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Abu Sharour L. Lived experience of Jordanian colorectal cancer patients with recurrence: an interpretative phenomenological analysis. PSYCHOL HEALTH MED 2019; 24:827-835. [DOI: 10.1080/13548506.2019.1587481] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Loai. Abu Sharour
- Faculty of nursing, AL-Zaytoonah University of Jordan, Amman, Jordan
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2
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Snowden A, Young J, Savinc J. Proactive community support tailored to holistic needs: A cohort study. Cancer Med 2018; 7:4836-4845. [PMID: 30101561 PMCID: PMC6144151 DOI: 10.1002/cam4.1709] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Revised: 06/28/2018] [Accepted: 07/05/2018] [Indexed: 11/17/2022] Open
Abstract
Background It is increasingly internationally recognized that a cancer diagnosis impacts on people practically and financially as well as physically and psychologically. It is less clear what to do about this. This study introduces an original community service designed to mitigate this wider impact. Nonclinical “link officers” use holistic needs assessment (HNA) to help newly diagnosed people identify and quantify the severity of their physical, psychological, practical, financial, and social concerns. A care plan is then agreed, usually involving community interventions from partner agencies. Following intervention, assessment is repeated. The primary aim of this study was to establish whether there was a significant difference between initial assessment and follow‐up, postintervention. Secondary aim was to identify potential predictors of increased levels of concern at baseline and follow‐up. Method Pre‐ and postintervention observational cohort study. Paired t test examined the difference in mean (SD) concern severity between baseline and follow‐up. Multiple linear regression models were computed to hypothesize potential predictors of initial concern severity and severity change. Results The service saw 2413 people 2014‐2017. Participants identified average 5.5 (4.7) concerns, financial concerns being most frequent. Mean severity at baseline was 7.12 (out of 10) (2.50), reducing to 3.83 (3.49) post‐treatment, paired t(4454) = 64.68, P < 0.0001, reduction of 3.31 (95% CI 3.21‐3.41). Factors associated with higher initial concern included unemployment and caring responsibilities. Unemployment was also associated with a smaller reduction of concern severity at follow‐up. Conclusion Patient level of concern went from a level associated with specialist referral to a much more manageable level. This original finding is internationally significant because it extends Khera et al's (2017) “provocative idea” that all patients should be screened for financial problems to show that they can be helped with all their concerns. This article describes a successful, transferable model of community care.
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Affiliation(s)
- Austyn Snowden
- School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK
| | - Jenny Young
- School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK
| | - Jan Savinc
- School of Health and Social Care, Edinburgh Napier University, Edinburgh, UK
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Caires S, Machado M, Antunes MC, Melo ASM. Recidiva Oncológica: Olhares dos Profissionais Hospitalares sobre as Dificuldades do Paciente Pediátrico. PSICO-USF 2018. [DOI: 10.1590/1413-82712018230212] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Em pediatria oncológica, a taxa de sobrevivência tem sofrido um aumento acentuado, sendo considerável a probabilidade de cura. Não obstante, o processo de confronto com a doença pode sofrer alguns contratempos, nomeadamente uma recidiva. Esta última é responsável por elevado sofrimento, o qual poderá ser ainda maior que o confronto com o diagnóstico. Procurando conhecer as perceções dos profissionais de oncologia, relativamente às principais dificuldades experienciadas pelas crianças e adolescentes cuja doença recidivou, as autoras desenvolveram um estudo investigando o olhar desses profissionais. Entrevistaram-se 17 profissionais, de dois hospitais portugueses, exercendo funções hospitalares na área da saúde, serviço social, psicologia e educação. Suas reflexões apontaram como principais dificuldades a aceitação de ter que passar novamente por um processo fisica e psicologicamente penoso sendo que, entre os adolescentes - mais conscientes da gravidade da doença e suas implicações - acrescem as dificuldades em ter esperança na cura. Para os mais pequenos, os profissionais apontaram como mais comum a dificuldade em compreender os motivos de nova submissão a tratamentos dolorosos e do afastamento dos seus contextos de vida. Dando a conhecer uma etapa particularmente desafiante da doença oncológica, o presente estudo traz um olhar multifocal de um grupo de profissionais que acompanham de perto essas crianças/adolescentes (e respectivas famílas). A sua longa e diversa experiência - em termos de tipologias de câncer, evolução do quadro clínico, idade ou temperamento dos pacientes (e dos próprios pais) - fazem desses profissionais informantes-chave no mapeamento das dificuldades associadas ao processo de recidiva oncológica em pediatria, bem como no desenho e implementação de respostas mais ajustadas à fenomenologia destes processos.
