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护理的隐匿性:对美国国立癌症研究所指定的综合癌症中心网站分析的启示

The invisibility of nursing: implications from an analysis of National Cancer Institute-designated comprehensive cancer center web sites.

作者信息

Boyle Deborah A

机构信息

Banner Good Samaritan Medical Center, Phoenix, AZ, USA.

出版信息

Oncol Nurs Forum. 2010 Mar;37(2):E75-83. doi: 10.1188/10.ONF.E75-E83.

DOI:10.1188/10.ONF.E75-E83
PMID:20189913
Abstract

PURPOSE/OBJECTIVES: To identify the degree of oncology nursing representation on public Web sites of the National Cancer Institute (NCI)-designated comprehensive cancer centers (CCCs) in the United States.

DESIGN

Qualitative, descriptive.

SETTING

Web sites.

SAMPLE

40 CCCs.

METHODS

Using the Google search engine, a query was undertaken using the term National Cancer Institute-designated comprehensive cancer center. The search resulted in linkage to the site www.cancer.gov, which provided Web site addresses for 40 CCCs. The CCCs were classified into five categories based on the degree of nursing representation evident throughout each Web site.

MAIN RESEARCH VARIABLES

Presence and quality of four themes in the Web site specific to oncology nursing activity at the CCC: (a) recognition of nursing on the CCC home page; (b) citations and/or descriptions of nursing personnel, programs, or recognitions within the Web site; (c) existence of a dedicated nursing Web page; and (d) acknowledgment of the chief nursing officer at the CCC.

FINDINGS

Only 2 of the 40 CCCs revealed broad representation of oncology nursing throughout their Web site. Nearly 63% of CCC Web sites had no or minimal content about nursing.

CONCLUSIONS

Public Web sites offer important information to patients with cancer, their families, and the general public. The absence of nursing in lay-oriented media devalues oncology nurses' highly specialized knowledge and skill.

IMPLICATIONS FOR NURSING

Considerable opportunity exists to enhance the public's awareness of the scope and complexity of contemporary oncology nursing within the 40 CCCs in the United States. Omission of positive messages about nurses' work in hospital-related media misleads the public that nurses are not integral members of the multidisciplinary team. With the continued absence of both descriptive and results-oriented work quantification, oncology nurses will remain unable to communicate their worth to the public, nor take credit for their care.

摘要

目的/目标:确定美国国立癌症研究所(NCI)指定的综合癌症中心(CCC)的公共网站上肿瘤护理的呈现程度。

设计

定性、描述性研究。

设置

网站。

样本

40个CCC。

方法

使用谷歌搜索引擎,以“国立癌症研究所指定的综合癌症中心”为关键词进行查询。搜索结果链接到了网站www.cancer.gov,该网站提供了40个CCC的网址。根据每个网站上护理呈现的程度,将这些CCC分为五类。

主要研究变量

CCC网站上与肿瘤护理活动相关的四个主题的存在情况和质量:(a)CCC主页上对护理的认可;(b)网站内对护理人员、项目或认可的引用和/或描述;(c)是否存在专门的护理网页;(d)对CCC首席护理官的认可。

结果

40个CCC中只有2个在其网站上广泛呈现了肿瘤护理内容。近63%的CCC网站关于护理的内容很少或几乎没有。

结论

公共网站为癌症患者及其家属以及普通公众提供了重要信息。面向大众的媒体中缺乏对护理的报道,贬低了肿瘤护士高度专业化的知识和技能。

对护理的启示

在美国的40个CCC中,有很大机会提高公众对当代肿瘤护理范围和复杂性的认识。在与医院相关的媒体中遗漏关于护士工作的积极信息,会误导公众认为护士不是多学科团队的重要成员。由于持续缺乏描述性和以结果为导向的工作量化,肿瘤护士将仍然无法向公众传达他们的价值,也无法为他们的护理工作赢得赞誉。

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