is to ask if the social ecology of postsecondary education that has been created in India is in its best interests. Social ecology refers to the universe of postsecondary organizations that account for the 35,357 institutions in India. Insofar as the ecology is “social,” the citizens and government determine the shape of the ecology. The authors first offer a traditional definition of what has been meant by the public good and then turn to a consideration of India's social ecology of higher education. The article's purpose then, is specific to India and more generalized to postsecondary education in a globalized world. The text situates the institutions and systems of higher education into a social ecology that until recently has been framed by the idea of a public good. Setting The study took place in India during 2015–2016. Research Design The text is an analytic essay that utilized secondary texts pertaining to the structure and quality of the postsecondary system in India. Conclusions/Recommendations The authors suggest that the “'alphabet soup” of institutional forms that currently exists in India does not serve the country well; the taxonomy tends to obscure, rather than clarify, roles and responsibilities. They argue that a new social ecology of higher education needs to be put forward that streamlines relationships, clarifies roles and regulations, improves data analysis, and focuses on quality rather than quantity.


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