Irwin Margaret, Klemp Jennifer R, Glennon Catherine, Frazier Linda M
Research Department, Oncology Nursing Society (ONS), Pittsburgh, PA, USA.
Oncol Nurs Forum. 2011 Jan;38(1):E11-9. doi: 10.1188/11.ONF.E11-E19.
PURPOSE/OBJECTIVES: to describe current survivorship care from the perspectives of oncology nurses.
descriptive.
e-mail invitation to Web-based survey.
399 Oncology Nursing Society members providing care for patients initially treated more than one year previously.
an online survey was used to evaluate current aspects of survivorship care.
practice settings, services provided, and barriers to delivering survivorship care.
few nurses (27%) worked in settings with a formal survivorship program. Several program components were provided significantly more often in outpatient settings, pediatric facilities, and workplaces with a formal survivorship program. At the transition from acute to follow-up care, the survivorship nursing care provided most often was scheduling for ongoing monitoring (71%) and the least likely was assistance for employment or legal issues (16%). The greatest barriers to providing survivorship care were lack of time and funding (46%). Among nurses new to oncology (fewer than five years), 49% indicated they lacked sufficient knowledge compared to 36% of nurses with more than five years of oncology experience.
findings describe current aspects of survivorship care across practice settings. Nurses reported that the greatest barriers are lack of time, funding, and lack of knowledge about survivorship issues.
a need exists for education to enhance knowledge and skills of nurses who will provide survivorship care. Research is warranted to develop empirically supported guidelines and care-delivery models that address the barriers to providing survivorship services.
目的/目标：从肿瘤护理人员的角度描述当前的幸存者护理情况。
描述性研究。
通过电子邮件邀请参与基于网络的调查。
399名肿瘤护理协会成员，他们为一年多以前接受初始治疗的患者提供护理。
使用在线调查来评估幸存者护理的当前状况。
执业环境、提供的服务以及提供幸存者护理的障碍。
很少有护士（27%）在设有正式幸存者护理项目的机构工作。在门诊机构、儿科设施以及设有正式幸存者护理项目的工作场所，几种项目组成部分的提供频率明显更高。在从急性护理过渡到后续护理阶段，最常提供的幸存者护理是安排持续监测（71%），最不可能提供的是就业或法律问题方面的协助（16%）。提供幸存者护理的最大障碍是时间和资金短缺（46%）。在肿瘤护理新手（工作少于五年）中，49%表示他们缺乏足够的知识，而有五年以上肿瘤护理经验的护士中这一比例为36%。
研究结果描述了不同执业环境下幸存者护理的当前状况。护士报告称，最大的障碍是时间和资金短缺以及对幸存者护理问题缺乏了解。
需要开展教育以提高将提供幸存者护理的护士的知识和技能。有必要进行研究，以制定基于实证的指南和护理提供模式，解决提供幸存者护理服务的障碍。
