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一项关于乳腺护理护士在为被诊断患有乳腺癌的澳大利亚女性提供信息和支持性护理方面所起作用的调查。

A survey of the breast care nurse role in the provision of information and supportive care to Australian women diagnosed with breast cancer.

作者信息

Ahern Tracey, Gardner Anne, Courtney Mary

机构信息

School of Nursing, Midwifery and Paramedicine Australian Catholic University PO Box 256 Dickson Australian Capital Territory 2602 Australia.

School of Nursing, Midwifery and Paramedicine Australian Catholic University PO Box 456 Virginia Queensland 4014 Australia.

出版信息

Nurs Open. 2015 Jun 2;2(2):62-71. doi: 10.1002/nop2.18. eCollection 2015 Jul.

Abstract

AIM

To explore the role of the Australian breast care nurse in the provision of information and support to women with breast cancer, with a focus on the differences experienced depending on geographic work context.

DESIGN

A cross-sectional study.

METHODS

This study conducted in 2013, involved surveying BCNs currently working in Australia, using a newly developed self-report online survey.

RESULTS

Fifty breast care nurses completed the survey, 40% from major cities, 42% from inner regional Australia and 18% from outer regional, remote and very remote Australia. Patterns of service indicated higher caseloads in urban areas, with fewer kilometres served. Breast care nurses in outer regional, remote and very remote areas were less likely to work in multi-disciplinary teams and more likely to spend longer consulting with patients. Breast care nurses reported they undertook roles matching the competency standards related to the provision of education, information and support; however, there were barriers to fulfilling competencies including knowledge based limitations, time constraints and servicing large geographical areas.

CONCLUSIONS

This was the first Australian study to describe the role of the breast care nurse nationally and the first study to investigate breast care nurses perceived ability to meet a selection of the Australian Specialist Breast Nurse Competency Standards. Important differences were found according to the geographical location of breast care nurses.

摘要

目的

探讨澳大利亚乳腺护理护士在为乳腺癌女性提供信息和支持方面的作用,重点关注因工作地理环境不同而产生的差异。

设计

横断面研究。

方法

本研究于2013年开展,通过一项新开发的在线自填式调查问卷,对目前在澳大利亚工作的乳腺护理护士进行调查。

结果

50名乳腺护理护士完成了调查,其中40%来自大城市,42%来自澳大利亚内陆地区,18%来自澳大利亚外陆、偏远和极偏远地区。服务模式显示,城市地区的工作量较大,但服务的公里数较少。外陆、偏远和极偏远地区的乳腺护理护士在多学科团队中工作的可能性较小,与患者咨询的时间则更长。乳腺护理护士报告称,他们承担的角色符合与提供教育、信息和支持相关的能力标准;然而,在履行能力方面存在障碍,包括知识局限、时间限制以及服务大面积地理区域等问题。

结论

这是澳大利亚第一项描述全国乳腺护理护士角色的研究,也是第一项调查乳腺护理护士认为自己满足一系列澳大利亚专科乳腺护士能力标准情况的研究。根据乳腺护理护士的地理位置发现了重要差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8501/5047313/cb331cc8f545/NOP2-2-62-g001.jpg

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