1
|
Rothausen CS, Clausen AM, Voltelen B, Dieperink KB. Protective Buffering: Nurses Facilitating Communication Between Adults With Cancer and Their Adult Family Caregivers Who Overprotect One Another-An Integrative Review. JOURNAL OF FAMILY NURSING 2023; 29:417-436. [PMID: 36866540 DOI: 10.1177/10748407231156454] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2023]
Abstract
The aim of this study was to explore how nurses can alleviate protective buffering between adult patients with cancer and their adult family caregivers (PROSPERO No. CRD42020207072). An integrative review was conducted. PubMed, CINAHL, Embase, and Cochrane Library were searched for primary research articles published between January 2010 and April 2022. Only research conducted in oncology, hematology, or multiple settings and investigating communication between adult patients with cancer and their adult family caregivers and/or the communication between patients, family caregivers, and nurses was included. The constant comparison method outlined the approach to the analysis and synthesis of the included studies. Titles and abstracts of 7,073 references were screened; 22 articles (19 qualitative and three quantitative studies) were included in the review. Three themes emerged during data analysis: (a) family coping, (b) an isolating journey, and (c) the nurse's role. A study limitation was that "protective buffering" is not a common term in the nursing literature. There is a need for further research on protective buffering in families with cancer, particularly on psychosocial interventions that focus on the whole family across various cancer types.
Collapse
Affiliation(s)
- Camilla S Rothausen
- University of Southern Denmark, Odense, Denmark
- Odense University Hospital, Denmark
| | - Anne M Clausen
- University of Southern Denmark, Odense, Denmark
- Odense University Hospital, Denmark
| | - Barbara Voltelen
- University of Southern Denmark, Odense, Denmark
- University College Lillebælt, Vejle, Denmark
| | - Karin B Dieperink
- University of Southern Denmark, Odense, Denmark
- Odense University Hospital, Denmark
| |
Collapse
|
2
|
Pérez-Jiménez D, Monroy-López A, Villarreal-Garza C, Gálvez-Hernández CL. [Unmet needs in caregivers of patients with breast cancer: dyadic perception]. Rev Salud Publica (Bogota) 2023; 22:288-293. [PMID: 36753153 DOI: 10.15446/rsap.v22n3.85012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Accepted: 06/23/2020] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVE To analyze the unmet needs of informal caregivers of women with breast cancer (CaMa) from a dyadic perspective. METHOD An exploratory, cross-sectional and qualitative study was carried out through in-depth interviews, completed in the Department of Breast Tumors of the National Cancer Institute of Mexico. Three dyads (informal primary caregivers and patients, respectively) were included. The analysis was performed using an inductive approach. Interpretive descriptive analysis was chosen as the most appropriate methodological design. RESULTS The main unmet needs of the informal primary caregivers, perceived by the dyads, were psychological (such as the negative feelings caused by the mood changes of the patients) and informative (for example, the caregivers asked for information related to side effects and how to care and that the writing information use colloquial terms). CONCLUSIONS The unmet needs are the result of taking care, the level of affective commitment they have with the patient and the lack of training for care. The study highlights the relevance of planning interventions from a dyadic perspective.
Collapse
Affiliation(s)
- Diana Pérez-Jiménez
- DP: Psicóloga. Instituto Nacional de Cancerología. Ciudad de México. México.
| | - Alejandra Monroy-López
- AM: Trabajadora Social. Ph.D. Antropología. Escuela Nacional de Trabajo Social-UNAM. Ciudad de México, México.
| | - Cynthia Villarreal-Garza
- CV: MD. Esp. Médica. Ph.D. Ciencias Médicas e Investigación. Centro de Cáncer de Mama del Hospital Zambrano Hellion, Tecnológico de Monterrey, San Pedro Garza García, Nuevo León. Monterrey, México.
| | - Carmen L Gálvez-Hernández
- CG: Psicóloga. Ph.D. Psicología y Salud. Instituto Nacional de Cancerología. Ciudad de México, México.
