Introduction And Aims: There are many barriers and obstacles that even today lead to an inadequate treatment of cancer-related pain. The aim is to describe the experiences of a group of Italian physicians and nurses as far as the nature of these barriers is concerned and the possible tools to be used to overcome them.
Material And Method: We run 5 focus groups with 42 healthcare professionals (11 physicians, 31 nurses) working in 5 hospitals in Italy. The findings of the focus groups were analysed according to the "Content Analysis" method.
Results: Five main items emerged: the importance of communication, the need for education regarding pain therapy, the ethnic/cultural/religious differences, the mutual trust and support within the working group, the daily challenges.
Conclusion: In harmony with the most recent literature, physicians and nurses voice above all their need for an education more directly aimed at overcoming the prevailing barriers rooted in ignorance, prejudice and fears.
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http://dx.doi.org/10.4415/ANN_15_01_13 | DOI Listing |
Acta Anaesthesiol Scand
February 2025
Department of Brain and Spinal Cord Injury, Neuroscience Centre, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Background: The harm-benefit balance for early out-of-bed mobilisation of patients with severe acquired brain injury (ABI) in neurointensive care units (neuro-ICUs) is unclear, and there are no clinical guidelines. This study aimed to survey the current clinical practice and perceptions among clinicians involved in first out-of-bed mobilisation in Scandinavian neuro-ICUs.
Methods: This was a cross-sectional, anonymous, web-based survey; the reporting follows the recommended CROSS checklist.
Geriatr Nurs
January 2025
ZHAW - Zurich University of Applied Sciences, ZHAW School of Health Sciences, Institute of Nursing, Winterthur, Switzerland; UMIT TIROL Private University of Health Sciences, Medical Informatics, and Technology, Department of Nursing Science and Gerontology, Institute of Nursing, Hall in Tyrol, Austria; Victoria University of Wellington - Te Herenga Waka, Wellington Faculty of Health, School of Nursing, Midwifery and Health Practice, Aotearoa, Wellington, New Zealand; School of Public Health and Social Work, Faculty of Health at Queensland University of Technology (QUT), Brisbane, Australia.
Despite existing guidelines for constipation management, constipation remains a prevalent issue among older individuals in long-term care facilities. The aim of this qualitative study was to provide an overview of nursing constipation management and the associated challenges in Swiss-German nursing homes. From September to December 2022, 51 nursing staff from 20 nursing homes were surveyed online, using literature-based open questions.
View Article and Find Full Text PDFAm J Prev Med
January 2025
University of California, Los Angeles (UCLA), David Geffen School of Medicine, Los Angeles, CA, USA.
Individuals with intellectual and/or developmental disabilities (I/DDs) encounter barriers to vaccine access, uptake, and confidence, leading to health inequities. These include barriers related to healthcare provider capacity to effectively address the social determinants of health, provide accessible needle procedures, and translate and disseminate inclusive public health information. The current study aimed to test the preliminary effectiveness of a virtual continuing medical education (CME) course on enhancing healthcare provider capacity to address these barriers.
View Article and Find Full Text PDFMed Teach
January 2025
Department of Obstetrics and Gynecology, Division of Urogynecology, Massachusetts General Hospital, Boston, MA, USA.
What Was The Educational Challenge?: Nurses play an essential role in the professional development of physician trainees within the clinical learning environment (CLE), but rarely receive formal training regarding this role.
What Was The Solution?: Utilizing a multifaceted, systematic approach, we developed an educational program for newly licensed nurses which addressed their role in the CLE and the professional development of physician trainees.
How Was The Solution Implemented?: We delivered two 90-minute workshops to approximately 40 nurses during the 2021-2022 academic year.
Int J Ment Health Nurs
February 2025
Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.
Knowledge is needed about end-of-life care among patients with pre-existing severe mental disorders: Schizophrenia, bipolar disorder, and depression. This study aimed to explore the experiences with end-of-life care for patients with severe mental disorders, their relatives, specialised palliative care nurses and physicians, and general practitioners. Twenty semi-structured interviews were conducted and analysed using reflexive thematic analysis, hereby six interviews with patients, three with relatives, five with general practitioners, and six with specialised palliative healthcare professionals.
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