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COVID-19 对临床护士专家和癌症患者的影响:一项多专科横断面调查。

The Impact of COVID-19 on Clinical Nurse Specialists and Patients With Cancer: A Pan-Specialty Cross-sectional Survey.

机构信息

Author Affiliations: Research Department of Behavioural Science and Health, University College London (Drs Forster, von Wagner, Hirst, Steptoe, and Kazzaz), London; University College London Hospitals NHS Foundation Trust (Drs Zylstra, Birchall, Patani, and Walshe); Cancer Institute, University College London (Drs Forster and Patani), London, United Kingdom.

出版信息

Clin Nurse Spec. 2022;36(5):272-277. doi: 10.1097/NUR.0000000000000691.

Abstract

PURPOSE/AIMS: Uptake and delivery of cancer services across the United Kingdom have been significantly impacted by the COVID-19 pandemic. This study aimed to understand the impact of the pandemic on the working practices of clinical nurse specialists and their patient interactions across different cancer specialties.

DESIGN

We performed a cross-sectional survey exploring nurses' experiences of delivering care during the pandemic, as well as their perceptions of the concerns that cancer patients were experiencing.

METHODS

Clinical nurse specialists working in London cancer services were invited to complete an online questionnaire. Nurses' experiences and their perceptions of patients' concerns were analyzed descriptively.

RESULTS

Fifty-four nurses participated. Almost half had been redeployed to other clinical areas during the pandemic (n = 19). COVID-19 discussions added 5 to 10 minutes on average to most consultations, with nurses either working longer/unpaid hours (34%) or spending less time talking to patients about cancer (39%) to deal with this. Approximately 50% of nurses would have liked additional information and support from their hospital.

CONCLUSIONS

Clinical nurse specialist time and resources have been stretched during the COVID-19 pandemic. Hospitals need to work with nursing staff to ensure the specific information needs of cancer patients are being met.

摘要

目的/目标:在 COVID-19 大流行期间,英国各地的癌症服务的吸收和提供受到了重大影响。本研究旨在了解大流行对临床护士专家的工作实践及其在不同癌症专业领域与患者互动的影响。

设计

我们进行了一项横断面调查,探讨了护士在大流行期间提供护理的经验,以及他们对癌症患者所经历的问题的看法。

方法

邀请伦敦癌症服务的临床护士专家完成在线问卷。对护士的经验及其对患者问题的看法进行描述性分析。

结果

有 54 名护士参与了调查。在大流行期间,近一半的护士(n = 19)被重新部署到其他临床领域。COVID-19 讨论平均为大多数咨询增加了 5 到 10 分钟,护士要么工作更长时间/无薪时间(34%),要么花更少的时间与患者谈论癌症(39%)来处理这个问题。约有 50%的护士希望从医院获得额外的信息和支持。

结论

临床护士专家的时间和资源在 COVID-19 大流行期间受到了挑战。医院需要与护理人员合作,确保满足癌症患者的特定信息需求。

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