scholarly journals Factors Influencing the Use by Radiation Therapists of Cancer Symptom Guides: A Mixed-Methods Study

2019 ◽  
Vol 26 (1) ◽  
pp. 56-64
Author(s):  
C. Ludwig ◽  
J. Renaud ◽  
L. Barbera ◽  
M. Carley ◽  
C. Henry ◽  
...  

Background: Radiation therapists play an important role in helping patients to safely manage and triage potentially life-threatening symptoms. The purpose of the present study was to assess factors influencing the use by radiation therapists of evidence-informed symptom practice guides for patients experiencing cancer treatment–related symptoms. Methods: In a mixed-methods descriptive study guided by the Knowledge-to-Action framework, interviews and a barriers survey were conducted. Two independent reviewers conducted a content analysis of interview transcripts. Barriers survey data were analyzed using frequency distributions and univariate descriptive statistics. Open-ended data from the surveys underwent content analysis and were triangulated with interview findings. Results: Of 90 radiation therapists approached, 58 completed the survey (64%), and 14 were interviewed. Of the 98% who reported providing symptom management to patients undergoing radiation treatment, 53% used evidence-informed practice guidelines. Radiation therapists had moderate moral norms (4.6 of 7) and beliefs about the consequences of using costars (pan-Canadian Oncology Symptom Triage and Remote Support) practice guides (4.8), but neutral intention (3.4) and beliefs about their own capabilities (3.9). Environmental barriers included lack of time (2.0), lack of access (2.5), and neutral organizational support (3.0). Radiation therapists identified a need for training (5.5). Common unique barriers to practice guide use were lack of time during radiation treatments, unclear fit with scope of practice, disparate focus on site-specific symptoms, and lack of medication knowledge. Conclusions: The symptom practice guides were perceived by the radiation therapists to benefit patients, enhance their own knowledge of symptom management, and promote consistent practice. Additional work is required to identify the scope of practice of radiation therapists within the interprofessional team.

2019 ◽  
Vol 26 (1) ◽  
Author(s):  
C. Ludwig ◽  
J. Renaud ◽  
L. Barbera ◽  
M. Carley ◽  
C. Henry ◽  
...  

Background Radiation therapists play an important role in helping patients to safely manage and triage potentially life-threatening symptoms. The purpose of the present study was to assess factors influencing the use by radiation therapists of evidence-informed symptom practice guides for patients experiencing cancer treatment–related symptoms.Methods In a mixed-methods descriptive study guided by the Knowledge-to-Action framework, interviews and a barriers survey were conducted. Two independent reviewers conducted a content analysis of interview transcripts. Barriers survey data were analyzed using frequency distributions and univariate descriptive statistics. Open-ended data from the surveys underwent content analysis and were triangulated with interview findings.Results Of 90 radiation therapists approached, 58 completed the survey (64%), and 14 were interviewed. Of the 98% who reported providing symptom management to patients undergoing radiation treatment, 53% used evidence-informed practice guidelines. Radiation therapists had moderate moral norms (4.6 of 7) and beliefs about the consequences of using costars (pan Canadian Oncology Symptom Triage and Remote Support) practice guides (4.8), but neutral intention (3.4) and beliefs about their own capabilities (3.9). Environmental barriers included lack of time (2.0), lack of access (2.5), and neutral organizational support (3.0). Radiation therapists identified a need for training (5.5). Common unique barriers to practice guide use were lack of time during radiation treatments, unclear fit with scope of practice, disparate focus on site-specific symptoms, and lack of medication knowledge.Conclusions The symptom practice guides were perceived by the radiation therapists to benefit patients, enhance their own knowledge of symptom management, and promote consistent practice. Additional work is required to identify the scope of practice of radiation therapists within the interprofessional team.


2021 ◽  
pp. 1-9
Author(s):  
Saskia Hanft-Robert ◽  
Nadine Janis Pohontsch ◽  
Cornelia Uhr ◽  
Alexander Redlich ◽  
Franka Metzner

<b><i>Background:</i></b> The therapeutic alliance is considered to be one of the most important factors of psychotherapy and is a necessary requirement for a successful treatment in interpreter-mediated psychotherapy. <b><i>Patients and Methods:</i></b> Using interpreter-mediated guided interviews, 10 refugee patients who experienced interpreter-mediated psychotherapy were asked about factors influencing the development of a trusting therapeutic alliance in the triad. The analysis of the interviews followed the rules of content-structuring qualitative content analysis. <b><i>Results:</i></b> A total of 11 factors were identified which could be assigned to the interpreter, therapist, or patient. In the analysis, the central role of the interpreter in establishing a therapeutic alliance in the triad became particularly clear. <b><i>Conclusions:</i></b> Consideration of the factors that, from the patients’ perspective, influence the establishment and maintenance of a trusting alliance within the triad, as well as the recommendations for action derived from this for psychotherapists and interpreters can lead to an improvement in the therapeutic treatment of refugees.


