Ehibhatiomhan Rachel, Foreman Emma, Barrott Lisa, Shek Jessica, Nabhani-Gebara Shereen
British Oncology Pharmacy Association, Kingston University, London, UK.
British Oncology Pharmacy Association, The Royal Marsden NHS Foundation Trust, London, UK.
BMC Nurs. 2022 Nov 8;21(1):301. doi: 10.1186/s12912-022-01086-8.
Due to an increase in patient numbers, more cancer patients are being reviewed by non-medical healthcare professionals (HCPs), and it is essential that they can empathise with patients and care for them holistically. 'A Life in a Day' is a role reversal simulation (RRS) which demonstrates the challenges, choices and impacts that cancer patients face every day, facilitated by a Smartphone application (app). This study focused on renal cell carcinoma (RCC) and was designed to evaluate the impact of RRS on participants from the British Oncology Pharmacy Association (BOPA) and the UK Oncology Nursing Society (UKONS), and identify any changes made to clinical practice as a result.
A survey was conducted via the app before and after the experience. Individual semi-structured interviews were conducted with participants over Microsoft Teams.
Data from the survey showed that after the experience 97% of all participants strongly agreed that they 'feel empathy for RCC patients' and 90% strongly agreed that they 'feel inspired to place patients at the centre of their work'. There were 5 themes extrapolated from the qualitative data: Holistic understanding of Patients, Reflections on Practice, Changes in Practice, Outreach to Colleagues, Education & Training.
Participants reported an increase in empathy for their patients which inspired them to make changes to their practice. This involved being more holistic in their care and taking on more responsibility. They recommended use of RRS for HCP training and continued professional development. They also suggested incorporation of RRS into the pharmacy undergraduate curriculum.
由于患者数量增加，越来越多的癌症患者由非医学医疗保健专业人员（HCPs）进行评估，因此他们能够理解患者并提供全面护理至关重要。“一日生活”是一种角色互换模拟（RRS），通过智能手机应用程序（应用）展示癌症患者每天面临的挑战、选择和影响。本研究聚焦于肾细胞癌（RCC），旨在评估RRS对英国肿瘤药学协会（BOPA）和英国肿瘤护理协会（UKONS）参与者的影响，并确定由此导致的临床实践的任何变化。
在体验前后通过应用程序进行了一项调查。通过Microsoft Teams对参与者进行了个人半结构化访谈。
调查数据显示，体验后97%的参与者强烈同意他们“对肾细胞癌患者有同理心”，90%的参与者强烈同意他们“受到启发，将患者置于工作中心”。从定性数据中推断出5个主题：对患者的全面理解、对实践的反思、实践中的变化、与同事的交流、教育与培训。
参与者报告说对患者的同理心有所增加，这促使他们对自己的实践做出改变。这包括在护理中更加全面，并承担更多责任。他们建议将RRS用于HCP培训和持续专业发展。他们还建议将RRS纳入药学本科课程。
