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评估肿瘤护理人员的心理社会护理实践与需求:肿瘤护理学会心理社会调查结果

Measuring oncology nurses' psychosocial care practices and needs: results of an Oncology Nursing Society psychosocial survey.

作者信息

Gosselin Tracy K, Crane-Okada Rebecca, Irwin Margaret, Tringali Carol, Wenzel Jennifer

机构信息

Duke University Health System-Oncology Services, Durham, NC, USA.

出版信息

Oncol Nurs Forum. 2011 Nov;38(6):729-37. doi: 10.1188/11.ONF.729-737.

Abstract

PURPOSE/OBJECTIVES: To develop and implement a survey of Oncology Nursing Society (ONS) members focused on their current practices and needs in relation to providing psychosocial care.

DESIGN

Descriptive, cross-sectional.

SETTING

Web-based survey of ONS members.

SAMPLE

An invitation was e-mailed to 11,171 ONS members. Of those, 623 followed the link to the electronic survey and 64% of those (n = 401) completed the survey.

METHODS

An ONS Psychosocial Project Team was convened in 2009. One of the team's goals was to develop a survey to assess members' needs. The final survey consisted of 24 items, including five items related to demographic characteristics. Response formats included Likert-type scale, yes and no, and open-ended questions.

MAIN RESEARCH VARIABLES

Psychosocial care practices, education, and research.

FINDINGS

Psychosocial concerns are assessed using a variety of methods. Nurse perceptions regarding primary responsibility for providing psychosocial services differ by group. Barriers to the provision of psychosocial care exist at the individual, institutional, and community levels.

CONCLUSIONS

Although nurses assess patients' psychosocial needs, multiple barriers still exist related to interdisciplinary communication; knowledge of the Institute of Medicine's recommendations; and resources at the individual, institutional, and community levels.

IMPLICATIONS FOR NURSING

The survey results were presented to the ONS Board of Directors, along with a three-year plan that included recommendations for future development of advocacy, practice, education, and research initiatives. Additional work is needed to effectively support RNs in their provision of psychosocial care to patients and families.

摘要

目的/目标:开展并实施一项针对肿瘤护理学会(ONS)成员的调查,重点关注他们在提供心理社会护理方面的当前实践和需求。

设计

描述性横断面研究。

背景

对ONS成员进行基于网络的调查。

样本

通过电子邮件向11,171名ONS成员发出邀请。其中,623人点击链接进入电子调查问卷,这些人中64%(n = 401)完成了调查。

方法

2009年成立了一个ONS心理社会项目团队。该团队的目标之一是开发一项调查以评估成员的需求。最终调查问卷包含24个项目,其中5个项目与人口统计学特征相关。回答格式包括李克特量表、是与否以及开放式问题。

主要研究变量

心理社会护理实践、教育和研究。

研究结果

使用多种方法评估心理社会问题。护士对提供心理社会服务主要责任的看法因群体而异。在个人、机构和社区层面均存在提供心理社会护理的障碍。

结论

尽管护士会评估患者的心理社会需求,但在跨学科沟通、对医学研究所建议的了解以及个人、机构和社区层面的资源方面仍存在多种障碍。

对护理工作的启示

调查结果已提交给ONS董事会,同时还提交了一份三年计划,其中包括对倡导、实践、教育和研究倡议未来发展的建议。需要开展更多工作以有效支持注册护士为患者及其家属提供心理社会护理。

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