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Introduction: Breast cancer may have a significant impact on the psychosocial well-being, not only of the women diagnosed, but also on their family members. Aim: The purpose of this review and narrative synthesis is to investigate the affect of breast cancer on women and their family. Methods: The electronic databases Scopus, Psycinfo, Science Direct and Pubmed were searched during the period 2010-2020. We followed the PRISMA guidelines and the PICO framework with Boolean operators. Of the 1126 articles identified, only 35 were used in the final configuration of the systematic review, based on the inclusion and exclusion criteria that were set. Results: The 35 articles that were finally included in this review focused mainly on the relationship of women with breast cancer with their family. More specifically, family seems to play a significant role for women with breast cancer. Dynamics and roles among the family members are affected and burdened because of the disease. Family caregivers provide support to women with breast cancer, and patients receiving family care seem to respond more effectively to their treatment and manage to cope with their illness. Both breast cancer patients and family caregivers seek psychosocial support. Breast cancer can also have a detrimental effect on their family caregivers, their partners and the extended family. Conclusion: A supportive family may a have a positive impact on patients’ psychosocial wellbeing. Providing psychosocial support to both patients and family members may significantly improve the quality of life for the whole family.

IntroductionInadequate understanding of medical terminology, poor communication and lack of information affect women's ability to receive adequate care and to establish a relationship with the care provider.MethodsThe sample consists of five immigrants and refugees who lived in a shelter and participated in the ORAMMA program during their pregnancy, in March 2018. In-person interviews were conducted with the participation of an intercultural mediator with an open-ended exploratory questionnaire.ResultsThe women who received care under the ORAMMA program were very satisfied with the provision of prenatal care, they felt very comfortable with the providers talking, communicating, and building a relationship, asking clarifying questions and understanding the reason for their care. Women also felt intimacy, respect, friendship, empathy and confidence to share problems and feelings. Finally, empowering them to familiarize themselves with the health care system has proven to be useful enough for women to be able to care for themselves.ConclusionsThe provision of prenatal and perinatal care to refugee and migrant women offers significant benefits to pregnancy. Therefore, the provision of the ORAMMA program to migrant and refugee women is vital.

The Social Relationship Coping Efficacy scale (SRCE) was designed to assess cancer patients' efficacy for maintaining social support and social relationships. The purpose of the study was to confirm the psychometric quality and utility of a Greek-language version of the (SRCE) scale. The study included 116 women with breast cancer, who underwent surgery at a public hospital In Greece. The SRCE scale was translated using standard procedures and then culturally adapted for use in Greece. Psychometric evaluation of the SRCE-Greek scale included reliability, structural validity and convergent validity analyses. The SRCE-Greek scale demonstrated strong internal consistency (Cronbach a 0.87), and split-half reliability (Spearman-Brown, 0.747; Guttman, 0.742). The structural construct validity was confirmed with factor analysis using principal axis factor analysis. Construct validity was further supported with convergent validity with the Family Crisis Oriented Personal Evaluation Scales (F-COPES) (Acquiring Social Support, Reframing) and Family Support scale. The Greek language SRCE has strong internal consistency reliability and construct validity, as well as satisfactory convergent validity. Results provide support for the use of the SRCE-GR as a research and clinical instrument for the assessment of breast cancer patient's self-efficacy with regard to maintaining and enhancing close social relationships and social support.

Aim The purpose of this study is to investigate conflicts and identify the factors that cause the creation of conflicts in the operating room as well as coping strategies for conflict resolution. Background The operating room is a special and changeable working environment, which is constantly evolving and requires interdisciplinary team collaboration. Therefore, it is an environment that may cause conflict among employees METHOD: The study was conducted at three Public Hospitals of Athens, during the period from 1/4/2018 to 15/6/2018. The research tool used to conduct the research was the questionnaire of Kontogianni et al. (2011). The questionnaire consisted of four sections dealing with conflict issues and their management. The sample consisted of 185 nurses and medical staff. The level of statistical significance was set equal to 0.05. The questions were analyzed through the statistical package SPSS 20. Results Τhe majority of participants had conflicts with colleagues (79%), with doctors (69.5%) and with nurses (43.7%). Τhe majority of the sample was unaware of conflict management strategies (60%). One of the important factors that intensify the conflicts is the burdensome workload in combination with the unsatisfactory salary. Avoidance is the preferred conflict management strategy (64.7%), followed by mutual benefit trading (55.4%.) Acceptance is the least appropriate strategy (10.9%). Conclusions In order to deal with conflicts in the operating room effectively, it is necessary for nurses and physicians to be trained in conflict management. Implications for nursing management Nursing managers should support the training of nurses in conflict management in order to create a climate of cooperation and reduce conflicts.

Introduction Rising rates of caesarean section (CS) is an issue of particular concern. Recently, there has been research supporting Vaginal Births After Caesarean (VBAC), which is controversial. In Greece, over half of births in the country are by CS, placing Greece among countries with the highest CS rates. The aim of this study was to investigate the prevalence and the factors associated with VBACs and to compare the maternal/neonatal outcomes with a 'non-caesarean' control group. Methods The data were evaluated and retrospectively gathered on archived singleton births, from medical records of a midwifery-led team, between May 2006 and May 2013. The target group of the study included mothers with a previous CS, who had a second birth. The sample consisted of 71 VBAC women and 583 who had normal spontaneous vaginal delivery (NSVD) as the 'non-caesarean' control group. Results The duration of labour was longer for the VBACs compared with first-time mothers who gave birth naturally (for duration 481-720 min, 27% vs 10.3%, respectively), episiotomy was more common for VBAC (20.7% vs 7.9%), and epidural analgesia was more often for VBAC (68.4% vs 10%). The percentage of 1-min Apgar score in the range 0-7 in the VBAC group was 5%, and there was no significant difference in women who had NSVD (3.6%). The Apgar score in the 5th minute was always above 8 for both groups. Conclusions Severe maternal and neonatal complications are infrequent, and therefore the necessity arises for further continuous studies to ascertain the safety of VBAC.