| |
Collapse
|
3
|
Acquati C, Head KJ, Rand KL, Alwine JS, Short DN, Cohee AA, Champion VL, Draucker CB. Psychosocial Experiences, Challenges, and Recommendations for Care Delivery among Partners of Breast Cancer Survivors: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2786. [PMID: 36833489 PMCID: PMC9956235 DOI: 10.3390/ijerph20042786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 01/28/2023] [Accepted: 01/30/2023] [Indexed: 06/18/2023]
Abstract
For women diagnosed with breast cancer, partners are consistently identified as the primary support person. Despite growing consensus about the psychosocial experience and unmet needs of cancer caregivers, limited evidence exists about strategies to offer partner-centered care across the cancer continuum. This study describes challenges endured by partners of breast cancer survivors (BCS), strategies implemented to manage these experiences, and recommendations for healthcare providers to inform targeted psychosocial care. Using convenience sampling, 22 partners of female BCS were recruited and completed semi-structured interviews. Conventional content analysis was used to code and synthesize findings. Participants described undergoing five experiences in their role as romantic partners: (a) assuming the role of caregiver, (b) becoming healthcare advocates for BCS, (c) connecting emotionally with the partner, (d) managing their own painful emotions, and (e) connecting with others for support. Experience-specific coping strategies and recommendations were identified. Romantic partners face multiple transitions across the cancer care continuum, which warrant investigation to sustain their well-being and active participation in illness management. Psychosocial interventions for this group will benefit from flexible implementation and attention to care delivery, mental health, and supportive/social needs.
Collapse
Affiliation(s)
- Chiara Acquati
- Graduate College of Social Work, University of Houston, Houston, TX 77004, USA
- Tilman J. Fertitta Family College of Medicine, University of Houston, Houston, TX 77004, USA
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
| | - Katharine J. Head
- Department of Communication Studies, School of Liberal Arts, Indiana University-Purdue University Indianapolis, Indianapolis, IN 46202, USA
| | - Kevin L. Rand
- School of Science, Indiana University-Purdue University Indianapolis, Indianapolis, IN 46202, USA
| | | | | | - Andrea A. Cohee
- School of Nursing, Indiana University, Indianapolis, IN 46202, USA
- Melvin and Bren Simon Comprehensive Cancer Center, Indiana University, Indianapolis, IN 46202, USA
| | - Victoria L. Champion
- School of Nursing, Indiana University, Indianapolis, IN 46202, USA
- Melvin and Bren Simon Comprehensive Cancer Center, Indiana University, Indianapolis, IN 46202, USA
| | | |
Collapse
|
4
|
Steeb T, Brütting J, Reinhardt L, Hoffmann J, Weiler N, Heppt MV, Erdmann M, Doppler A, Weber C, Schadendorf D, Meier F, Berking C. One Website to Gather them All: Usability Testing of the New German SKin Cancer INFOrmation (SKINFO) Website-A Mixed-methods Approach. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2022:10.1007/s13187-022-02258-5. [PMID: 36585570 PMCID: PMC10366310 DOI: 10.1007/s13187-022-02258-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/17/2022] [Indexed: 06/17/2023]
Abstract
Skin cancer patients increasingly search the internet to acquire disease-related information. However, information on the internet may be misleading. Recently, SKINFO has been launched, a website exclusively created for German-speaking skin cancer patients providing information as well as additional resources of verified quality. Here, we describe the results of the first usability test of SKINFO using a mixed-methods approach. Ten adult patients with skin cancer were recruited for usability testing in the skin cancer units of the University Hospitals of Erlangen and Dresden, Germany. Testing consisted of three different scenarios where patients were asked to find specific information on the SKINFO website guided by the think-aloud method. Descriptive analysis and content analyses were performed. All patients would recommend SKINFO and appreciated its content, design, and structure. Think-aloud analysis identified the topics layout, navigation, and content and structure which would benefit from refinement. Major criticism included the navigation through the website, and the desire for more specific information addressing patients' relatives and the latest, up-to-date information. Overall, usability testing showed that the unique web-based information platform has the potential to support patients coping with skin cancer and thus strengthen informed decision-making.
Collapse
Affiliation(s)
- Theresa Steeb
- Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Ulmenweg 18, 91054, Erlangen, Germany.
