Abstract:
:With fever being the most common manifestation of early sepsis, clinical practice guidelines emphasise the prompt institution of broad-spectrum antibacterial therapy at its onset. An audit was performed on the haematology ward to determine whether there was any delay in starting antibiotic treatment during neutropenia in clinical patients and to define the main reasons for this. Strategies were developed, implemented and evaluated on short- and long-term implications on the delay in the start of antibacterial therapy. The procedures specified in the protocol for starting empirical antibacterial therapy were audited to assess whether the target for starting therapy within 30 min of fever was achieved. Initial results indicated that two major changes to the protocol were necessary to achieve a reduction in the delay between detection of fever and starting antibacterial therapy. This modified protocol was evaluated 4 months after implementation by means of a consecutive audit. After 3 years, a third audit was performed to determine the long-term implications of the improved protocol. In the initial audit, the mean time interval between the onset of fever and the administration of antibacterial therapy was 75 min. With the modified protocol, the mean time to starting therapy was shortened to 32 min (P < 0.05). Changing the protocol for starting antibacterial therapy allowed nurses to administer the first dose of antibiotic significantly earlier.
journal_name
Eur J Cancer Care (Engl)journal_title
European journal of cancer careauthors
van Vliet M,Potting CM,Sturm PD,Donnelly JP,Blijlevens NMdoi
10.1111/j.1365-2354.2011.01264.xsubject
Has Abstractpub_date
2011-09-01 00:00:00pages
679-85issue
5eissn
0961-5423issn
1365-2354journal_volume
20pub_type
杂志文章abstract:OBJECTIVE:Fear of cancer recurrence (FCR) is the most commonly reported problem and unmet need among breast cancer survivors. The aim of this qualitative study was to explore the experience of recurrence fears among Taiwanese breast cancer survivors. METHODS:Three focus groups were included in this study. A purposive ...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.13113
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:About 14% of cancer patients live with dependent children. Healthcare professionals are well placed to help patients support their children as part of a patient-centred practice. Children tend to appreciate open communication during the course of illness, but patients often find this difficult. However, resea...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.12991
更新日期:2019-03-01 00:00:00
abstract::Patients with various forms of cancer receiving blood and marrow transplant (BMT) treatment at an outpatient clinic develop chemotherapy-related symptoms and an increased desire to use complementary and alternative medicine in order to address these symptoms. Art-making offers an inexpensive way to pass time and relie...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.12482
更新日期:2017-09-01 00:00:00
abstract::While colorectal cancer is the most common cancer affecting both men and women in Australia, disease-specific peer support services are lacking. This study examined the acceptability and preferred models of peer support among people with colorectal cancer. First, a mixed-method study examined enablers and barriers to ...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2010.01218.x
更新日期:2011-07-01 00:00:00
abstract::The Edinburgh Malawi Breast Cancer Project, a collaborative partnership project between the Queen Elizabeth Central Hospital (QECH) Oncology Unit, Blantyre, Malawi and the Edinburgh Cancer Centre, UK, was established in 2015. The principal objective of the project is to help to develop high quality multi-disciplinary ...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.12658
更新日期:2017-01-01 00:00:00
abstract::This study explored men's experiences of transrectal prostate biopsy. Fifty men who had had a prostate biopsy talked about the experience as part of an in-depth interview; 36 were interviewed in 2000 about all aspects of prostate cancer, and 14 in 2005 about their experience of prostate-specific antigen testing, subse...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2006.00766.x
更新日期:2007-05-01 00:00:00
abstract::This prospective, longitudinal study explored changes in and modifiable factors associated with high self-perceived burden to others (SPB) among a convenience sample of 276 dyads of terminally ill Taiwanese cancer patients and their family caregivers over patients' last year of life. High SPB was evaluated by scores ≥...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.12942
更新日期:2018-11-01 00:00:00
abstract::This cross-sectional mixed methods survey explores healthcare professionals' perspective on their management of cancer patients' psychosocial concerns, and barriers to integrate the psychosocial approach in their work. An invitation for participation was sent to 4,965 inpatient and outpatient working professionals, of...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.12936
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:Gastroesophageal cancer has high mortality, and continuous assessment of patient-reported data is salient for optimisation of supportive care. We aimed to evaluate our multidisciplinary concept with respect to patient-reported variables. METHODS:At diagnosis and later during the treatment, three areas of pat...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.13200
更新日期:2020-03-01 00:00:00
abstract::Open learning is increasing in importance in nurse education. In this article the author considers open learning and discusses its use in palliative care education. Advantages and disadvantages of this learning method are considered and guidelines are offered to the teacher to assist them to evaluate existing learning...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.1994.tb00028.x
更新日期:1994-09-01 00:00:00
abstract::This paper examines the relationship between medical professionals and parents of young adults who are being treated by them for cancer. This study aims to discover what practices and procedures make the cancer journey easier or more difficult to manage for parents in the medical setting. Many studies of carers focus ...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2004.00458.x
更新日期:2004-03-01 00:00:00
abstract::The purpose of this paper is to compare the coping processes of hospital chaplains and nurses in cancer care and to discuss the findings in relation to work and stress in a multidisciplinary team. The results of the research question--'what coping processes are used when confronting existential issues?'--reveal that, ...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2007.00801.x
更新日期:2008-01-01 00:00:00
abstract::Pathologic bone fractures are usually confined to the trunk in multiple myeloma (MM). But bilateral trochanteric fractures have not been reported in patients with MM before. Radiographic, histological and immunoelectrophoresis revealed typical features of MM. This report points out the importance of physical rehabilit...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2005.00570.x
更新日期:2005-05-01 00:00:00
