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Haemato-oncology and burnout: an Italian survey.

This cross-sectional survey aimed to evaluate the prevalence of burnout and estimated psychiatric disorders among haemato-oncology healthcare professionals in Italy. The aspects of work that respondents perceive as stressful and satisfying have also been examined. The assessments were made using the Maslach Burnout Inventory (MBI), General Health Questionnaire and a study-specific questionnaire. Logistic regression models were applied to show associations between different sources of work-related stress and burnout. Three hundred and eighty-seven out of 440 (87.95%) returned their questionnair

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… The daily exposure to suffering and loss can lead the haemato-oncological physicians and nurses to experience strong emotions, such as feelings of inadequacy, grief, anger, disillusionment and frustration, sense of failure, desire to avoid patients and detachment to work ( Meier et al , 2001 ). …

Иммунный транскриптомный профиль у взрослых женских свиней: доминантный статус оказывает большее влияние, чем экологическая обогащение.

ОКРУЖАЮЩАЯ СРЕДА: Оценка благосостояния сельскохозяйственных животных имеет решающее значение, однако по-прежнему отсутствуют практические физиологические средства. В этом исследовании мы проверили, обнаруживает ли периферийный транскриптом моноядерной клетки крови (PBMC) вариации в связи с благосостоянием свиней. Для этого мы сравнивали животных, состояние благосостояния которых было расценено как отличающееся из-за их жизни в более или менее обогащенной среде и из-за их различного доминирующего положения. Совы размещались в обычном помещении (C, n = 36) или обогащенного (E, n = 35) среда с д

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… Divergent gene expression responses to Complicated Grief and Non-complicated Grief. Brain Behav Immun [Internet]. 2014;37:78–83. 10.1016/j.bbi.2013.12.017 10.1016/j.bbi.2013.12.017 PMC4015725 24380850 14. Cole SW. The Conserved Transcriptional Response to Adversity. …

Assessing palliative care needs in adult patients with hematological malignancies and their caregivers: implications for referral practice.

BackgroundPatients with hematological malignancies frequently experience complex physical, psychological, and spiritual concerns due to disease progression and intensive therapies. Despite these needs, palliative care services are often underutilized. This study aimed to assess the palliative care needs of adult patients with hematological malignancies and their caregivers in a tertiary care setting in India.MethodsA descriptive survey was conducted from October 2022 to February 2023, involving 200 patients and their caregivers in oncology wards. The Needs Assessment Tool for Progressive Disea

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… . | 124 (62.2) | 54 (27) | 22(11) | 76 (97.43) | - | 2 (2.56) Caregiver experiencing grief over the impending or recent death that is interfering with well-being/functioning | 166 (98) | 32 (16) | 2 (1) | 34(100) | - | - Regarding the patient’s psychological well-being, 168(84%) reported no psychological …

The effectiveness and cost-effectiveness of hospital-based specialist palliative care for adults with advanced illness and their caregivers.

BACKGROUND: Serious illness is often characterised by physical/psychological problems, family support needs, and high healthcare resource us … nt satisfaction with care, caregiver outcomes (satisfaction with care, burden, depression, anxiety, grief, quality of life), and cost-effectiveness of HSPC. In addition, research is needed to provide validated person-centred outcomes to be used across studies and populations.

Identifying core symptom clusters based on symptom distress levels in patients with maintenance hemodialysis: a cross-sectional network analysis.

BACKGROUND: To explore the symptom clusters of patients undergoing maintenance hemodialysis and construct a symptom network to identify the core symptoms and core symptom clusters, to provide reference for precise symptom management. METHODS: Conveniently selected 354 patients with maintenance hemodialysis were surveyed cross-sectionally using the general information questionnaire, the Dialysis Symptom Index and the Kidney Disease Questionnaire. Symptom clusters were extracted using exploratory factor analysis, and core symptom clusters were identified using hierarchical regression and networ

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… Identifying highly influential nodes in the complicated grief network . J Abnorm Psychol . 2016 ; 125 ( 6 ): 747 – 757 . doi: 10.1037/abn0000181 . 27505622 PMC5060093 26 Zhu Z , Sun Y , Kuang Y , et al. …

Narrative review of the epidemiology, economic burden, and societal impact of metastatic bone disease.