- Comprehensive Cancer Center Erlangen - European Metropolitan Region of Nürnberg, 91054, Erlangen, Germany.
| | - Julia Brütting
- Skin Cancer Center at the University Cancer Centre Dresden and National Center for Tumor Diseases, Dresden, Germany
- Department of Dermatology, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - Lydia Reinhardt
- Skin Cancer Center at the University Cancer Centre Dresden and National Center for Tumor Diseases, Dresden, Germany
- Department of Dermatology, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - Julia Hoffmann
- Center for Evidence-Based Healthcare, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany
| | - Nina Weiler
- Eurice - European Research and Project Office GmbH, Ingbert, Germany
| | - Markus V Heppt
- Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Ulmenweg 18, 91054, Erlangen, Germany
- Comprehensive Cancer Center Erlangen - European Metropolitan Region of Nürnberg, 91054, Erlangen, Germany
| | - Michael Erdmann
- Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Ulmenweg 18, 91054, Erlangen, Germany
- Comprehensive Cancer Center Erlangen - European Metropolitan Region of Nürnberg, 91054, Erlangen, Germany
| | | | | | - Dirk Schadendorf
- Department of Dermatology, University Hospital Essen, University Duisburg-Essen, Essen, Germany
| | - Friedegund Meier
- Skin Cancer Center at the University Cancer Centre Dresden and National Center for Tumor Diseases, Dresden, Germany
- Department of Dermatology, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany
| | - Carola Berking
- Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Ulmenweg 18, 91054, Erlangen, Germany
- Comprehensive Cancer Center Erlangen - European Metropolitan Region of Nürnberg, 91054, Erlangen, Germany
| |
Collapse
|
5
|
ÖZKAN S, ÖĞCE F, ÖZEN ÇINAR İ, GÖRAL TÜRKCÜ S. The Need for Information and Support among First-degree Relatives of Patients with Breast Cancer What Do We Know? BEZMIALEM SCIENCE 2022. [DOI: 10.14235/bas.galenos.2021.6620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
|
6
|
Serçekuş P. Becoming a family caregiver of a patient living with cancer. Int J Palliat Nurs 2021; 26:206-212. [PMID: 32584696 DOI: 10.12968/ijpn.2020.26.5.206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND There is insufficient information on how the burden of caregiving is affected when the family caregiver is a health professional. Studies are needed to investigate this issue. AIMS The purpose of this study was to reveal difficulties experienced by a nurse family caregiver offering care to a family member diagnosed with end-stage cancer and how she coped with these difficulties. METHODS This was an autoethnographic study. FINDINGS Findings were grouped under three headings: being both a researcher and a subject; effects of caregiving; and coping. CONCLUSIONS Offering care to a cancer patient has many physiological and psychological effects. If a family caregiver is a health professional, his/her caregiving burden can be even higher. Cultural values affect both life and coping ways of caregivers. It should be kept in mind that family caregivers need support from health professionals whatever their occupations are. Support to caregivers plays an important role in their coping.
Collapse
Affiliation(s)
- Pınar Serçekuş
- Associate Professor, Faculty of Health Sciences, Pamukkale University, Denizli, Turkey
| |
Collapse
|
7
|
Zimansky M, Stasielowicz L, Franke I, Remmers H, Friedel H, Atzpodien J. Effects of Implementing a Brief Family Nursing Intervention With Hospitalized Oncology Patients and Their Families in Germany: A Quasi-Experimental Study. JOURNAL OF FAMILY NURSING 2020; 26:346-357. [PMID: 33283613 PMCID: PMC7723861 DOI: 10.1177/1074840720967022] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Family nursing, based on the Calgary Family and Intervention Models, was implemented in a German oncological inpatient unit to promote effective family functioning in the context of cancer care. The objective of this study was to investigate the effects of implementing family nursing care on several psychological and physical outcomes of patients and their family members. A quasi-experimental study with 214 patients with a cancer diagnosis and 122 family members was conducted. Findings indicate that the superiority of family nursing, when compared to traditional care, could not be confirmed with respect to patients' outcomes (psychological burden, social support, satisfaction with care) and family members' outcomes (psychological burden, physical complaints, satisfaction with care). Various factors, such as country-specific structures and challenges in implementing family nursing care on an inpatient unit, may have contributed to these findings. Further replication attempts in similar settings in other countries are needed to shed light on the factors impairing or promoting the implementation of family nursing in practice settings.
