Social, Ethical and Treatment Related Problems Faced by Healthcare Workers in the Care of Head and Neck Cancer Patients: A Narrative Review from the Bioethics Consortium from India

Baliga, Manjeshwar Shrinath; Lasrado, Savita; Krishna, Amresh; George, T. Neville; Madathil, Lal; D’Souza, Russell; Palatty, Princy Louis

doi:10.1007/s12070-023-03738-w

Cited by 3 publications

(3 citation statements)

References 84 publications

(213 reference statements)

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“…These narratives, which can be critical or moralistic, can be in uenced by individual beliefs and unconscious fantasies, leading to a punitive and judgmental attitude towards the patient. Such reactions would occur unconsciously to help healthcare professionals handle internal con icts and personal values [12,20].…”

Section: Discussionmentioning

confidence: 99%

“…The identi cation mechanism can occur more strongly with the patient's family than with the patient himself, despite his condition of being affected by the disease. This process of non-perceived identi cation causes the person to project elements of their psychic structure onto another person, seeing this person as someone who can receive affection [20,21,22].…”

Section: Discussionmentioning

confidence: 99%

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Emotional Meanings of Clinical Practice with Head and Neck Cancer Patients: a qualitative study with Brazilian professionals

Bispo,

Sant'Ana,

Bastos

et al. 2024

Preprint

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Objective To interpret emotional meanings attributed by healthcare professionals to the clinical management of patients with Head and Neck Cancer, in a university-specialised outpatient service at a public general hospital. Method A qualitative study was carried out using semi-directed interviews with open-ended questions in-depth. The sample was closed by the saturation strategy. Data treatment was conducted by Clinical-Qualitative Content Analysis technique under theoretical framework of psychodynamic concepts from Medical Psychology, and validation by peers from a research group. Results Ten clinical professionals were interviewed: four physicians and six nurses. From the analysis of the interviews, three categories are constructed for this article: (01) – An Instituted Stigmatization; (02) Wide-Open Reality; (03) Naturalization without Trivialization. The aggressivity of these tumours, the association with harmful lifestyle habits, and the great concern of family members call for clinical-psychological management, in which subjective mechanisms such as denial or other more primitive psychological defences have no sufficient resolution. Conclusions The stigma is a symbolic entity that takes distress for the clinicians, but also seems to highlight a higher level of awareness and reflection. This awareness can be a starting point for the development of healthier strategies for emotional coping, contributing to a more balanced work and personal harmonic relationship of care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Emotional Meanings of Clinical Practice with Head and Neck Cancer Patients: a qualitative study with Brazilian professionals

Bispo,

Sant'Ana,

Bastos

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…The care and support of nursing and admin staff is thus highly valuable for patients in the hospitals (Heidarnia, Riazi-Isfahani, Abadi, & Mohseni, 2014;Thakkar, Thanki, & Guru, 2023). Stressed employees might not be able to take care of the patients and thereby create damage to the physical and mental health of the patients as well as their attendants (Baliga et al, 2023;Mittal, Mahendra, Sanap, & Churi, 2022).…”

Section: Introductionmentioning

confidence: 99%

Mediating Mechanism of Burnout in the Effect of Stress on Turnover Intention and Service Quality of Employees

Shakil

2023

JDSS

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This study was conducted to examine the effect of stress on turnover intention and service quality of employees. The study further probed the mediating role of burnout in the hypothesized effects. The researchers took a sample of nursing and administrative staff from AJ&K. The study applied a dyadic approach and collected time lagged data to avoid common method biases. Data of stress, burnout and turnover intention were collected from health workers while of service quality from patients and attendants. For analysis, the study used AMOS and SPSS. The hypothesized direct effects were checked by applying SEM. PROCESS macro of Hayes ( 2013) was then applied for probing the mediating mechanism. The results show a positive (negative) effect of stress on turnover intention (service quality) of the employees. This effect was mediated by burnout. The study suggested interventions to manage the issue of stress for better service quality and retention of employees.

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Exploration of clinical ethics consultation in Uganda: a case study of Uganda Cancer Institute

Nanyonga,

Kutyabami,

Kituuka

et al. 2024

BMC Med Ethics

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Introduction Globally, healthcare providers (HCPs), hospital administrators, patients and their caretakers are increasingly confronted with complex moral, social, cultural, ethical, and legal dilemmas during clinical care. In high-income countries (HICs), formal and informal clinical ethics support services (CESSs) have been used to resolve bioethical conflicts among HCPs, patients, and their families. There is limited evidence about mechanisms used to resolve these issues as well as experiences and perspectives of the stakeholders that utilize them in most African countries including Uganda. Methods This phenomenological qualitative study utilized in-depth interviews (IDIs) and focus group discussions (FGDs) to collect data from Uganda Cancer Institute (UCI) staff, patients, and caretakers who were purposively selected. Data was analyzed deductively and inductively yielding themes and sub-themes that were used to develop a codebook. Results The study revealed there was no formal committee or mechanism dedicated to resolving ethical dilemmas at the UCI. Instead, ethical dilemmas were addressed in six forums: individual consultations, tumor board meetings, morbidity and mortality meetings (MMMs), core management meetings, rewards and sanctions committee meetings, and clinical departmental meetings. Participants expressed apprehension regarding the efficacy of these fora due to their non-ethics related agendas as well as members lacking training in medical ethics and the necessary experience to effectively resolve ethical dilemmas. Conclusion The fora employed at the UCI to address ethical dilemmas were implicit, involving decisions made through various structures without the guidance of personnel well-versed in medical or clinical ethics. There was a strong recommendation from participants to establish a multidisciplinary clinical ethics committee comprising members who are trained, skilled, and experienced in medical and clinical ethics.

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Social, Ethical and Treatment Related Problems Faced by Healthcare Workers in the Care of Head and Neck Cancer Patients: A Narrative Review from the Bioethics Consortium from India

Cited by 3 publications

References 84 publications

Emotional Meanings of Clinical Practice with Head and Neck Cancer Patients: a qualitative study with Brazilian professionals

Emotional Meanings of Clinical Practice with Head and Neck Cancer Patients: a qualitative study with Brazilian professionals

Mediating Mechanism of Burnout in the Effect of Stress on Turnover Intention and Service Quality of Employees

Exploration of clinical ethics consultation in Uganda: a case study of Uganda Cancer Institute

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