Savitri Singh-carlson | California State University, Monterey Bay (original) (raw)
Uploads
Papers by Savitri Singh-carlson
The Breast, 2013
Breast cancer survivors may experience long-term treatment complications, must live with the risk... more Breast cancer survivors may experience long-term treatment complications, must live with the risk of cancer recurrence, and often experience psychosocial complications that require supportive care services. In low-and middle-income settings, supportive care services are frequently limited, and program development for survivorship care and long-term follow-up has not been well addressed.
Canadian Oncology Nursing Journal, 2015
Purpose: Purpose of this study was to explore experiences and concerns of breast cancer survivors... more Purpose: Purpose of this study was to explore experiences and concerns of breast cancer survivors in order to identify the impact of curative treatment 3-48 months post-treatment and to determine preferred content and format of survivorship care plan.
Background: In adolescent African American women repeat gonorrhea infections are associated with ... more Background: In adolescent African American women repeat gonorrhea infections are associated with impulsivity, but personality measures are seldom used in sexually transmitted infection studies of adults. The objective of this study was to identify personality variables that act as predictors of repeat gonorrhea infections in a sample of adult women. Methods: Women completed several personality measures on sexual compulsivity, impulsivity, and sexual addiction and provided demographic and sexual risk behavior information. Information on gonorrhea infection was elicited by both self-report of the number of times participants had been told they had gonorrhea by a health care provider and urine laboratory test results. Results: 360 women completed the instruments and 45% of the sample was African American, 32% was White and 15% was Latina. Mean age was 38 years (SD=11.57). Total number of self-reported gonorrhea infections ranged from 0-10 and was significantly and positively correlated...
Background: Despite recommendations that high-risk adults receive vaccination for hepatitis B, up... more Background: Despite recommendations that high-risk adults receive vaccination for hepatitis B, uptake is low. Community efforts have focused on providing low or no cost hepatitis vaccination for high-risk adults. Methods: No cost hepatitis vaccinations were provided on a walk-in basis to individuals receiving testing for HIV, hepatitis A, B and C, and gonorrhea, chlamydia and syphilis (sexually transmitted infections; STs). Clients received rapid HIV testing and returned in one week for the STI results, then were referred to the on-site nurse for vaccination with Twinrix (combined hepatitis A and B--GlaxoSmithKline). Participants also completed the Risk Behavior Assessment (RBA), which elicited information on drug and sex risks for HIV and a cardio-vascular risk assessment survey (CVRA), which elicited information on exercise and eating habits and social support. Results: 2515 individuals received testing and 119 (4.7%) returned for at least one dose of hepatitis vaccination. Indivi...
Korean Journal of Women Health Nursing, 2010
ABSTRACT The concept of respect is rooted in the core value of human relations, and interpersonal... more ABSTRACT The concept of respect is rooted in the core value of human relations, and interpersonal relationships with others. The notion of respect in these relationships is entrenched in the broader context of the processes of relationships between professionals and clients in general, along with the philosophical and ethical foundations of respect. Although nursing principles and values, such as autonomy and dignity have built their foundation of care on the concept of respect, these concepts (ie. autonomy and dignity) are still different from respect. Respect within health professional-client relationships, indicates that respect is a fundamental concept within nursing, permeating a number of other concepts that provide purposeful nursing care within the process of nurse-client relationships and respect has been discussed as an ethical and moral concept of care that addresses the values of human dignity in the nursing discipline, however research examining the client's perspectives of respect as an ethical principle of care, especially within Canada's diverse population is non-existent. There is limited research from the client's perspective addressing challenges communicating the concept of respect in relationships between health professionals and clients, specifically research directed at immigrant or the vulnerable population.
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2014
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2010
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2010
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2009
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2009
International Journal of Radiation Oncology*Biology*Physics, 2013
Materials/Methods: We systematically reviewed the literature to identify manuscripts reporting HR... more Materials/Methods: We systematically reviewed the literature to identify manuscripts reporting HRQOL outcomes in adults with HNSCC treated with a curative regimen of radiation therapy with or without chemotherapy. Reports were assessed for quality, and high quality reports were reviewed in detail to identify trends in HRQOL outcomes. Eligibility and quality assessment were performed independently by two reviewers, with a third reviewer resolving disputes. We also classified value added to the literature by these papers using a taxonomy developed by the NCIC-Clinical Trials Group. Results: MEDLINE and EMBASE searching yielded 276 distinct reports, plus 22 more added via hand search. Title search left 147 papers, with 52 meeting eligibility criteria. Of these, 17 were deemed high quality reports on the basis of our quality assessment tool. HRQOL declines immediately after treatment but recovers near to baseline levels, generally within 12 months. Lack of high quality studies makes assessment of the effect on HRQOL of adding chemotherapy to radiation therapy difficult, but the HRQOL of these patients seems to follow a similar pattern. Combined chemoradiation therapy showed a trend toward worse HRQOL compared with RT alone. Intensity modulated radiation therapy (IMRT) yields better HRQOL compared with conventional 3-dimensional radiation therapy. Baseline HRQOL may be independently predictive of local-regional control and overall survival. Areas of poor reporting include statistical strategies to account for missing data or multiple endpoints, declaration of a priori hypothesis, and reasoning behind the choice of a particular quality of life assessment tool. Conclusions: Further studies applying HRQOL assessments prospectively, with comparison to controls or between treatment strategies, are needed. HRQOL outcomes should be incorporated into phase III and large phase II trials and reported with adequately detailed methods to permit quality assessment. Such data is required for HRQOL to add value to research and facilitate clinical applications such as prognostication and patient counseling.
