Strauss & J. Corbin, 1990) was used to generate a theory of the career development of participants that was grounded in their experiences, as related in semistructured, in-depth interviews. The theoretical model generated from the data included 5 major components: (a) a core story consisting of participants' work behaviors and attitudes, which is enacted within (b) sociocultural, (c) personal background, and (d) current contextual conditions and leads to particular career (e) actions and consequences. The emergent model and illustrative quotations from participants are presented, and the implications of the study and the theoretical model for both research and practice are discussed.Despite the burgeoning literature in the area of women's career development over the past three decades, several consistent limitations in this field of study have been noted. One problem has been inadequate attention to the experiences of women of color (

Although research remains scanty for components of basic oral care, bland rinses, protocols, and education, the original 2004 guidelines with the help of newer literature from 2000 to 2005 and expert consensus among the Guidelines Panel enabled the development of useful clinical practice guidelines for managing oral mucositis in patients receiving cancer treatment with radiation and/or chemotherapy.

Surgical resident experience on most trauma services is heavily weighted to nonoperative management, with a relatively low number of procedures, little experience with DPL, and highly variable experience with ultrasound. These data have serious implications for resident training and recruitment into the specialty.

Background The purpose of the study was to better understand the practice and meaning of spiritual care among cancer care professionals and ultimately provide a rationale for developing internationally focused spiritual care guidelines. Methods We developed a 16-question survey to assess the spiritual care practices. We sent 635 MASCC members 4 e-mails each inviting them to complete the survey via an online survey service. Demographic information was collected. The results were tabulated, and summary statistics were used to describe the results. Results Two hundred seventy-one MASCC members (42.7%) from 41 countries completed the survey. Of the respondents, 50.5% were age ≤50 years, 161 (59.4%) were women and 123 (45.4%) had ≥20 years of cancer care experience. The two most common definitions of spiritual care the respondents specified were “offering emotional support as part of addressing psychosocial needs” (49.8%) and “alleviating spiritual/existential pain/suffering” (42.4%). Whether respondents considered themselves to be “spiritual” correlated with how they rated the importance of spiritual care (P≤0.001). One hundred six respondents (39.1%) reported that they believe it is their role to explore the spiritual concerns of their cancer patients, and 33 respondents (12.2%) reported that they do not feel it is their role. Ninety-one respondents (33.6%) reported that they seldom provide adequate spiritual care, and 71 respondents (26.2%) reported that they did not feel they could adequately provide spiritual care. Conclusions The majority of MASCC members who completed the survey reported that spiritual care plays an important role in the total care of cancer patients, but few respondents from this supportive care focused organization actually provide spiritual care. However, in order to be able to provide a rationale for developing spiritual care guidelines, we need to understand how to emphasize the importance of spiritual care and at minimum, train MASCC members to triage patients for spiritual crises.

Awareness of the guidelines remains limited in the US, and use of the guidelines worldwide is minimal. The Mucositis and Patient and Professional Education Study Groups have developed a set of strategies to enhance dissemination, awareness, and use of the updated guidelines and to promote patient education based on the guidelines. Future work will focus on implementation and evaluation of the guidelines in clinical practice.

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Cancer has the potential of threatening all of a person's resources: physical, psychological, social, spiritual, and economic. It is as if the experience of cancer takes on a life cycle of its own that starts with the shock of diagnosis and continues well beyond the completion of treatment. Psychosocial support services of various types need to be made available throughout the cancer experience. Participation in these services affords people the opportunity to learn positive coping skills, to recognize that they are not alone, to discover how to enjoy living in the present, and to attach a different meaning to the words "hope" and "healing." Restoring a sense of wholeness to one's mind, body, and spirit is equally as important as receiving the most effective therapy for the cancer.