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ABSTRACT: To explore the impact of prostate cancer treatment on: (a) the experience of symptoms (i.e. sexual, urinary, and bowel), and (b) perceived health state of men with prostate cancer one month following their radiation treatment.
A prospective pre-test-post-test descriptive survey was conducted on a convenience sample of 73 men with prostate cancer who were recruited from a Regional Cancer Centre in Southwestern Ontario, Canada. Participants receiving radiation treatment (brachy therapy, high dose radiation [HDR] and external beam radiation [EBR], or EBR alone) completed a questionnaire that elicited information pertaining to quality of life (QOL), symptom experiences, and perceived health state prior to, and one month after completion of their radiation treatment.
Post-treatment scores showed increased problems with urinary bother (p<0.001) and function (p<0.001), bowel bother (p=0.002) and function (p=0.001), and sexual function (p<0.001). The results also suggested that urinary bother, sexual bother, and pain were independent predictors of the perceived health state of participants after radiation treatment.
Our findings suggest that prostate cancer treatment presents a challenge with regard to symptom experiences and perceived health state in men with prostate cancer. Therefore, strategies for patient education to assist men to cope with their symptoms and to provide them with support in the initial weeks following treatment are discussed.
European journal of oncology nursing: the official journal of European Oncology Nursing Society 09/2011; 16(3):310-4. · 1.13 Impact Factor
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ABSTRACT: The purpose of this study was to enhance our understanding of the influence of the SARS crisis on the work and personal lives of community nurses.A total of 941 community nurses employed in a range of health-care settings in the province of Ontario, Canada, provided qualitative information about their perceptions of the impact of SARS in their workplace and in their personal lives. Themes and subthemes from the data were organized into 2 categories: The Experience (operational, organizational, and personal narratives), and Learning from the Experience (opportunities for personal learning, professional and policy development, and insight into policy and administrative implications). The findings are discussed within a framework of the learning opportunity presented by the crisis at the local, national, and international levels. The roles of effective communication, emergency response coordination, and education are considered with respect to policy development and administrative responses to infectious disease protocol. The findings are particularly relevant at this time of heightened fear of global epidemics.
The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmières 07/2006; 38(2):42-54.
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ABSTRACT: The purpose of this study was to enhance our understanding of the influence of the SARS crisis on the work and personal lives of community nurses. A total of 941 community nurses employed in a range of health-care settings in the province of Ontario, Canada, provided qualitative information about their perceptions of the impact of SARS in their workplace and in their personal lives. Themes and subthemes from the data were organized into 2 categories: The Experience (operational, organizational, and personal narratives), and Learning from the Experience (opportunities for personal learning, professional and policy development, and insight into policy and administrative implications). The findings are discussed within a framework of the learning opportunity presented by the crisis at the local, national, and international levels. The roles of effective communication, emergency response coordination, and education are considered with respect to policy development and administrative responses to infectious disease protocol. The findings are particularly relevant at this time of heightened fear of global epidemics.
French
Nous avons mené cette étude dans le but d'approfondir notre compréhension de l'effet provoqué par la crise du SRAS sur le travail et la vie personnelle des infirmières communautaires. Afin de connaître leurs perceptions à ce sujet, nous avons sondé 941 infirmières communautaires employées dans différents services de santé de la province de l'Ontario au Canada. Les données qualitatives recueillies ont été organisées en thèmes et sous-thèmes selon deux catégories : L'expérience en tant que telle (récits sur les opérations, l'organisation de l'intervention et le vécu personnel) et Les leçons tirées de l'expérience (occasions d'apprentissage personnel, de formation professionnelle, d'élaboration des politiques et réflexion sur les enjeux politiques et administratifs). Les résultats sont analysés sous l'angle des enseignements suscités par la crise à l'échelle locale, nationale et internationale. Le rôle de facteurs comme l'efficacité de la communication, la coordination des interventions d'urgence et la formation sont examinés à la lumière des politiques et des réactions administratives face au protocole à observer en cas de maladie infectieuse. Une réflexion d'une grande pertinence en ces temps où la crainte de nouvelles pandémies refait surface.
The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmières 05/2006; 38(2):42-54.
