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This paper focuses on women diagnosed with Ductual Carcinoma in Situ (DCIS). Aim: To emphasize the experience of women who are diagnosed with and treated for DCIS. Furthermore, to discuss the interventions which can be used to help these women. Methods: The article is a qualitative study. First, we did a systematic literature search and picked out articles that lived up to the set inclusion criteria. These articles were later analyzed, and three themes were found. To understand and to compare the experiences found with a Danish context, two qualitative semi-structured interviews were performed with two Danish women who had been diagnosed with and treated for DCIS. The findings are compared and discussed throughout the article. Results: Given the lack of information and the uncertainty about DCIS, women diagnosed with DCIS often deal with anxiety and confusion about the future. More information is needed to help women understand what DCIS is, and how this diagnosis differentiates from invasive breast cancer.
Within the field of implementation science there is increasing recognition of the relevance of organizational context and culture, i.e. influences beyond the individual level, for successful implementation of evidence-based nursing practices. Applying the Cultural Historical Activity Theory (CHAT), the aim of this study was to explore how the organizational culture in an emergency department in Denmark influenced nurses’ priorities with regard to the use of research. The study was designed as an ethnographic inquiry based on fieldwork and semi-structured interviews. Based on an activity system analysis, the concept of flow culture emerged. This culture is defined as a cultural–historical activity system, mediated by artefacts, in which the objective of the nursing staff is primarily to free up beds, thus ensuring a flow of patients. A flow culture leads to a strong focus on securing vacant beds which impeded the nurses’ use of research in everyday clinical practice.
Background: Standardized work up plans of cancer patients was implemented to ensure coherent cancer pathways; however, research indicates that patients still experience their pathways as fragmented and incoherent. Aim: To identify what patients with esophageal, cardia, or gastric cancer consider important aspects of a cohesive cancer pathway. Methods: The study consists of field research based on observations and semi-structured interviews. Result: Four themes were identified: 1: The relation is important “It feels safe when you meet the same health care professional”. 2: Responsibility “You have to know exactly what you want or they take the lead. 3: Information “How do you know what to ask for?” 4: Cooperation “It was incredibly effective”. Conclusion: The study indicates that coordination of information and a single point of access through a health care professional allows for the involvement of the individual patient’s needs and ensures the patient’s experience of a coherent cancer pathway.
Patients at intensive care units who develop delirium experience longer stays in intensive care as well as increased morbidity and mortality. A Danish survey in 2009 showed no consensus regarding the assessment tools for sedation or delirium, the frequency of assessment, or on which patient groups such tools were used in Denmark. The aims of this study were to describe clinical practice within the assessment of the sedation and delirium of intensive care patients and to compare the results to the 2009-survey. Method: A questionnaire was issued by email to all intensive care units in Denmark caring for ventilated adult patients. An intensive care nurse with daily patient contact was asked to answer questions regarding the practice of the unit. Results: Nearly all of the intensive care units replied. RASS was the most common tool used for sedation assessment, and CAM-ICU was only used for delirium assessment. Conclusion: A common language for sedation and delirium assessment has emerged.
This article provides an overview of the nursing role and responsibility in regard to dying patients and how a health promotion perspective may contribute to a good and dignified death. The experience of death and dying which can have serious consequences for both the dying person and the family’s grief work and health in the period after death is also discussed. Factors that emphasize a health promotion perspective of palliative care patients and their families will be presented and discussed. All approaches to the patients and their families must be based on the individual and adjusted context and framework. The possibility of monitoring the bereaved after the death is emphasized as an important health promotion intervention.