Collapse
Affiliation(s)
| | | | - Inga Franke
- Paracelsus-Wittekindklinik Bad Essen, Germany
| | | | - Heiko Friedel
- Gesellschaft für Gesundheitsmanagement mbH, Essen, Germany
| | - Jens Atzpodien
- Franziskus-Hospital Harderberg, Georgsmarienhütte, Germany
| |
Collapse
|
8
|
Hesselvig LT, Beck M, Simony C. Sheltering under a shield of love-A phenomenological-hermeneutic study of relatives' experiences in an acute neurological ward. Nurs Open 2020; 7:1093-1100. [PMID: 32587728 PMCID: PMC7308684 DOI: 10.1002/nop2.481] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Accepted: 03/02/2020] [Indexed: 11/11/2022] Open
Abstract
Aim To investigate the lived experience of being a relative to a patient admitted to an acute neurological ward to bring knowledge of what is essential to them. Design The study takes a phenomenological-hermeneutic approach. Methods Data were gathered through six individual semi-structured interviews with relatives from an acute neurological ward. A three-levelled analysis and interpretation inspired by Paul Ricoeur's philosophy was applied. Results Two main themes were identified: To make yourself strong while feeling vulnerable inside and To live in a changed everyday life. Within these themes, the connection between the relatives and the patients appeared to be a relationship of love. In this relationship, the relatives experience existential vulnerability. The lives of relatives undergo a difficult upheaval, which is challenged by deep emotional feelings. However, to be able to be there for their loved ones they are sheltering under a shield of love.
Collapse
Affiliation(s)
- Lærke Toft Hesselvig
- Department of NeurologyBispebjerg and Frederiksberg University HospitalHillerodDenmark
| | - Malene Beck
- Department of NeurologyZealand University HospitalRoskildeDenmark
- Section of Nursing ScienceInstitute of Health Aarhus UniversityAarhusDenmark
| | - Charlotte Simony
- Department of Physiotherapy and Occupational TherapySlagelse HospitalSlagelseDenmark
- Institute of Regional HealthUniversity of Southern DenmarkOdenseDenmark
- Department of Nursing ScienceInstitute of Health Aarhus UniversityAarhusDenmark
| |
Collapse
|
9
|
Divdar Z, Foroughameri G, Farokhzadian J, Sheikhbardsiri H. Psychosocial Needs of the Families With Hospitalized Organ Transplant Patients in an Educational Hospital in Iran. Ther Apher Dial 2019; 24:178-183. [PMID: 31373767 DOI: 10.1111/1744-9987.13425] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2019] [Revised: 06/25/2019] [Accepted: 07/31/2019] [Indexed: 12/17/2022]
Abstract
Nurses are required to understand and meet the physiological needs of the family members of the patients hospitalized in transplant wards of the hospitals. Considering the importance of this issue, this study aimed to investigate the psychosocial needs of the families with an organ transplant patient. The study employed a cross-sectional design and was conducted in Afzalipour Educational Hospital affiliated to the Kerman University of Medical Sciences in 2018. The 45-item questionnaire of the psychosocial needs was applied to assess the psychosocial needs of the families with an organ transplant patient, including kidney, liver, and bone marrow. The quota sampling method was used and 230 participants completed the survey. Data were analyzed using descriptive mean and SD and analytical statistics independent t-test, anova, and Pearson's correlation coefficient tests by SPSS 22 (version 22, SPSS, Chicago Inc., IL). The results indicated that the mean scores of psychological needs of families with transplanted patients hospitalized in three wards of bone marrow, kidney, and liver were at a high level (143/16 ± 12/29). The mean scores of psychosocial needs in the bone marrow transplantation ward (148/60 ± 8/18) were significantly higher than those of the patients hospitalized in the liver (141/24 ± 16/41) and kidney (141/25 ± 11/30) wards. A significant difference was observed among the three wards of the liver, kidney, and bone marrow transplantation with regard to the provided support, information, and proximity. To improve the psychological needs of the family members with patients hospitalized in transplant wards and reduce their mental reactions, they should be provided with more precise information about the patient's treatment procedure.
