One Hospital's Response to the Institute of Medicine Report, “Dying in America”

Jacobsen, Juliet; Jackson, Vicki A.; Asfaw, Shae; Greenwald, Jeffrey L.; Slavin, Peter L.

doi:10.1016/j.jpainsymman.2021.10.010

Cited by 4 publications

(3 citation statements)

References 27 publications

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“…Ongoing research is needed to develop personalized, simple, and effective methods of conveying prognosis and facilitating understanding, when and as desired by patients and caregivers. 31 , 32 , 33 , 34 Future communication interventions may require specific roles for nursing professionals, 17 , 35 , 36 oncologists, and palliative care specialists, with a framework that can be acted upon early and that can adapt to all stages and types of cancers.…”

Section: Discussionmentioning

confidence: 99%

“…Even when prognosis is uncertain, oncology care teams should be cognizant of how patients may interpret what has been communicated and how they may perceive their illness, as misconceptions can lead to downstream effects on end‐of‐life care. Ongoing research is needed to develop personalized, simple, and effective methods of conveying prognosis and facilitating understanding, when and as desired by patients and caregivers 31–34 . Future communication interventions may require specific roles for nursing professionals, 17,35,36 oncologists, and palliative care specialists, with a framework that can be acted upon early and that can adapt to all stages and types of cancers.…”

Section: Discussionmentioning

confidence: 99%

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Accuracy of curability expectations in patients with gastrointestinal cancers

et al. 2022

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Background Assessment of illness and treatment understanding among cancer patients has largely focused on those with advanced disease. Less is known about patient expectations at earlier stages of cancer and potential modifiers of accurate understanding. Methods We assessed accuracy of cure expectations in patients across all stages with gastrointestinal (GI) cancers. Accuracy was determined by independent reviews of patient health records by oncologists on the investigative team. Impact on cure accuracy of selected clinical variables and health‐information preferences was analyzed. Results Hundred and thirty five patients were included for analysis, with 100% interrater agreement for accuracy between oncologist reviewers. Sixety five patients (48%) had accurate cure expectations from their cancer treatment. Accuracy was lower in Stage IV versus Stage I–III disease (35% vs. 63%, p < 0.01), lower in unresectable versus resectable disease (35% vs. 67%, p < 0.01), and higher in patients with early‐stage disease who received adjuvant chemotherapy versus those who did not (78% vs. 53%, p = 0.04). Accuracy did not differ by health‐information preferences and remained stable over time. Of 63 patients who died, baseline accuracy differed by location of death ( p = 0.03), with greater accuracy in those who died with home hospice (56%). Accuracy was lower in those who were hospitalized in the last 30 days of life versus those who were not (25% vs. 59%, p = 0.01). Conclusions Inaccurate cure expectations are prevalent across all stages of GI cancers, but particularly among those with metastatic or unresectable disease. High‐quality, iterative communication strategies may facilitate patient illness and treatment understanding throughout the disease course.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Accuracy of curability expectations in patients with gastrointestinal cancers

et al. 2022

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“…Sementara itu mixed methods evaluations yang merupakan kombinasi antara metode kuantitatif dan kualitatif sering digunakan guna menghasilkan pemahaman yang lebih baik terkait masalah penelitian yang dibandingkan Jika cuman satu metode penelitian saja yang digunakan [30] [31] [32].…”

Section: Rq 4: Metode Atau Model Apa Yang Digunakan Dalam Membentuk I...unclassified

Systematic Literature Review Implementasi Interpersonal Skill Remaja Dalam Penggunaan Media Sosial

Rokhim,

Ramadhan,

Fitroh

2023

jitter

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Abstrak Teknologi sekarang berkembang cukup besar dan cepat dengan adanya Internet, membuat remaja secara tidak sadar menjadi kelompok digital native karena manusia sekarang sangat ketergantungan dengan teknologi bahkan tanpa diajari cara penggunaan teknologi tersebut. Remaja bisa menjadi sasaran utama dalam perubahan interaksi digital karena dianggap paling peka dan diharapkan bisa membawa perubahan dalam mengatasi problematika masyarakat digital. Interaksi secara berlebihan di media sosial dengan pola tidur yang kurang tepat biasanya dapat menyebabkan kesehatan terganggu. Namun, bagaimana implementasi interpersonal skill remaja dalam menggunakan media sosial bisa semaksimal mungkin berjalan dengan baik atau tidak kita belum mengetahuinya dengan pasti. Penelitian ini bertujuan untuk mengetahui gambaran implementasi interpersonal skill remaja dalam penggunaan media sosial serta pengaruh apa yang didapatkannya. Metode yang digunakan dengan Systematic literature review (SLR). Hasil menunjukkan interpersonal skill harus menjadi keterampilan digunakan untuk melawan efek negatif atau hambatan penggunaan media sosial. Pengaruh media sosial terhadap interpersonal skill bagi remaja menunjukkan bahwa pelajar di usia remaja sangat menikmati media sosial untuk ajang bertemu teman baru secara online daripada bertemu langsung sehingga dampaknya mereka menghabiskan banyak waktu sebagai sarana berinteraksi dan komunikasi.

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