Centre for Clinical Nursing Research, Epworth/Deakin Nursing Research Centre, Victoria, Australia.
Cancer Nurs. 2010 Mar-Apr;33(2):E1-8. doi: 10.1097/NCC.0b013e3181b5575a.
Optimal care for patients with cancer involves the provision of effective physical and psychological care. Nurses are key providers of this care; however, the effectiveness of care is dependent on the nurses' training, skills, attitudes, and beliefs.
The study reported in this article explored cancer nurses' perceptions of their ability to provide psychosocial care to adults with cancer and their subsequent evaluation of the effectiveness of the care provided. This study was the first part of a larger project that evaluated the effectiveness of Proctor's model of clinical supervision in an acute care oncology environment.
An exploratory qualitative design was used for this study. One focus group interview was conducted with 10 randomly selected registered nurses working within the oncology units at a major Melbourne tertiary referral hospital. Analytic themes were developed from the coded data using content analysis.
The 4 analytic themes to emerge from the data were frustration, difficult to look after yourself, inadequate communication processes, and anger.
The findings from this study indicate that, although informal mechanisms of support are available for oncology nurses, most of these services are not accessed.
Leaders in cancer care hospital settings need to urgently develop and implement a model of support for their oncology nurses who are attempting to provide psychosocial support to oncology patients.
为癌症患者提供最佳护理包括提供有效的身体和心理护理。护士是提供这种护理的主要人员;然而,护理的有效性取决于护士的培训、技能、态度和信念。
本文报道的研究探讨了癌症护士对自己为癌症成人提供社会心理护理能力的看法,以及他们随后对所提供护理的有效性的评估。这项研究是评估 Proctor 的临床监督模型在急性肿瘤环境中的有效性的更大项目的第一部分。
本研究采用探索性定性设计。在墨尔本一家主要的三级转诊医院的肿瘤病房,对 10 名随机挑选的注册护士进行了一次焦点小组访谈。使用内容分析对编码数据进行分析,得出分析主题。
从数据中得出的 4 个分析主题是沮丧、难以照顾自己、沟通流程不足和愤怒。
这项研究的结果表明,尽管为肿瘤护士提供了非正式的支持机制,但大多数服务都没有得到利用。
癌症护理医院的管理者需要紧急为他们的肿瘤护士制定和实施一种支持模式,这些护士试图为肿瘤患者提供社会心理支持。