Copp Gina, Caldwell Kay, Atwal Anita, Brett-Richards Madeline, Coleman Kate
Cancer and Palliative Care, Middlesex University, The Archway Campus, Highgate Hill, London N19 5LW, UK.
Eur J Oncol Nurs. 2007 Apr;11(2):159-67. doi: 10.1016/j.ejon.2006.09.004. Epub 2006 Nov 27.
The present paper is derived from a larger survey which examined the perceptions of recently qualified health care professionals' experience on evidence-based practice, team working and cancer care. This study reports solely on the findings relating to cancer care. The perceptions of recently qualified professionals in relation to their initial educational input on issues such as confidence, anxiety, communication skills and practice in cancer care as well as adequacy of support, professional supervision and use of reflection were gathered using a cross-sectional postal survey design. A total of 50 graduates from each professional category in nursing, occupational therapy, physiotherapy, and social work were sampled yielding a total sample of 200. Eighty-five questionnaires were returned yielding a response rate of 43%. Twenty-eight (33%) respondents stated that they were currently involved in working with people with cancer. These were as follows: 5 nurses, 8 physiotherapists, 9 occupational therapists and 6 social workers. Despite the low response rate, the findings suggest that health care professionals' educational input and experiences of working with people with cancer were overall positive; for example, in the respondents' confidence, communication skills, decrease in anxiety and application of knowledge gained in classroom to professional practice. Moreover, most respondents learnt about caring for cancer patients through practice rather than classroom teaching. A high percentage (i.e. 64%;18) across all groups felt supported when caring for people with cancer and reported receiving professional supervision as well as being able to actively reflect on their practice. The implications for education and practice were discussed particularly as there have been few studies conducted in relation to the specific needs and collaborative learning of these health care professional groups.
本文源自一项规模更大的调查,该调查考察了近期合格的医疗保健专业人员对循证实践、团队协作和癌症护理经验的看法。本研究仅报告与癌症护理相关的调查结果。通过横断面邮寄调查设计,收集了近期合格专业人员对癌症护理中信心、焦虑、沟通技巧和实践等问题的初始教育投入的看法,以及对支持、专业监督和反思运用的充分性的看法。从护理、职业治疗、物理治疗和社会工作等每个专业类别中抽取了50名毕业生,共获得200个样本。共收回85份问卷,回复率为43%。28名(33%)受访者表示他们目前参与了癌症患者的护理工作。具体如下:5名护士、8名物理治疗师、9名职业治疗师和6名社会工作者。尽管回复率较低,但调查结果表明,医疗保健专业人员在癌症护理方面的教育投入和工作经验总体上是积极的;例如,在受访者的信心、沟通技巧、焦虑感降低以及将课堂所学知识应用于专业实践方面。此外,大多数受访者是通过实践而非课堂教学了解癌症患者护理的。所有组中,有很高比例(即64%;18)的人在护理癌症患者时感到得到了支持,并报告接受了专业监督,且能够积极反思自己的实践。文中讨论了对教育和实践的启示,特别是因为针对这些医疗保健专业群体的特定需求和协作学习的研究很少。