Monash Nursing and Midwifery, Monash University, Frankston, VIC, Australia.
J Adv Nurs. 2021 Feb;77(2):910-921. doi: 10.1111/jan.14639. Epub 2020 Nov 28.
To determine how specialist gynaecological cancer nurses experience and perceive their role.
An Interpretive Description qualitative study employing semi-structured interview methods was conducted.
Specialist nurses working in Australia or New Zealand were recruited via the Australia and New Zealand Gynaecological Oncology Group and the Cancer Nurses Society of Australia to contribute to focus group, dyadic and/or individual interviews. Audio-recordings of the interviews were transcribed, de-identified, and subjected to a thematic analysis.
Specialist cancer nurses participated in the study via one focus group interview (N = 6), one dyadic interview (N = 2) and 13 individual interviews between April - August 2016. Three major themes were inductively derived from 19 minor themes: 'Working between worlds' locates the role of the specialist nurse in the provision of gynaecological cancer care; 'The patient's 'go-to' person' highlights participants' relationships with patients; and 'When so much depends on one person' explores the personal and professional impact of working in a specialist nursing role.
Specialist nurses identified themselves as an accessible source of support and expertise for both women with gynaecological cancers throughout their disease trajectory and multidisciplinary team members. The main challenges they faced were the evolving and expanding nature of their bespoke roles and the dependence on them as individuals in these roles. Clearer role boundaries, guidelines for practice, effective professional support, and active succession planning are recommended.
This study explored the experiences and perceptions of gynaecological oncology specialist nurses. Despite similar roles being in place across many countries for several years, the roles continue to evolve and lack clear definition which is burdensome to their incumbents. This research indicates that it is now time for nursing leaders and the broader nursing profession to delineate scope of practice, standardise nomenclature and practice and embed these roles in nursing career and education pathways.
确定妇科癌症专科护士如何体验和感知自己的角色。
采用解释性描述的定性研究方法，采用半结构化访谈方法进行。
通过澳大利亚和新西兰妇科肿瘤学组和澳大利亚癌症护士协会招募在澳大利亚或新西兰工作的专科护士，以参与焦点小组、对偶和/或个人访谈。采访的音频记录被转录、去识别，并进行主题分析。
妇科癌症专科护士于 2016 年 4 月至 8 月期间通过一次焦点小组访谈（N=6）、一次对偶访谈（N=2）和 13 次个人访谈参与了研究。从 19 个次要主题中归纳出三个主要主题：“在世界之间工作”将专科护士的角色定位在提供妇科癌症护理方面；“患者的“首选”人”突出了参与者与患者的关系；“当这么多事情取决于一个人”探讨了在专科护理角色中工作对个人和专业的影响。
专科护士认为自己是妇科癌症女性在整个疾病过程中以及多学科团队成员的可及的支持和专业知识来源。他们面临的主要挑战是他们独特角色的不断发展和扩大性质，以及对他们作为个人在这些角色中的依赖。建议明确角色界限、实践指南、有效的专业支持和积极的继任计划。
本研究探讨了妇科肿瘤学专科护士的经验和看法。尽管类似的角色在许多国家已经存在了多年，但这些角色仍在不断发展，缺乏明确的定义，这给担任这些角色的人带来了负担。这项研究表明，现在是护理领导者和更广泛的护理专业人士划定实践范围、标准化命名和实践，并将这些角色纳入护理职业和教育途径的时候了。
