Monash University, Peninsula Campus, PO Box 527, Frankston, VIC, 3199, Australia.
Monash University, Peninsula Campus, PO Box 527, Frankston, VIC, 3199, Australia.
Eur J Oncol Nurs. 2019 Aug;41:7-15. doi: 10.1016/j.ejon.2019.05.004. Epub 2019 May 25.
To determine how members of gynaecological oncology multidisciplinary teams experience and perceive the specialist nurse role.
Members of gynaecological oncology multidisciplinary teams were recruited via two professional organisations to participate in an online qualitative survey. Survey responses were subjected to an inductive content analysis and categorised according to meaning.
Sixty-six (n = 66) multidisciplinary team members participated in the online survey. Most participants worked in metropolitan areas and within the public health care system. 71% (n = 47) of participants had a specialist nurse working in their team. Participants without a specialist nurse in their team (n = 19) believed that this was a disadvantage to the women in their care except where other experienced nurses were able to fill this void. Key aspects of the specialist nurse role identified by multidisciplinary team members included: Contact, communication, and coordination; Support and advocacy; Knowledge and education; Assessment, referral and management. Concerns and disadvantages relating to the role identified by team members included the development of dependence on the specialist nurse, the impact of large workloads, and the oversight of what other nurses can offer the patients.
This study has contributed the perspective of a key stakeholder, the multidisciplinary team, to our understanding of the gynaecological oncology specialist nurse role. Clearer definition of specialist nurse roles is required. Standardised nomenclature and guidelines for practice are recommended to ensure that the specialist nurse role and their scope of practice are clear to key stakeholders and over-dependence on the individual in the role is mitigated.
确定妇科肿瘤多学科团队成员如何体验和感知专科护士的角色。
通过两个专业组织招募妇科肿瘤多学科团队成员参与在线定性调查。对调查回复进行归纳内容分析，并根据意义进行分类。
66 名（n=66）多学科团队成员参与了在线调查。大多数参与者在大都市区工作，在公共医疗保健系统内工作。71%（n=47）的参与者所在团队中有专科护士。团队中没有专科护士的参与者（n=19）认为这对他们所照顾的妇女不利，除非有其他经验丰富的护士能够填补这一空白。多学科团队成员确定的专科护士角色的关键方面包括：联系、沟通和协调；支持和倡导；知识和教育；评估、转介和管理。团队成员认为该角色存在一些问题和劣势，包括对专科护士的依赖增加、工作量大的影响，以及忽视了其他护士可以为患者提供的服务。
本研究从多学科团队的主要利益相关者的角度，增进了我们对妇科肿瘤专科护士角色的理解。需要更明确地界定专科护士的角色。建议制定标准化的命名法和实践指南，以确保主要利益相关者清楚了解专科护士的角色及其工作范围，并减轻对该角色中个人的过度依赖。
