Outcomes of patient education in adult oncologic patients receiving oral anticancer agents: a systematic review protocol

Background: A large variety of oral anticancer agents have become available and while at first glance these therapies appear to provide only benefits, patients have expressed their need for educational interventions and raised safety issues. Although both patients and providers have recognized patient education’s importance, and an interplay with safety has been acknowledged, no systematic reviews of the literature that summarize all of the current evidence related to patient education’s outcomes for patients who receive oral anticancer agents have been performed to date. Accordingly, this systematic review will attempt to fill the gap in the literature as well as to map (1) contents, (2) methodologies, (3) settings, (4) timing/duration, and (5) healthcare professionals involved. Methods: This protocol is being reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A systematic review will be performed. Studies that targeted eligible adult patients (≥ 18 years old) in hospital, outpatient, and home settings, and reported patient education’s outcomes for those taking oral anticancer agents will be included. Searches will be conducted in PubMed/MEDLINE, CINAHL, Embase, and Scopus, and gray literature will be also sought. Two researchers will screen the search results independently and blindly in two phases: (1) title/abstract screening and (2) full-text screening using the Rayyan AI platform. An electronic data extraction form will be implemented and piloted, and then, two trained data extractors will extract the data cooperatively. Thereafter, a quality appraisal will be conducted using the Critical Appraisal Tools from The Joanna Briggs Institute. The results will be analyzed, grouped, clustered into categories, and discussed until a consensus is reached. Emerging evidence will be synthesized narratively and reported in accordance with the synthesis without meta-analysis guidelines. Discussion: The systematic review’s results will be relevant to (1) policymakers and management at an institutional level, and (2) for clinical practice, in an evidence-based paradigm, potentially leading to a quality improvement with respect to safety and patient satisfaction. Systematic review registration: PROSPERO CRD42022341797

Priorities for Cancer Research From the Viewpoints of Cancer Nurses and Cancer Patients: A Mixed-Method Systematic Review

BACKGROUND: Setting priorities in oncology is a useful way to produce a robust set of research questions that researchers can address. OBJECTIVE: The aim of this review was to describe cancer nurses and patients' main research priorities and describe their development over time. METHODS: A mixed-method systematic review was conducted for the period from 2000 to 2018 through a search of multiple databases. The methodological quality of the studies included was assessed using the Mixed-Methods Appraisal Tool, and the process of setting the health research priorities was assessed using Viergever's tool. Each study's top research priorities were extracted and summarized in categories. RESULTS: Fifteen studies were included: 13 addressed nurses' research priorities, and 2 focused on those of patients. The majority were Delphi and quantitative studies that were conducted in the United States and United Kingdom. The quality criteria score and the quality of the process were considered sufficiently good. The most important research priorities were categorized as disease control and management, patient-related issues, and professional dimensions and issues. Management of symptoms and pain, education, information, and communication were research priorities always present in the articles during the study period. CONCLUSION: Priorities change over time and depend on several factors; however, some have remained consistent for the last 18 years. Although there is increasing emphasis on including patients in establishing research priorities that inform cancer care, this involvement is still lacking. IMPLICATIONS FOR PRACTICE: Future studies should describe the primary cancer research priorities of nurses in collaboration with patients

Organização e aplicação de um caso simulado cts em aulas de química no ensino médio

Atualmente muito se discute sobre como a Química é geralmente trabalhada no Ensino Médio: descontextualizada, sem relações com a sociedade e o cotidiano dos estudantes. Muitas vezes, o ensino se dá como se estivesse resumido à memorização de nomes complexos e aplicação de fórmulas na resolução de problemas sem relação com aspectos sociais da ciência. Para promover mudanças nesse cenário, é necessário um posicionamento crítico por parte de professores e estudantes e compreendemos que a utilização de abordagens CTS (Ciência, Tecnologia e Sociedade) no ensino de Química pode contribuir nesse sentido. A fim de colaborar com as reflexões sobre mudanças no foco da Educação Química, buscando formas de romper a barreira do ensino tradicional, apresentamos esse estudo no qual são mostrados a organização e aplicação de um Caso Simulado CTS em aulas de Química no Ensino Médio

Laryngectomized patients caregivers' life experience: A phenomenological study

Background: Laryngectomized patients often depend on their caregivers who have a central and difficult role in supporting them dealing with financial, social, and relational issues. In fact, they feel very responsible and committed, especially considering the time devoted to take care of their beloved. Besides, providing care induces caregivers high stress levels, emotional distress, anxiety and the fear of cancer recurrence or progress. Few studies investigated laryngectomized patients caregivers\u2019 life experience during both the whole course of illness and at the end of the treatment. Therefore, the purpose of our study was to explore, through a phenomenological approach, the lived-experience of primary family caregivers of laryngectomized patients undergoing radical surgery. Methods: Qualitative semi-structured and audiotaped interviews were held with 12 laryngectomized patients\u2019 primary family caregivers. Data were analysed using the descriptive phenomenological approach outlined by Colaizzi. Results: Three key themes emerged: the caregivers lived experience of illness; the change of caregivers\u2019 daily life and how they support their sick beloved. The experience of caregivers\u2019 lived relations changes from being a family member to a supportive carer, and the illness of their beloved negatively affects their psychological lived experience. Their perception of time and Quality of Life change as their perception of the future becomes uncertain. Finally, they feel guilty mainly because of the limited amount of time they can devote to their beloved. Conclusions: The study findings allowed to understand in depth how the presence of a laryngectomized person in the family may affect the life of the caregiver, even after the treatment phase. This suggests the need for healthcare professionals to support caregivers throughout the whole care journey and especially in dealing with the perception of time during the diagnosis and care phases. Further research should be conducted on factors contributing to time perception alteration and possible interventions to support caregivers to cope with it

