O aumento da sobrevida ao câncer é uma realidade nos dias atuais. Diante dessa constatação, a preocupação em conhecer as repercussões dos efeitos tardios na qualidade de vida ao longo dos anos tornou-se uma das prioridades para enfermeiros que atuam na oncologia. Buscando contribuir com essa discussão, o objetivo do presente estudo é conhecer a experiência dos sobreviventes do câncer infanto-juvenil e identificar quais as repercussões da enfermidade na qualidade de suas vidas. O estudo é de natureza qualitativa, realizado com 21 sobreviventes ao câncer infanto-juvenil, em acompanhamento em um hospital escola do interior do estado de São Paulo. As técnicas utilizadas para a coleta de dados foram a entrevista e a observação, com complementação de dados clínicos obtidos nos prontuários. Os dados foram organizados ao redor de duas temáticas: experiência da doença e as repercussões na vida do sobrevivente e satisfação com a vida. Para esse estudo a qualidade de vida tem características existenciais sendo composta pelas dimensões ser, pertencer e tornar-se onde o conhecimento da experiência da enfermidade é fundamental para a compreensão do processo de sobrevivência. O primeiro tema emergiu com as recordações do processo diagnóstico-terapêutico onde os participantes pontuaram os momentos dolorosos do tratamento, mas também os positivos como os de socialização (escola, recreação). Observamos que as repercussões físicas e psicossociais do câncer infanto-juvenil estão interligadas e refletem na qualidade de vida, a depender do tipo de câncer, idade e terapêutica. A satisfação com a vida, segundo tema, incluiu a capacidade dos sobreviventes em ter uma vida normal e a visão otimista do futuro, porém, o planejamento do futuro é permeado por dúvidas e inseguranças. Mesmo frente à satisfação com a vida, algumas alterações foram identificadas: na dimensão ser, as sequelas físicas e insatisfação com auto imagem; na dimensão pertencer, as dificuldades de relacionamento e inserção social e na dimensão tornar-se pelas dificuldades escolares e sentimento de insegurança com o futuro. Assim, os resultados do estudo revelam a singularidade e diversidade de fatores que interferem na qualidade de vida do sobrevivente ao câncer infanto-juvenil, destacando a necessidade de planejamentos que associem experiência do sobreviventes, conhecimento técnico dos profissionais de saúde e apoio familiar e comunitário. / The increased survival of cancer is a reality in our days. Considering this fact, the concernment to know the impact of late effects on lives quality over the years has become a priority for nurses who are working at oncology. Seeking to contribute to this discussion, the aim of this study is to know the experience of children and adolescents cancer survivors and identify which are the disease impacts on their quality of lives. The study shows a qualitative field conducted by 21 children and youth cancer survivors that have been supported at a teaching hospital in an inner city in São Paulo state. All the techniques used for data collection were based on interviews and observation and also clinical data obtained from the files. Data were organized around two themes: the experience of illness and the impact on their lives satisfaction. For this study the quality of life has an essential characteristic composed by the dimensions of being, belonging and becoming someone. The experience of illness is the key for the process of survival understanding at this moment. The first theme emerged with the diagnostics and therapeutic processes recollections which participants scored the painful moments of the treatment, but they also scored the positive ones as the socialization and recreation at school. We have observed that the physical and psychosocial consequences of cancer for children and youth are interrelated and reflect at the life quality in order of each type of cancer, age and therapy. The satisfaction with life, as mentioned before, is related with the survivor\'s ability of having a normal life and an optimistic vision of the future, but plans for the future is totally full of doubts and insecurities. Even dealing with life satisfaction at the moment, some annoying changes at the dimensions of being, belonging and becoming were identified such as physical disability, dissatisfaction with self image, the difficulties on relationship, the social acceptance, school difficulties and feelings of insecurity for the future. Thus, the study results show the uniqueness and diversity of factors that affect the quality of lives of children and adolescents cancer survivors, it is necessary to highlight the needs of having a plan that involves survivors experience, health professional\'s technical knowledge and family and community support.

Abstrakt Bakgrund Hjärtstopp är förknippat med hög dödlighet. Eftersom antalet överlevare ökar är det betydelsefullt att få en förståelse för vilken typ av hälsoproblematik och livskvalitet som överlevare innehar. Syfte Syftet är att beskriva självskattade hälsoproblem hos personer som överlevt hjärtstopp. Metod En systematisk litteraturstudie genomfördes och resultatet baseras på 12 kvantitativa vetenskapliga artiklar. Resultat I resultatet framgick fysiska-, psykiska och sociala hälsoproblem hos hjärtstoppsöverlevare. De mest framträdande problemen var smärta, trötthet, ångest och depression samt problematik att delta i samhället som exempelvis, att återgå till arbetet efter hjärtstopp. Flera faktorer tycks påverka överlevares hälsoproblematik. Slutsats Studien visade på fysiska, mentala och sociala hälsoproblem som till viss del samvarierade. Det fanns också stora individuella skillnader mellan överlevare som delvis kunde förklaras av ålder, kön och personlighetsfaktorer. I syfte att förbättra överlevares hälsa bör eftervården inriktas på att identifiera den enskildes hälsoproblem och individualisera vården utifrån dessa. Nyckelord Hjärtstopp, överlevare, hälsa, livskvalitet, eftervård. Tack Ett stort tack till Johan Israelsson för all stöttning och ditt stora engagemang.