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2014
Current Oncology, 2013
Many of the impacts of breast cancer treatment are shared by women of all ethnic backgrounds. Oth... more Many of the impacts of breast cancer treatment are shared by women of all ethnic backgrounds. Others-such as high levels of compliance, little reported strain on spousal and family relationships, and the importance of faith-reflect specific cultural variations. These universal and culture-specific themes should all be kept in mind when developing a scp tailored to sa women. The developmental life stage of a woman affects how she views the cancer diagnosis, especially with respect to family, reproduction, and work issues.
Background: The purpose of this study was to examine the experiences of nursing students with exp... more Background: The purpose of this study was to examine the experiences of nursing students with exposure of influenza A (H1N1). Methods: A qualitative descriptive study design was used. A total of 24 nursing students participated in six focus groups. Results: The six themes that emerged from the data are as follows: (1) worrying about becoming infected; (2) protecting oneself and others; (3) relying on the nurses in the school health center; (4) being hurt by others' negative reactions; (5) being ambivalent, and (6) being concerned over the high price. Conclusion: Nursing students who come in contact with patients in a clinical setting must also be considered as candidates for early vaccination. Healthcare professionals, as well as family and friends, should keep in mind that their verbal or nonverbal expressions can hurt others' feelings at a time when special care and support are needed the most. Stigma could be serious barriers of people's access to health services and ...
Radiotherapy and Oncology, 2009
Canadian Oncology Nursing Journal, 2010
Current Oncology, 2011
Increasing numbers of women are surviving breast cancer, and survivorship care is becoming more c... more Increasing numbers of women are surviving breast cancer, and survivorship care is becoming more complex. Primary care physicians provide care for most survivors of breast cancer in the Canadian province of British Columbia. The present study offers insight into the confidence of primary care physicians in their abilities to provide such care. It also explores potential ways to assist those providers in enhancing this aspect of their practice. A questionnaire was mailed to 1000 primary care physicians caring for survivors of breast cancer. The questionnaire explored the perspectives of the responding physicians on their ability to manage various aspects of survivorship care for breast cancer patients, identified preferences for the content and format of communication from oncologists at the time of transition from active oncology treatment to survivorship, and determined the means most commonly used to obtain knowledge about breast cancer. This 1-page, 31-item checkbox and open-answer questionnaire assessed the perceptions of primary care physicians about the care of breast cancer survivors after completion of active treatment and their personal preferences for resources providing information about breast cancer. The questionnaire response rate was 59%. Primary care physicians reported being most confident in screening for recurrence and managing patient anxiety; they were least confident in managing lymphedema and providing psychosocial counselling. Compared with physicians following fewer survivors of breast cancer, those who followed more breast cancer survivors had higher confidence in managing the biomedical aspects of follow-up and in providing counselling about nutrition and exercise. Most physicians found discharge letters from oncologists to be useful. Point-form discharge information was preferred by 43%; detailed description, by 19%; and both formats, by 38%. The most useful information items identified for inclusion in a discharge letter were a diagnosis and treatment summary and the recommended surveillance and endocrine therapy. Continuing medical education events and online resources were the means most commonly used to obtain knowledge about breast cancer. Primary care physicians who provide follow-up for survivors of breast cancer report that they are confident in managing care and satisfied with discharge letters containing a diagnosis and treatment summary, and recommendations for surveillance and endocrine treatment. At the time of patient discharge, additional information about common medical and psychosocial issues in this patient population would be useful to primary care physicians. Preferred means to access current breast cancer information include continuing medical education events and online resources.
Current Oncology, 2013
be experienced in common with bcss of other ethnic backgrounds, but the present study also sugges... more be experienced in common with bcss of other ethnic backgrounds, but the present study also suggests the presence of unique cultural nuances such as spiritual and language-specific support resource needs. The results provide direction for designing key content and format of scps, and information about elements of care that can be customized to individual patient needs.
