Department of Public Health, Ashkelon Academic College, Ashkelon, Israel.
Oncology Institute, Shaare Zedek Medical Center, Jerusalem, Israel.
Semin Oncol Nurs. 2023 Aug;39(4):151423. doi: 10.1016/j.soncn.2023.151423. Epub 2023 Apr 12.
This study aimed to explore the perceptions of cancer survivors and oncology professionals of quality in cancer care and the role of oncology nurses in prompting and maintaining quality across the cancer care continuum.
Semistructured in-depth interviews were conducted with 16 cancer survivors and 22 healthcare professionals between August and October 2021. The interviews were transcribed and analyzed using ATLAS.ti v8 software according to a thematic analysis method based on grounded theory. The COnsolidated criteria for REporting Qualitative research (COREQ) was used to guide the report of the study.
Four main themes emerged from the interviews, which are outlined as follows. (1) Patient participation in the cancer care plan: shared information and decision-making; (2) emotional and support aspects in cancer care; (3) continuity in cancer care: from being a patient at the hospital to a survivor in the community; and (4) cancer care management. Cancer survivors pointed to elements that can increase the quality of cancer care, including the ongoing provision of information, support in decision-making, and continuity of care. Oncology staff interviewees mentioned the need for a single staff member to manage the cancer care plan and serve as a case manager for patients and survivors.
Nurses have a central role in achieving the highest possible quality of cancer care for the growing number of survivors and their families. It is recommended to expand the role of oncology nurses, providing them the training and competencies needed to formally declare them as care managers throughout the continuum of cancer care.
本研究旨在探讨癌症幸存者和肿瘤学专业人员对癌症护理质量的看法，以及肿瘤护士在促进和维持整个癌症护理连续体的质量方面的作用。
2021 年 8 月至 10 月期间，对 16 名癌症幸存者和 22 名医疗保健专业人员进行了半结构式深入访谈。使用 ATLAS.ti v8 软件对访谈进行转录和分析，采用基于扎根理论的主题分析方法。本研究报告遵循《定性研究报告的统一标准》（COREQ）。
访谈中出现了四个主要主题，概述如下。（1）患者参与癌症护理计划：共享信息和决策；（2）癌症护理中的情感和支持方面；（3）癌症护理的连续性：从医院的患者到社区的幸存者；（4）癌症护理管理。癌症幸存者指出了可以提高癌症护理质量的要素，包括持续提供信息、决策支持和护理连续性。肿瘤学工作人员受访者提到需要一名工作人员来管理癌症护理计划，并担任患者和幸存者的个案经理。
护士在为数众多的幸存者及其家属获得尽可能高的癌症护理质量方面发挥着核心作用。建议扩大肿瘤护士的角色，为他们提供培训和能力，正式宣布他们在整个癌症护理连续体中担任护理经理。
