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Stressing factors and coping strategies used by oncology nurses; Factores estresantes y estrategias de coping utilizadas por los enfermeros que actúan en oncología; Fatores estressantes e estratégias de coping dos enfermeiros atuantes em oncologia

RODRIGUES, Andrea Bezerra; CHAVES, Eliane Corrêa
Fonte: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Publicador: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
46.04%
In the oncology specialty, many factors can result in occupational stress in nursing professionals. As an attempt to controlling this situation, individuals may use coping strategies. Coping is a cognitive and behavioral effort one uses to face a stressful situation. The aims of this study were to identify the stressful factors regarding oncology nurses, and to verify what coping strategies they use. Two questionnaires were used: a demographic data inventory, designed by the researcher, and the Folkman and Lazarus coping strategies inventory. The results showed that the main stressful factors for oncology nurses are patient death (28.6%), emergency situations (16.9%), relationship issues with the nursing team (15.5%), and work-process situations (15.5%). In the studied population, the main coping strategy used was positive reappraisal.; En la especialidad de Oncología son muchos los factores que pueden conducir al profesional de enfermería al estrés ocupacional. Para tratar de controlar esa situación, el individuo puede utilizar estrategias de coping, que es un esfuerzo cognitivo y de comportamiento utilizado frente a un evento que causa estrés. Los objetivos de este estudio fueron identificar los factores que causan estrés en los enfermeros que actúan en Oncología y verificar las estrategias de coping utilizadas por los mismos. Se utilizaron dos cuestionarios: uno para el inventario de datos demográficos construido por la autora y otro para el inventario de estrategias de coping de Folkman y Lazarus. Los resultados de la investigación muestran que los factores considerados más estresantes por los enfermeros de Oncología son: la muerte de los pacientes (28...

Os significados de ser enfermeiro especialista em oncologia; The meanings of being an oncology specialist nurse.

Buetto, Luciana Scatralhe
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 10/09/2009 PT
Relevância na Pesquisa
46.14%
Trata-se de um estudo qualitativo, com a utilização da perspectiva sociológica do conhecimento e da educação, que teve como objetivo interpretar os significados de ser Enfermeiro Especialista em Oncologia, entre os egressos do Curso de Especialização em Enfermagem em Oncologia, da Escola de Enfermagem de Ribeirão Preto, da Universidade de São Paulo. Foram entrevistados 20 profissionais atuantes na área de enfermagem oncológica, egressos da primeira, segunda e terceira turmas da especialização. A cole ta de dados ocorreu no período de março/2008 a janeiro/2009, no ambiente de trabalho de cada participante. Utilizamos o referencial metodológico do estudo de caso instrumental, do método do relato oral pontual, e da técnica de entrevista semi-estruturada. Para apreender os significados analisamos os dados por meio da análise de conteúdo indutivo. Primeiramente, os dados foram organizados e codificados em núcleos de sentidos; a seguir, construímos os três núcleos temáticos: a trajetória do enfermeiro em busca da especialização em oncologia, a prática do especialista em oncologia: o universo novo e ser enfermeiro especialista em oncologia: a construção da nova identidade, pelos quais obtivemos a compreensão do fenômeno. No primeiro núcleo temático...

Stressing factors and coping strategies used by oncology nurses

Rodrigues,Andrea Bezerra; Chaves,Eliane Corrêa
Fonte: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Publicador: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2008 EN
Relevância na Pesquisa
46.04%
In the oncology specialty, many factors can result in occupational stress in nursing professionals. As an attempt to controlling this situation, individuals may use coping strategies. Coping is a cognitive and behavioral effort one uses to face a stressful situation. The aims of this study were to identify the stressful factors regarding oncology nurses, and to verify what coping strategies they use. Two questionnaires were used: a demographic data inventory, designed by the researcher, and the Folkman and Lazarus coping strategies inventory. The results showed that the main stressful factors for oncology nurses are patient death (28.6%), emergency situations (16.9%), relationship issues with the nursing team (15.5%), and work-process situations (15.5%). In the studied population, the main coping strategy used was positive reappraisal.

