Religion, Spirituality and Coping with Breast Cancer: A Phenomenological Study
Author(s)Mehrabi, Esmat; Department of midwifery & reproductive health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Hajian, Sepideh; Department of midwifery & reproductive health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Simbar, Masoomeh; Department of midwifery & reproductive health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Hoshyari, Mohammad; Department of Radiation Oncology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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AbstractFor downloading the full-text of this article please click here.Background and Objectives: Breast cancer is the most common cancer among women worldwide and in addition to the physical complications, caused multiple mental and emotional challenges for patients. Present study was performed through phenomenological qualitative approach in a sample of Iranian women to deep exploration and better understanding of coping ways that patients use when face with cancer, with a focus on methods based on religion and spirituality based.Materials and Methods: Data were collected through in-depth semi-structured interviews with 27 eligible patients. Interviews were transcribed and analyzed using Van Manen thematic approach. Data collection and analysis were carried out simultaneously. In addition, Maxqda (Ver10) software was used for data management.Results: The mean age of participants was 50±8.77years, ranging from 32 to 68 years. About 22% of these patients had Lumpectomy (remove part of breast tissue) and others (78%), mastectomy (remove of all breast), respectively. By analyzing and extracting the primary codes from the interviews, the final codes were extracted and divided into 6 sub and 2 conceptual categories, and relation between the conceptual categories led to emerge of the study main theme “Transcendence-oriented effort to adjustment”.Conclusion: Breast cancer patients in this study predominantly employed dynamic processes and coping strategies to deal with the reality of disease that had been formed from their religious and spiritual beliefs. Therefore, it is necessary to health care providers, while maintaining respect for patients and considering their spiritual and religious beliefs, make available religious counseling in order to providing spiritual health promotion for patients.Keywords: Spirituality, Religious Attitudes, Coping, Compatibility, Breast Cancer, PhenomenologyFor downloading the full-text of this article please click here.
Copyright/LicenseCopyright (c) 2016 Journal of Research on Religion & Health
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Developing a review process for Australian midwives: a report of the Midwifery Practice Review Project processGriffiths, M; Homer, CS (Elsevier Inc, 2010-07-13)Objective To develop a formal, robust and transparent process that supports and enables midwives to reflect on their own midwifery practice in relation to recognised professional standards and to identify, prioritise and act upon individual professional development and learning needs for the provision of safe, high quality care to women and their families within the full scope of midwifery practice. This process was part of a national project commissioned by the Australian College of Midwives and funded by the Australian Council for Safety and Quality in Health Care and is part of the Continuing Professional Development, MidPLUS program developed by the Australian College of Midwives. Approach A multi-method, staged approach was used to develop the national Midwifery Practice Review process. Data to inform the development of the Midwifery Practice Review process was collected through a literature review, workshop consultations, written submissions and the pilot testing of a draft process. Finally, a national training workshop was undertaken to train reviewers to carry out reviews and to ensure the final process was validated and was feasible and acceptable to midwives and consumers. Setting Maternity care settings in each state and territory throughout Australia. Participants Midwives, other health professionals and consumers of midwifery care. Findings The Midwifery Practice Review process was developed through research and national consultation prior to being validated in practice.
Using task analysis to generate evidence for strengthening midwifery education, practice, and regulation in EthiopiaYigzaw T; Carr C; Stekelenburg J; van Roosmalen J; Gibson H; Gelagay M; Admassu A (Dove Medical Press, 2016-05-01)Tegbar Yigzaw,1 Catherine Carr,2 Jelle Stekelenburg,3,4 Jos van Roosmalen,5 Hannah Gibson,1 Mintwab Gelagay,1 Azeb Admassu6 1Jhpiego, Addis Ababa, Ethiopia; 2Jhpiego, Washington DC, USA; 3Department of Obstetrics and Gynecology, Leeuwarden Medical Centre, Leeuwarden, 4Department of Health Sciences, Global Health, University Medical Centre Groningen, University of Groningen, Groningen, 5Faculty of Earth and Life Sciences, Vrije Universiteit, Amsterdam, the Netherlands; 6Federal Ministry of Health, Addis Ababa, Ethiopia Purpose: Realizing aspirations for meeting the global reproductive, maternal, newborn, and child health goals depends not only on increasing the numbers but also on improving the capability of midwifery workforce. We conducted a task analysis study to identify the needs for strengthening the midwifery workforce in Ethiopia. Methods: We conducted a cross-sectional study of recently qualified midwives in Ethiopia. Purposively selected participants from representative geographic and practice settings completed a self-administered questionnaire, making judgments about the frequency of performance, criticality, competence, and location of training for a list of validated midwifery tasks. Using Statistical Package for the Social Sciences, Version 20, we computed the percentages and averages to describe participant and practice characteristics. We identified priority preservice education gaps by considering the tasks least frequently learned in preservice, most frequently mentioned for not being trained, and had the highest not capable response. Identification of top priorities for in-service training considered tasks with highest &ldquo;not capable&rdquo; and &ldquo;never&rdquo; done responses. We determined the licensing exam blueprint by weighing the composite mean scores for frequency and criticality variables and expert rating across practice categories. Results: One hundred and thirty-eight midwives participated in the study. The majority of respondents recognized the importance of midwifery tasks (89%), felt they were capable (91.8%), reported doing them frequently (63.9%), and learned them during preservice education (56.3%). We identified competence gaps in tasks related to obstetric complications, gynecology, public health, professional duties, and prevention of mother to child transmission of HIV. Moreover, our study helped to determine composition of the licensing exam for university graduates. Conclusion: The task analysis indicates that midwives provide critical reproductive, maternal, newborn, and child health care services and supports continuing investment in this cadre. However, there were substantial competence gaps that limit their ability to accelerate progress toward health development goals. Moreover, basing the licensure exam on task analysis helped to ground it in national practice priorities. Keywords: midwife, perceived importance of tasks, frequency of performance, competence, in-service training needs, licensing exam blueprint
Clinical risk management in midwifery: the right to a perfect baby?Symon, Andrew; Wilson, Jo H. (Books for Midwives, 2002)This book highlights the main causes of litigation in midwifery and suggests mechanisms which can reduce or minimise that risk. Emphasis is on sound practical advice, drawing on the expertise of specialist in midwifery and the legal profession