Rehabilitation strategies for low anterior resection syndrome. A systematic review

OBJECTIVE: To summarize the evidence in the literature about rehabilitative treatments that reduce low anterior resection syndrome (LARS) symptoms in patients who underwent surgery for colorectal cancer. METHODS: We have search in PubMed, Cochrane Central Register of Controlled Trials, Cumulative Index of Nursing and Allied Health and Scopus databases. Studies selected were limited to those including only patient undergone low rectal resection with sphincter preservation and with pre-post assessment with a LARS score. Five articles fit the criteria. RESULTS: The percutaneous tibial nerve stimulation demonstrated moderate results and sacral nerve stimulation was found to be the best treatment with greater symptom improvement. Only one study considered sexual and urinary problems in the outcomes assessment. CONCLUSIONS: In clinical practice patients should evaluate with the LARS and other score for evaluation of urinary and sexual problems. Future research must be implemented with higher quality studies to identify the least invasive and most effective treatment/s

Implementação do banco de ideias/caixa de sugestões/canteiro de ideias.

Projeto/Plano de Ação: 11.11.11.111

Organização e aplicação de um caso simulado cts em aulas de química no ensino médio

Atualmente muito se discute sobre como a Química é geralmente trabalhada no Ensino Médio: descontextualizada, sem relações com a sociedade e o cotidiano dos estudantes. Muitas vezes, o ensino se dá como se estivesse resumido à memorização de nomes complexos e aplicação de fórmulas na resolução de problemas sem relação com aspectos sociais da ciência. Para promover mudanças nesse cenário, é necessário um posicionamento crítico por parte de professores e estudantes e compreendemos que a utilização de abordagens CTS (Ciência, Tecnologia e Sociedade) no ensino de Química pode contribuir nesse sentido. A fim de colaborar com as reflexões sobre mudanças no foco da Educação Química, buscando formas de romper a barreira do ensino tradicional, apresentamos esse estudo no qual são mostrados a organização e aplicação de um Caso Simulado CTS em aulas de Química no Ensino Médio

Epífitos vasculares predominantes em zonas ecológicas de forófitos, Santa Catarina, Brasil.

Espécies epifíticas apresentam formas, dimensões e biomassa distintas e colonizam os forófitos em regime temporário ou permanente. O presente trabalho teve como objetivo avaliar a distribuição de epífitos vasculares de biomassa visualmente dominante nas zonas ecológicas dos forófitos (fuste, copa interna e copa externa) da Floresta Ombrófila Densa de Santa Catarina. Os estudos foram realizados em 13 unidades amostrais, no interior das quais foram selecionados oito forófitos. Para a coleta dos dados, foi empregada a técnica de arvorismo e observação a partir do solo. De modo geral, as espécies registradas puderam ser classificadas como holoepífitos característicos e facultativos, e hemiepífitos primários e secundários. A família Bromeliaceae destacou-se dentre as demais nas três zonas ecológicas dos forófitos, reunindo as espécies com maiores biomassas. Relacionando as categorias ecológicas, os holoepífitos característicos, como bromeliáceas e orquidáceas, concentraram-se na região da copa e os hemiepífitos, como as aráceas Philodendron loefgrenii e Philodendron appendiculatum, foram encontradas geralmente na região do fuste.Edição especial: II Seminário sobre Inventário Florestal

Concurrent validity of self-rating scale of self-directed learning and self-directed learning instrument among Italian nursing students

BACKGROUND: Self-Directed Learning develops when students take the initiative for their learning, recognising needs, formulating goals, identifying resources, implementing appropriate strategies and evaluating learning outcomes. This should be seen as a collaborative process between the nurse educator and the learner. At the international level, various instruments have been used to measure Self-Directed Learning abilities (SDL), both in original and in culturally-adapted versions. However, few instruments have been subjected to full validation, and no gold standard reference has been established to date. In addition, few researchers have adopted the established tools to assess the concurrent validity of the emerging new tools. Therefore, the aim of this study was to measure the concurrent validity between the Self-Rating Scale of Self-Directed Learning (SRSSDL_Ita) - Italian version and the Self-Directed Learning Instruments (SDLI) in undergraduate nursing students. METHODS: A concurrent validity study design was conducted in a Bachelor level nursing degree programme located in Italy. All nursing students attending the first, second or third year (n=428) were the target sample. The SRSSDL_Ita, and the SDLI were used. The Pearson correlation was used to determine the concurrent validity between the instruments; the confidence of intervals (CI 95%) bias-corrected and accelerated bootstrap (BCa), were also calculated. RESULTS: The majority of participants were students attending their first year (47.9%), and were predominately female (78.5%). Their average age was 22.5\ub14.1. The SDL abilities scores, as measured with the SRSSDL_Ita (min 40, max 200), were, on average, 160.79 (95% CI 159.10-162.57; median 160); while with the SDLI (min 20, max 100), they were on average 82.57 (95% CI 81.79-83.38; median 83). The Pearson correlation between the SRSSDL_Ita and SDLI instruments was 0.815 (CI BCa 95% 0.774-0.848), (p=0.000). CONCLUSIONS: The findings confirm the concurrent validity of the SRSSDL_Ita with the SDLI. The SRSSDL_Ita instrument can be useful in the process of identifying Self-Directed Learning abilities, which are essential for students to achieve the expected learning goals and become lifelong learners