Background: Communication is an important aspect in making patients competent to define, process, and manage their disease condition as well as to intercept and satisfy psychosocial needs. Communication between patient and nurse is central to the learning and orientating process since the nurse has the greatest frequency and continuity of relationship with patients and their families. This study aims to investigate the quality of communication between patient and nurse and the factors that promote or hinder effective communication from the oncology patient’s perspective within an inpatient hospital setting. Methods: A descriptive qualitative study was conducted with one-to-one semi-structured interviews analyzed using the Framework Analysis methodology. The population consisted of oncologic patients admitted to the Medical Oncology Units of the Regina Elena National Cancer Institute in Rome. Data were analyzed using Ritchie and Spencer’s Framework Analysis. Results: The sample comprised 20 patients, with an average age of 61.35, admitted to the Medical Oncology Units of the Regina Elena National Cancer Institute in Rome. Three themes emerged: positive communication as an element of care, factors fostering communication, and factors hindering communication. Conclusions: The sample interviewed deems the quality of communication satisfactory. Familiar communication style, direct language, and caring are factors fostering communication. In contrast, lack of communication between medical and nursing staff, shortage of staff, and lack of time are considered communication barriers. Advanced communication competencies in nurses are crucial for effectively addressing the emotional and psychosocial needs of cancer patients, fostering a more empathetic and supportive care environment.
Background/Objectives: In the context of evolving healthcare systems, effective communication represents a fundamental skill for ensuring quality care and addressing the psychosocial needs of oncology patients. In line with the new challenges of nursing education, this study explores communication between nurses and oncology patients, analyzing facilitating and hindering factors from the nurses’ perspective within the hospital setting. Methods: A descriptive qualitative study was conducted using one-on-one semi-structured interviews. The interviews lasted from 15 to 30 min. The study population consisted of nurses working in the Medical Oncology units of the Regina Elena Institute in Rome (IRE). Data were analyzed using the Framework Analysis method by Ritchie and Spencer. Results: The sample consisted of 20 nurses with an average age of 33.5 years. Six main themes emerged: communication as the pillar of the care relationship between technical and human aspects, the need for a balance between closeness and personal protection, the influence of language and personalized approaches on communication, the stimulation of specific training needs, and barriers to nursing communication. Conclusions: Nurses recognize communication as an integral part of the care process and as a key competency for addressing the complex needs of oncology patients. However, inadequate training, time constraints, and staff shortages represent significant barriers, highlighting the need to invest in specific training programs and organizational strategies to improve the quality of care.
Background: Communication is an important aspect in making patients competent to define, process, and manage their disease condition as well as to intercept and satisfy psychosocial needs. Communication between patient and nurse is central in the learning and orientating process since the nurse has the greatest frequency and continuity of relationship with patients and their families. Objective: To investigate the quality of communication between patient and nurse and the factors that promote or hinder effective communication from the oncology patient's perspective within an inpatient hospital setting. Methods: A descriptive qualitative study was conducted with one-to-one semi-structured interviews. The population consisted of oncologic patients admitted to the Medical Oncology Units of the Regina Elena National Cancer Institute in Rome. Data were analyzed using Ritchie and Spencer's Framework Analysis. Results: The sample comprised 20 patients, with an average age of 61.35, admitted to the Regina Elena Medical Oncology Units. Three themes emerged: positive communication as an element of care, factors fostering communication, and factors hindering communication. Conclusions: The sample interviewed deems the quality of communication satisfactory. Familiar communication style, direct language, and caring are factors fostering communication. In contrast, lack of communication between medical and nursing staff, shortage of staff, and lack of time are considered communication barriers. Advanced communication competencies in nurses are crucial for effectively addressing the emotional and psychosocial needs of cancer patients, fostering a more empathetic and supportive care environment.
