Global Journal of Nursing

Research Article of Global Journal of Nursing Understanding how to reach the hard to reach in cancer rehabilitation Jenna Smith-Turchyn PT, PhD1,2*; Madison F Vani MSc, PhD(c)1; Catherine M Sabiston PhD1 1Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada. 2School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada. Introduction: Regular exercise helps manage side effects of cancer treatment, however, less than 30% of survivors participate in regular exercise. Exercise-related barriers, facilitators, and needs of general populations of cancer survivors are described in the literature. No information exists describing this information for hard to reach populations. Purpose: To determine the barriers, facilitators, and exercise needs of hard to reach cancer survivors. Materials and Methods: Research design: Descriptive qualitative study. Population: Hard to reach cancer survivors, including young adults (18-39 years), those living in rural communities, and those living in areas of low socioeconomic status. Data collection: Semi-structured interviews were conducted with participants. Interviews were audio recorded and transcribed verbatim. Transcripts were coded independently by two researchers. Coded data was aggregated into nodes and grouped into themes. Results: Five themes were identified that influence exercise participation in hard to reach survivors: accessibility of exercise programs, appropriateness of exercise programs, social support, personal factors, and exercise information. Young adults described a lack of appropriate exercise programs for their age group, those in rural settings described availability issues, and those in areas of low SES described cost and social support as barriers to exercise. Conclusion: This project identified unique exercise-related barriers, facilitators, and needs of hard to reach cancer survivors. Results can be used by researchers and clinicians when creating exercise interventions for cancer survivors. Interventions must be tailored to the specific needs of each individual in order to facilitate accessible participation in regular exercise and facilitate sustained behaviour change ...

Research Article of Global Journal of Nursing Effects of factors of informal care on the utilization of social care insurance benefits: A cross-sectional study Jenny Rueffer1*, Silke Geithner2, Goetz Schneiderat2, Tom Schaal1 1Department of Health and Care Sciences, University of Applied Sciences Zwickau, Kornmarkt 1,  Zwickau, Saxony, Germany. 2University of Applied Sciences for Social Work, Education and Care, Duererstr. 25, Dresden, Saxony. Background: Presently in Germany, as there is a shortage of nursing staff, informal caregivers have become highly relevant. Because they often deal with care related burden, legislation was passed to improve caregivers’ situations by offering more supports. Nonetheless, a considerable percentage of caregivers do not utilize it. Methods: Data was collected in Saxony (Germany) from November 2019 to December 2019 by using an online survey and a postal survey (cross-sectional study design; n= 1,716). For analysis bivariate logistic regression (forward method LR, α≤0.05) was performed. Results: The average age of the sample was 61.9 years, 52.9% were female and 45.7% male. Results indicate a medium utilization of care insurance services. Considerable associations were time spent on care and utilization of care allowance (OR: 1.77), such as duration of care degree and utilization of residential care services (OR: 1.88) and substitute care (OR: 1.81). Conclusions: Informal caregivers putting intensive effort into care do tend to utilize services. The resulting questions of why newer informal caregivers do not tend to utilize services and why there is a medium utilization among all caregivers implies that people need to gain better access to services independently of care factors. Keywords: Informal care; Care Insurance; Services utilization ...

Research Article of Global Journal of Nursing SPIRITUALITY IN THE PERSPECTIVE OF THE PROFESSIONALS OF PEDIATRIC ONCOLOGY IN RESPECT OF PALLIATIVE CARE Amanda Kamylle Cavalcanti Guedes1; Ana Paula Amaral Pedrosa2; Mônica de Oliveira Osório3; Thais Ferreira Pedrosa4; Eliane Nóbrega Albuquerque5; Maria Eduarda Pedrosa Bouçanova6 1Psicóloga Instituto de Medicina Integral Prof.  Fernando Figueira - IMIP e Mestranda em Psicologia– UFPE. 2, 3, 5 Psicóloga Instituto de Medicina Integral Prof. Fernando Figueira – IMIP e Docente da Faculdade Pernambucana de Saúde – FPS. 4 Psicóloga Instituto de Medicina Integral Prof. Fernando Figueira – IMIP 6Acadêmica de Medicina da Universidade de Pernambuco-UPE Introduction: Spirituality in the context of illness is used as a coping mechanism by patients, family members and health professionals; allowing the creation of meanings and assisting in the subjectivation of individuals from contents transcendent to life. Objectives: Understand how spirituality is expressed as a coping mechanism in the face of the routine of health professionals working in the pediatric oncology context in the care setting palliative. Methodology: Qualitative study performed in a hospital-school in the city of Recife, a reference in the pediatric oncology treatment. Data collection was performed with 12 health professionals between August and October 2017. Data were collected through sociodemographic questionnaires and individual semi-structured interviews, recorded in audio and subsequently submitted to the Content Analysis technique. Results and Discussion: Spirituality was the coping mechanism most reported by health professionals. Participants meant working in pediatric oncology from the will of God, as chosen people for that mission, relating to the understanding of having a purpose for it. Regarding the practice of the profession before the patients in the process of treatment and palliation, spirituality is understood as the way to deal with the innumerable losses and deaths in the hospital setting. Conclusions/considerations: The presence of spirituality promotes quality of life and helps ...

Research Article of Global Journal of Nursing Construction of Quality Assessment Indicator System for Respiratory Rehabilitation Nursing Hui Wang1, Shaoyu Mou1,*, Chunyan Diao2, Yanqiong Zhao2, Lian Xiang3 1School of Nursing, Chongqing Medical University, Chongqing 400016, China; 2Rehabilitation Branch, Affiliated Hospital of Chongqing Three Gorges Medical College, Wanzhou 404120, China; 3Rehabilitation Branch, Chongqing Three Gorges Central Hospital, Wanzhou, 404000, China. Objective: In order to provide an effective method for the comprehensive and scientific evaluation of respiratory rehabilitation nursing, a nursing quality evaluation index system for respiratory rehabilitation was constructed. Methods: Based on the theory of structure-process-outcome three-dimensional quality model, indexes and weights of respiratory rehabilitation nursing quality evaluation at all levels were determined by using literature review, semi-structured interviews, Delphi method, and Analytic Hierarchy Process. Results: The response rates of the two rounds consultation were 100% and 93% respectively, and the authority coefficients of experts are 0.872 and 0.922. The coordination coefficients of expert opinions were 0.583, 0.498, 0.407 for the first, second and third-level respectively. The significance test value P was less than 0.01. The final indicator system is constructed with 3 first-level indicators, 9 second-level indicators, and 46 third-level indicators. Conclusion: The constructed respiratory rehabilitation nursing quality evaluation index system is not only reliable, scientific, comprehensive, and but also with outstanding specialty characteristics. It provides an effective strategy to improve respiratory rehabilitation nursing quality. Keywords: Respiratory Rehabilitation; Nursing Quality; Delphi Technique; Quality Evaluation ...