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David Zigmond
No abstract text is available yet for this article.
September 2016: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Guy Shefer, Claire Henderson, Mary Frost-Gaskin, Richard Pacitti
Many countries belonging to the Organisation for Economic Co-operation and Development (OECD) have seen a considerable increase in the number of disability benefits recipients (DBRs), in addition to an increase in the proportion of people with mental illness. As in other countries, changes to the welfare benefits system in England were made in order to reduce the number of DBRs. Many people lost their benefit payments, although a considerable number had them reinstated after appeal. Our aim was to investigate the impact of the process on DBRs whose disability was related to mental health and who won their appeal...
October 2016: Community Mental Health Journal
Alexandra Hillman
This article draws on concepts of morality and demoralisation to understand the problematic nature of relationships between staff and patients in public health services. The article uses data from a case study of a UK hospital Emergency Department to show how staff are tasked with the responsibility of treating and caring for patients, while at the same time their actions are shaped by the institutional concerns of accountability and resource management. The data extracts illustrate how such competing agendas create a tension for staff to manage and suggests that, as a consequence of this tension, staff participate in processes of 'effacement' that limit the presence of patients and families as a moral demand...
February 2016: Social Theory & Health: STH
Debbie Hocking, Suresh Sundram
BACKGROUND: Demoralisation syndrome (DS) has been advanced as a construct that features hopelessness, meaninglessness, and existential distress. Demoralisation and DS have predominantly been considered secondary only to illness; hence there is scant research on demoralisation or DS in populations affected by extreme environmental stress. AIMS: The current study aimed to determine the prevalence of demoralisation, its predictors, and the relevance of DS in a community-based forced-migrant population...
November 2015: Comprehensive Psychiatry
(no author information available yet)
No abstract text is available yet for this article.
2015: BMJ: British Medical Journal
Irene Bobevski, Heather Rowe, David M Clarke, Dean P McKenzie, Jane Fisher
BACKGROUND: Demoralisation is a psychological state occurring in stressful life situations where a person feels unable to respond effectively to their circumstances, characterised by feelings of distress, subjective incompetence, helplessness and hopelessness. The period after the birth of a first baby is a time of great changes and disruptions to many aspects of the mother's physical, psychological and social functioning. This can lead to feelings of distress, a sense of incompetence and helplessness...
2015: BMC Pregnancy and Childbirth
Primus Che Chi, Patience Bulage, Henrik Urdal, Johanne Sundby
OBJECTIVES: Maternal and neonatal mortality and morbidity rates are particularly grim in conflict, post-conflict and other crisis settings, a situation partly blamed on non-availability and/or poor quality of emergency obstetric and neonatal care (EmONC) services. The aim of this study was to explore the barriers to effective delivery of EmONC services in post-conflict Burundi and Northern Uganda, in order to provide policy makers and other relevant stakeholders context-relevant data on improving the delivery of these lifesaving services...
2015: PloS One
Skye T Dong, Phyllis N Butow, Allison Tong, Meera Agar, Frances Boyle, Benjamin C Forster, Martin Stockler, Melanie R Lovell
PURPOSE: Patients with advanced cancer typically experience multiple concurrent symptoms, which have a detrimental impact on patient outcomes. No studies to date have qualitatively explored advanced cancer patients' perceptions of multiple symptoms in oncology and palliative care settings. Understanding the experience of multiple symptoms can inform integrated clinical pathways for treating, assessing and reducing symptom burden. This study aims to describe the beliefs, attitudes and experiences of patients with multiple symptoms in advanced cancer...
March 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Kat Macey, Angela Gregory, David Nunns, Roshan das Nair
BACKGROUND: Recent research has highlighted controversies in the conceptualisation, diagnosis and treatment of vaginismus. Vaginal trainers are currently the most widely used treatment. Critiques have highlighted concerns that the evidence-base of its effectiveness is limited, with controlled trials reporting disappointing results, and its prescription promotes 'performance-based' sexuality which may be detrimental. Despite this, little has been done to seek women's views about their treatment...
June 20, 2015: BMC Women's Health
Vibian Angwenyi, Kwaku-Poku Asante, Abdoulaye Traoré, Lawrence Gyabaa Febir, Charlotte Tawiah, Anthony Kwarteng, Alphonse Ouédraogo, Sodiomon Bienvenue Sirima, Seth Owusu-Agyei, Egeruan Babatunde Imoukhuede, Jayne Webster, Daniel Chandramohan, Sassy Molyneux, Caroline Jones
BACKGROUND: Clinical trials conducted in Africa often require substantial investments to support trial centres and public health facilities. Trial resources could potentially generate benefits for routine health service delivery but may have unintended consequences. Strengthening ethical practice requires understanding the potential effects of trial inputs on the perceptions and practices of routine health care providers. This study explores the influence of malaria vaccine trials on health service delivery in Ghana, Kenya and Burkina Faso...