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da Silva Barreto M, Garcia-Vivar C, Silva Marcon S. Methodological quality of Grounded Theory research with families living with chronic illness. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2018. [DOI: 10.1016/j.ijans.2018.01.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Khanjari S, Damghanifar M, Haqqani H. Investigating the relationship between the quality of life and religious coping in mothers of children with recurrence leukemia. J Family Med Prim Care 2018; 7:213-219. [PMID: 29915762 PMCID: PMC5958572 DOI: 10.4103/jfmpc.jfmpc_236_17] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Background: Leukemia is a life-threatening chronic disease for children. The recurrence of the disease causes tension and reduces the quality of life for the family, especially for mothers. Religion is an important humanitarian aspect of holistic care that can be very effective in determining the health level of the patient and the family members. The present study aims at investigating the role of religious coping (RCOPE) in the quality of life for mothers of children with recurrent leukemia. Methods: This is a cross-sectional study of the descriptive-correlational type. Two-hundred mothers with children aging 1–15 years suffering from leukemia were selected using a continuous sampling method. The data were collected using questionnaires eliciting information about personal information, Persian version of the Caregiver Quality of Life Index-Cancer, and RCOPE. The collected data were analyzed in SPSS using descriptive tests and independent samples t-test. Results: The result of examining the relation between life quality and demographic features of mothers showed that education level, income, and occupation had a significant statistical relationship with general quality of life mothers. The results of examining the relationship between quality of life and RCOPE of mothers showed that RCOPE was positively correlated only with the positive coping dimension quality of life (P < 0/001). Negative RCOPE had a significant reverse statistical correlation with general quality of life and all its aspects. Conclusion: The quality of life for the participants in this study was significantly related to RCOPE. Mothers with negative RCOPE faced low scores for quality of life, and religious support can improve their life quality. Further longitudinal studies are required to investigate the effects of establishing support communities.
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Affiliation(s)
- Sedigheh Khanjari
- Deptartment of Pediatric Nursing, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.,MS in Pediatric Nursing, School of Nursing and Midwifery, University of Medical Sciences, Tehran, Iran
| | - Marjan Damghanifar
- MS in Pediatric Nursing, School of Nursing and Midwifery, University of Medical Sciences, Tehran, Iran
| | - Hamid Haqqani
- Department of Biostatistics, School of Health Management and Information Sciences, University of Medical Sciences, Tehran, Iran
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Shaffer KM, Kim Y, Carver CS, Cannady RS. Effects of caregiving status and changes in depressive symptoms on development of physical morbidity among long-term cancer caregivers. Health Psychol 2017; 36:770-778. [PMID: 28639819 PMCID: PMC5551905 DOI: 10.1037/hea0000528] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
OBJECTIVE Cancer caregiving burden is known to vary across the survivorship trajectory and has been linked with caregivers' subsequent health impairment. Little is known, however, regarding how risk factors during long-term survivorship relate to vulnerability to caregivers' health during that period. This study examined effects of caregiving status and depressive symptoms on development of physical morbidity by 5 years postdiagnosis. METHOD Family caregivers (N = 491; Mage = 55.78) completed surveys at 2 (Time 1 [T1]) and 5 years (T2) after their care recipients' cancer diagnosis. Demographic and caregiving context variables known to affect caregivers' health were assessed at T1. Self-reported depressive symptoms and a list of physical morbid conditions were assessed at T1 and T2. Caregiving status (former, current, or bereaved) was assessed at T2. RESULTS Hierarchical negative binomial regression revealed that current caregivers at T2 (p = .02), but not those bereaved by T2 (p = .32), developed more physical morbid conditions between T1 and T2 compared with former caregivers, controlling