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ABSTRACT: Purpose – The labour force participation of older women has increased substantially in Canada. This study aims to examine the factors that are important to the career satisfaction of older managerial and professional women. Design/methodology/approach – Managerial and professional women aged 50 and above completed a questionnaire assessing their career satisfaction, individual characteristics and organization-related factors. Findings – For managerial women, the significant predictors of career satisfaction were perceived as organizational support, job content plateauing, and health status. For professional women, the significant predictors of career satisfaction were perceived efforts by their organization to retain its older managerial and professional employees and job content plateauing. Research limitations/implications – The findings are based on a small sample and the respondents were primarily employed in the public sector. Further research is needed using larger samples and a better representation from the private sector. Researchers also need to identify other factors that influence the career satisfaction of older managerial and professional women. Practical implications – The career satisfaction of older managerial and professional women is heightened when they are challenged by their job and have an opportunity to learn and grow in their job. Beyond this, enhancing the career satisfaction of older managerial and professional women will require different approaches tailored specifically to each group. Originality/value – Very little is known about the career-related issues that are of special concern to older managerial and professional women. This study provides some insight into the differences between older managerial and professional women and the factors that contribute to their career satisfaction.
Career Development International 04/2005; 10(3):203-215.
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ABSTRACT: Understanding nurses' perceptions of their workplaces underpins successful recruitment and retention initiatives, particularly in this time of global nursing shortage. The American Nurses Association and the American Academy of Nursing have identified "magnet characteristics"--organizational factors that support excellent practice and working conditions in hospital settings. Using selected magnet characteristics, this exploratory study examined nurses' perceptions of their work experiences in both hospital and community settings. Mail surveys were completed by community and hospital nurses (n = 1248) selected randomly from a provincial registry in Ontario, Canada. Scales measured organizational factors (organizational and immediate supervisor support, decentralized decision-making, nurse-physician relationships and work-group cohesiveness) and job-related factors (autonomy, job challenge, work demands, fair treatment, work-status congruence; satisfaction with career, salary, working conditions) of nurses' experiences in their work settings. Nurses in both sectors wanted more opportunities to participate in decision-making and recognition for their contributions to their organizations. In the hospital sector, nurses reported significantly lower levels of perceived organizational and supervisory support and autonomy, and were less satisfied with working conditions and scheduling. Nurses in the community sector were most dissatisfied with salary. No cross-sector differences were reported on nurse-physician relationships, degree of job challenge or career satisfaction. Successful recruitment and retention initiatives hinge on the ability (and willingness) of healthcare organizations to attend to the concerns expressed by nurses and create work settings that are attractive to both new recruits and nurses currently in their employ.
Nursing leadership (Toronto, Ont.) 08/2004; 17(3):79-92.
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ABSTRACT: Nous avons mene´ 2 e´tudes (N=204 et N=251) pour examiner comment la congruence de statut au travail (pre´fe´rence pour le travail a` temps partiel par opposition au travail a` temps plein) influence les attitudes vis a` vis de l’emploi et les re´actions aux changements organisationnels des infirmie`res a` temps partiel employe´es dans le cadre d’un hôpital. Les re´sultats de l’analyse discriminante ont indique´ un effet important de la congruence de statut au travail pour les deux e´chantillons. Compare´es aux infirmie`res qui ont un statut non congruent (c’est a` dire une pre´fe´rence pour le travail a` temps plein), les infirmie`res qui ont un statut au travail congruent (pre´fe´rence pour le travail a` temps partiel) e´taient plus age´es et plus satisfaites des re´compenses financie`res de leurs emplois. Inversement, les infirmie`res dont le statut au travail e´tait non congruent signalaient une plus grande satisfaction relative au travail qu’elles accomplissaient. Il n’y avait pas de diffe´rence notable quant a` la satisfaction globale de leur emploi, quant a` la recherche d’un coping de fuite et l’intention de changer d’emploi. Enfin, il y avait des diffe´rences entre les deux e´chantillons concernant l’inse´curite´ de l’emploi et l’utilisation de strate´gies visant a` controler la situation, ce qui e´tait probablement due aux changements du syste`me de sante´ relatifs au moment de ces e´tudes.We conducted two studies (N=204 and N=251) to examine how work status congruency (preference to work part-time versus full-time) influences the job attitudes and reactions to organisational restructuring of part-time nurses employed in a hospital setting. The discriminant function analysis results indicated a significant effect for work status congruency for both samples. Compared with nurses with an incongruent work status (i.e. who would have preferred to work full-time), nurses with a congruent work status (i.e. preferred to work part-time) were older and more satisfied with the financial rewards of their jobs. Conversely, nurses with an incongruent work status reported greater satisfaction with the kind of work they were performing. There were no significant differences for overall job satisfaction, escape coping, and turnover intention. Finally, there were differences between the samples for job insecurity and use of control-oriented coping strategies, most likely related to changes in the health-care system at the time of the second study.
Applied Psychology 12/2001; 49(2):227 - 236. · 1.52 Impact Factor
