European Cancer Organisation Essential Requirements for Quality Cancer Care: Adult glioma

Bozzao, Alessandro; Weber, Damien; Crompton, Simon; Braz, Graça; Csaba, Dégi; Dhermain, Frederic; Finocchiaro, Gaetano; Flannery, Thomas; Kramm, Christof; Law, Ian; Marucci, Gianluca; Oliver, Kathy; Ostgathe, Christoph; Paterra, Rosina; Pesce, Gianfranco; Smits, Marion; Soffietti, Riccardo; Terkola, Robert; Watts, Colin; Costa, Alberto; Poortmans, Philip

doi:10.1016/j.jcpo.2023.100438

Cited by 4 publications

(2 citation statements)

References 36 publications

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“…Because of its emotionally challenging nature, providing spiritual care is not the easiest form of care work, and there is an evident risk of every healthcare worker ignoring it. The European Cancer Organization suggests that one person within the multidisciplinary team be assigned the role of a “key worker” whose responsibility is to coordinate the patient’s psychosocial care and ensure that all other members of the team are aware of the patient’s spiritual needs and address them in a structured way to reduce the aforementioned lack of ignorance [ 35 ]. Additionally, evidence-based tools need to be established as part of the palliative patient care routine.…”

Section: Discussionmentioning

confidence: 99%

“Not me!” a qualitative, vignette-based study of nurses’ and physicians’ reactions to spiritual distress on neuro-oncological units

Völz,

Grabenweger,

Best

et al. 2024

Support Care Cancer

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Purpose People with primary malignant brain tumors experience serious health-related suffering caused by limited prognosis and high symptom burden. Consequently, neuro-oncological healthcare workers can be affected emotionally in a negative way. The aim of this study was to analyze the attitudes and behavior of nurses and physicians when confronted with spiritual distress in these patients. Methods Neurospirit-DE is a qualitative vignette–based, multicenter, cross-sectional online survey that was conducted in Bavaria, Germany. Reflexive thematic analysis was used for data analysis. Results A total of 143 nurses and physicians working in neurological and neurosurgical wards in 46 hospitals participated in the survey. The participants questioned if the ability to provide spiritual care can be learned or is a natural skill. Spiritual care as a responsibility of the whole team was highlighted, and the staff reflected on the appropriate way of involving spiritual care experts. The main limitations to spiritual care were a lack of time and not viewing spiritual engagement as part of the professional role. Some were able to personally benefit from spiritual conversations with patients, but many participants criticized the perceived emotional burden while expressing the imminent need for specific training and team reflection. Conclusions Most neuro-oncological nurses and physicians perceive spiritual care as part of their duty and know how to alleviate the patient’s spiritual distress. Nonetheless, validation of spiritual assessment tools for neuro-oncology and standardized documentation of patients’ distress, shared interprofessional training, and reflection on the professional and personal challenges faced when confronted with spiritual care in neuro-oncology require further improvement and training.

show abstract

Section: Discussionmentioning

confidence: 99%

“Not me!” a qualitative, vignette-based study of nurses’ and physicians’ reactions to spiritual distress on neuro-oncological units

Völz,

Grabenweger,

Best

et al. 2024

Support Care Cancer

View full text Add to dashboard Cite

show abstract

“…Because of its emotionally challenging nature, providing spiritual care is not the easiest form of care work and there's an evident risk of every healthcare worker ignoring it. The European Cancer Organization suggests that one person within the multidisciplinary team be assigned the role of a "key worker" whose responsibility is to coordinate the patient's psychosocial care and ensure that all other members of the team are aware of the patient's spiritual needs and address them in a structured way to reduce the aforementioned lack of ignorance [32]. Additionally, evidence-based tools need to be established as part of the palliative patient care routine.…”

Section: Discussionmentioning

confidence: 99%

‘Not me!’ a qualitative, vignette-based study of nurses’ and physicians’ reactions to spiritual distress on neuro-oncological units

Völz,

Grabenweger,

Best

et al. 2023

Preprint

View full text Add to dashboard Cite

Purpose People with primary malignant brain tumors experience serious health-related suffering caused by limited prognosis and high symptom burden. The aim of this study was to analyze the attitudes and behavior of nurses and physicians when confronted with spiritual distress in these patients. Methods Neurospirit-DE is a qualitative vignette-based, multicentre, cross-sectional online survey that was conducted in Bavaria, Germany. Reflexive Thematic Analysis was used for data analysis. Results A total of 143 nurses and physicians working in neurological and neurosurgical wards in 46 hospitals participated in the survey. The participants questioned if the ability to provide spiritual care can be learned or is a natural skill. Spiritual care as a responsibility of the whole team was highlighted and the staff reflected on the appropriate way of involving spiritual care experts. The main limitations to spiritual care were a lack of time and not viewing spiritual engagement as part of the professional role. Some were able to personally benefit from spiritual conversations with patients, but many participants criticized the perceived emotional burden while expressing the imminent need for specific training and team reflection. Conclusions Most neuro-oncological nurses and physicians perceive spiritual care as part of their duty and know how to alleviate the patient’s spiritual distress. Nonetheless, validation of spiritual assessment tools for neuro-oncology and standardized documentation of patients' distress, shared interprofessional training, and reflection on the professional and personal challenges faced when confronted with spiritual care in neuro-oncology require further improvement.

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Inequalities in access to neuro-oncology supportive care and rehabilitation: A survey of healthcare professionals’ perspectives

Boele,

Rosenlund,

Nordentoft

et al. 2024

Neuro-Oncology Practice

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Background Neuro-oncology patients and caregivers should have equitable access to rehabilitation, supportive-, and palliative care. To investigate existing issues and potential solutions, we surveyed neuro-oncology professionals to explore current barriers and facilitators to screening patients’ needs and referral to services. Methods Members of the European Association of Neuro-Oncology (EANO) and the European Organisation for Research and Treatment of Cancer Brain Tumor Group (EORTC-BTG) were invited to complete a 39-item online questionnaire covering availability of services, screening and referral practice. Responses were analyzed descriptively; associations between sociodemographic/clinical variables and screening/referral practice were explored. Results In total, 103 participants completed the survey (67% women; 57% medical doctors). Fifteen professions from 23 countries were represented. Various rehabilitation, supportive- and palliative care services were available yet rated ‘inadequate’ by 21-37% of participants. Most respondents with a clinical role (n=94) declare to screen (78%) and to refer (83%) their patients routinely for physical/cognitive/emotional issues. Survey completers (n=103) indicated the main reasons for not screening/referring were 1) lack of suitable referral options (50%); 2) shortage of healthcare professionals (48%); 3) long waiting lists (42%). To improve service provision, respondents suggested there is a need for education about neuro-oncology specific issues (75%), improving availability of services (65%) and staff (64%), developing international guidelines (64%), and strengthening the existing evidence-base for rehabilitation (60%). Conclusion Detecting and managing neuro-oncology patients’ and caregivers’ rehabilitation, supportive- and palliative care needs can be improved. Better international collaboration can help address healthcare disparities.

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European Cancer Organisation Essential Requirements for Quality Cancer Care: Adult glioma

Cited by 4 publications

References 36 publications

“Not me!” a qualitative, vignette-based study of nurses’ and physicians’ reactions to spiritual distress on neuro-oncological units

“Not me!” a qualitative, vignette-based study of nurses’ and physicians’ reactions to spiritual distress on neuro-oncological units

‘Not me!’ a qualitative, vignette-based study of nurses’ and physicians’ reactions to spiritual distress on neuro-oncological units

Inequalities in access to neuro-oncology supportive care and rehabilitation: A survey of healthcare professionals’ perspectives

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