关键词: cancer care oncology nurses treatment transition

来  源:   DOI:10.5737/23688076333336   PDF(Pubmed)

Abstract:
UNASSIGNED: Cancer care for Canadian cancer survivors remains fragmented. Little is known about the experience of Canadian oncology nurses providing cancer care for cancer survivors, as they transition from acute treatment to primary care.
UNASSIGNED: This study aimed to (1) explore the experience of oncology nurses dealing with fragmented cancer care for cancer survivors in transition to survivorship; (2) identify oncology nurses\' perspectives about what promotes or inhibits their delivery of quality cancer care; and (3) obtain their suggestions to improve cancer care.
UNASSIGNED: This study used a phenomenological design to explore the experience of oncology nurses in caring for cancer survivors during transition to survivorship and examine how the nurse participants describe their experience. Semi-structured interviews were used to collect data and an interpretative phenomenological analysis approach was used to develop themes from the data.
UNASSIGNED: Three oncology nurses participated in this study. The following five themes emerged: (1) Under personal transition: nursing assessment, symptoms management, patient education, resources offered, refusing label of cancer survivors, promoting adjustment to a new normal life, promoting return to work, and recognizing meaning of survivorship; (2) Under cancer survivor\'s care transition: promoting self-care management, communication, and maximal recovery of body functions; (3) Under nurse\'s positive experience promoting delivery of quality cancer care: caring for cancer survivors, experience and knowledge, and advocate for cancer survivors; (4) Under barriers that negatively affected delivery of cancer care: low socioeconomic status (especially low income), cultures and languages barriers, and limited time providing nursing care; and (5) Suggestions to improve cancer care: establishing a new position - primary nurse, increasing the number of healthcare professionals, and improving knowledge, skills, and experience.
UNASSIGNED: Oncology nurses\' knowledge and experience provide a good foundation for quality cancer care and contribute to the health and wellbeing of cancer survivors.
摘要:
加拿大癌症幸存者的癌症护理仍然支离破碎。对加拿大肿瘤科护士为癌症幸存者提供癌症护理的经验知之甚少,他们从急性治疗过渡到初级保健。
本研究旨在(1)探索肿瘤科护士为癌症幸存者过渡到生存阶段处理零散癌症护理的经验;(2)确定肿瘤科护士对促进或抑制其提供优质癌症护理的观点;(3)获得他们改善癌症护理的建议。
本研究采用现象学设计,探索肿瘤科护士在向生存过渡期间照顾癌症幸存者的经验,并检查护士参与者如何描述他们的经历。半结构化访谈用于收集数据,并使用解释性现象学分析方法从数据中开发主题。
三名肿瘤科护士参与了这项研究。出现了以下五个主题:(1)个人转型:护理评估,症状管理,患者教育,提供的资源,拒绝癌症幸存者的标签,促进适应新常态的生活,促进重返工作岗位,并认识到生存的意义;(2)在癌症幸存者的护理过渡下:促进自我护理管理,通信,和身体功能的最大恢复;(3)根据护士的积极经验,促进优质癌症护理的交付:照顾癌症幸存者,经验和知识,并倡导癌症幸存者;(4)在对癌症护理提供产生负面影响的障碍下:低社会经济地位(尤其是低收入),文化和语言障碍,和有限的时间提供护理;(5)建议改善癌症护理:建立新的职位-初级护士,增加医疗保健专业人员的数量,提高知识,技能,和经验。
肿瘤科护士的知识和经验为高质量的癌症护理奠定了良好的基础,并有助于癌症幸存者的健康和福祉。
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