Health care professionals (HCPs) play a key role in providing information and counselling about the implications of cancer for fertility, however, many patients do not receive such information. The aim of this study was to examine the perspectives and practices of Australian HCPs in relation to discussing fertility with cancer patients. A mixed-methods design, comprising of an online survey of 263 HCPs [41.4% nurses; 25.5% doctors; 31% allied health care professionals (AHP)] and qualitative interviews with 49 HCPs, was utilised. HCPs reported that fertility is an important concern for patients and their partners; however, only 50% of doctors and nurses, and 24% of AHPs reported that they always addressed this issue. The primary barriers to discussing fertility were poor patient prognosis; patient gender or age; time constraints; and absence of appropriate resources and materials. Only a minority of HCPs (29%) had undergone training in discussing fertility with cancer patients. The majority wanted further training or education: including nurses (81.8%), AHPs (80.6%) and doctors (55.4%). HCPs agreed that a number of resources would assist them to raise fertility with their patients, including a list of appropriate referral sources, fact sheets, information booklets, a fertility consultation checklist and on-line resources.
To facilitate women's self-management across these phases, support is needed that focuses on providing strategies to strengthen individual approaches by women. Such support might promote activities of daily living as a specific entity of physical activity, expose myths about activity during pregnancy, and endorse the benefits of weight management arising from physical activity, not just during pregnancy, but across the lifespan.
The aim of the current study was to explore bystander experiences during bullying episodes among children and youth attending a residential summer camp by investigating rates of witnessing and intervention, as well as individual motivations and characteristics associated with bystander intervention. The majority of children had witnessed bullying at least once in the past 3 weeks and reported intervening in some way. Among children who reported intervening, the strongest motivation appeared to be a sense of social justice. Among children who reported not intervening, the strongest motivation appeared to be the feeling that it was not their place to intervene because the bullying situation did not directly involve them and/or was not extremely severe. The determining factors for bystander intervention during bullying episodes differed between genders. Social self-efficacy predicted bystander intervention among girls, while empathy and attitudes about bullying predicted bystander intervention among boys. Implications for bullying prevention are discussed. Résumé Cette recherche visait à étudier l'expérience des témoins d'actes d'intimidation survenus entre enfants et jeunes résidents d'un camp d'été. Nous avons comparé le 202 Canadian Journal of School Psychology 27(3) taux de témoins qui s'interposent et ceux qui demeurent inactifs face à l'intimidation et étudié les motivations et les caractéristiques du témoin qui s'implique. La plupart des enfants affirmaient avoir assisté à au moins un acte d'intimidation au cours des trois dernières semaines. La justice sociale semble la principale motivation des enfants qui se sont interposés; ceux qui n'ont pas réagi ont eu le sentiment de ne pas être directement concernés ou que l'intimidation était sans gravité. On note une différence entre les garçons et les filles qui interviennent; les plus susceptibles de s'interposer sont les filles ayant des compétences sociales affirmées et les garçons ayant de l'empathie et qui refusent l'intimidation. Nous examinons l'impact de ces découvertes au regard de nos programmes de prévention.
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