Melander Wenche, Rosell Linn, Larsson Anna-Maria, Lagergren Pernilla, Malmström Marlene
Department of Health Sciences, Lund University, Lund, Sweden.
Department of Surgery and Gastroenterology, Skåne University Hospital, Entrégatan 7, Lund, 222 42, Sweden.
BMC Nurs. 2025 Feb 27;24(1):223. doi: 10.1186/s12912-025-02866-8.
Individualized cancer rehabilitation should be an integral part of cancer care. Contact nurses play a key role in identifying patient needs and coordinating evidence-based interventions to support rehabilitation. However, cancer rehabilitation remains marginal in current practice, as contact nurses face challenges due to the lack of systematic processes for assessment, intervention, and follow-up, limiting its implementation across the cancer care trajectory. This study aims to explore contact nurses in cancer care views on their role in and prerequisites for cancer rehabilitation.
Data were collected through 20 individual interviews with contact nurses working in Swedish cancer care and analyzed using qualitative content analysis.
A holistic approach to cancer rehabilitation was emphasized, yet establishing routines for assessment and addressing patients' changing needs was described as challenging. Contact nurses experienced themselves as responsible for rehabilitation even though their role often was unclear. Rehabilitation was further seen as a process often determined by the medical trajectory rather than patients' needs. To establish prerequisites for cancer rehabilitation supportive leadership and sufficient resources is essential.
There is a gap between cancer rehabilitation guidelines and their implementation in clinical practice, emphasizing the need for structure to support contact nurses to provide evidence-based individualized cancer rehabilitation. To enable cancer rehabilitation, supportive leadership at the organizational level is essential for contact nurses to establish routines in their clinical practice. These routines should align the rehabilitation process with patient needs, ensuring that rehabilitative services are effectively integrated into regular healthcare visits.
Not applicable.
个体化癌症康复应成为癌症护理的一个组成部分。联络护士在识别患者需求以及协调循证干预措施以支持康复方面发挥着关键作用。然而，在当前的实践中，癌症康复仍处于边缘地位，因为联络护士由于缺乏评估、干预和随访的系统流程而面临挑战，这限制了其在整个癌症护理过程中的实施。本研究旨在探讨瑞典癌症护理中的联络护士对其在癌症康复中的作用及前提条件的看法。
通过对瑞典癌症护理领域的联络护士进行20次个人访谈收集数据，并采用定性内容分析法进行分析。
强调了对癌症康复采取整体方法，但建立评估常规和满足患者不断变化的需求被描述为具有挑战性。联络护士认为自己对康复负责，尽管他们的角色往往不明确。康复进一步被视为一个通常由医疗过程而非患者需求决定的过程。要建立癌症康复的前提条件，支持性领导和充足的资源至关重要。
癌症康复指南与其在临床实践中的实施之间存在差距，这强调了需要构建体系以支持联络护士提供循证个体化癌症康复。为了实现癌症康复，组织层面的支持性领导对于联络护士在临床实践中建立常规至关重要。这些常规应使康复过程与患者需求相一致，确保康复服务有效地融入常规医疗就诊中。
不适用。