As the prevalence of cancer continues to rise in the United States due to a combination of both early detection and increased life expectancy, the number of clinically symptomatic skeletal metastases will continue to grow. Healthcare expenditures on cancer treatment have steadily increased each decade to our estimated level of approximately $200 billion in 2020. Metastatic bone disease is a significant driver of this cost, accounting for nearly one-fifth of the total cost of oncologic treatment. Understanding the impact of metastatic bone disease can help to identify the gaps between diagnosis

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… These include grief, depression, body image concerns, fear of recurrence, spiritual guidance, survival guilt, workplace concerns, anxiety, and relationships. When treatment can include surgery, radiation therapies and medical therapies most, if not all of these emotions, come into play. …

A scoping review of the literature on the application and usefulness of the Problem Management Plus (PM+) intervention around the world.

BackgroundGiven the high rates of common mental disorders and limited resources, task-shifting psychosocial interventions are needed to provide adequate care. One such intervention developed by the World Health Organization is Problem Management Plus (PM+).AimsThis review maps the evidence regarding the extent of application and usefulness of the PM+ intervention, i.e. adaptability, feasibility, effectiveness and scalability, since it was introduced in 2016.MethodWe conducted a scoping review of seven literature databases and grey literature from January 2015 to February 2024, to identify peer

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… critical element in the sustainable development of societies worldwide, hence the need for increased investment in mental health services as part of universal health coverage. 1 Nevertheless, mental health problems, particularly common mental disorders (CMDs) like depression, anxiety, stress and prolonged grief … Other secondary outcomes evaluated included perceived social support, self-reported health service utilisation, prolonged grief, prodromal psychotic symptoms, quality of life, prior exposure to stressful or traumatic life events, gender-based violence and post-migration stressors. …

Past Happiness and Broken Future Horizon of Oncological Patients during Chemotherapy-A Quantitative Exploration of a Phenomenological Hypothesis.

Understanding the impact of cancer on the experience of time is crucial in the context of hope and recovery. This study, a follow-up to a previous qualitative study of ovarian cancer patients - explored two types of such experiences-the memory of past happiness and the limited future planning. A sociodemographic questionnaire with nine questions about the experience of time was used on a convenience sample of 202 patients with various cancers, predominantly women with breast, ovarian, and cervical cancer. It was found that the respondents experienced increased focus on the present, decreased f

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… Following our previous qualitative results, we hypothesized that individuals undergoing chemotherapy will have difficulty in planning for the future and accurately defining their life goals and that they will often return in thought to their life before treatment with a sense of grief over the loss as …

Mediating and Moderating Effects of Uncertainty on the Relationship between Family Function, Self-Care, and Depression among Blood Cancer Survivors.

Uncertainty in cancer survivorship poses a substantial challenge to survivors' coping mechanisms and psychological well-being. This study investigated the intricate interplay among family function, uncertainty, self-care, and depression in this context, with a primary focus on discerning the mediating and moderating roles of uncertainty in the relationship between family function, self-care, and depression among blood cancer survivors. Cross-sectional data from 147 survivors in South Korea underwent analysis using descriptive statistics, Pearson's correlations, and the PROCESS macro in SPSS ve

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… The relationship between anticipatory grief and illness uncertainty among Chinese family caregivers of patients with advanced lung cancer: A cross-sectional study BMC Palliat. Care 2022 21 30 10.1186/s12904-022-00925-4 35255876 PMC8902770 23. Shilling V. Starkings R. Jenkins V. Fallowfield L. …

Important End-of-Life Topics among Latino Patients and Caregivers Coping with Advanced Cancer.

There is a known end-of-life related disparity among Latino individuals, and there is a need to develop culturally sensitive interventions to help patients and caregivers cope with advanced cancer. Latino patients and caregivers coping with advanced cancer were asked to list important end-of-life topics to culturally inform a psychosocial intervention adaptation process. A qualitative study was conducted, and semi-structured interviews were performed, audio-recorded, and transcribed. Recordings and transcriptions were reviewed and analyzed using thematic content coding. The semi-structured int

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… Latino values in the context of palliative care: Illustrative cases from the family focused grief therapy trial Am. J. Hosp. Palliat. Med. ® 2013 30 271 278 10.1177/1049909112448926 22669936 30. Bernal G. Sáez-Santiago E. Culturally centered psychosocial interventions J. …

The Nine Cancer Frames: A Tool to Facilitate Critical Reading of Cancer-Related Information.

