Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium; Staff Member Nursing Department, Ghent University Hospital, Ghent, Belgium.
Nursing Department, Ghent University Hospital, Ghent, Belgium.
Eur J Oncol Nurs. 2023 Feb;62:102257. doi: 10.1016/j.ejon.2022.102257. Epub 2022 Dec 21.
Exploring the persisting presence of underlying processes, dynamics, experienced barriers and facilitators of Advanced Practice Nurses (APN) in oncology and Oncology Nurse Navigators (ONN) during their role integration in an interprofessional team over a research period of seven years.
A qualitative study based on the principles of Grounded Theory, in which individual semi-structured interviews and focus groups were conducted with 51 ONN and APN from 11 university and local hospitals in Belgium between 2011-2018. Data were analyzed to develop a framework that consists of different themes.
ONN and APN experienced a lonely journey during role integration. They were searching for partners, medical knowledge and acknowledgement from the interprofessional team. ONN and APN had a watchful attitude and tried to make themselves visible to ensure they were involved in the team and to preserve their role and responsibilities. An unclear role description to the interprofessional team, and a lack of coaching and guidance were influencing factors in the experience of ONN and APN.
ONN and APN in oncology feel difficulties to integrate their role in existing interprofessional teams. A lack of role clarity, the interprofessional team environment and a desire for coaching and guidance are influencing factors to implement APN roles. Coaching and mentorship of novice ONN/APN and their interprofessional team and healthcare managers are needed to address these issues. These findings could form the basis for a mentorship program for ONN/APN and their interprofessional team to enhance role integration.
探索在跨专业团队中，肿瘤学中高级执业护士（APN）和肿瘤护士导航员（ONN）在其角色整合过程中存在的潜在过程、动态、经验障碍和促进因素，研究时间为七年。
这是一项基于扎根理论原则的定性研究，在 2011 年至 2018 年间，在比利时的 11 所大学和当地医院中，对 51 名 ONN 和 APN 进行了个人半结构化访谈和焦点小组访谈。对数据进行了分析，以开发一个包含不同主题的框架。
ONN 和 APN 在角色整合过程中经历了孤独的旅程。他们在寻找合作伙伴、医学知识以及来自跨专业团队的认可。ONN 和 APN 持观望态度，并试图让自己在团队中可见，以确保他们参与其中，并维护自己的角色和职责。跨专业团队对他们的角色描述不清楚，缺乏辅导和指导，这些都是影响他们经验的因素。
肿瘤学中的 ONN 和 APN 感到难以将自己的角色融入现有的跨专业团队中。角色不明确、跨专业团队环境以及对辅导和指导的渴望，都是影响 APN 角色实施的因素。需要对新手 ONN/APN 及其跨专业团队和医疗保健管理人员进行辅导和指导，以解决这些问题。这些发现可以为 ONN/APN 及其跨专业团队的指导计划提供基础，以加强角色整合。