Background/Objectives: Hidradenitis Suppurativa (HS) is a chronic inflammatory skin disease associated with a significant impairment in patients’ quality of life (QoL). However, evidence on QoL assessment in HS remains fragmented, with heterogeneous instruments and domains reported. This scoping review aimed to map the assessment of QoL in individuals with HS, identify the instruments used, and describe the domains explored. Methods: This scoping review was conducted in accordance with the Arksey and O’Malley framework, as refined by Levac et al. and the Joanna Briggs Institute. A systematic search of six databases was performed between November 2025 and March 2026 to identify studies reporting QoL or patient-reported outcomes (PROs) in individuals with HS. Data were extracted and analyzed using a narrative synthesis approach. Results: A total of 21 studies met the inclusion criteria. HS was consistently associated with substantial QoL impairment across multiple domains, including physical, psychological, social, sexual, and occupational aspects. Symptom burden was a major determinant of reduced QoL, particularly pain, pruritus, malodor, and discharge. A wide range of instruments was used, with the Dermatology Life Quality Index (DLQI) being the most frequently applied. However, most tools did not adequately capture the multidimensional impact of HS. The use of HS-specific instruments was limited, and most studies adopted cross-sectional designs. Conclusions: QoL in HS is markedly compromised, but current assessment approaches are inconsistent and incomplete. Further research using comprehensive, disease-specific instruments and longitudinal designs is needed to better capture disease burden and support patient-centered care.
Background and Objectives: Cancer care is increasingly delivered through outpatient pathways, thereby progressively transferring part of the organisational and practical workload of care to patients and informal caregivers. Although peripherally inserted central catheters (PICCs) are widely used in oncology for safe vascular access, comparatively less attention has been devoted to the organisational and logistical burden of PICC management and to the related involvement of informal caregivers in ambulatory settings. Materials and Methods: A single-centre descriptive study was conducted among adult oncology outpatients undergoing PICC placement within an ambulatory oncology service. Health-related quality of life was assessed at baseline (T0) and at two-month follow-up (T1) using the SF-36 questionnaire. A structured exploratory 20-item survey was additionally administered at follow-up to investigate physical, psychological, and organisational/social burden associated with PICC management. Descriptive statistics and Wilcoxon signed-rank tests were used for analysis. Results: Forty patients were enrolled, and 37 completed the follow-up assessment. In exploratory analyses, statistically significant reductions were observed in the SF-36 domains of general health (p = 0.034) and vitality (p = 0.016), whereas no statistically significant changes were observed in the remaining domains. PICC-related complications were recorded in five participants (12.5%). The exploratory survey identified the highest burden scores within the organisational/social domain, particularly for travel requirements for weekly dressing changes, caregiver assistance with transportation, and travel-related costs. Conclusions: The findings provide preliminary evidence of practical and organisational demands within outpatient PICC management pathways that are not fully reflected by conventional device-related outcomes or generic HRQoL measures. Given the descriptive, single-centre design and exploratory burden assessment, these findings should be considered hypothesis-generating. Larger multicentre and longitudinal studies using validated measures are needed to confirm these observations and evaluate alternative models of PICC follow-up.
Background/Objectives: Hidradenitis Suppurativa (HS) is a chronic inflammatory skin disease associated with a significant impairment in patients’ quality of life (QoL). However, evidence on QoL assessment in HS remains fragmented, with heterogeneous instruments and domains reported. This scoping review aimed to map the assessment of QoL in individuals with HS, identify the instruments used, and describe the domains explored. Methods: This scoping review was conducted in accordance with the Arksey and O’Malley framework, as refined by Levac et al. and the Joanna Briggs Institute. A systematic search of six databases was performed between November 2025 and March 2026 to identify studies reporting QoL or patient-reported outcomes (PROs) in individuals with HS. Data were extracted and analysed using a narrative synthesis approach. Results: A total of 21 studies met the inclusion criteria. HS was consistently associated with substantial QoL impairment across multiple domains, including physical, psychological, social, sexual, and occupational aspects. Symptom burden was a major determinant of reduced QoL, particularly pain, pruritus, malodor, and discharge. A wide range of instruments was used, with the Dermatology Life Quality Index (DLQI) being the most frequently applied. However, most tools did not adequately capture the multidimensional impact of HS. The use of HS-specific instruments was limited, and most studies adopted cross-sectional designs. Conclusions: QoL in HS is markedly compromised, but current assessment approaches are inconsistent and incomplete. Further research using comprehensive, disease-specific instruments and longitudinal designs is needed to better capture disease burden and support patient-centred care.