Couples experience cancer as a dyad. Step by step, they have to learn to integrate the illness into their lives. It can be assumed that psychosocial nursing interventions would offer them helpful support. Yet, there is no evidence showing which interventions are the most effective in supporting the couple in the illness management. This literature review was undertaken to explore this issue and was guided by following questions: 1) What kind of psychosocial intervention programmes exist for couples experiencing cancer? 2) Which instruments were used to measure the effectiveness of the interventions and what were the results? 3) What was the contribution of the interventions to an improved dyadic illness management process? Five articles were retrieved that met both the in- and exclusion criteria. The intervention programs varied regarding content and structures. The instruments used in the studies were very heterogeneous, making comparisons difficult. Even so, the results of the review found that psychosocial interventions decreased the levels of depression and hopelessness in both partners. The interventions also made it easier for the partners to advise and support each other in everyday situations. The conclusion was drawn that targeted information materials, structured information, and professional support represent effective psychosocial nursing interventions for couples living with cancer.
Background: Interprofessional collaboration between nurses and physicians is a recurrent challenge in daily clinical practice. To ameliorate the situation, quantitative or qualitative studies are conducted. However, the results of these studies have often been limited by the methods chosen. Aim: To describe the synthesis of interprofessional collaboration from the nursing perspective by triangulating quantitative and qualitative data. Method: Data triangulation was performed as a sub-project of the interprofessional Sinergia DRG Research program. Initially, quantitative and qualitative data were analyzed separately in a mixed methods design. By means of triangulation a „meta-matrix“ resulted in a four-step process. Results: The „meta-matrix“ displays all relevant quantitative and qualitative results as well as their interrelations on one page. Relevance, influencing factors as well as consequences of interprofessional collaboration for patients, relatives and systems become visible. Conclusion: For the first time, the interprofessional collaboration from the nursing perspective at five Swiss hospitals is shown in a „meta-matrix“. The consequences of insufficient collaboration between nurses and physicians are considerable. This is why it’s necessary to invest in interprofessional concepts. In the „meta-matrix“ the factors which influence the interprofessional collaboration positively or negatively are visible.
This article describes the development and content of the portfolio of the Surgical Intensive Care Unit. The first step was to evaluate clinical practice using a SWOT (strengths, weakness, opportunities and threats) analysis; development and trends within surgical intensive care were analyzed with a literature search. From these results, three areas were identified as essential for the development of practice: (1) best practice/best care, (2) research, and (3) development into a reference center. For each area, clearly specified objectives, outcomes, measures, responsibilities, and resources were defined and an extensive multi-year action plan was established. Best Practice/Best Care consisted of the improvement of performance and patient outcomes, the support and promotion of personnel, and the implementation of evidence-based nursing practice. Combining Best Practice/Best Care with the goals and measures of the second area, Research, formed the basis for realizing the vision of the Surgical Intensive Care Unit to become "a nationally and internationally recognized reference center for surgical intensive care for defined topics and patient groups." Concrete strategies for achieving this goal were established in the third area.
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