Publications by authors named "Magdeline Aagard"

5 Publications

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Barriers to Cancer Care in Northern Tanzania: Patient and Health-System Predictors for Delayed Presentation.

JCO Glob Oncol 2021 09;7:1500-1508

Department of Medicine, Queen's University, Kingston, Ontario, Canada.

Purpose: Cancer is a growing problem in Africa, and delays in receiving timely cancer care often results in poorer outcomes. The purpose of this study was to identify the patient and health-system factors associated with delayed cancer care in adults living in the Northern Zone of Tanzania.

Patients And Methods: Between July 2018 and July 2019, we surveyed adult patients presenting to an oncology clinic in Northern Tanzania. Delayed presentation was defined as 12 weeks or longer from initial symptoms to presentation for cancer care. Multivariate logistic regression and adjusted relative risk (aRR) were used to identify factors predicting delayed presentation.

Results: Among 244 adult patients with cancer who completed the survey, 78% (n = 191) had delayed presentation. Patient-related factors associated with delayed presentation included lower educational attainment ( = .03), increased travel time ( = .05), lack of cancer knowledge ( < .05), and fear of cancer and cancer treatments ( < .05) on multivariate analysis. On analysis of aRR, patients without private car and those with health insurance had higher risk of delayed presentation (aRR: 1.27; 95% CI, 1.02 to 1.32 and aRR: 1.15; 95% CI, 1.01 to 1.32). There was a strong association with increased number of visits before presentation at the cancer center and delayed presentation ( = .0009).

Conclusion: Cancer awareness and prevention efforts targeting patients and community-level health care workers are key to reduce delays in cancer care in Northern Tanzania.
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September 2021

The Importance of Being a Compassionate Leader: The Views of Nursing and Midwifery Managers From Around the World.

J Transcult Nurs 2021 11 26;32(6):765-777. Epub 2021 Apr 26.

Research, Clinic and Care Organization Innovation "Luisa Marano" Area. UOC Care to the person, ASL Roma 2, Rome, Italy.

Introduction: Despite the importance of compassionate leadership in health care, many of the existing publications do not account for the effect of culture. The aim of this study is to explore the views of nursing and midwifery managers from different countries in relation to the definition, advantages, and importance of compassion.

Methodology: A cross-sectional, descriptive, exploratory online survey was conducted across 17 countries, containing both closed and open-ended questions. Data from = 1,217 respondents were analyzed using a directed hybrid approach focusing only on qualitative questions related to compassion-giving.

Results: Four overarching themes capture the study's results: (1) definition of compassion, (2) advantages and importance of compassion for managers, (3) advantages and importance of compassion for staff and the workplace, and (4) culturally competent and compassionate leadership.

Discussion: Innovative research agendas should pursue further local qualitative empirical research to inform models of culturally competent and compassionate leadership helping mangers navigate multiple pressures and be able to transculturally resonate with their staff and patients.
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November 2021

Exploring Nurses' Meaning and Experiences of Compassion: An International Online Survey Involving 15 Countries.

J Transcult Nurs 2017 05 29;28(3):286-295. Epub 2015 Dec 29.

1 Middlesex University, London, UK.

Purpose: In recent years, there has been much focus on compassion in nursing care, and concern has been raised in a number of reports and media stories regarding decreased compassion. The aim of this study was to explore similarities and differences in the understanding and demonstration of compassion in nursing practice across 15 countries.

Design: A total of 1,323 nurses from 15 countries responded to questions in relation to compassion, via an international online survey.

Results: The data revealed the impact of sociopolitical influences on perceptions of compassion, and the conscious and intentional nature of compassion.

Discussion And Conclusion: The study demonstrated shared understandings of the importance of compassion as well as some common perceptions of the attributes of compassionate care. The differences reported were not as significant as had been expected.

Implications For Practice: Further research is needed to explore the country and culture differences in the enactment of compassion.
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May 2017

Bricolage: making do with what is at hand.

Magdeline Aagard

Creat Nurs 2009 ;15(2):82-4

Augsburg College, Minneapolis, Minnesota, USA.

While researching and writing her dissertation, the author discovers the concept of bricolage. She describes its application in Tanzania and in a long-term acute care hospital in the Midwestern United States.
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August 2009