Mother-daughter communication is central to how women adjust breast cancer. They may be aided by models of healthy that illustrate both women's perspectives. Families establish normative patterns inform they cope. We used family theory examine correlations between openness/avoidance and health. extended this capturing mother-daughter open/avoidant narratives these behaviors function in helpful (health-promoting) unhelpful ways.Phase 1 mixed-method study involved 41 patients 37...

Military spouses (milspouses) enact resilience through communication before, during, and after military deployments. Based on an organizing framework of processes ( Buzzanell, 2010 ), this study examined milspouses' communicative construction during increasingly rapid deployment cycle. Narratives from in-depth interviews with (n = 24) revealed how is achieved seeking to reconcile the often contradictory realities milspouses who endure physical, psychological, social difficulties due...

The objective structured clinical examination (OSCE) has only occasionally been used as a teaching tool. authors describe the initial use of an educational innovation consisting OSCE "sensitizing practice," followed by personal, guided, and group reflection.Staff resident physicians one medical student (N = 28) at community hospital's family medicine residency participated in during August 2012. allowed learners to engage potentially challenging conversation with standardized patient about...

For adolescents and young adults (AYAs), cancer-related fertility concerns (FC) are salient, disruptive, complex. Clinical communication about FC preservation options suboptimal, increasing patient distress. The purpose of this study is to construct a conceptual model among AYAs with cancer inform future measurement development.

Abstract Objective Adolescent and young adult (AYA) cancer survivors are vulnerable to cancer‐related financial burden, which is likely shared by their caregivers. This study aims enhance an existing conceptual model of burden conducting concept elicitation interviews with caregivers generate knowledge that can be translated inform instrumental psychosocial support in care. Methods Qualitative were conducted 24 AYA (caregivers adolescents, n = 12; emerging adults, 12) recruited from four...

To date, the health‐related quality of life experiences adolescents and young adults (AYA) with cancer have been inconsistently incompletely captured by existing patient‐reported outcome (PRO) measures. The National Institutes Health Patient‐Reported Outcomes Measurement Information System (PROMIS) represents state art for measurement science PROs provides an optimal approach addressing these challenges catalyzing future patient‐centered research in AYA oncology.

To investigate challenges nurses face when providing care for oncology patients transitioning from curative to palliative and identify educational support opportunities nurses.Communicating with patients/families treatments focused on comfort can be problematic a variety of reasons. Research suggests discrepancies exist between physicians' patients' perceptions probable length life. These disconnects deepen suffering. Oncology are well positioned facilitate this transition. However, they...

Abstract Context Among adolescents and young adults (AYAs), cancer its treatment can disturb body image in distinct ways compared to younger or older individuals. Objective Since AYA is not well understood, this study was designed develop a conceptual framework for AYAs with cancer. Methods Concept elicitation interviews were conducted 36 patients [10 (15–17 years), 12 emerging (18–25 14 (26–39 years)] health care providers ( n = 36). The constant comparative method used analyze themes...

Abstract Background Cancer and its treatments can result in substantial financial burden that may be especially distressing for adolescents young adults (AYAs) since they are at a developmental stage focused on completing one's education establishing independence. The purpose of this study was to develop conceptual model among AYA cancer patients inform development measure. Methods In‐depth concept elicitation interviews were conducted with purposive‐selected stakeholder sample (36 AYAs 36...

For adolescents and young adults (AYAs) with cancer, fertility preservation (FP) decision making is complex distressing. Racial/ethnic minority (REM) AYAs experience disparities in FP awareness, uptake, outcomes. A turning point (TP) a of reflection, change, or decisive moment(s) resulting changes perspectives trajectories. To enhance understanding AYAs' diverse experiences, this study examined alignment and/or divergence decisional TPs among non-Hispanic White (NHW) REM AYAs.

As servicewomen leave behind their military rank and status to become veterans, they must learn effectively navigate a fragmented structure of care communicate health needs. This study proposes culture-centered approach understanding how structural changes contribute reduction in positive perception behavior as active duty transition veteran status. Results suggest during the process disengagement from cultural norms, women veterans' prevention service utilization decreases, physical mental...

Adequate understanding of the goals and adverse effects cancer treatment has important implications for patients' decision making, expectations, mood. This study sought to identify degree which patients clinicians agreed upon (ie, concordance).Patients completed a demographic questionnaire, National Comprehensive Cancer Network Distress Thermometer, Medical Outcomes Study Social Support Survey, Functional Assessment Chronic Illness Therapy-Treatment Satisfaction-General Therapy-Spiritual...

In the majority of U.S. hospitals, inpatient medicine teams make palliative care decisions in absence a formalized system. Using grounded theory approach, interviews with team members were systematically analyzed to uncover how participants conceptualize and they regard communicative structures that underlie its delivery. During analysis, Weick's model organizing emerged as framework fit data. The 39 participant discussed primarily process. Themes describing meaning around concepts receiver...

Background. The mother-daughter relationship can be central to women who are coping with breast cancer and provide a key source of support. However, the adolescent young adult (AYA) daughters diagnosed mothers have been known exhibit notable distress during this time, withdrawing avoiding communication, further challenging their ability cope together. Objective. We sought identify topics that contribute avoidant mother–daughter communication pattern, as first step in helping AYA facilitate...

Religion/spirituality (R/S) is an important component of some patients' psychosocial framework when facing illness. While many patients report increased desire for R/S dialogue in clinical interaction, especially a frightening diagnosis, physicians discomfort talking about and hold various beliefs regarding the appropriateness such discussions. Not only do manage conversations centering on patient disclosures visit, they must also navigate requests to share their own personal information....

Background: Mothers diagnosed with breast cancer describe daughters as a critical source of support. Talking about is especially distressing and challenging for mothers their adolescent-young adult (AYA) daughters. Objective: The over-arching study aim was to generate findings integrate into an intervention enhance mothers’ AYA daughters’ communication skills by identifying approaches they find helpful when talking cancer. Methods: We recruited 27 women (12 dyads). Diagnosed (aged 18–29)...