Collapse
Affiliation(s)
- Zahra Divdar
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Golnaz Foroughameri
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | | | - Hojjat Sheikhbardsiri
- Department of Emergency Operation Center (EOC), Disasters and Emergencies Management Center, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
10
|
Divdar Z, Foroughameri G, Farokhzadian J. The psychosocial needs and quality of life of family caregivers of patients with organ transplant. J Res Nurs 2019; 24:344-355. [PMID: 34394546 DOI: 10.1177/1744987119845029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background Families of patients with organ transplants experience many problems, both with the onset of illness and during the hospitalisation of their relative for an organ transplant. The healthcare providers try their best to give high-quality care to patients. However, they neglect quality of life and psychosocial needs of family caregivers. Aims This study aimed to assess the psychosocial needs and quality of life of the family caregivers of post-transplant patients and the relationship between these two variables. Methods This descriptive correlational study was conducted on liver, kidney and bone marrow transplant wards in the largest transplant centre affiliated with a university of medical science in south-eastern Iran. The sample included 230 family caregivers of post-transplant patients, who were selected using quota sampling. Data were collected using the 45-item questionnaire of psychosocial needs (the Critical Care Family Needs Inventory) with five dimensions (assurance, comfort, information, proximity and support), and the Short Form-36 Quality of Life questionnaire with eight scales (physical functioning, physical problems, emotional problems, social functioning, pain, vitality, mental health and perception of health). In the Critical Care Family Needs Inventory, 1 indicates not important and 4 very important. In the Short Form-36 Quality of Life questionaire, 0 indicates the worst health and 100 the best health. Results The participants rated the mean of their psychosocial needs as important (3.18 ± 0.27). Also, the mean of quality of life of participants was at an undesirable level (45.17 ± 92.66). The psychosocial needs of the caregivers showed a poor, inverse significant relationship with their quality of life (r = -0.16, p = 0.01). Conclusion The results showed that with increasing psychosocial needs of family caregivers of post-transplant patients, their quality of life declines. Healthcare providers should implement developed plans and appropriate strategies to fulfil psychosocial needs and improve the quality of life of family caregivers of these patients.
Collapse
Affiliation(s)
- Zahra Divdar
- Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran
| | - Golnaz Foroughameri
- Instructor, Department of Community Health Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Jamileh Farokhzadian
- Assistant Professor, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
11
|
Kilic ST, Oz F. Family Caregivers' Involvement in Caring with Cancer and their Quality of Life. Asian Pac J Cancer Prev 2019; 20:1735-1741. [PMID: 31244294 PMCID: PMC7021632 DOI: 10.31557/apjcp.2019.20.6.1735] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Indexed: 01/28/2023] Open
Abstract
Background: Cancer is a chronic disease and a major health problem. It affects both patients and their family
caregivers multidimensionally. The family caregivers may be affected by not only the disease process but also hospital
policies, economic difficulties, accessibility and communication of health care service and can be in need of help.
This process may affect their quality of life. However, there have not been enough studies on quality of life of family
caregivers of patients with cancer in Turkish culture. Therefore, this study aimed to evaluate the quality of life of
family caregivers of patients with cancer in Turkey. Objectives: The purpose of study was to evaluate the quality of
life of family caregivers with cancer patients in Turkey. Methods: Participants consist of the family caregivers who
volunteered to take part in this descriptive study from 11 hospitals (n =378) which has a daily chemotherapy units
and located within the boundaries of Ankara, Turkey. ‘Sociodemographic Characteristic Form’ and ‘Quality of Life
Scale-Family Version were used as data collection tool. The Kruskal-Wallis and Mann-Whitney U, tests were used
for data analysis. Resultes:It is found that there are statistically significant difference among the factors of gender,
employment status, income level, and whether caregivers reside with their patients. Family caregivers’ quality of life is
negatively affected during the caregiving process (p < 0.05). Conclusion: The results indicate that family caregivers’
quality of life are negatively affected to care process. The results of this research are important as they highlight the
need to also consider family caregivers’ quality of life when caring for patients, and study highlight possible areas in
which support can be provided for family caregivers of cancer patients in Turkey.
Collapse
Affiliation(s)
- Sevcan Toptas Kilic
- Hacettepe University Faculty of Nursing, Psychiatric Nursing Department, Ankara, Turkey.