The Breast, 2013
Breast cancer survivors may experience long-term treatment complications, must live with the risk... more Breast cancer survivors may experience long-term treatment complications, must live with the risk of cancer recurrence, and often experience psychosocial complications that require supportive care services. In low-and middle-income settings, supportive care services are frequently limited, and program development for survivorship care and long-term follow-up has not been well addressed.
Canadian Oncology Nursing Journal, 2015
Purpose: Purpose of this study was to explore experiences and concerns of breast cancer survivors... more Purpose: Purpose of this study was to explore experiences and concerns of breast cancer survivors in order to identify the impact of curative treatment 3-48 months post-treatment and to determine preferred content and format of survivorship care plan.
Background: In adolescent African American women repeat gonorrhea infections are associated with ... more Background: In adolescent African American women repeat gonorrhea infections are associated with impulsivity, but personality measures are seldom used in sexually transmitted infection studies of adults. The objective of this study was to identify personality variables that act as predictors of repeat gonorrhea infections in a sample of adult women. Methods: Women completed several personality measures on sexual compulsivity, impulsivity, and sexual addiction and provided demographic and sexual risk behavior information. Information on gonorrhea infection was elicited by both self-report of the number of times participants had been told they had gonorrhea by a health care provider and urine laboratory test results. Results: 360 women completed the instruments and 45% of the sample was African American, 32% was White and 15% was Latina. Mean age was 38 years (SD=11.57). Total number of self-reported gonorrhea infections ranged from 0-10 and was significantly and positively correlated...
Background: Despite recommendations that high-risk adults receive vaccination for hepatitis B, up... more Background: Despite recommendations that high-risk adults receive vaccination for hepatitis B, uptake is low. Community efforts have focused on providing low or no cost hepatitis vaccination for high-risk adults. Methods: No cost hepatitis vaccinations were provided on a walk-in basis to individuals receiving testing for HIV, hepatitis A, B and C, and gonorrhea, chlamydia and syphilis (sexually transmitted infections; STs). Clients received rapid HIV testing and returned in one week for the STI results, then were referred to the on-site nurse for vaccination with Twinrix (combined hepatitis A and B--GlaxoSmithKline). Participants also completed the Risk Behavior Assessment (RBA), which elicited information on drug and sex risks for HIV and a cardio-vascular risk assessment survey (CVRA), which elicited information on exercise and eating habits and social support. Results: 2515 individuals received testing and 119 (4.7%) returned for at least one dose of hepatitis vaccination. Indivi...
Korean Journal of Women Health Nursing, 2010
ABSTRACT The concept of respect is rooted in the core value of human relations, and interpersonal... more ABSTRACT The concept of respect is rooted in the core value of human relations, and interpersonal relationships with others. The notion of respect in these relationships is entrenched in the broader context of the processes of relationships between professionals and clients in general, along with the philosophical and ethical foundations of respect. Although nursing principles and values, such as autonomy and dignity have built their foundation of care on the concept of respect, these concepts (ie. autonomy and dignity) are still different from respect. Respect within health professional-client relationships, indicates that respect is a fundamental concept within nursing, permeating a number of other concepts that provide purposeful nursing care within the process of nurse-client relationships and respect has been discussed as an ethical and moral concept of care that addresses the values of human dignity in the nursing discipline, however research examining the client's perspectives of respect as an ethical principle of care, especially within Canada's diverse population is non-existent. There is limited research from the client's perspective addressing challenges communicating the concept of respect in relationships between health professionals and clients, specifically research directed at immigrant or the vulnerable population.
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2014
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2010
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2010
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2009
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2009
International Journal of Radiation Oncology*Biology*Physics, 2013
Materials/Methods: We systematically reviewed the literature to identify manuscripts reporting HR... more Materials/Methods: We systematically reviewed the literature to identify manuscripts reporting HRQOL outcomes in adults with HNSCC treated with a curative regimen of radiation therapy with or without chemotherapy. Reports were assessed for quality, and high quality reports were reviewed in detail to identify trends in HRQOL outcomes. Eligibility and quality assessment were performed independently by two reviewers, with a third reviewer resolving disputes. We also classified value added to the literature by these papers using a taxonomy developed by the NCIC-Clinical Trials Group. Results: MEDLINE and EMBASE searching yielded 276 distinct reports, plus 22 more added via hand search. Title search left 147 papers, with 52 meeting eligibility criteria. Of these, 17 were deemed high quality reports on the basis of our quality assessment tool. HRQOL declines immediately after treatment but recovers near to baseline levels, generally within 12 months. Lack of high quality studies makes assessment of the effect on HRQOL of adding chemotherapy to radiation therapy difficult, but the HRQOL of these patients seems to follow a similar pattern. Combined chemoradiation therapy showed a trend toward worse HRQOL compared with RT alone. Intensity modulated radiation therapy (IMRT) yields better HRQOL compared with conventional 3-dimensional radiation therapy. Baseline HRQOL may be independently predictive of local-regional control and overall survival. Areas of poor reporting include statistical strategies to account for missing data or multiple endpoints, declaration of a priori hypothesis, and reasoning behind the choice of a particular quality of life assessment tool. Conclusions: Further studies applying HRQOL assessments prospectively, with comparison to controls or between treatment strategies, are needed. HRQOL outcomes should be incorporated into phase III and large phase II trials and reported with adequately detailed methods to permit quality assessment. Such data is required for HRQOL to add value to research and facilitate clinical applications such as prognostication and patient counseling.
Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 2014
Current Oncology, 2013
Many of the impacts of breast cancer treatment are shared by women of all ethnic backgrounds. Oth... more Many of the impacts of breast cancer treatment are shared by women of all ethnic backgrounds. Others-such as high levels of compliance, little reported strain on spousal and family relationships, and the importance of faith-reflect specific cultural variations. These universal and culture-specific themes should all be kept in mind when developing a scp tailored to sa women. The developmental life stage of a woman affects how she views the cancer diagnosis, especially with respect to family, reproduction, and work issues.
Background: The purpose of this study was to examine the experiences of nursing students with exp... more Background: The purpose of this study was to examine the experiences of nursing students with exposure of influenza A (H1N1). Methods: A qualitative descriptive study design was used. A total of 24 nursing students participated in six focus groups. Results: The six themes that emerged from the data are as follows: (1) worrying about becoming infected; (2) protecting oneself and others; (3) relying on the nurses in the school health center; (4) being hurt by others' negative reactions; (5) being ambivalent, and (6) being concerned over the high price. Conclusion: Nursing students who come in contact with patients in a clinical setting must also be considered as candidates for early vaccination. Healthcare professionals, as well as family and friends, should keep in mind that their verbal or nonverbal expressions can hurt others' feelings at a time when special care and support are needed the most. Stigma could be serious barriers of people's access to health services and ...
Radiotherapy and Oncology, 2009
Canadian Oncology Nursing Journal, 2010
Current Oncology, 2011
Increasing numbers of women are surviving breast cancer, and survivorship care is becoming more c... more Increasing numbers of women are surviving breast cancer, and survivorship care is becoming more complex. Primary care physicians provide care for most survivors of breast cancer in the Canadian province of British Columbia. The present study offers insight into the confidence of primary care physicians in their abilities to provide such care. It also explores potential ways to assist those providers in enhancing this aspect of their practice. A questionnaire was mailed to 1000 primary care physicians caring for survivors of breast cancer. The questionnaire explored the perspectives of the responding physicians on their ability to manage various aspects of survivorship care for breast cancer patients, identified preferences for the content and format of communication from oncologists at the time of transition from active oncology treatment to survivorship, and determined the means most commonly used to obtain knowledge about breast cancer. This 1-page, 31-item checkbox and open-answer questionnaire assessed the perceptions of primary care physicians about the care of breast cancer survivors after completion of active treatment and their personal preferences for resources providing information about breast cancer. The questionnaire response rate was 59%. Primary care physicians reported being most confident in screening for recurrence and managing patient anxiety; they were least confident in managing lymphedema and providing psychosocial counselling. Compared with physicians following fewer survivors of breast cancer, those who followed more breast cancer survivors had higher confidence in managing the biomedical aspects of follow-up and in providing counselling about nutrition and exercise. Most physicians found discharge letters from oncologists to be useful. Point-form discharge information was preferred by 43%; detailed description, by 19%; and both formats, by 38%. The most useful information items identified for inclusion in a discharge letter were a diagnosis and treatment summary and the recommended surveillance and endocrine therapy. Continuing medical education events and online resources were the means most commonly used to obtain knowledge about breast cancer. Primary care physicians who provide follow-up for survivors of breast cancer report that they are confident in managing care and satisfied with discharge letters containing a diagnosis and treatment summary, and recommendations for surveillance and endocrine treatment. At the time of patient discharge, additional information about common medical and psychosocial issues in this patient population would be useful to primary care physicians. Preferred means to access current breast cancer information include continuing medical education events and online resources.
Current Oncology, 2013
be experienced in common with bcss of other ethnic backgrounds, but the present study also sugges... more be experienced in common with bcss of other ethnic backgrounds, but the present study also suggests the presence of unique cultural nuances such as spiritual and language-specific support resource needs. The results provide direction for designing key content and format of scps, and information about elements of care that can be customized to individual patient needs.