Prevalence of the burnout syndrome among Brazilian medical oncologists

Glasberg,João; Horiuti,Louise; Novais,Marcela Araújo Borges; Canavezzi,Andressa Zaccaro; Miranda,Vanessa da Costa; Chicoli,Felipe Abrosio; Gonçalves,Marina Sahade; Bensi,Carolina Games; del Giglio,Auro
Fonte: Associação Médica Brasileira Publicador: Associação Médica Brasileira
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2007 EN
Relevância na Pesquisa
56.04%
INTRODUCTION: Burnout syndrome which is prevalent among oncologists is characterized by three aspects: emotional exhaustion, depersonalization and low personal accomplishment. The purpose was to evaluate prevalence of the burnout syndrome among Brazilian medical oncologists and the variables that correlate with its presence. METHODS: A survey was conducted with members of the Brazilian Society of Medical Oncology (SBOC) who received three questionnaires (general, Maslach burnout questionnaire and an opinion survey) mailed to all 458 members. RESULTS: Response rate was of 22.3%. According to the criteria proposed by Grunfeld, which consider burnout present when at least one of the aspects is severely abnormal, prevalence of this syndrome was 68.6% (95% confidence interval, CI: 58.68% to 77.45%). By multivariate analysis having a hobby/physical activity, a religious affiliation, older age, living with a companion and rating vacation time as sufficient were correlated significantly and independently with burnout syndrome. CONCLUSIONS: The burnout syndrome is prevalent among Brazilian oncologists. Oncologists having sufficient personal and social resources to engage in a hobby, physical activity, have enough vacation time and religious activities are at lower risk of developing burnout.

Combination goserelin and tamoxifen therapy in premenopausal advanced breast cancer: a multicentre study by the ITMO group. Italian Trials in Medical Oncology.

Buzzoni, R.; Biganzoli, L.; Bajetta, E.; Celio, L.; Fornasiero, A.; Mariani, L.; Zilembo, N.; Di Bartolomeo, M.; Di Leo, A.; Arcangeli, G.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /05/1995 EN
Relevância na Pesquisa
46.01%
It has been suggested that tamoxifen may improve the efficacy of medical castration with luteinising hormone-releasing hormone analogues, but very few data have so far been published concerning the clinical and endocrinological activity of this therapeutic modality. In this phase II multicentre trial conducted by the Italian Trials in Medical Oncology group (ITMO), 64 premenopausal patients with hormone receptor-positive or unknown breast cancer were treated with monthly s.c. injections of goserelin 3.6 mg, in association with a tamoxifen daily dose of 20 mg, as first-line therapy for their advanced disease. All of the patients were evaluable for efficacy and there was an overall response rate of 41% (95% confidence interval 28-52%), with 7 of the 26 responders achieving complete remission. The median time to response was 4 months (range 2-17), and the median response duration was 13 months (range 6-37 +). Better responses were observed in soft tissues (51%); the response in visceral and bone metastases was respectively 19% and 37%. Serum concentrations of gonadotrophins and oestradiol were significantly decreased by the treatment, oestrogen levels being constantly suppressed to within the range observed in post-menopausal women. No significant change was detected in serum testosterone levels. In our experience...

Summary of the first annual Genitourinary Medical Oncology Conference Renal Cell Carcinoma Forum

Wood, Lori A; Escudier, Bernard; Reaume, Neil
Fonte: Canadian Medical Association Publicador: Canadian Medical Association
Tipo: Artigo de Revista Científica
Publicado em /06/2007 EN
Relevância na Pesquisa
56.01%
The first annual Canadian Genitourinary Medical Oncology Conference was held in June 2006 before the Canadian Urology Association Annual Meeting. This article summarizes 3 presentations that took place as part of the Renal Cell Carcinoma Forum: “Treatment of Metastatic Renal Cell Carcinoma: 2006 and Beyond” was presented by Dr. Bernard Escudier; “Practical Experience with Targeted Therapy,” by Dr. Lori Wood; and “Sarcomatoid Renal Cell Carcinoma,” by Dr. Neil Reaume.

