Transfer of Communication Skills to the Workplace during Clinical Rounds : Impact of a Program for Residents

peer reviewe

Factors associated with self-perceived burden to the primary caregiver in older patients with hematologic malignancies: an exploratory study

Objective: Although cancer patients frequently experience self-perceived burden to others, this perception has not been enough studied. The aim of this study was to investigate the prevalence of selfperceived burden to the primary caregiver (SPB-PC) and associated factors in an older patient population with hematologic malignancies at the time of chemotherapy initiation. Methods: In total, 166 consecutive patients with hematologic malignancies aged ≥65 years were recruited at the time of chemotherapy initiation. Patients’ SPB-PC was assessed using a 100-mm visual analogue scale (VAS). Characteristics potentially associated with SPB-PC, including sociodemographic and medical characteristics, physical functioning status (Karnofsky performance score, activities of daily living (ADL)/instrumental ADL), symptoms (fatigue, pain, nausea, quality of life), psychological distress (Hospital Anxiety and Depression Scale (HADS)), perceived cognitive function (Functional Assessment of Cancer Therapy Cognitive (FACT-Cog) Scale), and patients’/primary caregivers’ personal relationship characteristics (family tie, support), were assessed. Results: Thirty-five percent of patients reported moderate to severe SPB-PC (VAS ≥ 50 mm). Patients’ SPB-PC was associated with lower Karnofsky performance (β = 0.135, p = 0.058) and ADL (β = 0.148, p = 0.037) scores, and higher HADS (β = 0.283, p<0.001) and FACT-Cog perceived cognitive impairments subscale (β = 0.211, p = 0.004) scores. The proportion of explained variance was 23.5%. Conclusions: Health care professionals should be aware that about one third of older cancer patients experience moderate to severe SPB-PC at the time of chemotherapy initiation. They should adapt their support of patients who report such a feeling

Proposition d’un référentiel de compétences pour la formation des maitres de stage, des maitres de pratique et des superviseurs en psychologie et orthopédagogie clinique

La formation des psychologues et orthopédagogues cliniciens bénéficie du soutien de différents professionnels. Cet encadrement et cet accompagnement peuvent avoir lieu à différents moments, notamment durant les stages de master, lors d’une année supervisée et tout au long de leur carrière. Malgré le fait que les professionnels qui encadrent et accompagnent les (futurs) psychologues et orthopédagogues cliniciens exercent des compétences complexes, peu d’écrits, en Belgique francophone, balisent les compétences de ces acteurs importants. Le présent référentiel propose 6 compétences pour la formation des formateurs de terrain en formation initiale (maitre de stage), lors de l’année de pratique supervisée (maitre de pratique) et les autres formateurs rencontrés tout au long de la carrière (superviseurs) pour les domaines précités. Il constitue une adaptation d’un référentiel validé pour la formation des maitres de stages en enseignement (Baco et al., 2021 ; 2023). Il s’appuie sur la littérature propre au domaine du soin, ainsi que d’autres domaines professionnels. Cela permet de montrer le caractère transprofessionnel des compétences des formateurs, tout en préservant le caractère contextuel propre à chaque domaine professionnel. Par ailleurs, ce texte propose une définition d’un continuum. Il pourra soutenir les réformes de la formation initiale des psychologues et orthopédagogues cliniciens, dans la visée d’une amélioration continue du soin offert aux patients

Factors that influence physicians' burnout: Impact of a communication skills training program

info:eu-repo/semantics/publishe

Efficacy of a hypnosis-based intervention to improve well-being during cancer: a comparison between prostate and breast cancer patients

Background: Prostate and breast cancer can have a lot of negative consequences such as fatigue, sleep difficulties and emotional distress, which decrease quality of life. Group interventions showed benefits to emotional distress and fatigue, but most of these studies focus on breast cancer patients. However, it is important to test if an effective intervention for breast cancer patients could also have benefits for prostate cancer patients. Methods: Our controlled study aimed to compare the efficacy of a self-hypnosis/self-care group intervention to improve emotional distress, sleep difficulties, fatigue and quality of life of breast and prostate cancer patients. 25 men with prostate cancer and 68 women with breast cancer participated and were evaluated before (T0) and after (T1) the intervention. Results: After the intervention, the breast cancer group showed positive effects for anxiety, depression, fatigue, sleep difficulties, and global health status, whereas there was no effect in the prostate cancer group. We showed that women suffered from higher difficulties prior to the intervention and that their oncological treatments were different in comparison to men. Conclusion: The differences in the efficacy of the intervention could be explained by the baseline differences. As men in our sample reported few distress, fatigue or sleep problems, it is likely that they did not improve on these dimensions. Trial registration:ClinicalTrials.gov( NCT02569294and NCT03423927 ). Retrospectively registered in October 2015 and February 2018 respectively.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Participation

Émission présentée par Serge Van Haelewijninfo:eu-repo/semantics/nonPublishe

La formation à la communication médecin-patient en oncologie

Soirée de clôture du Projet FNRS Qualité de vie - Télévieinfo:eu-repo/semantics/nonPublishe

La souffrance des soignant

info:eu-repo/semantics/nonPublishe