Strategies and Barriers in Addressing Mental Health and Suicidality in Patients With Cancer
Autor: | Samuel Ariad, Leeat Granek, Ora Nakash, Merav A. Ben-David, Shahar Shapira |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male Suicide Prevention medicine.medical_specialty Palliative care Nursing Diagnosis Emotions Grounded theory Suicidal Ideation Interviews as Topic Mental healthcare 03 medical and health sciences Neoplasms medicine Humans Pain Management In patient Lack of knowledge Israel Psychiatry Referral and Consultation Terminal Care 030504 nursing business.industry Communication Barriers Oncology Nursing Palliative Care Workload Middle Aged Mental health Distress Female Nurse-Patient Relations 0305 other medical science business Stress Psychological |
Zdroj: | Oncology Nursing Forum. 46:561-571 |
ISSN: | 1538-0688 0190-535X |
Popis: | Purpose To identify how oncology nurses address mental health distress and suicidality in patients, what strategies they employ in treating this distress, and the barriers they face in addressing distress and suicidality in patients with cancer. Participants & setting 20 oncology nurses at two cancer centers in Israel were interviewed. Methodologic approach The grounded theory method of data collection and analysis was employed. Findings Strategies used in addressing patients' mental health distress were being emotionally available, providing practical support, treating physical symptoms, and referring to counseling. Strategies in addressing suicidality were assessing the situation, offering end-of-life or palliative care, treating physical symptoms, and referring for assessment. Barriers to addressing distress were lack of training, stigma, workload or lack of time, and limited availability and accessibility of mental health resources. Barriers in addressing suicidality were lack of knowledge and training, patient reluctance to receive care, and lack of protocol. Implications for nursing Developing guidelines for addressing and responding to mental health distress and suicidality is essential to improving patients' quality of life and reducing disease-related morbidity and mortality. Reducing mental healthcare stigma for patients is critical. |
Databáze: | OpenAIRE |
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