Cancer nursing
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Randomized Controlled Trial
A randomized clinical trial of the efficacy of a self-care intervention to improve cancer pain management.
The undertreatment of cancer pain remains a significant clinical problem. ⋯ Coaching, nursing support, and the use of a pain diary may be important interventions to reduce pain intensity.
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Comparative Study
The Swedish version of the Frommelt Attitude Toward Care of the Dying scale: aspects of validity and factors influencing nurses' and nursing students' attitudes.
Nurses' attitudes toward caring for dying persons need to be explored. The Frommelt Attitude Toward Care of the Dying (FATCOD) scale has not previously been used in Swedish language. ⋯ Care culture might influence nurses' attitudes toward caring for dying patients; the benefits of education need to be explored.
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Although dying children are often aware of their impending death, parents are reluctant to communicate with their dying child about death. ⋯ Findings can be used by healthcare professionals to help support families of dying children. The field of pediatric oncology nursing would benefit from exploration of the dying child's perspective.
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Randomized Controlled Trial
The PRO-SELF pain control program improves family caregivers' knowledge of cancer pain management.
The majority of cancer treatment is provided in outpatient settings. Family caregivers' (FCs') knowledge and beliefs about pain and its management are critical components of effective care. ⋯ Oncology nurses can use FCs' responses to the FPQ to individualize teaching and spend more time on identified knowledge deficits. This individualized approach to FC education may save staff time and improve patient outcomes.
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The stress and coping theory suggests that the impact of caregiving on caregivers' life depends more on personal psychological resources (ie, sense of coherence [SOC]) than on objective caregiving demands or social resources. However, SOC's mediation roles in helping caregivers cope with the challenges of end-of-life care have never been explored. ⋯ Nursing interventions to enhance caregivers' SOC may decrease their depressive distress through increasing their confidence in providing end-of-life care and lightening their perceived caregiving burden.