• Background Little research has been conducted to validate pain assessment tools in critical care, especially for patients who cannot communicate verbally. Objective To the Critical-Care Pain Observation Tool. Methods A total of 105 cardiac surgery intensive care unit, recruited a cardiology health center Quebec, Canada, participated study. Following surgery, 33 were evaluated while unconscious and intubated 99 conscious intubated; all after extubation. For each 3 testing periods, by using...

• Background Little research has been done on pain assessment in critical care, especially patients who cannot communicate verbally. Objectives To describe (1) indicators used by nurses and physicians for assessment, (2) management (pharmacological nonpharmacological interventions) undertaken to relieve pain, (3) reassessment verify the effectiveness of are intubated. Methods Medical files from 2 specialized healthcare centers Quebec City, Quebec, were reviewed. A data collection instrument...

The purpose of this randomized control trial was to verify the effectiveness a brief group intervention that combines stress management psycho-education and physical activity (ie, independent variable) in reducing fatigue improving energy level, quality life (mental physical), fitness (VO2submax), emotional distress dependent variables) breast cancer survivors. This study applied Lazarus Folkman stress-coping theoretical framework, as well Salmon's unifying theory activity. Eighty-seven...

Palliative care (PC) nurses experience several recurrent organizational, professional, and individual challenges. To address existential emotional demands, the meaning-centered intervention was recently developed. The applied didactic process-oriented strategies, including guided reflections, experiential exercises, education based on themes of Viktor Frankl's logotherapy. objective this study to test its efficiency improve job satisfaction quality life in PC from three regional districts...

Purpose/Objectives: To elaborate, refine, and validate the professional navigation framework in a Canadian context. Research Approach: A two-step approach consisting of qualitative evaluative design formal consultations. Setting: Two applications navigators Quebec Nova Scotia, Canada. Participants: Patient navigators, medical oncology specialists, nurses staff, administrators, family physicians, patients with cancer, patients' families significant others. Methods: Individual interviews (n =...

To study the relationship between cancer and emotional adjustment, investigation of situation-specific coping behaviors with respect to narrowly defined Stressors has recently been promoted. The development validation shorter instruments, designed facilitate completion by clinical populations, also recommended. current examined skills used French-Canadian women undergoing radiation therapy for breast cancer. A factor analysis 28-item shortened COPE (Carver, Scheier, & Weintraub, 1989)...

Cancer-related fatigue is the most reported symptom among patients with cancer. Researchers in field of psychooncology have encouraged development short instruments, which allow for easier completion by clinical populations while still maintaining solid psychometric properties. The current study examined validity and reliability French Canadian adaptation Multidimensional Fatigue Inventory (MFI) women (n = 277) men 327) undergoing therapy breast or prostate cancer, respectively. An...

Children living with cancer must cope the disease, frequent hospitalizations, aggressive treatments and numerous treatment side effects. Combined, these stressors can lead to adverse biopsychosocial An animal therapy program called "A Magical Dream" was instituted for children hospitalized in pediatric oncology promote their well-being during hospitalization facilitate adaptation therapeutic process. The main goal of this preliminary study complete a descriptive assessment implementation...

Lise Fillion, Isabelle Tremblay, Manon Truchon, and Denis Co ˆte´Laval UniversityC. Ward Struthers Re ´jeanne DupuisYork UniversityThis study tested an integrative occupational stress-model with a sample of209 palliative-care nurses who responded to survey. Using two hierarchi-cal regression models, including the Job Demand-Control-Support model,the Effort-Reward Imbalance model, speciÞc palliative care stressorsand resources, results showed that best predictors of job satisfaction werejob...

desbiens j.‐f., gagnon j. & fillion l . (2012) Development of a shared theory in palliative care to enhance nursing competence. Journal Advanced Nursing 68 (9), 2113–2124. Abstract Aim. This discussion article focuses on the theoretical development field through process comparison between Bandura’s social cognitive and Orem’s conceptual model. Background. In many countries, nurses are little prepared provide patients with life‐limiting illness. provides an appropriate framework for...

Delirium, a global brain dysfunction, develops frequently in advanced cancer. It is leading source of distress for family caregivers. Following recommendations from palliative care professionals and caregivers terminally ill cancer patients, psychoeducational intervention was implemented hospice to help cope with delirium and, eventually, contribute early detection. Prior receiving information on delirium, the majority did not know what it or that could be treated. Few knew patients terminal...

It is in accompanying the dying that palliative care nurses say they find meaning their work. To further explore this phenomenon, consideration of coping strategies proposed. The main objective correlational study was to describe association between (using a revised version COPE scale (Carver et al, 1999)), emotional outcomes (distress and vigour; profile mood states (POMS)), spiritual quality life Functional Assessment Chronic Illness Therapy - Spiritual Wellbeing Scale (FACIT-sp)). A...

A profile of the role and functions an oncology patient-navigator nurse (OPN) preliminary phases to implementing this within a team specializing in are first presented. This is followed by qualitative study that provides descriptive assessment for initial OPN head neck area university hospital centre (UHC) with supraregional model oncology. Three groups stakeholders (individuals cancer families, caregivers, network partners) were interviewed on three occasions: before, during after...

Much concern has centred on the “good” death since modern hospice/palliative care movement began, and considerable progress been made in urban services to promote good death. Little is known about perspectives of people who live rural remote areas Canada how this might be enabled those areas. This report an ethnographic study Alberta involving English-speaking Albertans. An identical Quebec will reported elsewhere. The 2006–07 involved 13 interviews with individuals understand their personal...

<b>PURPOSE</b> There has been little research describing the involvement of family physicians in follow-up patients with cancer, especially during primary treatment phase. We undertook a prospective longitudinal study lung cancer to assess their physician's at different phases cancer. <b>METHODS</b> In 5 hospitals province Quebec, Canada, recent diagnosis were surveyed every 3 6 months, whether they had metastasis or not, for maximum 18 aspects care. <b>RESULTS</b> Of 395 participating...

Fillion et al. (2012) recently designed a conceptual framework for professional cancer navigators describing key functions of navigation.Building on this framework, study defines the core areas practice and associated competencies navigators.The methods used in included: literature review, mapping navigation against standards competencies, validation process with navigators, their managers nursing experts comparison roles similar programs.Associated were linked to three identified practice,...

Purpose/Objectives: To verify the predictive capacity of stress-process theory to explain persistent fatigue following completion breast cancer treatments; relationship between interleukin-1b and fatigue.