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确定肿瘤护理研究的优先事项:护士与患者的协作。

Establishing Priorities for Oncology Nursing Research: Nurse and Patient Collaboration.

作者信息

Cox Anna, Arber Anne, Gallagher Ann, MacKenzie Mairead, Ream Emma

机构信息

University of Surrey.

出版信息

Oncol Nurs Forum. 2017 Mar 1;44(2):192-203. doi: 10.1188/17.ONF.192-203.

Abstract

PURPOSE/OBJECTIVES: To obtain consensus on priorities for oncology nursing research in the United Kingdom.
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DESIGN: A three-round online Delphi survey.
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SETTING: Oncology nurses were invited via the United Kingdom Oncology Nursing Society (UKONS) database. Patient participation was invited through patient organizations.
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SAMPLE: 50 oncology nurses and 18 patients.
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METHODS: Eligible and consenting individuals reported five priorities for oncology nursing research (round 1), rated their level of agreement with them (round 2), and restated and revised their responses in light of the group's responses (round 3). Consensus was defined as 80% agreement.
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MAIN RESEARCH VARIABLES: Research priorities for oncology nursing as reported by oncology nurses and patients. 
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FINDINGS

Consensus was reached on 50 of 107 research priorities. These priorities reflected the entire cancer pathway, from diagnosis to palliative care. Highest agreement was reached within and across groups on the need for research relating to prevention, screening, early diagnosis, and psychological care across the cancer trajectory. Little consensus was reached regarding symptoms and side effects. Some evident divergence existed.

CONCLUSIONS: Oncology nurses and patients do not necessarily prioritize the same research areas. Prevention, screening, and early diagnosis are of the highest priority for future research among oncology nurses and patients. 
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IMPLICATIONS FOR NURSING

Patients usually play little part in priority setting for research. This study provided the opportunity for meaningful patient and nurse involvement in setting a research agenda for oncology nursing that is relevant and beneficial to oncology nurses and patients.

摘要

目的/目标:就英国肿瘤护理研究的优先事项达成共识。

设计

三轮在线德尔菲调查。

背景

通过英国肿瘤护理协会(UKONS)数据库邀请肿瘤护士。通过患者组织邀请患者参与。

样本

50名肿瘤护士和18名患者。

方法

符合条件并同意参与的个体报告肿瘤护理研究的五个优先事项(第一轮),对其认同程度进行评分(第二轮),并根据小组的回答重新阐述和修订自己的回答(第三轮)。共识定义为80%的认同率。

主要研究变量

肿瘤护士和患者报告的肿瘤护理研究优先事项。

结果

在107项研究优先事项中的50项上达成了共识。这些优先事项反映了从诊断到姑息治疗的整个癌症治疗过程。在整个癌症病程中,对于预防、筛查、早期诊断以及心理护理相关研究的需求,在组内和组间都达成了最高程度的共识。在症状和副作用方面几乎没有达成共识。存在一些明显的分歧。

结论

肿瘤护士和患者不一定会将相同的研究领域列为优先事项。预防、筛查和早期诊断是肿瘤护士和患者未来研究的最高优先事项。

对护理的启示

患者通常在研究优先事项的设定中参与很少。本研究为患者和护士有意义地参与制定与肿瘤护士和患者相关且有益的肿瘤护理研究议程提供了机会。

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