| | - Fatma Oz
- Near East University, Faculty of Nursing, Mersin, Turkey
| |
Collapse
|
12
|
"My Husband Has Breast Cancer": A Qualitative Study of Experiences of Female Partners of Men With Breast Cancer. Cancer Nurs 2019; 43:366-374. [PMID: 30925510 DOI: 10.1097/ncc.0000000000000710] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Relatives of patients with cancer are at risk of experiencing changes to their everyday life, health, and quality of life. Partners of men with breast cancer may face certain challenges regarding their need for information, care, and support. OBJECTIVE The purpose was to explore the experiences of the partners of men with breast cancer in relation to care, information, and emotional support and to explore how men with breast cancer impact the partners' everyday life. METHOD This was a qualitative study based on individual interviews applying a phenomenological-hermeneutical analysis. RESULTS Four themes were identified in the 12 female partners' narratives: a wall of ignorance, being seen is not a matter of course, emotional stress affects everyday life, and side effects strain the couples' relationship. CONCLUSION The female partners' need for information on male breast cancer (MBC) is not sufficiently met because of lack of and poorly communicated information on the topic. The female partner assumes the role of advocate, actively seeking information when in contact with health professionals. Daily life is negatively affected by a lack of acknowledgement of the impact of MBC on their lives and needs by their social networks or health professionals. IMPLICATIONS FOR PRACTICE Female partners have individual care, information, and emotional support needs that may differ from those of their male partner with breast cancer. Health professionals must improve communication with patients and relatives as there are lack of knowledge available regarding MBC and lack of evidence-based guidelines.
Collapse
|
13
|
Catania AM, Sammut Scerri C, Catania GJ. Men's experience of their partners' breast cancer diagnosis, breast surgery and oncological treatment. J Clin Nurs 2019; 28:1899-1910. [PMID: 30667119 DOI: 10.1111/jocn.14800] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2018] [Revised: 11/22/2018] [Accepted: 01/13/2019] [Indexed: 11/30/2022]
Abstract
AIMS AND OBJECTIVES To investigate the experiences of male partners of female breast cancer patients who had undergone surgery and oncological treatment and who were still raising children. BACKGROUND Research on the psychological effects of breast cancer has focused primarily on the patients undergoing treatment, neglecting the effect of such a condition on their closest family members. This study addresses this gap by focusing on understanding the effects of this disease on male partners of these patients. DESIGN An interpretative phenomenological approach was used. METHODS Eight males whose female partners were diagnosed with primary breast cancer between the ages of 30 and 55 and who had young children still living at home at the time were interviewed by the first author of this article. Interviews were transcribed verbatim and analyzed using an interpretative phenomenological framework, in accordance with the guidelines in the COREQ checklist for qualitative studies. RESULTS Participants emphasized the difficulties they faced in trying to juggle work and family responsibilities while offering support to their partners, a task they felt ill-prepared for. At times, they felt excluded by their partners and worried about the impact of the disease on their children. A common fear was that of recurrence of the disease, and while some discussed the financial difficulties associated with treating the disease, others saw it as enhancing the potential for their personal and couple growth. CONCLUSIONS This study adds to the topic by uncovering the perspectives of male partners of breast cancer patients and the effects of their partner's condition on them and their families. RELEVANCE TO CLINICAL PRACTICE The results of this study can be used to inform policy when providing holistic care. They also highlight the importance of counselling and support interventions for partners of breast cancer patients.
Collapse
|
14
|
Ghofrani M, Nikfarid L, Nourian M, Nasiri M, Saiadynia M. Levels of unmet needs among adolescents and young adults (AYAs) impacted by parental cancer. Support Care Cancer 2018; 27:175-182. [PMID: 29922938 DOI: 10.1007/s00520-018-4310-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2017] [Accepted: 06/06/2018] [Indexed: 11/30/2022]
Abstract
PURPOSE In this study, we aim to assess types and levels of psychosocial needs in adolescents and young adults (AYAs) who have a parent with cancer. And define and describe the variables analyzing the demographic characteristics. METHODS This descriptive study with cross-sectional design was conducted on 217 participants from five hospitals in Tehran. By use of the "Offspring Cancer Needs Instrument," in adolescents and young adults who had the inclusion criteria, information about the psychosocial needs were collected. Also, a demographic questionnaire was completed by the participants. Mean and standard deviation calculated for each domain and overall scores. Independent t test and one-way ANOVA was used for the comparison of needs' mean and demographic variables. RESULTS Total scores' mean was 126 and among domains, the "information" got the highest and the "support from friends" the lowest mean. Among demographic variables, we found a relationship between parent education (p value = 0.007), treatment statue (p value = 0.015), parent gender (p value = 0.018), and parent-child relationship (p value = 0.027) with the level of psychosocial needs. CONCLUSIONS In this target group of adolescents and young adults, the need for "information" is the strongest domain of psychosocial need during parent cancer trajectory.
