Metsälä Eija, Schroderus-Salo Tanja, Straume Kjersti, Strom Bergliot, Marmy Laurent, Øynes Mona, Pires Jorge José A, Randle Liis, Kivistik Siret
Department of Rehabilitation and Examination, Metropolia University of Applied Sciences, Vantaa, Finland.
Department of Radiography and Radiotherapy, Oulu University of Applied Sciences, Oulu, Finland.
Eur J Breast Health. 2022 Jul 1;18(3):222-228. doi: 10.4274/ejbh.galenos.2022.2022-3-1. eCollection 2022 Jul.
To produce information about factors related to successful and unsuccessful breast cancer care pathways from the health care staff perspective.
An electronic qualitative survey was used to collect data simultaneously from hospitals located in four different countries, focusing on four professional groups: diagnostic radiographers; radiation therapists; breast cancer nurses; and biomedical laboratory scientists (n = 23). The hospitals participating in the study treat breast cancer patients and research permits were applied from all of them. Data was analysed by deductive thematic analysis.
At the core of a successful breast cancer care pathway is the right content and timely information provided to the patient at the pace the patient is able to adopt. This is especially highlighted at the beginning of the treatment process. In regards to diagnostic services, rigorous execution of mammography, sampling techniques and analyses were seen as important. Staff also valued the importance of aftercare and follow-up, and highlighted the fact that the patient should be given a chance to keep in close contact with care and treatment staff, even after their active treatment process has finished.
Health care staff recognized the same success factors for optimal breast cancer care and treatment pathways as patients reported in previous studies, yet more emphasis was put on patient characteristics and the technical performance features of the process. Both patient and staff viewpoints should be taken into account in planning breast cancer care pathways.
从医护人员的角度获取与乳腺癌成功和不成功护理路径相关因素的信息。
采用电子定性调查方法，同时从四个不同国家的医院收集数据，重点关注四个专业群体：诊断放射技师、放射治疗师、乳腺癌护士和生物医学实验室科学家（n = 23）。参与研究的医院治疗乳腺癌患者，并从所有医院获得了研究许可。数据通过演绎主题分析进行分析。
成功的乳腺癌护理路径的核心是向患者提供正确的内容和及时的信息，且信息传递的速度要与患者能够接受的速度相匹配。这在治疗过程开始时尤为突出。在诊断服务方面，严格执行乳房X光检查、采样技术和分析被视为重要。工作人员也重视术后护理和随访的重要性，并强调即使在患者积极治疗过程结束后，也应给予患者与护理和治疗人员保持密切联系的机会。
医护人员认可的乳腺癌最佳护理和治疗路径的成功因素与先前研究中患者报告的相同，但更强调患者特征和过程的技术性能特点。在规划乳腺癌护理路径时，应同时考虑患者和工作人员的观点。