Background: Sexual abuse is a highly distressing traumatic experience that negatively affects the lives of sexual abuse survivors. The number of individuals who reported sexual abuse has increased, which makes it a public and global concern. As a result, survivors of sexual abuse turn to counselling to cope with the traumatic impacts. Counsellors, psychotherapists, and psychologists engage in deep and meaningful explorations of the sexual abuse in order to support survivors. However, very little is known about the impacts and coping strategies involved in this type of work. Objectives: The objective of this study, therefore, was to explore the experiences of UK-based counselling professionals who counsel survivors of sexual abuse. The research questions were as follows: 1. What is the impact of counselling survivors of sexual abuse? and 2. What self-care strategies and coping techniques have been beneficial when counselling survivors of sexual abuse? Method: An inductive qualitative design was used for the purposes of this study. Semi-structured interviews were conducted with twelve UK-based counselling professionals who provided counselling to individuals who had experienced sexual abuse. The collected data were then analysed using thematic analysis. Findings: The themes developed from the first research question revealed a number of ways in which counselling survivors of sexual abuse affected counselling professionals. Three main themes emerged from the data analysis: work-related impacts, impacts on personal wellbeing and relationship impacts. These themes encompassed a total of fourteen sub-themes. Another two main themes were developed when exploring participants' self-care techniques and coping strategies: holistic self-care and work environment selfcare. Both of these main themes incorporated twelve more sub-themes. These are introduced and outlined in depth in turn. Conclusions: This research has provided a unique insight into the impacts and coping strategies of UK-based counselling professionals working with survivors of sexual abuse. The findings suggest that the counsellors experienced a number of negative impacts, some of which were perceived as traumatic in nature. Further, the impacts were not limited to the counsellors themselves; partners, children, extended family, and friends were also affected by the work. Such far-reaching impacts of sexual trauma have not been sufficiently explored previously. Contrary to the negative tendencies expressed in the research literature, some of the findings indicate positive aspects, such as high job satisfaction and evolved personal growth. The findings of this study provide a rare insight into the useful self-care techniques and copings strategies specific for counselling survivors of sexual abuse. Although the strategies are similar to those used in other areas of counselling, they emphasize organisational and educational responsibilities to support counsellors' wellbeing. Suggestions are proposed for research, educational, organisational, and ethical developments.

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Comment et pourquoi les plans sociaux successifs impactent-ils les dynamiques sociales des acteurs sur l’ensemble de ses processus temporels ? La recherche s’interroge notamment sur les logiques et les résultats obtenus par les entreprises dans les processus de négociation avec les institutions représentatives du personnel (IRP) et les salariés dans les changements organisationnels post plan social. Nous présentons une analyse des processus de négociation, avant d’examiner le processus de rejet des salariés survivants lors des consultations, allant jusqu’à une démotivation sociale. Nous montrerons pourquoi ces deux processus sont parfois contraires et témoignent d’une démotivation sociale des salariés survivants. Plusieurs études de cas serviront de fil rouge à l’illustration de ces dysfonctionnements / How and why do successive social plans impact the social dynamics of the actors on all of its temporal processes ? The research questions the logic and results of companies in the process of negotiation with the representative bodies (IRP) and employees in organizational change post PSE. We present an analysis of the negotiation process, before considering the rejection process of surviving employees during the consultation, up to a social motivation shared by. We show why these two processes are sometimes contrary and demonstrate a social motivation survivors employees. Several case studies will be used as thread for the illustration of these problems

Cancer patients worldwide receive care from multidisciplinary teams, and patients sometimes have little or no knowledge about the different treatment options available, making communication with their care providers an important influence in how they perceive their care. Patient satisfaction with care is an important factor in determining survivorship. The increasing prevalence of cancer worldwide has become a huge public health issue. The World Health Organization has warned that the potential gains from combatting infectious diseases in Nigeria might be lost because of the increasing prevalence of cancer. The purpose of this grounded theory study was to obtain the perceptions of 30 cancer survivors in Nigeria about their care in federally funded hospitals to improve cancer care in the country. Through a constructivist grounded theory (CGT) approach, data from 30 in-depth interviews with the cancer survivors were analyzed. Data analysis included open coding, selective coding, theoretical coding, and memo writing. Three themes emerged from the data analysis: positive perception of care (P), service improvement (S), and good care experience (G), all of which were cyclically related to form the PSG substantive theory, which indicates that better health care to cancer patients will improve preventative and curative cancer care services in Nigeria. This theory was validated by relating it to 3 theories in the literature as recommended in CGT research. The implication for positive social change is that the results might provide information that can help health care professionals to improve how they communicate with, relate to, and care for cancer patients and their families in Nigeria and other countries.

Throughout history, the media's rendering of slavery depicts vulnerable groups caught in a network of trafficking looking for a better life. Scholars of trafficking cite challenges in understanding the health care needs of domestic forced labor trafficking survivors in the United States. Seminal trafficking findings have shown that variations of trafficking affect the survivors' health after surviving trafficking. Therefore, in this qualitative, narrative inquiry I sought to understand how 8 survivors of forced labor trafficking, ages 25 years and older, described their health following trafficking beyond 5 years. The theory of social constructionism constituted the theoretical foundation, and the salutogenic model of health is the conceptual framework. The research questions for the study focused on understanding how adult survivors described experiences of entering and exiting trafficking, and their physical health, post-trafficking involvement. Criterion sampling facilitated identifying survivors of forced labor trafficking. Semi-structured interviewing guided the survivors' narrative storytelling. For analyzing the narratives, I used Braun and Clarke's Thematic Analysis strategy. The results of the pilot and main study showed that survivors suffer from an array of ongoing cognitive and general health concerns beyond surviving trafficking. The findings suggest that these ongoing health conditions influenced survivors' well-being beyond surviving trafficking. The results of the study may lead those in the medical field (e.g. health administrators) to identify other conditions influencing survivors' health after surviving trafficking.