Examining Telephone Calls in Ambulatory Oncology

Flannery, Marie; Phillips, Shannon M.; Lyons, Catherine A.
Fonte: American Society of Clinical Oncology Publicador: American Society of Clinical Oncology
Tipo: Artigo de Revista Científica
Publicado em /03/2009 EN
Relevância na Pesquisa
46.04%
A large component of ambulatory oncology practice is management of telephone calls placed to and from the practice between outpatient appointments, but they are not a reimbursable service, they require staff resources, and they place an unpredictable demand on workload. In this study, telephone calls were examined at a private medical oncology practice to define telephone call volume and distribution in an active ambulatory oncology practice, describe the callers and reasons for calls, and examine any differences in call volume by practice characteristics.

Mission-Focused, Productivity-Based Model for Sustainable Support of Academic Hematology/Oncology Faculty and Divisions

Holcombe, Randall F.; Hollinger, Krista J.
Fonte: American Society of Clinical Oncology Publicador: American Society of Clinical Oncology
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
45.95%
Reorganization of a faculty practice and salary structure to achieve a mission-focused, productivity-based paradigm is possible. This model targets academic hematology/medical oncology divisions but could serve as a framework for other departments or schools of medicine.

The Dinosaur Is Extinct: The Demise of Solo Medical Oncology Practice in the United States

Keech, John A.
Fonte: American Society of Clinical Oncology Publicador: American Society of Clinical Oncology
Tipo: Artigo de Revista Científica
Publicado em /09/2010 EN
Relevância na Pesquisa
45.96%
Evolution is brought about by subtle environmental pressures over time or by a cataclysmic extinction event. The latter is the case for the solo medical oncologist, with the event being the Medicare Modernization Act of 2003.

Productivity Assessment of Physician Assistants and Nurse Practitioners in Oncology in an Academic Medical Center

Moote, Marc; Nelson, Ron; Veltkamp, Robin; Campbell, Darrell
Fonte: American Society of Clinical Oncology Publicador: American Society of Clinical Oncology
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.01%
Productivity measurement for physician assistants and nurse practitioners can be challenging. This study quantifies their productivity in oncology according to economic indicators such as charges and work relative value units.

The Practice of Medical Oncology in Morocco: The National Study of the Moroccan Group of Trialist in Medical Oncology (EVA-Onco)

Boutayeb, Saber; Taleb, Amina; Belbaraka, Rizlane; Ismaili, Nabil; Berrada, Narjiss; Allam, Wafa; Abahsain, Halima; Mellas, Naoufal; Afkir, Saif; Mesbahi, Omar; Ichou, Mohammed; Errihani, Hassan
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
Publicado em 08/10/2013 EN
Relevância na Pesquisa
46.35%
Objective. To determine the current shortfall of medical oncologists (MOs) and the projected supply. Background. Morocco, the medical oncology (MO) is a relatively new specialty. Medical oncology was recognized as a separate specialty in 1994 but the real taking-off was done only since the 2000s after the creation of the chair of medical oncology in the University of Rabat. The GRIOMM (Moroccan group of trialist in medical oncology) was created in 2011 and conducted its first study, EVA-onco, concerning the practice of medical oncology in Morocco in 2011. Design. EVA-onco is a prospective study concerning the practice of medical oncology in Morocco in 2011. Results. The entire public cancer centers completed the survey. There were no missing data. The number of medical oncologist per 100000/habitants in Morocco was 0.09. The average number of new patients seen per medical oncologist was 718 patients (ranging by state from 97 to 1875). The shortfall of MOs was estimated at 26 at least in 2011 according to the national recommendations. Conclusions. Since 2010, a national strategy to increase the capacity of MO workforce existed. The current shortfall of MO is expected to disappear in the future.