2021 ◽  
pp. 79-95
Author(s):  
A. N. Oleinik

The article discusses the status of quantitative and qualitative data in economic sciences, as well as methods for transforming data into information and knowledge. Particular attention is devoted to content analysis as a set of methods for aggregating, processing and analyzing qualitative data; its forms (qualitative, quantitative and mixed methods) and uses by economists. Content analysis appears to be particularly suitable for non-orthodox economists because of their refusal to consider price as the only source of economic information. The content analysis of metadata of articles indexed in Web of Science and eLibrary suggests that Russian economists still have insufficient familiarity with the principles of content analysis and their applications to research compared with their Western counterparts. It is argued that the creation of on-line platforms for content analysis and on-line banks of qualitative data may become a trigger for changing this situation.


2021 ◽  
pp. 107-127
Author(s):  
O.A. Sychev ◽  
◽  
K.I. Belousov ◽  

Patriotism and attitude to the motherland attract much interest of researchers in the field of social sciences, although psychological foundations of these phenomena have not been sufficiently studied. On the basis of Moral Foundations Theory (by J. Haidt) we hypothesized that the characteristics of the moral sphere may be associated with some ideas about the motherland. In particular, binding moral foundations (including loyalty, authority and purity) which are more typical for conservatives should support positive patriotic ideas about the homeland. The low level of binding moral foundations can be related with a critical attitude towards the motherland, the presence of negative assessments of their country. This assump-tion is supported by the results of past studies of patriotism among individuals with different ideological views. The individualizing moral foundations dominating among liberals can be associated with a less global and narrower view of the motherland, which is linked with con-cepts of “family” and “home” rather than “society” or “country”. The aim of this study was to analyze the association between the individualizing and binding moral foundations with the content of ideas about the motherland. The important task of the study was to develop the Russian version of the moral foundations dictionary, which is necessary for analyzing the moral content of ideas about the motherland. To test the hypotheses we conducted a paper-pencil and online survey, obtained data included the answers on Moral Foundations Question-naire and textual answers characterizing the image of the motherland. The sample comprised 831 people (72% women) from 11 regions of Russia. Text responses were processed via com-puter content analysis in the LIWC program (by J. Pennebaker) using the moral foundations dictionary (all categories) and the general dictionary (10 categories most relevant to the prob-lem). To analyze the relations between the results of content analysis and MFQ questionnaire we calculated correlations of the individualizing and binding moral foundations with the presence or absence of each category in the participants’ responses. The results of the correlation analysis indicate that the individualizing moral foundations supports relatively narrow ideas about the motherland, associated with family and home, while people with a high level of binding moral foundations associate the motherland mostly with society and religion. Binding moral founda-tions support a positive image of the motherland, which is manifested in the more frequent use of positive assessments and avoidance of negative evaluations. Persons with a high level of binding moral foundations tend to ignore negative phenomena in the country, reflecting a violation of the individualizing moral norms (care and fairness). In particular, they less often mention violations of human rights and the poverty of the country's inhabitants. The necessary condition analysis revealed the effect of binding moral foundations as a necessary but insuffi-cient condition for maintaining a positive image of the motherland and the absence of negative ideas about it.


2013 ◽  
Vol 824 ◽  
pp. 561-567 ◽  
Author(s):  
U.J. Udosen ◽  
A.P. Ugboya

This study analyzes oil palm production from 2001 - 2008 in Edo State, with a view of establishing the future of Nigerian Agricultural oil palm industries. The specific objectives were to identify and quantify the factors influencing the production of oil palm, reveal the constraints to the production of oil palm; analyze the viability of oil palm production as an investment and predict the future of oil palm enterprise in Edo State. Three Local Government Areas of high oil palm concentration in Edo State were covered. Ninety selected oil palm producers from nine villages in the study area were selected. Frequency distributions and multiple regression analysis were used to analyze the results. The results showed that for the period under review (2001 - 2008) on a per hectare basis, seedlings cost, and labour cost were significant inputs, positively influencing the production of oil palm in the Edo State. A growth rate of 6.2% and 23.5% were projected for oil palm with reference to palm oil and fresh fruit bunches (FFB), respectively, up to the year 2020, an indication that oil palm production in the State is viable and the future is bright. The study revealed that inadequate storage facilities, poor planting materials and lack of government assistance, among others, are major bottlenecks in oil palm production in Edo State. However, since oil palm production in Edo State is viable, it is an indication that the future of Nigerian Agricultural Industries is bright.


2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Jennifer Leeman ◽  
Jean L. Wiecha ◽  
Maihan Vu ◽  
Jonathan L. Blitstein ◽  
Sallie Allgood ◽  
...  

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