关键词: COVID-19 Cancer Nursing Oncology Research priorities

Mesh : Humans Pandemics Oncology Nursing COVID-19 Palliative Care Delivery of Health Care Neoplasms

来  源:   DOI:10.1016/j.ejon.2023.102272

Abstract:
OBJECTIVE: Identifying cancer nursing research priorities is central to influencing the direction of cancer care research. The aim of this rapid review was to explore research priorities identified by oncology nurses for cancer care delivery between 2019 and 2022.
METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis informed the design of the rapid review. MEDLINE, CINAHL, PUBMED, Web of Science, and Cochrane databases were searched for studies published between December 1st, 2018, and September 30th, 2022. This timeframe was chosen to account for the latest relevant evidence synthesis, as well as changes in cancer care necessitated by the COVID-19 pandemic. The Quality Assessment of Diverse Studies tool was used to appraise quality.
RESULTS: Four studies met the inclusion criteria. Many of the research priorities identified were influenced by the COVID-19 pandemic. The top cancer nursing research priority identified was the role of technology in improving patient and caregiver symptoms and health outcomes. Other most prevalent research priorities were focused on symptom management, culturally sensitive palliative and psychosocial care, early/integrated palliative care, financial toxicity, modifiable risk factors related to social determinants of health, public and patient involvement in research, and oncology nurses\' well-being and scope of practice.
CONCLUSIONS: The findings indicate a need to steer a strategic programme of cancer nursing research towards digitalisation in cancer care to meet the current needs of people living with cancer and their caregivers. However, cancer nurses\' burnout, staff shortages and disparities in specialist education will hinder the implementation of certain models of care.
摘要:
目的:确定癌症护理研究的重点是影响癌症护理研究方向的核心。这项快速审查的目的是探索肿瘤护士在2019年至2022年之间为癌症护理提供确定的研究重点。
方法:系统评价和荟萃分析的首选报告项目为快速评价的设计提供了信息。MEDLINE,CINAHL,pubmed,WebofScience,和Cochrane数据库搜索12月1日之间发表的研究,2018年9月30日,2022年。选择这个时间框架是为了说明最新的相关证据综合,以及COVID-19大流行所必需的癌症护理变化。使用多样化研究的质量评估工具来评估质量。
结果:4项研究符合纳入标准。确定的许多研究重点都受到COVID-19大流行的影响。癌症护理研究的重点是技术在改善患者和护理人员症状和健康结果方面的作用。其他最普遍的研究重点是症状管理,文化敏感的姑息治疗和心理社会护理,早期/综合姑息治疗,金融毒性,与健康的社会决定因素相关的可改变的风险因素,公众和患者参与研究,和肿瘤科护士的健康状况和执业范围。
结论:研究结果表明,有必要将癌症护理研究的战略计划转向癌症护理的数字化,以满足癌症患者及其护理人员的当前需求。然而,癌症护士职业倦怠,人员短缺和专科教育的差距将阻碍某些护理模式的实施。
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