From precision medicine to cancer care through the immunome: highlights from the European Society of Medical Oncology Congress, Madrid, 26–30th September 2014

Curigliano, Giuseppe
Fonte: Cancer Intelligence Publicador: Cancer Intelligence
Tipo: Artigo de Revista Científica
Publicado em 16/10/2014 EN
Relevância na Pesquisa
46.07%
The recognition that cancer is a ‘spectrum’ of diseases, and that medical oncologists should achieve ‘convergence’ from ‘divergence’ to treat cancer patients was the main theme of the 2014 European Society of Medical Oncology (ESMO) Congress. The meeting assembled 19,859 participants from nearly 134 countries worldwide. The educational content was centered on precision medicine in cancer care, from mutational burden to the immunome, through the epigenome and the proteome. Precision medicine has been defined as the tailoring of medical treatment to the characteristics of an individual patient. Knowing an individual’s genomics has created a remarkable and unprecedented opportunity to improve medical treatment and develop preventative strategies to preserve health. Clinical oncologists across the range of diseases recognise that for precision medicine to take hold, it will require intensive, rigorous validation that these new approaches do indeed improve patient outcomes. Not all molecular alterations are predictive of response to a specific targeted treatment nor are they all druggable, raising issues of cost–benefit, validation of specific biomarkers, and of managing patient expectations. Addressing all these issues will be essential for the medical community to embrace any given opportunities. Along with it...

Toward a Common Therapeutic Framework in Castration Resistant Prostate Cancer: A Model for Urologic Oncology and Medical Oncology Interaction

de Vere White, Ralph; Lara, Primo N.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /05/2014 EN
Relevância na Pesquisa
46.15%
The rapid evolution of palliative therapeutic choices in the last few years for patients with advanced castration resistant prostate cancer (CRPC) has resulted in a dilemma currently troubling a few other epithelial malignancies: which systemic agent to choose and at what time? In addition, which specialty specifically directs the delivery of such care – Urology or Medical Oncology – has not been clearly established. Recognizing the lack of consensus, we propose a framework for Urology and Medical Oncology interactions that is founded on models that have succeeded in the past. This approach aims to focus the care on the CRPC patient rather than on his physicians and promises to improve patient outcomes in this disease state.

Antiviral prophylaxis in patients with solid tumours and haematological malignancies—update of the Guidelines of the Infectious Diseases Working Party (AGIHO) of the German Society for Hematology and Medical Oncology (DGHO)

Sandherr, Michael; Hentrich, Marcus; von Lilienfeld-Toal, Marie; Massenkeil, Gero; Neumann, Silke; Penack, Olaf; Biehl, Lena; Cornely, Oliver A.
Fonte: Springer Berlin Heidelberg Publicador: Springer Berlin Heidelberg
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
45.96%
Reactivation of viral infections is common in patients with solid tumour or haematological malignancy. Incidence and severity depend on the extent of cellular immunosuppression. Antiviral prophylaxis may be effective to prevent viral reactivation. In 2006, the Infectious Diseases Working Party of German Society for Hematology and Medical Oncology (DGHO) published guidelines for antiviral prophylaxis in these patient populations. Here, we present an update of these guidelines for patients with solid and haematological malignancies undergoing antineoplastic treatment but not allogeneic stem cell transplantation. Relevant literature for reactivation of different viruses (herpes simplex virus (HSV), varicella zoster virus (VZV), hepatitis B virus (HBV) and respiratory viruses) is discussed to provide evidence-based recommendations for clinicians taking care of this patient population. We recommend a risk-adapted approach with (val)acyclovir against HSV and VZV in patients treated with alemtuzumab, bortezomib or purine analogues. Seasonal vaccination against influenza is recommended for all patients with solid or haematological malignancies regardless of antineoplastic therapy. Hepatitis B screening is recommended in lymphoproliferative disorders...