for other variables. Independently, caregivers reporting either newly emerging or chronically elevated depressive symptoms at T2 (ps < .03), but not those whose symptoms remitted at T2 (p = .61), showed greater development of physical morbidity than did those reporting minimal depressive symptoms at both T1 and T2. CONCLUSIONS Results highlight the roles of long-term caregiving demands and depressive symptoms in cancer caregivers' premature physical health decline. Clinical attention through the long-term survivorship trajectory should be emphasized for caregivers of patients with recurrent or prolonged illness and to address caregivers' elevated depressive symptoms. (PsycINFO Database Record
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Affiliation(s)
- Kelly M. Shaffer
- University of Miami, Department of Psychology
- Memorial Sloan Kettering Cancer Center, Department of Psychiatry & Behavioral Sciences
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Posttraumatic stress symptoms in families of cancer patients admitted to the intensive care unit: a longitudinal study. J Intensive Care 2016; 4:47. [PMID: 27446590 PMCID: PMC4955156 DOI: 10.1186/s40560-016-0162-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2016] [Accepted: 05/31/2016] [Indexed: 11/17/2022] Open
Abstract
Background Families of cancer patients in the ICU often experience severe stress. Understanding their experience is important for providing family-centered care during this difficult period. Little is known about the experience of families of cancer patients admitted to the ICU. This study evaluated the prevalence of posttraumatic stress symptoms (PTSS) among families of cancer patients admitted to the ICU. Methods We carried out a longitudinal study at a teaching and advanced treatment hospital. Participants were 23 family members of 23 ICU patients. Family members provided demographic data, electronic medical records of patients, and completed the Impact of Event Scale-Revised (IES-R), the Center for Epidemiologic Studies Depression Scale (CES-D), and the State-Trait Anxiety Inventory Form X (STAI-state, trait). Results Mean total IES-R total score, IES-R re-experience score, IES-R avoidance score, and STAI-state score within 24 h of ICU admission and 3 months later differed significantly. The IES-R score of families of patients with recurrent cancer was significantly higher than the score of families of patients with an original cancer diagnosis (t = 2.63, p = 0.029). For two-way analysis of variance, time point was significantly associated with IES-R score (F = 1.751, p = 0.011, df = [1]). Conclusions Families of recurrent cancer patients admitted to the ICU experience serious PTSS within 24 h of admission. It is important that appropriate psychiatric support be provided to family members of these patients.
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LeSeure P, Chongkham-Ang S. The Experience of Caregivers Living with Cancer Patients: A Systematic Review and Meta-Synthesis. J Pers Med 2015; 5:406-39. [PMID: 26610573 PMCID: PMC4695863 DOI: 10.3390/jpm5040406] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2015] [Revised: 11/10/2015] [Accepted: 11/12/2015] [Indexed: 11/16/2022] Open
Abstract
The objectives of this meta-synthesis were to: (1) explore the experience of caregivers who were caring for cancer patients, including their perceptions and responses to the situation; and (2) describe the context and the phenomena relevant to the experience. Five databases were used: CINAHL, MEDLINE, Academic Search, Science Direct, and a Thai database known as the Thai Library Integrated System (ThaiLIS). Three sets of the context of the experience and the phenomena relevant to the experience were described. The contexts were (1) having a hard time dealing with emotional devastation; (2) knowing that the caregiving job was laborious; and (3) knowing that I was not alone. The phenomenon showed the progress of the caregivers’ thoughts and actions. A general phenomenon of the experience—balancing my emotion—applied to most of the caregivers; whereas, more specific phenomenon—keeping life as normal as possible and lifting life above the illness—were experienced by a lesser number of the caregivers. This review added a more thorough explanation of the issues involved in caregiving for cancer patients. A more comprehensive description of the experience of caregiving was described. The findings of this review can be used to guide clinical practice and policy formation in cancer patient care.
