EBP
Will Latina Breast Cancer Survivors Have an Improved Quality of Life if Intervention Includes Bilingual Education?
Rae Barbosa
College of Western Idaho
Summary
Very few studies have been completed on the quality of life of post-treatment Latina breast cancer survivors. The purpose of the evidence based practice study was to test whether or not the quality of life for Latina breast cancer survivors was affected by bilingual intervention.
The study was composed of two groups. The control group received the usual breast cancer care. The experimental group received the usual care and some additional components including four teaching sessions completed within the first month and regular follow-up calls. Intervention
…show more content…
Nursing implications are that further culturally congruent studies should be completed to address the quality of life for Latina breast cancer survivorship. Culturally congruent nursing and core values should be included in health education programs. Intervention programs should be included in the preferred language of the Latina breast cancer survivor. All breast cancer survivors’ supportive needs should be met. (Juarez, Hurria, Uman & Ferrell, 2013)
Will Latina Breast Cancer Survivors Have an Improved Quality of Life if Intervention Includes Bilingual Education?
The following paper is a review of an evidence based practice study written by Gloria Juarez, RN, PhD, Arti Hurria, MD, Gwen Uman, RN, PhD, and Betty Ferrell, PhD, FAAN called, “Impact of a Bilingual Education Intervention on the Quality of Life of Latina Breast Cancer Survivors”
Background
“Improving the QOL of cancer survivors has been identified as a public health priority by the Institute of Medicine (IOM) and a number other organizations.” (Juarez, Hurria, Uman & Ferrell, 2013) According to Siegel, Naishadham & Jemal (2012) for Latina population in the U.S., breast cancer is the primary cause of cancer related deaths. Wu et al. (2012) says that, Latinas that are diagnosed with breast cancer, in comparison to Caucasians, are younger, have a less favorable prognosis, and have a
In rural Iowa, there are few individuals who are knowledgeable of the Hispanic culture due to the small number of Hispanic individuals that have sought out care in the past. Recently, there has been an influx the number of Hispanic Americans seeking care in this area, making the delivery of culturally sensitive communication and care an important topic. According to DeNisco & Barker (2016), the nature of nursing care encompasses the need to be aware of cultural diversity (p. 581). Meaning that nurses need to strive for cultural competence to reach the societies expectations in the delivery of nursing care (DeNisco & Barker, 2016). We are going to take a look at how nurses can make a few changes that will make providing culturally competent care to the Hispanic population easier in these settings.
Theories of transcultural nursing with established clinical approaches to clients were founded in the mid-1960s and are an essential aspect of healthcare today. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. Accurate assessments identify factors that define transcultural nursing and analyze methods to promote culturally competent nursing care.” (Maier-Lorentz, 2008)
Situation: The client is a 50-year-old female teacher who was notified of an abnormal screening mammogram. Diagnosis of infiltrating ductal carcinoma was made following a stereotactic needle biopsy of a 1.5 x 1.5 cm lobulated mass at the 3:00 position in her left breast. The client had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor. Estrogen receptors and progesterone receptors were both positive. Further staging work-up was negative for distant metastasis. Her final staging was stage IIB. Her prescribed chemotherapy regimen is 6 cycles of CAF after a single-lumen central line was placed.
This will explore the role gender, ethnicity, race and socio-economics play in the acquisition, maintenance and experience of health care. A particular focus is the interaction (intersection) between these elements and their effect on awareness, education, active prevention and early detection of cancer, particularly breast cancer in women. Cancer is a disease caused by a mutation and rapid division of cells. Cancer is a general term describing many diseases; essentially there is a wide array of types of cancers. This vast differentiation makes it difficult to combat this disease and similarly the differences among individuals cause the course of this disease to vary greatly, cancer effects people differently. Breast cancer is one of the more well-known forms of cancer and is frequently touched upon or glazed over in discussion. A conversation may start with “I know someone who has or had cancer” but way to often this is where the conversation ends. The discussion on breast cancer needs to expand, to further the spread of information and understanding of the many aspects of this disease. “Breast cancer is a malignant tumor that starts in the cells of the breast. A malignant tumor is a group of cancer cells that can grow into (invade) surrounding tissues or spread (metastasize) to distant areas of the body” (What is Breast cancer). Breast cancer can be found in both male and female populations but it is particularly, prevalent among women, Breast cancer is the most pervasive
In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Culturally competent care is tailored to the specific needs of each client, while incorporating the individual’s beliefs and values (Stanhope & Lancaster, 2006, p. 90). By being culturally competent, nurses are able to help improve health outcomes by using cultural knowledge and specific skills in selecting interventions that are specific to each client (Stanhope & Lancaster). Therefore, nurses “should perform a cultural assessment on every client with whom they interact with” (Stanhope &
Statistics show that the Columbus, Ohio metro area is becoming more diverse. Even though the majority of the population is made up of Whites, that percentage is decreasing while the percentage of Blacks, Latinos and Asians is increasing (Diversity Data, 2012). I work in an outpatient unit that serves a diverse patient population, and Leininger’s concepts of transcultural nursing highlight the importance of learning about the cultural influences that affect the health and wellness of ethnic populations (Andrews & Boyle, 2016). Transcultural nursing addresses cultural influences such as values, beliefs, and behavior and examines how they affect health and wellness. In this paper, I will discuss perceptions of health and illness in the Hispanic community, examine the overarching issue presented in a video that I reviewed, discuss what can be done to overcome the issue in the video, and share a barrier that I experience in my nursing practice and how I overcome the barrier.