abstract:INTRODUCTION:Mastectomy patients' satisfaction with reconstructive options has not been examined. METHODS:A national study measured 18-month satisfaction with reconstructive options and collected case-mix and reconstructive offer and uptake data on breast cancer patients having mastectomy with or without immediate rec...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.13362
更新日期:2020-11-10 00:00:00
abstract::Adverse events (AEs) of epidermal growth factor inhibitors (EGFRi) influence well-being with a risk to dose modifications (DMs). Hereby, clinical benefit of treatment might be affected. This retrospective cohort study was set up to gain insight into the suitability and added value of a patient-reported outcome measure...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.12800
更新日期:2018-03-01 00:00:00
abstract::The aim was to explore what expectations patients have concerning the recovery period after completed curative cancer treatment and the degree to which these expectations were realized slightly more than 1 year later. A purposeful sample of 16 patients was selected from a larger study and those patients were interview...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2008.00933.x
更新日期:2009-11-01 00:00:00
abstract::The aim of this study was to conduct a systematic review of the literature on the needs of adolescents and young adults (AYAs) who have survived cancer. PRISMA recommendations for systematic reviews were followed, and the quality of the studies reviewed was also assessed with a specific checklist. The following databa...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.12558
更新日期:2018-11-01 00:00:00
abstract::The majority of research on understanding the illness focuses on analysing the written or verbal content. Thematic analysis of images is a novel qualitative approach that can enhance knowledge of the experience of illness. This study used thematic analysis to examine 171 tiles painted by patients through the Tiles of ...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.12328
更新日期:2016-11-01 00:00:00
abstract::This module discusses the diverse cultural needs of people affected by cancer and how those needs can be assessed and met. The UK experience with Black or Minority Ethnic (BME) communities will be used to explore the issues of awareness of and detection of cancer. ...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2008.01078.x
更新日期:2009-01-01 00:00:00
abstract::To investigate health professionals' perspectives about factors that impede or facilitate cancer care for Indigenous people. Semi-structured interviews with 22 health professionals involved in Indigenous cancer care. Data were interpreted using an inductive thematic analysis approach. Participants presented their pers...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.12467
更新日期:2016-03-01 00:00:00
abstract::Based on promising preclinical data, a progressive series of evaluations of the use of high-dose mitoxantrone-based chemotherapy was initiated in acute leukaemia patients. A preliminary phase I study demonstrated that up to 80 mg/m2 of mitoxantrone in combination with cytarabine 3 g/m2 daily for 5 days could be given ...
journal_title:European journal of cancer care
pub_type: 临床试验,杂志文章,随机对照试验,评审
doi:10.1111/j.1365-2354.1997.tb00322.x
更新日期:1997-12-01 00:00:00
abstract::The aims were to investigate whether: (A) doctors' ability to identify patients' worry about prognosis/wish for information about disease and treatment is related to doctors' self-efficacy with regard to communicating about difficult matters and patients' satisfaction with a consultation/hope to live a good life in sp...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2006.00670.x
更新日期:2006-09-01 00:00:00
abstract::This article reports on a study exploring the challenges and complexities of caring for a child with cancer no longer responding to curative therapy. The difficulties that health professionals face when initiating and providing palliative care to children with cancer is largely unexplored. A greater understanding of t...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2005.00520.x
更新日期:2005-05-01 00:00:00
abstract::The aim of this study is to explore, from a medical sociological perspective, the use of complementary therapies by palliative care nurses. This paper shows how the conceptual vocabulary developed by Giddens [Giddens A. (1990) The Consequences of Modernity. Polity Press, Cambridge; Giddens A. (1991) Modernity and Self...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1046/j.1365-2354.2003.00381.x
更新日期:2003-06-01 00:00:00
abstract::Informational need assessment has become an important part of health care in order to provide information effectively in clinical settings. Literature on information needs in the West suggests that breast cancer (BC) patients needed more information than doctors had provided, and information that fully met their needs...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2008.00936.x
更新日期:2009-03-01 00:00:00
abstract::This systematic review and meta-analysis aimed to evaluate the effectiveness of psychological interventions in improving quality of life for head and neck cancer patients. Five databases were systematically searched in July 2016. Studies were included if they reported original empirical data from intervention studies ...
journal_title:European journal of cancer care
pub_type: 杂志文章,meta分析,评审
doi:10.1111/ecc.12789
更新日期:2018-01-01 00:00:00
abstract::Invasive procedures, such as the lumbar puncture, can cause anxiety and pain in children undergoing treatment for acute lymphoblastic leukaemia (ALL). We investigated the safety and efficacy of two different protocols for analgo-sedation in 20 children with ALL undergoing lumbar puncture. We have conducted a prospecti...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2008.01006.x
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:Breast cancer treatments not only affect body image but also other aspects of women's lives. Women try to accept their appearance through coping strategies. This study aimed to determine the relationship between body image and coping strategies in women with breast cancer following surgery in southeast Iran. ...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/ecc.13191
更新日期:2020-01-01 00:00:00
abstract::Intractable malignant ascites accounts for 6% of all hospice admissions. The onset of malignant ascites indicates a poor prognosis, hence minimal supportive therapy is indicated. This paper examines the method of control for malignant ascites presently available to patients, examines their limitations and proposes new...
journal_title:European journal of cancer care
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2354.1995.tb00090.x
更新日期:1995-12-01 00:00:00
abstract::Previous research has reported that patients require specific information relating to radiotherapy; however, these studies fail to describe patients' specific information needs over time. The aims of this study were to determine the specific information needs of breast cancer patients who are receiving radiotherapy an...
journal_title:European journal of cancer care
pub_type: 杂志文章
doi:10.1111/j.1365-2354.2009.01090.x
更新日期:2010-07-01 00:00:00