People's ability to critically assess cancer-related information is essential from a preventional and therapeutic, as well as a general democratic perspective. Such cancer literacy is not just about acquiring factual knowledge. It also involves the ability to analyze how the information is contextualized-how cancer is framed. Previous research concerning the framing of cancer in public discourse is voluminous and penetrating but also fragmented and inaccessible to non-experts. In this study, we have developed an integrated and applicable tool for analyzing cancer discourse by systematically cl

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… screening Environmental | As an environmentally caused phenomenon, related to exposure or lifestyle | Cause, prevent, smoking, alcohol, diet, pollution, radiation, toxic Personal | As a personal and psychological issue focusing on the perspective of the individual, family, and friends | I, family, grief …

'It gives you an understanding you can't get from any book.' The relationship between medical students' and doctors' personal illness experiences and their performance: a qualitative and quantitative study.

BackgroundAnecdotes abound about doctors' personal illness experiences and the effect they have on their empathy and care of patients. We formally investigated the relationship between doctors' and medical students' personal illness experiences, their examination results, preparedness for clinical practice, learning and professional attitudes and behaviour towards patients.MethodsNewly-qualified UK doctors in 2005 (n = 2062/4784), and two cohorts of students at one London medical school (n = 640/749) participated in the quantitative arm of the study. 37 Consultants, 1 Specialist Registrar, 2 C

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… [Senior doctor 3, male] "Personal experience of true grief and bereavement gives you an understanding that you can't get from any theoretical book on the grieving process." …

Смертность среди лиц, находящихся на длительном лечении: ретроспективное национальное когортное исследование.

Недостатки понимания тенденций в области развития среди лиц, живущих в условиях долгосрочного ухода за детьми. Увязка данных открывает возможности для осуществления последующей деятельности на национальном уровне в реальном и долгосрочном плане. Наша цель заключалась в том, чтобы описать модели и связи с смертностью среди лиц, переезжающих в дома по уходу в Шотландии. Эти данные были индексированы и увязаны с национальными данными в области здравоохранения и данными о смертности лиц, переехавших в детские дома в Шотландии в период между 1 апрель 2013 и 31 Март 2016. Сообщается о месте смерти,

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… "Death Is Part of the Job” in Long-Term Care Homes: Supporting Direct Care Staff With Their Grief and Bereavement. Sage Open. 2015;5:2158244015573912. doi: 10.1177/2158244015573912. 30. Sampson EL, Candy B, Davis S, et al. …

Снижение стигматизации, укрепление психического здоровья и индивидуальности при множественном склерозе: обзор текущей практики и направлений будущей деятельности.

Стигма - это широко распространенный, хотя и недостаточно изученный, психосоциальный фактор, затрагивающий людей с множественным склерозом. В этом обзоре обобщается литература о воздействии воспринимаемого, внедренного и интернализованного стигматизации на психологическое здоровье и идентичность заболеваний в PwMS. МЕТОДЫ: Был принят всеобъемлющий подход к обзору описательной части с учетом выводов, сделанных в результате проведенных экспертными экспертами количественных и качественных исследований. Базы данных, включая PubMed, PsycINFO и Scopus, искали с помощью таких комбинаций терминов, как

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… Originally developed for the treatment of depression, it targets role transitions, interpersonal conflict and grief—emotional challenges commonly encountered during adjustment to MS. …

Interdisciplinary collaboration in serious illness conversations in patients with multiple myeloma and caregivers - a qualitative study.

BACKGROUND: There is growing evidence that conversations between healthcare professionals and patients with serious illness can improve the quality of end-of-life cancer care. Yet, there is lack of insight into how different healthcare professions collaborate to deliver serious illness communication, as well as patients' and caregivers' perceptions of this collaboration between the nurse and physician. This study explores the interdisciplinary collaboration between nurses and physicians in serious illness conversations with patients diagnosed with multiple myeloma and their caregivers. METHOD

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… Conversations involving existential conditions center around topics such as illness, anxiety, grief, and are typically conducted using an existential language rather than a descriptive language [ 33 ]. …

Perspectives of bereaved relatives of patients with haematological malignancies concerning preferred place of care and death: A qualitative study.

