Healthcare professionals need to pay special attention to the relational aspects of communication in an outpatient clinic because encounters are often brief. More research is needed to investigate the type of interaction and intervention that would be the most effective in supporting adult patients' coping during chemotherapy in an outpatient clinic.

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A 24-year-old woman with type 1 diabetes participated in a randomised controlled trial proving effectiveness of a flexible Guided Self-Determination (GSD) intervention. She had for 10 years been living with a complex situation of eating disorder, poor glycaemic control, non-attendance and psychosocial distress. She managed to change her perception of diabetes dramatically and improved her glycaemic control. Considering the complexity of her case, we explored how she achieved these changes. A GSD-trained nurse delivered the intervention, which involves reflection sheets and advanced professional communication. Glycated hemoglobin was reported in the patient's record and an interview conducted by external interviewers was analysed thematically, indicating that a four-stage process of empowerment had taken place: 'focusing on life prior to numbers', 'unpacking a heavy burden', 'breaking out of isolation through communication' and 'finding strength within oneself'. The article emphasises that GSD works by breaking isolation through communication as an appropriate way to achieve good diabetes control.

Aim: This project has two aims: 1) What do relatives to brought in dead describe as helpful and supportive care when they arrive at the emergency department to see and say goodbye to a deceased? 2) What do nurses describe as good nursing practice for brought in dead persons and their relatives and what may hinder or facilitate this practice in an emergency setting? Design: A qualitative study within the methodology Interpretive Description. Methods: Data will be collected through three data sources: Individual interviews with relatives to brought in dead persons, participant observations of relatives to brought in dead persons during their presence in the emergency department and focus group interviews with emergency nurses. Discussion: Brought in dead persons and their relatives are received and cared for in emergency departments by emergency nurses. Knowledge of how to render care for the relatives to brought in dead persons in an acute setting including what skills and competences this require of the nurses is warranted. We need to explore, describe and comprehend the experiences of both the relatives and the nurses in order to point out potential areas of improvement. Impact: This paper is a protocol of an Interpretive Description study offering insight into considerations and reflections in designing the study.

Background: Communication between patients and healthcare professionals becomes increasingly important as patients with cancer are primarily treated in outpatient settings, where the time to communicate is brief. There is a need to understand patients' experiences of communication to ensure person-centered communication during treatment.Objective: The aim of this study was to explore how patients experience communication with healthcare professionals during their course of treatment in an oncology outpatient clinic to elucidate how their needs for support are met. Methods: Data were generated through semistructured qualitative interviews in patients with cancer who received treatment in an oncology outpatient clinic (n = 18). Interpretive description methodology and symbolic interactionism inspired the analytical approach. Results: Three overarching communication categories were generated, namely, verbal practices, relational practices, and nonverbal practices, which reflect distinct characteristics and the quality of the communication.Communication was characterized as being informative, cheerful, and routinized, which the patients found supportive and, contrarily, superficial, task focused, lacking continuity in care, and missing existential dimensions. Conclusion: The communication practice in the oncology outpatient clinic especially supported patients in managing their treatment and side effects. However, psychological, social, and existential concerns were rarely addressed, requiring the patient to self-manage these issues in everyday life while living with cancer. Implications for Practice: Patients are socialized by verbal and nonverbal

Background: The individual syllabus is a mandatory part of clinical teaching in Denmark. The tool has been discussed in various settings throughout the nursing education. A literature search revealed that knowledge of how to work with it is minimal. Objectives: To clarify and test the potential of the individual syllabus in a clinical setting. Design: A mixed methods intervention study involving first year nursing students and clinical teachers. The intervention consisted of: 1) design of a template and a precise description, 2) testing of the template and description in the form of baseline and post-intervention questionnaires and a student focus group interview. Results: By using a template, the students' understanding of the purpose, their perception of the value and their sense of ownership of the individual syllabus are improved. The same results are not seen for the clinical teachers. The results point to the fact that there is potential for improving cooperation between clinical teachers and students concerning the tool. The majority of the clinical teachers, however, did find that the template improved the quality of the individual syllabus. Conclusion: A template has the potential to translate the curriculum-based learning objectives into practical studies and, thereby, improve the gap between theory and practice. The importance of clinical teachers' effect on the way students work becomes evident. The use of templates and structured tools in a pedagogical context is debatable but should receive more attention in the future.

Resumé Artiklen viser, hvorledes menneskers hver­dagsliv bryder sammen og ændres som et re­sultat af at blive kræftramt og behandlet. Dette betyder, at hverdagslivet skal etableres under ganske nye betingelser. Denne reorientering kan beskrives som en læringsproces for den kræftramte, hvor pågældende lærer at leve og deltage på en ganske anderledes måde end før. Artiklen inkluderer en diskussion af re­habiliteringsbegrebet og af den eksisterende rehabiliteringspraksis. Som konklusion un­ derstreger artiklen betydningen af, at rehabiliteringsbestræbelser baseres på de kræftramtes reelt levede kontekster

Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): University College Copenhagen, Denmark. Background The healthcare system is facing major challenges due to an increasing number of patients with chronic diseases, including patients with cardiovascular diseases. As a consequence more caregivers will experience having a greater role in the treatment and care of their loved ones. This can have significant psychological consequences for the caregivers. For that reason, there is a need for evidence-based interventions that support caregivers of patients with cardiovascular disease. The aim: Is to contribute with evidence-based knowledge about the effects of interventions supporting caregivers in the care and treatment of patients with heart disease focusing on psychological effects. Method A systematic review has been conducted based on the methodology described by Cochrane Handbook (2022). The following databases have been searched: Pubmed, Embase, Cochrane Library, CINAHL & PsychInfo. The literature search was carried out on the basis of the developed search strategy and studies were collected based on pre-specified inclusion and exclusion criteria. Subsequently, a critical quality assessment using RoB-2 quality assessment tool, a data extraction and a data synthesis were carried out after. Results The systematic search revealed 3,659 manuscripts, from where eight randomized controlled studies were included. The results of the data synthesis showed that the interventions were heterogeneous in regard to timing, intensity, and length of interventions. Most of the interventions included educational face-to-face sessions, in combination with telephone support or written resources. Likewise, the synthesis showed inconsistent results across studies, but positive effects were seen on caregivers (including caregiver burden, quality of life and depression) in some studies and no harm were observed in any study. The results indicated that the intensity of the interventions was related to better outcomes. Conclusion The included studies contribute knowledge about the psychological effects of interventions targeting caregivers of patients with cardiovascular diseases. Overall, inconsistencies were found across studies, which can be expected to be attributed to the heterogeneity across the complex interventions. There is a need for further research in the area to map which elements or combinations of elements that are ideal to test in future interventions. The development of effective interventions supporting caregivers and their well-being is of great importance, as it has the potential to benefit patients, caregivers, as well as society in general.