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实习护士需要了解的癌症治疗与护理要点:一项关于实习护士及利益相关者观点的定性研究

What is important for student nurses to know about cancer treatment and care: a qualitative study of student nurses' and stakeholder perspectives.

作者信息

Edwards Deborah, Anstey Sally, Kelly Daniel, Ballie Jessica, Hopkinson Jane

机构信息

School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.

出版信息

J Clin Nurs. 2017 Jul;26(13-14):2045-2054. doi: 10.1111/jocn.13616. Epub 2017 Mar 27.

Abstract

AIMS AND OBJECTIVES

To explore the views of student nurses' and stakeholders of what is important for student nurses to know about cancer treatment and care.

BACKGROUND

Worldwide, the number of people living with cancer is increasing because the population is ageing and effective cancer treatments are prolonging survival. All nurses need knowledge, skills, confidence and competence to support people living with cancer. Education is an important tool in preparing a nursing workforce that can support people affected by cancer.

DESIGN

A descriptive, explorative qualitative design.

METHODS

Semi-structured interviews with 12 student nurses and seven stakeholders were conducted in 2014 (a subgroup of participants in a mixed-methods study investigating an innovation in undergraduate cancer education and reported elsewhere). The interviews were audio-taped, transcribed and analysed using content analysis.

RESULTS

Two key findings emerged: the benefits of learning from people affected by cancer and knowledge deficits. Students valued the opportunity to meet people affected by cancer away from a clinical environment. It gave them the opportunity to gain skills and confidence, in providing information and psycho-educational support, in a safe and facilitated context. Students and stakeholders reported blended learning (lectures and engaging with both cancer clinicians and people affected by cancer) important for developing confidence and competence in cancer care. However, at the end of their education students identified knowledge deficits in relation to cancer screening, common cancers, treatment side effects and supporting people who have been given 'bad news'.

CONCLUSIONS

Collaborative working with people affected by cancer and educationalists has allowed the patient and carer experience to be placed at the centre of the undergraduate cancer education.

RELEVANCE TO CLINICAL PRACTICE

This research reveals the potential importance of the coproduction of undergraduate nurse cancer education, if nurses are to understand and improve the experience of people living with cancer and beyond.

摘要

目的与目标

探讨实习护士及利益相关者对于实习护士了解癌症治疗与护理的重要内容的看法。

背景

在全球范围内,癌症患者数量不断增加,原因是人口老龄化以及有效的癌症治疗延长了生存期。所有护士都需要具备知识、技能、信心和能力来支持癌症患者。教育是培养能够支持癌症患者的护理人员队伍的重要工具。

设计

描述性、探索性定性设计。

方法

2014年对12名实习护士和7名利益相关者进行了半结构式访谈(这是一项调查本科癌症教育创新的混合方法研究的参与者子组,其他地方有相关报道)。访谈进行了录音、转录,并采用内容分析法进行分析。

结果

出现了两个关键发现:向癌症患者学习的益处和知识缺陷。学生们重视在临床环境之外与癌症患者见面的机会。这使他们有机会在安全且便利的环境中,获得提供信息和心理教育支持方面的技能和信心。学生和利益相关者报告称,混合式学习(讲座以及与癌症临床医生和癌症患者互动)对于培养癌症护理方面的信心和能力很重要。然而,在学业结束时,学生们发现自己在癌症筛查、常见癌症、治疗副作用以及支持收到“坏消息”的患者方面存在知识缺陷。

结论

与癌症患者和教育工作者的合作使患者和护理人员的体验成为本科癌症教育的核心。

与临床实践的相关性

这项研究揭示了本科护士癌症教育共同生产的潜在重要性,前提是护士要理解并改善癌症患者及其他相关人员的体验。

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