BACKGROUND: People with haematological malignancies have different end-of-life care patterns from those with other cancers and are more likely to die in hospital. Little is known about patient and relative preferences at this time and whether these are achieved. AIM: To explore the experiences and reflections of bereaved relatives of patients with leukaemia, lymphoma or myeloma, and examine (1) preferred place of care and death; (2) perceptions of factors influencing attainment of preferences; and (3) changes that could promote achievement of preferences. DESIGN: Qualitative interview study

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… The need for more effective communication systems across the primary/secondary care interface was also identified, along with greater acknowledgement of caregivers’ feelings and preferences, which may also promote their recovery from grief. 67 Hospice services were not accessed by the majority of our …

When Cancer Is the Self: An Interpretive Description of the Experience of Identity by Hematology Cancer Patients.

BackgroundThe term "cancer" is imbued with identity signals that trigger certain assumed sociocultural responses. Clinical practice with hematological cancer patients suggests the experience of these patients may be different than that of solid tumor cancer patients.ObjectiveWe sought to explore the research question: How are identity experiences described and elucidated by adult hematological cancer patients?MethodsThis qualitative study was guided by interpretive description as the methodological framework.ResultsPreexisting identity labels and assumptions assigned to the overarching "cancer

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… Through the Valley: Intimate Encounters with Grief . Ottawa, ON: Canadian Association of Nurses in Oncology; 1999. 38. Edwards L. In the Kingdom of the Sick: A Social History of Chronic Illness in America . New York, NY: Bloomsbury; 2013. 39. Mahendran R Chua J Peh CX, et al. …

Sociodemographic and clinical factors for non-hospital deaths among cancer patients: A nationwide population-based cohort study.

BackgroundFactors associated with place of death inform policies with respect to allocating end-of-life care resources and tailoring supportive measures.ObjectiveTo determine factors associated with non-hospital deaths among cancer patients.DesignRetrospective cohort study of cancer decedents, examining factors associated with non-hospital deaths using multinomial logistic regression with hospital deaths as the reference category.Setting/subjectsCancer patients (n = 15254) in Singapore who died during the study period from January 1, 2012 till December 31, 2105 at home, acute hospital, long-te

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… preferences in terms of place of care and death is important. [ 13 ] Good cancer care includes a consideration of a patient’s needs, goals and preferences throughout their course of illness. [ 14 ] Respecting such preferences may provide better holistic well-being, increased peace and less intense grief …

Narrative Therapy: A Systematic Review of Efficacy and Effectiveness for Improving Biopsychosocial Outcomes in People With Cancer.

BackgroundNarrative therapy is a postmodern, culturally responsive approach to psychotherapy that may be well suited for people affected by cancer. However, evidence for its use is unclear with previous reviews focusing on qualitative outcomes, specific approaches, or specific outcomes.AimTo conduct a systematic review to determine the efficacy/effectiveness of narrative therapy for people with cancer, and the factors which influence biopsychosocial treatment outcomes.MethodsWe conducted comprehensive searches of Medline, PsycInfo, Embase, Web of Science and Google Scholar to identify relevant

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… Hedtke , “ Creating Stories of Hope: A Narrative Approach to Illness, Death and Grief ,” Australian and New Zealand Journal of Family Therapy 35 , no. 1 ( 2014 ): 4 – 19 , 10.1002/anzf.1040 . 23 M. White and D. Epston , Narrative Means to Therapeutic Ends W. W. …

Development of Web-Based Education Modules to Improve Carer Engagement in Cancer Care: Design and User Experience Evaluation of the e-Triadic Oncology (eTRIO) Modules for Clinicians, Patients, and Carers.

BackgroundCarers often assume key roles in cancer care. However, many carers report feeling disempowered and ill-equipped to support patients. Our group published evidence-based guidelines (the Triadic Oncology [TRIO] Guidelines) to improve oncology clinician engagement with carers and the management of challenging situations involving carers.ObjectiveTo facilitate implementation of the TRIO Guidelines in clinical practice, we aimed to develop, iteratively refine, and conduct user testing of a suite of evidence-based and interactive web-based education modules for oncology clinicians (e-Triadi

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… They emphasized checking in on patient and carer emotions such as grief and distress, suggested that modules could include opportunities for self-reflection, and highlighted the need to include information about available support for carers. …