According to research, it has established that breast cancer is one of the leading cause of cancer death among Hispanic women despite them having a low incidence rate of breast cancer. It has attributed to the fact that most Hispanic women presents with advanced breast cancer at diagnosis, and thus is more likely to die from breast cancer compared with non-Hispanic white women. According to Banegas and Li (2012), an estimated number of 39510 breast cancer deaths in women occurred, and 226,870 new breast cancer cases were diagnosed in the US. Among all these cases, Hispanic women
Breast cancer affects one in every nine women in Britain, 45,000 women every year are diagnosed with it in some form or stage of development. Life style and cognitive interventions, i.e. counselling and psychotherapy can play an important part in how the patient deals with cancer in their lives and how they recover.
Disparities of all kinds exist in modern day health care. One such disparity that is of particular interest is one that exists between Caucasian and African American women relating to their respective rates of breast cancer incidence and breast cancer survival. According to the American Cancer Society, Caucasian women have a higher incidence of breast cancer than African American women however; Caucasian women have a higher survival rate than African American women (ACS, 2006, as cited in Leshner, 2006). This is to say that although Caucasian woman have a higher rate of breast cancer compared to African American women, Caucasian women have a higher rate of survival. This finding is indeed a disparity in heath care, and one that begs the question as to why this is so. The reasons as to why this disparity exists are numerous and very complex. Several factors play a role in substantiating the disparity in mortality rates related to breast cancer in African American women, including differences in spirituality and religion, differences in education surrounding breast cancer, and differences in socio economic standing as it relates to ones health promotion
As stated previously in 2014 the USA had approximately 20.3 million people who were diagnosed with cancer. When exploring the 2013 incident rates of men with cancer black men had an incident rate of 518. Compared to white men of 473.9, next came Hispanic and Asian; black males had the highest death rate among all races (Centers for Disease Control and Prevention, 2016b). In regards to women, white women had an incident rate of 417.4, followed by blacks, Hispanics, and Asians, but the highest death rate is among black women (Centers for Disease Control and Prevention, 2016b). According to the statistics the needs for increased screening and care is needed in the African American and Hispanic community.
This research was conducted to get an inside perspective of how Dominican woman live with late-stage cancer. It is one of the few studies to concentrate on Hispanic women. An illness such as cancer has a tremendous impact on a person. The researchers found six applicants than qualified for the study through an outpatient cancer outreach center in New York City. Their criteria were the following: 21 years and older; born in the US; spoke fluent English; diagnosed with stage IV breast cancer; receiving adjuvant therapy; and lived in New York City area.
I chose this article because I find it interesting and of great help to any nursing and health care professional; I am Hispanic myself and constantly looking for better ways to help my community. I personally see my grandmother struggling whenever she needs to see her physician, as she sometimes does not understand what him and his staff are telling her. On another note nursing is an ever changing career and the Hispanic culture is growing at an enormous rate, becoming culturally competent does not only provide the patient with good care but can make the nurses’ job easier and more rewarding. I do feel that there should be more research on this subject; the best way to learn about a patient’s cultural beliefs is to ask the patient. I think that the population that the author intended to target is health care professionals; however, I know that any immigrant can benefit from reading this article.
The Transcultural Assessment Model, developed by Giger and Davidhizar (2006), focuses on assessment and intervention from a transcultural nursing perspective. In this model, the person is seen as a unique cultural being influenced by culture, ethnicity, and
Breast cancer is the second leading cancer killer among women, after lung cancer (Breast Cancer , 2014). Cancer is a word that puts fear in many people, especially if they have family members who have either died or survived the disease. No one wants to hear that he or she has been diagnosed with any disease, especially cancer. Many women do not take breast cancer serious until they are diagnosed. Sadly, once diagnosed with this epidemic, a person’s life is altered forever. Breast cancer does not discriminate and can happen to anyone at any age. To prevent this disease, one must take the necessary precautions to lower the risk factors. In fact, there are several local and national events to remind people of breast cancer’s existence. Many
While the completion of treatment is excitedly anticipated, many cancer survivors would still be disturbed by the emotional and physical tribulation of their breast cancer trajectory (Surbone & Peccatori, 2006). This is because, the impact of cancer remains long even after treatment ended. Besides the common issues that accompany any cancer diagnosis, breast cancer survivors also have to deal with exclusive concerns such as decreased sexual function, relationship issues, fears about genetic inheritability of cancer and complications from this disease such as lymphedema (Hodgkinson, Butow, Fuchs, et al., 2007). Therefore, the completion of treatment does not equate to lesser need for health care. Long term health issues related to breast cancer survivors have thus emerged as a public health concern.