Collapse
Affiliation(s)
- Marjan Ghofrani
- School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Lida Nikfarid
- School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| | - Manijheh Nourian
- School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maliheh Nasiri
- School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mahindokhat Saiadynia
- Ayatollah Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| |
Collapse
|
15
|
Strengths and resources used by Australian and Danish adult patients and their family caregivers during treatment for cancer. Eur J Oncol Nurs 2017; 29:53-59. [DOI: 10.1016/j.ejon.2017.05.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Revised: 05/17/2017] [Accepted: 05/20/2017] [Indexed: 11/24/2022]
|
16
|
Karidar H, Åkesson H, Glasdam S. A gap between the intention of the Swedish law and interactions between nurses and children of patients in the field of palliative oncology – The perspective of nurses. Eur J Oncol Nurs 2016; 22:23-9. [DOI: 10.1016/j.ejon.2016.01.005] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2015] [Revised: 11/23/2015] [Accepted: 01/20/2016] [Indexed: 10/22/2022]
|
17
|
Shorofi SA, Jannati Y, Moghaddam HR, Yazdani-Charati J. Psychosocial needs of families of intensive care patients: Perceptions of nurses and families. Niger Med J 2016; 57:10-8. [PMID: 27185973 PMCID: PMC4859107 DOI: 10.4103/0300-1652.180557] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Background: Admission to an intensive care unit (ICU) is not only stressful to the patients but the patients' family members. Families are believed not to receive their required attention because their needs are incorrectly and inaccurately evaluated by the health care team. Therefore, the present study aimed to examine the perceptions of ICU nurses and families regarding the psychosocial needs of families of intensive care patients. Materials and Methods: This descriptive-analytical study was conducted on a randomly selected population of 80 nurses and 80 family members of ICU patients. Data were collected using a two-part questionnaire containing sociodemographic characteristics and the Critical Care Family Need Inventory (CCFNI). Results: The rank order of the five most important CCFNI item needs identified by families were as follows: “To feel that the hospital personnel care about the patient”, “to be assured that the best care possible is being given to the patient”, “to have questions answered honestly”, “to know specific facts concerning patient's progress”, and “to be called at home about changes in the patient's condition.” The top five CCFNI item needs identified by nurses were in the following order: “To be assured that the best care possible is being given to the patient”, “to be told about transfer plans while they are being made”, “to feel that the hospital personnel care about the patient”, “to have questions answered honestly”, and “to know specific facts concerning patient's progress.” Conclusion: The present study showed there are similarities and dissimilarities between nurses and family members in their perceived importance of some family needs in the ICU. It can thus be inferred from our results that the participating nurses misestimated the needs of family members, attested by their wrong estimation of the most need statements.
Collapse
Affiliation(s)
- Seyed Afshin Shorofi
- Traditional and Complementary Medicine Research Center, Mazandaran University of Medical Sciences, Sari, Iran; Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran; School of Nursing and Midwifery, Faculty of Health Sciences, Adjunct Research Fellow, Flinders University, Adelaide, Australia
| | - Yadollah Jannati
- Department of Psychiatric Nursing, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - Hossein Roohi Moghaddam
- Student Research Committee, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - Jamshid Yazdani-Charati
- Department of Biostatistics, Health Sciences Research Center, School of Health Sciences, Mazandaran University of Medical Sciences, Sari, Iran
| |
Collapse
|
18
|
Yli-Uotila T, Kaunonen M, Pylkkänen L, Suominen T. Facilitators and barriers for electronic social support. Scand J Caring Sci 2015; 30:547-56. [PMID: 26426332 DOI: 10.1111/scs.12277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2015] [Accepted: 07/08/2015] [Indexed: 11/30/2022]
Abstract
BACKGROUND Nonprofit cancer societies play an important role in providing social support for patients with cancer through nonprofit electronic counselling services (ECS) provided by counselling nurses (CNs) with experience in oncology nursing. To date, there exist only few studies addressing the facilitators and barriers for social support of patients with cancer as reported by CNs. OBJECTIVE To describe the facilitators and barriers for electronic social support of patients with cancer received from the ECS in the nonprofit cancer societies as reported by CNs. METHODS Qualitative design with three group interviews was conducted with 10 CNs in three nonprofit cancer societies in southern and western parts of Finland. Interviews were recorded, transcribed verbatim and content analysed inductively. FINDINGS The facilitators were promotion of the access to ECS, functioning structures of ECS, utilisation of the strengths of an individual CN in ECS, promotion of the life management of patients, patient-centeredness as a basis of ECS and reliability of ECS. The barriers for electronic social support were the unmet paths between ECS and patients, nonfunctioning structures of ECS, inadequacy of mutual communication and lack of shared viewpoints between CNs and patients. CONCLUSIONS Facilitators and barriers for electronic social support of patients with cancer were related to organisation, individuals and counselling process. The counselling work in ECS as its best promotes the life management of patients with cancer but, alternatively, can lead to conflicts in communication and therefore be a barrier for electronic social support. IMPLICATIONS FOR PRACTICE To make the nonprofit ECS better known, the cooperation with hospitals is needed to enable social support for patients. To improve communication between CNs and patients, continuous communications skills training and functional working environments are needed.