Oncology Outpatient and Provider Responses to a Computerized Symptom Assessment System

Carpenter, J.; Rawl, S.; Porter, J.; Schmidt, K.; Tornatta, J.; Ojewole, F.; Helft, P.; Potter, D.; Sweeney, C.; Giesler, R.
Fonte: Oncology Nursing Society Publicador: Oncology Nursing Society
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
Relevância na Pesquisa
46.13%
Purpose/Objectives: To assess patient and provider responses to a computerized symptom assessment system. Design: Descriptive, longitudinal study with retrospective, longitudinal medical records review. Setting: University-based National Cancer Institute–designated outpatient cancer center. Sample: 80 oncology outpatients receiving chemotherapy, 8 providers, and 30 medical records. Methods: Patients completed the computerized assessment during three chemotherapy follow-up clinic appointments (times 1, 2, and 3). Patient usability was recorded via an observer checklist (ease of use) and the computer (completion time). Patient satisfaction and impact were assessed during telephone interviews two to three days after times 1 and 3 only. Provider usability and impact were assessed at the end of the study using a questionnaire and focus groups, whereas effect on provider documentation was assessed through chart audits. Main Research Variables: Patient usability (ease of use, completion time), satisfaction, and impact; provider usability and impact. Findings: Patients reported good usability, high satisfaction, and modest impact on discussions with their providers. Providers reported modest usability, modest impact on discussions with patients...

Prevalence and factors associated with polypharmacy in older people with cancer

Turner, J.; Shakib, S.; Singhal, N.; Hogan-Doran, J.; Prowse, R.; Johns, S.; Bell, J.
Fonte: Springer Publicador: Springer
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
46.05%
Purpose Polypharmacy has been associated with drug–drug interactions, adverse drug events, hospitalisation and increased mortality. The purpose of this study was to investigate the prevalence and factors associated with polypharmacy in older people with cancer. Patients and methods Patients aged ≥70 years (n=385) presenting to the medical oncology outpatient clinic at Royal Adelaide Hospital between January 2009 and July 2010 completed a structured data collection instrument. The instrument included domains related to medications, diagnoses, instrumental activities of daily living (IADLs), Karnofsky Performance Scale (KPS), physical function (SF-36), pain (ten-point visual analogue scale, VAS), weight loss (patient self-reported over previous 6 months), exhaustion (CES-D) and distress (ten-point VAS). Frailty was computed using Fried’s frailty phenotype. Logistic regression was used to compute unadjusted and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for the association between polypharmacy (defined as five or more self-reported daily medications) and clinical parameters. Results Polypharmacy was present in 57 % (n=221) of patients. When adjusting for age, gender and Charlson Comorbidity Index (CCI), polypharmacy was associated with being pre-frail (OR=2.35...

Factors influencing medical oncology referral in Dukes' C colonic cancer

Lu, C.; Stephens, J.; Rieger, N.
Fonte: Blackwell Publishing Ltd. Publicador: Blackwell Publishing Ltd.
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
66.31%
AIM: Colorectal cancer (CRC) is one of the most common malignancies worldwide and adjuvant chemotherapy is proven to improve survival in patients with Dukes' C CRC. The purpose of this study was to analyze factors influencing referral to medical oncology in patients with Dukes' C colonic cancer in our institutions. METHODS: Patients who underwent resection for Dukes' C colonic cancer were assessed for factors that influence the pattern of postoperative referral to the medical oncology department, including demographic and perioperative data. RESULTS: Overall, 466 patients were identified to have Dukes' C colonic cancer, with 53.9% of these being female. Referral to medical oncology occurred for 58.4% patients. Multivariable logistic regression modeling identified age, elective admission and resection in private hospitals as factors. The likelihood of medical oncology referral in patients who had elective resection was 63% versus 41% in those who had emergency resection and resection in private hospitals was 69% versus 50% in public hospitals. CONCLUSION: Referral to a postoperative medical oncology clinic for adjuvant chemotherapy in Dukes' C colonic cancer was more likely in younger patients, those who underwent elective resection and those treated in private hospitals.; Cu-Tai Lu...