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Affiliation(s)
- Peeranuch LeSeure
- McCormick Faculty of Nursing, Payap University, Chiang Mai 50000, Thailand.
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Arruda-Colli M, Perina E, Santos M. Experiences of Brazilian children and family caregivers facing the recurrence of cancer. Eur J Oncol Nurs 2015; 19:458-64. [DOI: 10.1016/j.ejon.2015.02.004] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2014] [Revised: 01/07/2015] [Accepted: 02/09/2015] [Indexed: 12/14/2022]
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Wanat M, Boulton M, Watson E. Patients' experience with cancer recurrence: a meta-ethnography. Psychooncology 2015. [PMID: 26224137 DOI: 10.1002/pon.3908] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Recurrence is a difficult stage in the cancer journey as it brings to the fore the life-threatening nature of the illness. This meta-ethnography examines and synthesises the findings of qualitative research regarding patients' experience of cancer recurrence. METHODS A systematic search of the qualitative studies published between January 1994 to April 2014 was undertaken. Seventeen relevant papers were identified, and a meta-ethnography was conducted. RESULTS Six third-order concepts were developed to capture patients' experiences: experiencing emotional turmoil following diagnosis, which described the emotional impact of diagnosis and the influence of previous experiences on how the news were received; experiencing otherness, encompassing changed relationships; seeking support in the health care system, describing the extent of information needs and the importance of the relationship with health care professionals; adjusting to a new prognosis and uncertain future, highlighting the changes associated with uncertainty; finding strategies to deal with recurrence, describing ways of maintaining emotional well-being and regaining a sense of control over cancer; and facing mortality, describing the difficulties in facing death-related concerns and associated consequences. CONCLUSIONS This meta-ethnography clarifies the fundamental aspects of patients' experience of recurrence. It suggests that health care professionals can promote a positive experience of care and help lessen the psychosocial impact of recurrence by providing information in an approachable way and being sensitive to their changing needs. It also points to the importance of supporting patients in adopting strategies to regain a sense of control and to address their potential mortality and its impact on loved ones.
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Affiliation(s)
- Marta Wanat
- Clinical Health Care Department, Oxford Brookes University, Jack Straws Lane, Oxford, UK
| | - Mary Boulton
- Clinical Health Care Department, Oxford Brookes University, Jack Straws Lane, Oxford, UK
| | - Eila Watson
- Clinical Health Care Department, Oxford Brookes University, Jack Straws Lane, Oxford, UK
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Morishita M, Kamibeppu K. Quality of life and satisfaction with care among family caregivers of patients with recurrent or metastasized digestive cancer requiring palliative care. Support Care Cancer 2014; 22:2687-96. [PMID: 24789422 DOI: 10.1007/s00520-014-2259-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2013] [Accepted: 04/16/2014] [Indexed: 11/28/2022]
Abstract
PURPOSE Satisfaction with care is thought to be important for quality of life (QOL) of family caregivers of patients with recurrent or metastasized digestive cancer requiring palliative care. This study aimed to clarify (1) family caregivers' QOL status and (2) factors related to their QOL, including satisfaction with care. METHODS Data were collected from 111 family caregivers of patients with recurrent or metastasized digestive cancer. The Short-Form 36 (SF-36) (acute version) was used to measure QOL. RESULTS Family caregivers' QOL was lower than the national average (Cohen's d = 0.12-0.66). Lower age of patients and family caregivers (standardized regression coefficient (β) = -0.18, β = -0.26) and family caregivers' perceived health (β = 0.22) were related to better physical health of family caregivers, but satisfaction with care was not related to physical health. However, family caregivers' mental health was related to their satisfaction with care (Spearman's rank correlation coefficient (r) = 0.49-0.61, standardized regression coefficient (β) = 0.24-0.42), as well as higher age of family caregivers (β = 0.25), their perceived health (β = 0.30), non-spousal caregiver (β = -0.20), patient lacking a history of surgery aimed at radical treatment (β = -0.22), and patient not hospitalized solely for symptom relief (β = -0.10). CONCLUSIONS Family caregivers of patients with recurrent or metastasized digestive cancer requiring palliative care had lower QOL, both physically and mentally, than the national average. Improvements in satisfaction with care may contribute to improved QOL.
