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患者对乳腺癌科室跨专业协作的看法。

Patients' Perspectives of Interprofessional Collaboration in Breast Cancer Unit.

作者信息

Kurniasih Dea Anita Ariani, Setiawati Elsa Pudji, Pradipta Ivan Surya, Subarnas Anas

机构信息

Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang 45360, Indonesia.

Doctoral Program of Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang 45360, Indonesia.

出版信息

Healthcare (Basel). 2023 Jan 23;11(3):332. doi: 10.3390/healthcare11030332.

Abstract

Interprofessional teamwork provides significant benefits for patients. However, qualitative research on interprofessional collaboration in the breast cancer unit is uncommon. Therefore, a qualitative study was conducted to assess the perceptions of outpatient breast cancer patients regarding interprofessional collaboration in the breast care unit of an Indonesian referral center hospital. The teamwork involved in the interprofessional collaboration included breast cancer specialists, pharmacists, and nurses. In this study, in-depth interviews were performed with nine breast cancer outpatients. All interviews were audio recorded, transcribed verbatim, and analyzed using thematic analysis. The findings were divided into two categories to gather breast cancer patients' viewpoints on interprofessional collaboration: (1) obstacle components to interprofessional collaboration: incompleteness of health personnel, no justification from health personnel, no knowledge of patients about health professionals, no involvement of patients in the therapy decision making; (2) enabling elements: patient-oriented, patient expectations, collaboration among healthcare personnel, patient participation in interprofessional collaboration, health personnel responsibilities, comprehensive hospital services. Respondents assumed interprofessional collaboration positively. However, several obstacles must be overcome to implement interprofessional collaboration in a breast care setting effectively. The research findings can be utilized to establish interprofessional collaborations aimed at improving quality healthcare in breast cancer units.

摘要

跨专业团队合作给患者带来显著益处。然而,关于乳腺癌科室跨专业协作的定性研究并不常见。因此,开展了一项定性研究,以评估印度尼西亚一家转诊中心医院乳腺护理科室的门诊乳腺癌患者对跨专业协作的看法。跨专业协作中涉及的团队成员包括乳腺癌专科医生、药剂师和护士。在本研究中,对九名乳腺癌门诊患者进行了深入访谈。所有访谈均进行了录音,逐字转录,并采用主题分析法进行分析。研究结果分为两类,以收集乳腺癌患者对跨专业协作的观点:(1)跨专业协作的障碍因素:卫生人员不齐全、卫生人员无正当理由、患者对卫生专业人员不了解、患者未参与治疗决策;(2)促成因素:以患者为导向、患者期望、医护人员之间的协作、患者参与跨专业协作、卫生人员职责、综合医院服务。受访者对跨专业协作持积极态度。然而,要在乳腺护理环境中有效实施跨专业协作,必须克服一些障碍。研究结果可用于建立旨在提高乳腺癌科室医疗质量的跨专业协作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e9f/9914250/95f24cab5dd5/healthcare-11-00332-g001.jpg

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