Partnering With a Payer to Develop a Value-Based Medical Home Pilot: A West Coast Practice's Experience

Bosserman, Linda D.; Verrilli, Diana; McNatt, Wendy
Fonte: American Society of Clinical Oncology Publicador: American Society of Clinical Oncology
Tipo: Artigo de Revista Científica
Publicado em /05/2012 EN
Relevância na Pesquisa
46.1%
The Wilshire Oncology Medical Group developed a medical oncology home pilot to offer a transparent, high-quality, high-value cancer program in partnership with its largest California health plan, Anthem Blue Cross WellPoint.

Stressing factors and coping strategies used by oncology nurses; Factores estresantes y estrategias de coping utilizadas por los enfermeros que actúan en oncología; Fatores estressantes e estratégias de coping dos enfermeiros atuantes em oncologia

Rodrigues, Andrea Bezerra; Chaves, Eliane Corrêa
Fonte: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Publicador: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf; application/pdf; application/pdf
Publicado em 01/02/2008 ENG; POR; SPA
Relevância na Pesquisa
46.04%
In the oncology specialty, many factors can result in occupational stress in nursing professionals. As an attempt to controlling this situation, individuals may use coping strategies. Coping is a cognitive and behavioral effort one uses to face a stressful situation. The aims of this study were to identify the stressful factors regarding oncology nurses, and to verify what coping strategies they use. Two questionnaires were used: a demographic data inventory, designed by the researcher, and the Folkman and Lazarus coping strategies inventory. The results showed that the main stressful factors for oncology nurses are patient death (28.6%), emergency situations (16.9%), relationship issues with the nursing team (15.5%), and work-process situations (15.5%). In the studied population, the main coping strategy used was positive reappraisal.; En la especialidad de Oncología son muchos los factores que pueden conducir al profesional de enfermería al estrés ocupacional. Para tratar de controlar esa situación, el individuo puede utilizar estrategias de coping, que es un esfuerzo cognitivo y de comportamiento utilizado frente a un evento que causa estrés. Los objetivos de este estudio fueron identificar los factores que causan estrés en los enfermeros que actúan en Oncología y verificar las estrategias de coping utilizadas por los mismos. Se utilizaron dos cuestionarios: uno para el inventario de datos demográficos construido por la autora y otro para el inventario de estrategias de coping de Folkman y Lazarus. Los resultados de la investigación muestran que los factores considerados más estresantes por los enfermeros de Oncología son: la muerte de los pacientes (28...

Parent perceptions of paediatric oncology services at the Eric Williams medical sciences complex, Trinidad and Tobago

Lum Lock,A; Bodkyn,C; Ali,Z
Fonte: West Indian Medical Journal Publicador: West Indian Medical Journal
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2012 EN
Relevância na Pesquisa
46.25%
OBJECTIVE: To assess the perceptions of parents of children with cancer and to determine level of satisfaction with the paediatric oncology services at the Eric Williams Medical Sciences Complex (EWMSC). DESIGN AND METHODS : Parents of children with cancer were surveyed during the period 12-27 October 2009 as part of a wider needs assessment project using a questionnaire designed to obtain information on their perception of medical, physical and psychosocial resources during the family encounter at the EWMSC. RESULTS: Overall, parents expressed a high level of satisfaction with the quality of delivery of medical and pharmaceutical services which were at no direct cost to the patient. Issues of concern included a lack of a structured clinic appointment system, inadequate patient care assistance on the ward for very young patients and the housing of non-oncology patients in the oncology specialty unit. Apart from their child's illness, fear of job and income loss was a major stressor for parents. CONCLUSION: Medical needs of patients were perceived to be well met, but there was need to address the psychosocial, physical and educational needs of parents.