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Affiliation(s)
- Miki Morishita
- Department of Family Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan,
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Misra S, Meiyappan S, Heus L, Freeman J, Rotstein L, Brierley JD, Tsang RW, Rodin G, Ezzat S, Goldstein DP, Sawka AM. Patients' experiences following local-regional recurrence of thyroid cancer: A qualitative study. J Surg Oncol 2013; 108:47-51. [DOI: 10.1002/jso.23345] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2012] [Accepted: 03/22/2013] [Indexed: 11/07/2022]
Affiliation(s)
- Shikha Misra
- Faculty of Medicine; University of Toronto; Toronto Canada
| | - Soumia Meiyappan
- Division of Endocrinology, Department of Medicine; University Health Network; Toronto Canada
| | - Lineke Heus
- Division of Endocrinology, Department of Medicine; University Health Network; Toronto Canada
| | - Jeremy Freeman
- Department of Otolaryngology; Mount Sinai Hospital and University of Toronto; Toronto Canada
| | - Lorne Rotstein
- Department of Surgery; University Health Network and the University of Toronto; Toronto Canada
| | - James D. Brierley
- Department of Radiation Oncology; University Health Network and the University of Toronto; Toronto Canada
| | - Richard W. Tsang
- Department of Radiation Oncology; University Health Network and the University of Toronto; Toronto Canada
| | - Gary Rodin
- Department of Psychosocial Oncology and Palliative Care; University Health Network and the University of Toronto; Toronto Canada
| | - Shereen Ezzat
- Division of Endocrinology, Department of Medicine; University Health Network; Toronto Canada
- Division of Endocrinology, Department of Medicine; University of Toronto; Toronto Canada
| | - David P. Goldstein
- Department of Otolaryngology; University Health Network and the University of Toronto; Toronto Canada
| | - Anna M. Sawka
- Division of Endocrinology, Department of Medicine; University Health Network; Toronto Canada
- Division of Endocrinology, Department of Medicine; University of Toronto; Toronto Canada
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de Guzman AB, Jimenez BCB, Jocson KP, Junio AR, Junio DE, Jurado JBN, Justiniano ABF. This Too Shall Pass. J Holist Nurs 2012; 31:35-46. [DOI: 10.1177/0898010112462066] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Considering the paucity of studies dealing with the holistic aspect of the cancer experience, this grounded theory study seeks to conceptualize the process of cancer survivorship among Filipinos. Twenty-seven Filipino cancer survivors were purposively selected, and a two-part instrument, specifically robotfoto and focus group interviews, was used to gather data. The Glaserian method of grounded theory analysis was used, and extended texts were analyzed inductively via a dendrogram. Member checking and correspondence were observed to validate the surfacing stages, leading to the conceptualization of a theoretical model termed as the Ribbon of Cancer Survivorship. The said model describes the trifling (living before), transfusing (accepting the reality), transforming (being strong), and transcending (living beyond) phases of cancer survivorship. Ten interesting substages were also identified, namely: tainting, desolating, disrupting, and embracing for the transfusing phase; tormenting, distressing, awakening, and transfiguring for the transforming phase, and trembling and enlivening for the transcending phase. The resulting theoretical model has clearly and successfully described the entire process of cancer survivorship among Filipinos. It is hoped that the model be used as a reference for future studies about cancer survivorship and as a guide for nurses in providing a more empathetic care among cancer patients.
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Hjörleifsdóttir E, Óskarsson GK. Psychological distress in Icelandic patients with repeated recurrences of cancer. Int J Palliat Nurs 2010; 16:586-92. [DOI: 10.12968/ijpn.2010.16.12.586] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Elísabet Hjörleifsdóttir
- Associate Professor, School of Health Sciences, University of Akureyri, 600 Akureyri, Iceland and a palliative care nurse at the hospice home care service in Akureyri
| | - Guðmundur Kr. Óskarsson
- Associate Professor, School of Business and Science, University of Akureyri, 600 Akureyri, Iceland
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