2015: PloS One
Michelle DiGiacomo, Joanne Lewis, Jane Phillips, Marie Nolan, Patricia M Davidson
BACKGROUND: The feminisation of ageing and increasing number of widowed women in contemporary society has significant implications. Older women are at risk of poor health, social, and economic outcomes upon widowhood. The aim of the study was to describe women's experiences in the period soon after their husbands' death, including their financial issues and concerns, and the ways in which these experiences impacted on the transition to widowhood late in life. METHODS: This was a longitudinal study using serial in-depth semi-structured interviews with 21 community-dwelling women over the age of 65 in Australia...
2015: BMC Women's Health
Charles Foster, José Miola
Medical law inevitably involves decision-making, but the types of decisions that need to be made vary in nature, from those that are purely technical to others that contain an inherent ethical content. In this paper we identify the different types of decisions that need to be made, and explore whether the law, the medical profession, or the individual doctor is best placed to make them. We also argue that the law has failed in its duty to create a coherent foundation from which such decision-making might properly be regulated, and this has resulted in a haphazard legal framework that contains no consistency...
2015: Medical Law Review
Sanjay Nagral
No abstract text is available yet for this article.
January 2015: Indian Journal of Medical Ethics
I Bobevski, H Rowe, D M Clarke, D P McKenzie, J Fisher
Demoralisation is a psychological state characterised by experiences of distress and sadness, helplessness, subjective incompetence and hopelessness, in the context of a stressful situation. Experiences of demoralisation may be particularly relevant to women who have recently given birth, who can feel incompetent, isolated and helpless. The psychometric properties of the Demoralisation Scale among women in the postnatal period participating in a clinical program were examined. Women admitted with their infants to a hospital mother-baby unit in Australia for five nights were recruited consecutively (N = 209) and assessed at admission and discharge...
December 2015: Archives of Women's Mental Health
(no author information available yet)
NURSE INGRID Teresa Pryde dedicates her book 'to all nurses who have been (and currently are being) bullied'. She has written it for her therapeutic wellbeing after being 'totally demoralised' by the experience of bullying at work.
November 27, 2014: Nursing Management (Harrow)
A C L Holden
This article examines the current trends within UK dentistry for increased litigation and regulation. The law of tort when applied to dental negligence falls short of attaining justice for patients in a way which is focused on their best interests. It also has the effect of causing demoralisation and encouraging defensive practice. The introduction of a no-fault compensation scheme, such as that found in New Zealand, may be a solution to this issue, but this would come with questions around how it could be funded...
September 2014: British Dental Journal
Sally Gillen, Kat Keogh
'Demoralised' nurses have been making their voice heard in pickets after the majority of nursing staff in England were denied a pay rise.
March 26, 2014: Nursing Standard
Dinesh Bhugra
No abstract text is available yet for this article.
December 2013: Australian and New Zealand Journal of Psychiatry
Angie Perrin, Caroline Redmond, Caroline Cowin, Neil Wiltshire, Amanda Smith, Nichola Lovelady, Gordon Carlson
Anecdotally, pancaking is recognised as troublesome within stoma care, leaving many people with ostomies feeling exasperated in trying to deal with this difficult problem. Stoma care nurses offer strategies to help alleviate it, but when strategies fail and appliances continue to leak, or require changing owing to risk of leaking, individuals often feel helpless, demoralised and quality of life can be damaged. A postal survey was carried out to try and identify some of the issues relating to pancaking. Eighty two percent of respondents were likely to experience some degree of pancaking and an alarming 58% changed their pouch more often as a management technique...
September 12, 2013: British Journal of Nursing: BJN
Hong-Jae Park
OBJECTIVES: Elder abuse and neglect is an increasing concern that adversely affects the health and well-being of older people in most societies. The purpose of this paper is to describe the psycho-social impact of elder mistreatment on the health and well-being of older Korean people living in New Zealand. METHOD: Data were collected from in-depth interviews. The lived experiences of elder abuse and neglect were studied with 10 older people who were, or who had been, mistreated in their family context...
2014: Aging & Mental Health
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