Asunto(s)
Adaptación Psicológica , Personal de Enfermería en Hospital/psicología , Enfermería Perioperatoria/organización & administración , Resiliencia Psicológica , Sociedades de Enfermería/organización & administración , Estrés Psicológico/prevención & control , Actitud del Personal de Salud , Humanos , Cultura Organizacional , Objetivos Organizacionales , Estados UnidosRESUMEN
Choosing between lumpectomy with radiation versus mastectomy is difficult for women with early-stage breast cancer, and doubt can decrease women's confidence and satisfaction. As a result, the current study surveyed satisfaction before and after surgery in a convenience sample of women with early-stage breast cancer from a single practice. All women received either total mastectomy or lumpectomy plus radiation based on their informed choice of surgical options. The surgeon and the principal investigator educated patients about both surgeries at the time of consent. Participants answered a survey about satisfaction with their decision making before their chosen surgical procedure and again by telephone six months later. Participants felt that they had made an informed choice at the time of decision (87%) and at follow-up (93%). In addition, most women were satisfied with their choice of surgical procedure at time of decision (87%) as well as six months after surgery (96%). This study allowed women to significantly participate in their care through surgical decision making, which improved satisfaction. Nurses are uniquely positioned to support women with early-stage breast cancer in their decision-making process.
Asunto(s)
Adaptación Psicológica , Neoplasias de la Mama/psicología , Toma de Decisiones , Conocimientos, Actitudes y Práctica en Salud , Satisfacción del Paciente , Estrés Psicológico , Adulto , Anciano , Anciano de 80 o más Años , Neoplasias de la Mama/cirugía , Conducta de Elección , Intervalos de Confianza , Femenino , Encuestas Epidemiológicas , Humanos , Mastectomía/psicología , Mastectomía Segmentaria/psicología , Persona de Mediana EdadRESUMEN
This pilot study measured participants' comfort with their decision making to have a lumpectomy and radiation or total mastectomy to treat their breast cancer. Findings showed 87% of the patients believed they had made an informed choice and were satisfied with their decision making regarding their surgical procedure selection.
Asunto(s)
Neoplasias de la Mama/cirugía , Toma de Decisiones , Mastectomía/métodos , Prioridad del Paciente , Adulto , Anciano , Anciano de 80 o más Años , Arizona , Neoplasias de la Mama/terapia , Conflicto Psicológico , Estudios de Factibilidad , Femenino , Humanos , Persona de Mediana Edad , Proyectos Piloto , Radioterapia Adyuvante , Encuestas y CuestionariosRESUMEN
The prevalence of obesity in the United States continues to increase. Well-recognized obesity-related health problems pose many challenges in the acute care facility. These challenges include not only physical barriers and complications, but also concern for the well-being of caregivers. Despite these problems, little pre-planning of resources occurs. Barriers to bariatric protocol development are discussed, and strategies for overcoming these barriers with attention to preventing caregiver injury, optimizing patient care, and limiting associated costs are reviewed. A description of an interdisciplinary criteria-based bariatric protocol is included. With adequate and appropriate pre-planning, the challenge of providing bariatric care can be met.