Hebdon M C, Abrahamson K, Griggs R R, McComb S A
Radford University School of Nursing, Radford, VA, USA.
Purdue University School of Nursing, West Lafayette, IN, USA.
Eur J Cancer Care (Engl). 2018 Mar;27(2):e12831. doi: 10.1111/ecc.12831. Epub 2018 Feb 8.
Quality cancer survivorship care relies on care continuity within the healthcare team. The purpose of this study was to explore the perspectives of healthcare team members regarding cancer survivorship care using the framework of shared mental models. Semi-structured interviews of cancer survivors, primary support individuals, oncology providers, primary care providers and registered nurses were completed. Data were extrapolated to seven primary themes with associated secondary themes. Primary themes included survivor definition and identity, care setting, team member roles, care gaps, survivor needs, barriers to care and facilitators of care. Through these themes, participants emphasised the individuality of the survivorship experience, acknowledged care gaps and described ongoing needs of cancer survivors. Information provision and communication were noted as care facilitators. Through clarification of team member roles, healthcare providers will be equipped to promote cancer survivor transition by focusing on care continuity, communication and collaboration.
优质的癌症幸存者护理依赖于医疗团队内部的护理连续性。本研究的目的是使用共享心智模型框架,探讨医疗团队成员对癌症幸存者护理的看法。完成了对癌症幸存者、主要支持人员、肿瘤学提供者、初级保健提供者和注册护士的半结构化访谈。数据被归纳为七个主要主题及相关的次要主题。主要主题包括幸存者的定义和身份、护理环境、团队成员角色、护理差距、幸存者需求、护理障碍和护理促进因素。通过这些主题,参与者强调了幸存者经历的个体性,承认了护理差距,并描述了癌症幸存者持续存在的需求。信息提供和沟通被视为护理促进因素。通过明确团队成员的角色,医疗保健提供者将有能力通过关注护理连续性、沟通与协作来促进癌症幸存者的过渡。