Consideration of sense of coherence in a structured communication approach with stage IV lung cancer patients and their informal caregivers: a qualitative interview study

Krug, Katja; Bossert, Jasmin; Stooß, Lydia; Siegle, Anja; Villalobos, Matthias; Hagelskamp, Laura; Jung, Corinna; Thomas, Michael; Wensing, Michel

doi:10.1007/s00520-020-05724-2

Cited by 11 publications

(23 citation statements)

References 22 publications

(24 reference statements)

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“…Other research on work-related SOC has also shown that a strong SOC is correlated with health-related quality of working life [38], high levels of work engagement [39,40] and less work-related stress [41]. SOC has successfully been incorporated into other qualitative studies, mainly in healthcare settings [42][43][44]. A recent systematic review provided evidence that a SOC helps to protect against a depressive state, burnout and job dissatisfaction among nurses, and that it is important to build a healthy work environment to foster the SOC [45].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Small business managers and Covid-19—The role of a sense of coherence and general resistance resources in coping with stressors

et al. 2022

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Background The response of small business managers to an external event such as the pandemic can have a profound effect on the work environment, health and well-being for themselves and their employees. Previous research on small business managers during the pandemic has mainly focused on traditional pathogenic effects, and there is a lack of studies looking at the issue from a salutogenic health promotion perspective. The aim of this study is to explore whether a sense of coherence and general resistance resources were experienced by small business managers in Sweden and Norway during the Covid-19 pandemic. Methods A qualitative design was applied through exploratory interviews with 16 managers of small businesses in Sweden and Norway. A content analysis of the interviews was conducted using the sense of coherence concept by Aaron Antonovsky, with the three main components of comprehensibility, meaningfulness and manageability acting as a conceptual framework for the analysis process. Results Within the three main sense-of-coherence categories, six general resistance resources were identified as being important for the managers to handle uncertainty during the pandemic. These were understanding rules and regulations, social support, optimism, proactivity, problem-solving and flexibility and cooperation. Conclusions The small business managers handled the pandemic in a way that worked well in their contexts, and the pandemic generally did not have a negative effect on their businesses or themselves. A salutogenic approach, through which the managers focused on identifying and using resources, was an important factor for managing stressors and adversity during the pandemic. Hence, the concept of salutogenesis may be used as an intervention to foster better health in small businesses, both at a personal and organisational level in order to handle future challenges effectively.

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Section: Conceptual Frameworkmentioning

confidence: 99%

Small business managers and Covid-19—The role of a sense of coherence and general resistance resources in coping with stressors

et al. 2022

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“…Getting timely and tailored information about the disease and what to expect in the future supports them in maintaining a sense of control [46]. Structured communication and having a responsive member of the health care team following up on patients assist in patient coping [13] and reducing uncertainty in a highly uncertain situation [47]. Interprofessional collaboration (notably physicians and nurses) and a longitudinal communication approach (including aspects of illness understanding, prognostic awareness, coping, and advance care planning) are key features for effectiveness in early palliative care according to cancer care guidelines [48].…”

Section: Discussionmentioning

confidence: 99%

“…This randomized trial was part of a larger multiphase mixed-method study focusing on the implementation and evaluation of the MCA concept in a thoracic oncology clinic [11]. Publications on the MCA concept development [10], implementation fidelity [12], and patient and caregiver experiences [13] are available. The present publication follows the recommendations of the Consolidated Standards of Reporting Trials (checklist available as supplemental online Table 1).…”

