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Lung cancer kills more people than any other cancer worldwide primarily because it is often diagnosed at an advanced stage. One factor that can influence advanced stage lung cancer diagnosis is delayed help-seeking behavior in individuals with symptoms suggestive of lung cancer. Delayed help-seeking behavior has been investigated in acute cardiovascular events and breast cancer, but there is little evidence on specific factors that influence the timing of help-seeking behavior in lung cancer patients. The purpose of this study was to explore the influence of healthcare system distrust, lung cancer stigma, and smoking status on the timing of help-seeking behavior in individuals with symptoms suggestive of lung cancer. This study employed a descriptive, cross-sectional design with 93 participants using the Revised Healthcare System Distrust Scale, Cataldo Lung Cancer Stigma Scale, and investigator-developed Timing of Help-Seeking Behavior and Demographic Questionnaire to assess the variables of interest. Hierarchical linear regression was used to assess the ability of healthcare system distrust, lung cancer stigma, and smoking status to predict greater time to seek help in lung cancer patients, after controlling for annual income, perceived financial status, ethnicity, and social desirability. In Step 1, ethnicity and perceived financial status explained 10% of the variance in time to seek help. After entry of healthcare system distrust, lung cancer stigma, and smoking status at Step 2, the total variance explained by the model as a whole was 23% of the variance in the time to seek help in individuals with symptoms suggestive of lung cancer. Significant findings from this study include the effect of healthcare system distrust, lung cancer stigma, and ethnicity on help-seeking behavior in individuals with lung cancer symptoms. The findings indicate a critical need for public health awareness that targets increasing awareness of lung cancer symptoms, decreasing lung cancer stigma and healthcare system distrust, recognizing the significant proportion of lung cancer patients whom have never smoked, and decreasing delays in help-seeking behaviors in individuals with symptoms suggestive of lung cancer.
Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met.
Prediction and Change of Health Behavior honors the work of Martin Fishbein by illustrating the breadth and depth of the reasoned action approach. Focused on attitudes and their effects on health-related behavior, the book demonstrates the profound impact of Fishbein and Ajzen's theories of reasoned action on attitude research and on the solu
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The only text to feature examples of 30 key concept analyses supporting nursing research and practice This DNP and PhD doctoral-level nursing text delivers analyses of 30 core concepts that define nursing theory, research, education, and professional practice. Grounded in the concept analysis framework developed by Walker and Avant, the book clearly demonstrates how concepts are used to build theory, support research, and improve education and professional practice. Designed to facilitate practical applications of concept analysis methodology, all chapters provide an explicit description of each concept and a consistent framework for its analysis. Additionally, a diagrammatic representation of characteristics across concepts allows readers to make comparisons and ultimately to build on the text’s knowledge base. Expert authors from clinical and research disciplines focus on the core of nursing-- the nurse-patient relationship--grouping concepts into the categories of patient/client-focused concepts, career-focused concepts, and organizational/systems-focused concepts. Within these groups the book addresses such contemporary themes as hope, postpartum depression, resilience, self-care, cultural competence, and many others. With its expansive descriptions and analyses of key nursing concepts within a consistent framework, the book will help nurse scholars to develop a sophisticated analytic ability and provide graduate nursing students with a foundation for developing a DNP capstone or PhD research project. Key Features: Offers in-depth description and analyses of 30 core concepts relevant to nursing and related disciplines Provides a consistent analytic framework throughout Demonstrates a highly practical application of concept analysis methodology Includes diagrams of characteristics across concepts for comparison Authored by renowned scholars and practitioners
Basic Steps in Planning Nursing Research: From Question to Proposal is the perfect introduction to the research process. It details the development of an effective research plan, and guides readers through all stages of the process from finding a research topic, to the final written proposal. It takes an in-depth focus on the planning process which makes it an excellent tool for beginners while still being relevant to people at all levels of study who need to develop a research plan. The Seventh Edition continues to teach readers how to prepare an appropriate question and topic and the steps it takes formulate a conclusion. All of the chapters have been updated with new references and current information including a renewed focus on evidence-based practice and an expansion of research ethics. Proposals are included at the end of the text to help students learn.
This issue of Thoracic Surgery Clinics covers the screening for and diagnosis and staging of lung cancer. Expert authors review the most current information available about fluorescence and navigational bronchoscopy, integrated PET/CT for mediastinal nodal staging, contraindications to pulmonary resection, approach to patients with multiple lung nodules, and more. Keep up-to-the-minute with the latest developments in this important aspect of thoracic surgery practice.
Available Open Access under CC-BY-NC licence. Health literacy addresses a range of social dimensions of health, including knowledge, navigation and communication, as well as individual and organizational skills for accessing, understanding, evaluating and using information. Particularly over the past decade, health literacy has globally become a major public health concern as an asset for promoting health, wellbeing and sustainable development. This comprehensive handbook provides an invaluable overview of current international thinking about health literacy, highlighting cutting edge research, policy and practice in the field. With a diverse team of contributors, the book addresses health literacy across the life-span and offers insights from different populations and settings. Providing a wide range of major findings, the book outlines current discourse in the field and examines necessary future dialogues and new perspectives.
The two main sections of the book comprise chapters on 10 specific illnesses and conditions and chapters relating to broader issues (stigma and family, overcoming stigma, stigma across cultures and future directions). The book concludes with observations on what has not worked in overcoming stigma as well as possible future directions. (Psychology)
This book is designed to guide both new and more seasoned researchers through the steps of conceiving, designing, and implementing coherent research capable of generating new insights in clinical settings. Drawing from a variety of theoretical, methodological, and substantive strands, interpretive description provides a bridge between objective neutrality and abject theorizing, producing results that are academically credible, imaginative, and clinically practical. Replete with examples from a host of research settings in health care and other arenas, the volume will be an ideal text for applied research programs.