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  • ISSN: 2379-9501
    Volume 2 Issue 4
    Short Communication
    Roseanne Fairchild*
    Abstract: As nurse scientists and clinicians working in healthcare, we are often seeking methods and models to encourage positive changes in lifestyle behaviors to help our patients become empowered to improve their health status. We are beginning to recognize that a phenomenon known as "fatalism" can influence perceptions of, and thus adherence or non-adherence to, healthy lifestyle behaviors. Experts have defined fatalism as a sense of lack of control and powerlessness over health and illness. Since fatalistic tendencies have been associated with perceived barriers to improved health status, the psychological management of fatalism is important for clinicians to address with patients. This work presents a practical, evidence-based set of principles and relevant examples for clinician-patient communication when fatalism is expressed by patients in healthcare settings. The set of principles is based on the basic tenets of Health Belief Model (HBM) and the reported functions indicating the different ways persons manage fatalistic tendencies from a psychological perspective: a) Stress relief; b) Uncertainty management; c) Sense-making; and, less strongly d) Face-saving. The set of principles is intended to support clinicians in context of active listening and open communication with patients. Supporting patients in moving from feeling powerless to powerful regarding their own health behaviors promotes the potentially positive influence of fatalism when discussion of risk reduction occurs. Fatalism is ultimately viewed by some experts as a potential "motivator" of positive behavioral change when assessed in context in relation to the patient's intellectual and emotional responses to the diagnosis and treatment plan.
    Diane Glowacki*
    Abstract: Adequate pain management is largely underserved to patients not only in the US, but globally as well. Although there are well documented research and evidenced based practices that exist, they have not translated to current clinical pain management care for patients. The Committee on Advancing Pain Research, Care, and Education: Institute of Medicine, released a national publication in 2011 titled "Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education and Research" which addressed that effective pain management practices in the US are at best, not realized. Adverse consequences of ineffective pain management effect physiologic, psychological and social components in which various population groups uniquely experience, and can be life altering for patients having an intense impact on the patients' quality of life. Multiple barriers contribute to ineffective pain management, the most critical being patient perception and subjectivity. Improved pain management practices have been implemented, yet knowledge regarding pain management, physiology, science and research remain minimal.
    Research Article
    Cornel Schiess, Stefan Ott, André Fringer, Silvia Raphaelis, Andrea Kobleder, Dinah Gafner, Judith Jung-Amstutz, Birgit Werner, Michael D. Müller and Beate Senn
    Abstract: This study aimed to describe (1) the prevalence of informational needs in surgically treated women with vulvar neoplasia during the first week after hospital discharge, (2) associations between informational needs and age, type, disease stage and the extent of surgery and (3) additional informational needs. This convergent parallel designed mixed-methods study was conducted in eight hospitals across Germany and Switzerland (Clinical Trial ID: NCT01300663). Outpatients (n=65) rated items of the WOMAN-PRO instrument and added further notes. Five items concerning informational needs were analysed using descriptive statistics and regression analysis. For notes (n=38) a qualitative content analysis was done.
    The mean prevalence of unmet informational needs was 81.8%. The most prevalent unmet informational needs concerned disease (56 out of 65) and treatment (56 out of 65). Informational needs were found to increase in relation to the type (i.e. pre-cancer, cancer) (b = 3.05, p = 0.039), whereas they decreased in relation to the extent of surgery (b = -2.411, p = 0.035). Notes showed three main topics regarding additional informational needs "understanding the illness", "caring for yourself" and "going forward".
    Data revealed a high prevalence of informational needs and the WOMAN-PRO instrument can guide patients and clinicians in assessing informational needs.
    Susan Heiskell*, Roberta Wozniak and Christine S. Daniels
    Abstract: Developing and implementing a hospital – hospice inpatient unit takes many key stakeholders as well as providing the patient with a comfortable and compassionate time during the end of their life journey. Redirecting the thinking of a curative-focused medical and nursing staff, within an academic medical center, to one of providing comfort and compassion during the final days of one's life takes time and perseverance. Through education, assistance of the supportive care team, spiritual care service and hospice care agency, staff members are becoming more aware of the goals of Hospice inpatient program. Hospital inpatient hospice units are continuing to grow as the population ages and provides families with an alternative from curative treatment, yet maintaining symptom management for comfort and compassion during their loved ones final days.
    Case Report
    Lesley Wilkes*
    Imperative to producing research outcomes is developing a research. While this term is used extensively, little research has been conducted to determine its key characteristics. In a survey study with researchers at Australian universities, the key features of an enabling research culture were found to be: an environment characterised by research productivity, positive collegial relationships, inclusivity, non-competitiveness and effective research processes and training [1].
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