Bernier Pascal, Desjardins Leandra, Charette Marie-Claude, Harnois Jacinthe, Poirier Éloise, Daigle Karyne
CHU Sainte- Justine; Centre de recherche Azrieli du CHU Sainte-Justine.
CHU Sainte-Justine; Centre de recherche Azrieli du CHU Sainte-Justine; Université de Montréal.
Can Oncol Nurs J. 2024 Nov 1;34(4):505-522. doi: 10.5737/23688076344514. eCollection 2024 Fall.
In February 2022, we introduced the innovative new role of mental health nurse clinician (MHNC) in pediatric hematology/ oncology in a pediatric hospital in Quebec with the aim of better addressing the needs of young cancer patients and their families. In two previous articles, we explained the method used to develop the role, as well as the strategy employed to implement it.
In this article, we seek to evaluate the effectiveness of the implementation strategy by measuring role feasibility. We will also examine role acceptability and appreciation 1 year following implementation.
We asked three groups of participants (adolescents, parents and care providers) to complete a research questionnaire based on the Theoretical Framework of Acceptability (TFA), with good inter-rater reliability and discriminant validity. The questionnaire, which was made available online, consisted of statements with Likert-scale responses (from 1 to 5), as well as open questions. We performed a standard descriptive analysis and used the responses to the open questions to support or add nuance to the quantitative results.
In total, 31 healthcare professionals, 10 adolescent cancer patients and 10 parents of adolescent cancer patients filled out the questionnaire. Between February 2022 and February 2023, the MHNC provided a total of 691 interventions to 112 individuals (patients and parents). Follow-up sessions were offered to 61 individuals, and 99.6% of them accepted. We found a very strong correlation (r = 0.96) between the number of hours worked by the MHNC and the number of interventions provided. The vast majority of participants from all three groups agreed that the role is appropriate, appreciated and necessary, and that it brings much-needed clinical expertise in mental health to the department. Care providers, adolescents, and parents indicated that they would request this service again and would recommend it to others, if it were needed. The results, therefore, demonstrate excellent feasibility and high levels of acceptability and appreciation.
Our study shows that the implemented MHNC role helps improve the clinical management of the mental health of adolescents with cancer, as well as their parents. The role brings much-needed expertise in psychiatric nursing care and supports the clinical practice of care providers. Another study will be conducted in the near future to measure the effectiveness of the MHNC's interventions.
2022年2月，我们在魁北克的一家儿科医院引入了心理健康护士临床医生（MHNC）这一创新角色，服务于儿科血液学/肿瘤学领域，旨在更好地满足年轻癌症患者及其家庭的需求。在之前的两篇文章中，我们阐述了该角色的开发方法以及实施策略。
在本文中，我们试图通过衡量角色的可行性来评估实施策略的有效性。我们还将考察实施一年后该角色的可接受性和认可度。
我们要求三组参与者（青少年、家长和护理人员）根据可接受性理论框架（TFA）完成一份研究问卷，该问卷具有良好的评分者间信度和区分效度。问卷通过网络提供，由李克特量表式回答（从1到5）的陈述以及开放式问题组成。我们进行了标准的描述性分析，并利用对开放式问题的回答来支持定量结果或为其增添细微差别。
共有31名医护人员、10名青少年癌症患者和10名青少年癌症患者的家长填写了问卷。在2022年2月至2023年2月期间，MHNC共为112名个体（患者和家长）提供了691次干预。为61名个体提供了随访服务，其中99.6%的人接受了随访。我们发现MHNC工作时长与提供的干预次数之间存在非常强的相关性（r = 0.96）。来自所有三组的绝大多数参与者都认为该角色是合适的、值得赞赏的且必要的，并且它为该科室带来了心理健康方面急需的临床专业知识。护理人员、青少年和家长表示，如果有需要，他们会再次请求这项服务并会推荐给他人。因此，结果表明该角色具有出色的可行性以及高度的可接受性和认可度。
我们的研究表明，已实施的MHNC角色有助于改善癌症青少年及其家长心理健康的临床管理。该角色带来了精神病护理方面急需的专业知识，并支持护理人员的临床实践。不久的将来将开展另一项研究来衡量MHNC干预措施的有效性。
