School of Medicine, University of Queensland and Royal Brisbane and Women's Hospital, Brisbane, Australia.
Level K, Mental Health Centre, Royal Brisbane and Women's Hospital, Herston, QLD, 4029, Australia.
Support Care Cancer. 2018 Apr;26(4):1105-1112. doi: 10.1007/s00520-017-3929-8. Epub 2017 Oct 23.
This report describes the views of front-line health professionals who participated in a randomised controlled trial examining a model of care in which depressed cancer patients received a brief psychosocial intervention. Health professionals from four cancer centres received focused training, skill development and clinical supervision in order to deliver the intervention.
We interviewed 20 health professionals asking them about their perceptions of participation in the study and their views about more widespread implementation of this model of care.
Participants strongly advocated for widespread implementation of this model of care; however, their ability to deliver the intervention varied depending on clinical roles and responsibilities. Many oncology nurses expressed conflict about delivering a psychosocial intervention when their clinical unit was busy. Finding a private area in which to talk was a frequent barrier in busy clinical units. Participants reported that they applied the skills and insights acquired in the study in their routine clinical work. Supervision was highly valued and was feasible to provide in clinical settings.
Psychosocial care can be provided by a range of health professionals if they receive focused training and have access to supervision, but competing clinical demands are likely to limit their ability to routinely provide psychosocial care. This suggests that training should target professionals who have greater autonomy and flexibility in their work roles.
ANZCTR1260000448044.
本报告描述了参与一项随机对照试验的一线卫生专业人员的观点，该试验研究了一种护理模式，即抑郁癌症患者接受简短的心理社会干预。来自四个癌症中心的卫生专业人员接受了集中培训、技能发展和临床监督，以提供干预措施。
我们采访了 20 名卫生专业人员，询问他们对参与研究的看法以及对更广泛实施这种护理模式的看法。
参与者强烈主张广泛实施这种护理模式；然而，他们提供干预的能力取决于临床角色和职责。许多肿瘤护士在其临床单位忙碌时表示对提供心理社会干预存在冲突。在繁忙的临床单位中找到一个私人谈话的地方是一个常见的障碍。参与者报告说，他们在日常临床工作中应用了在研究中获得的技能和见解。监督受到高度重视，在临床环境中提供监督是可行的。
如果接受集中培训并能够获得监督，一系列卫生专业人员可以提供心理社会护理，但竞争激烈的临床需求可能会限制他们常规提供心理社会护理的能力。这表明培训应针对那些在工作角色中有更大自主权和灵活性的专业人员。
ANZCTR1260000448044。