Section: Methodsmentioning

confidence: 99%

Effects of an Interprofessional Communication Approach on Support Needs, Quality of Life, and Mood of Patients with Advanced Lung Cancer: A Randomized Trial

et al. 2021

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Background. To address the support needs of newly diagnosed patients with lung cancer with limited prognosis, the Milestone Communication Approach (MCA) was developed and implemented. The main elements of the MCA are situation-specific conversations along the disease trajectory conducted by an interprofessional tandem of physician and nurse. The aim of the study was to evaluate the effects of MCA on addressing support needs, quality of life, and mood as compared with standard oncological care. Patients and Methods. A randomized trial was conducted with baseline assessment and follow-up assessments at 3, 6, and 9 months in outpatients with newly diagnosed lung cancer stage IV at a German thoracic oncology hospital. The primary outcome was the Health System and Information Needs subscale of the Short Form Supportive Care Needs Survey (SCNS-SF34-G) at 3-month follow-up.Secondary outcomes included the other subscales of the SCNS-SF34-G, the Schedule for the Evaluation of Individual Quality of Life, the Functional Assessment of Cancer Therapy lung module, the Patient Health Questionnaire for Depression and Anxiety, and the Distress Thermometer. Results. At baseline, 174 patients were randomized, of whom 102 patients (MCA: n = 52; standard care: n = 50) provided data at 3-month follow-up. Patients of the MCA group reported lower information needs at 3-month followup (mean AE SD, 33.4 AE 27.5; standard care, 43.1 AE 29.9; p = .033). No effects were found for secondary outcomes. Conclusion.MCA lowered patient-reported information needs but did not have other effects. MCA contributed to tailored communication because an adequate level of information and orientation set the basis for patient-centeredcare. The Oncologist 2021;26:1-15 Implications for Practice: By addressing relevant issues at predefined times, the Milestone Communication Approach provides individual patient-centered care facilitating the timely integration of palliative care for patients with a limited prognosis. The needs of patients with lung cancer must be assessed and addressed throughout the disease trajectory. Although specific topics may be relevant for all patients, such as information about the disease and associated health care, situations of individual patients and their families must be considered. Additionally, using the short form of the Supportive Care Needs Survey in clinical practice to identify patients' problems might support individually targeted communication and preference-sensitive care.

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“…Consideration of sense of coherence in a structured communication approach with stage IV lung cancer patients and their informal caregivers: a qualitative interview study (50) .…”

Section: Cuidado Paliativomentioning

confidence: 99%

“…-Cuidados Paliativos. Un total de 9 artículos relata aspectos relacionados con los cuidados paliativos (CP) en personas con cáncer pulmonar; se menciona específi camente que estos cuidados infl uyen positivamente en la calidad de vida de la persona y sus familiares (31,50) . Se ha demostrado que la atención de personas en los servicios de CP ha aumentado considerablemente en los últimos años (53) .…”

Section: Barriers To Delivering Advanced Cancer Nursingunclassified

Cáncer de pulmón, tendencias desde la perspectiva del cuidado

Rico¹,

Beltrán²,

Rosas³

et al. 2022

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ResumenObjetivo: identifi car las tendencias de investigación sobre el cáncer de pulmón durante los últimos cinco años, desde la perspectiva del cuidado de enfermería. Método: revisión bibliométrica y exploratoria realizada a partir de la base de datos de web of science. Se utilizaron los descriptores, lung neoplasm and nursing care con aplicación de fi ltros, obteniendo un total de 62 artículos publicados entre los años 2017-2021. El análisis bibliométrico fue realizado mediante bibliometrix con el total de los documentos obtenidos; para el análisis exploratorio se utilizaron 30 artículos que describen las principales tendencias temáticas identifi cadas en la estructura conceptual. Resultados: los indicadores bibliométricos muestran un promedio de publicación de 12 artículos por año, predominaron las publicaciones con enfoque cuantitativo (66,7 %) y de nivel de evidencia baja (56,7 %). El mayor número de artículos publicados por fuente y autor fue de 4. Los resultados

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Consideration of sense of coherence in a structured communication approach with stage IV lung cancer patients and their informal caregivers: a qualitative interview study

Cited by 11 publications

References 22 publications

Small business managers and Covid-19—The role of a sense of coherence and general resistance resources in coping with stressors

Small business managers and Covid-19—The role of a sense of coherence and general resistance resources in coping with stressors

Effects of an Interprofessional Communication Approach on Support Needs, Quality of Life, and Mood of Patients with Advanced Lung Cancer: A Randomized Trial

Cáncer de pulmón, tendencias desde la perspectiva del cuidado

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