A longitudinal communication approach in advanced lung cancer: A qualitative study of patients’, relatives’ and staff's perspectives

Communication and the care of patients with advanced cancer are a dynamic, interactive and challenging process, often characterised in every day practice by discontinuity and lack of coordination. The objective of this study was to explore the patients’ and family‐caregivers’ needs and preferences regarding communication, quality of life and care over the trajectory of disease. The second aim was to assess health professionals’ views on a longitudinally structured, forward‐thinking communication approach based on defined milestones. A qualitative approach was chosen incorporating semi‐structured interviews with nine patients with metastatic lung cancer and nine relatives, and focus groups with 15 healthcare providers from different professions involved in the care of these patients. Patients and relatives described a situation of shock and coping deficits with moments of insufficient communication and lack of continuity in care. Healthcare providers reported the strong need for improvement in communication within the team and between patients and professionals and welcomed the implementation of a longitudinal communication approach. Requirements for the implementation of a longitudinal communication approach include specific communication training with focus on the process that patients and relatives are involved in. Team‐building measures and the necessary flexibility to respect individuality in life should be incorporated.     

干燥综合征中抗M3R抗体的研究进展

干燥综合征(Sjgren’s syndrome,SS)是一种以侵犯外分泌腺为主的自身免疫性疾病,其发病机制可能与抗毒蕈碱乙酰胆碱3受体抗体(anti-M3R antibody,抗M3R抗体)相关,本文通过抗M3R抗体与毒蕈碱乙酰胆碱3受体(M3R)的结合表位,以及与SS的临床表现、治疗的关系,对抗M3R抗体在SS中的致病作用进行综述。     

预先演示法在手术室教学中的应用效果

目的探讨预先演示法在手术室教学中的应用效果。方法将120名手术室实习护生随机分成两组，每组60名，观察组采用预先演示法，对照组采用传统教学法，比较两种方法对护生出科理论与操作考核．成绩的影响。结果观察组护生理论与操作考核成绩85分以上分别占83．3％，75．0％；优于对照组的58．3％，50．0％，差异有统计学意义（P〈0．01）。结论预先演示法在提高护生的应变能力、操作能力及综合运用知识能力方面均优于传统教学法。     

高血压健康教育研究进展

高血压是一种典型的慢性疾病,要全面有效地控制高血压,除使用药物外,健康教育至关重要。现就高血压健康教育的需求、模式、内容、效果评价等方面进行综述,提出存在的问题并探讨今后高血压健康教育的发展方向。     

Advance Care Planning Conversations

Goals-of-care conversations should be a regular part of a nurse practitioner’s practice. These conversations are critical to understand what types of treatments patients want at the end of life. There has been significant policy development over the last 50 years related to advance care planning, including current reimbursement for these conversations. In this report I discuss advance care planning in the context of policy development, current reimbursement requirements, barriers for patients and providers, and resources for skill development.