Collapse
Affiliation(s)
- Tiina Yli-Uotila
- School of Health Sciences, Nursing Science, University of Tampere, Tampere, Finland
| | - Marja Kaunonen
- School of Health Sciences, Nursing Science, University of Tampere, Tampere, Finland.,Pirkanmaa Hospital District, General Administration, Tampere, Finland
| | | | - Tarja Suominen
- School of Health Sciences, Nursing Science, University of Tampere, Tampere, Finland
| |
Collapse
|
19
|
Segaric CA, Hall WA. Progressively engaging: constructing nurse, patient, and family relationships in acute care settings. JOURNAL OF FAMILY NURSING 2015; 21:35-56. [PMID: 25538050 DOI: 10.1177/1074840714564787] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
In this grounded theory study, informed by symbolic interactionism, we explain how nurses, patients, and family members construct relationships in acute care settings, including managing effects of work environments. We recruited participants from 10 acute care units across four community hospitals in a Western Canadian city. From 33 hr of participant observation and 40 interviews with 13 nurses, 17 patients, and 10 family members, we constructed the basic social-psychological process of progressively engaging. Nurses, patients, and family members approached constructing relationships through levels of engagement, ranging from perspectives about "just doing the job" to "doing the job with heart." Progressively engaging involved three stages: focusing on tasks, getting acquainted, and building rapport. Workplace conditions and personal factors contributed or detracted from participants' movement through the stages of the process; with higher levels of engagement, participants experienced greater satisfaction and cooperation. Progressively engaging provides direction for how all participants in care can invest in relationships.
Collapse
Affiliation(s)
| | - Wendy A Hall
- University of British Columbia, Vancouver, Canada
| |
Collapse
|
20
|
Supportive Care Needs for Women With Gynecological Cancer and Their Relatives During the Prediagnostic Period. Cancer Nurs 2014; 37:457-67. [DOI: 10.1097/ncc.0000000000000117] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
21
|
McCarthy B, Andrews T, Hegarty J. Emotional Resistance Building: how family members of loved ones undergoing chemotherapy treatment process their fear of emotional collapse. J Adv Nurs 2014; 71:837-48. [DOI: 10.1111/jan.12549] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/13/2014] [Indexed: 12/01/2022]
|
22
|
Sercekus P, Besen DB, Gunusen NP, Edeer AD. Experiences of Family Caregivers of Cancer Patients Receiving Chemotherapy. Asian Pac J Cancer Prev 2014; 15:5063-9. [DOI: 10.7314/apjcp.2014.15.12.5063] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
23
|
Mattila E, Kaunonen M, Aalto P, Åstedt-Kurki P. The method of nursing support in hospital and patients' and family members' experiences of the effectiveness of the support. Scand J Caring Sci 2013; 28:305-14. [DOI: 10.1111/scs.12060] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2013] [Accepted: 05/24/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Elina Mattila
- Division of Surgery, Gastroenterology and Oncology; Tampere University Hospital; Tampere Finland
| | - Marja Kaunonen
- Department of Nursing Science; University of Tampere; School of Health Sciences; Pirkanmaa Hospital District; Science Center; Tampere Finland
| | - Pirjo Aalto
- Pirkanmaa Hospital District; Tampere University Hospital; Tampere Finland
| | - Päivi Åstedt-Kurki
- Department of Nursing Science; University of Tampere; School of Health Sciences; Pirkanmaa Hospital District; Science Center; Tampere Finland
| |
Collapse
|