Bana Marika, Riedo Selma, Ribi Karin
School of Health Sciences, University of Applied Science and Arts Western Switzerland, HES-SO FR, 1700 Fribourg, Switzerland.
Careum School of Health, Part of the Kalaidos University of Applied Sciences Zurich, 8006 Zurich, Switzerland.
Curr Oncol. 2025 Jun 2;32(6):326. doi: 10.3390/curroncol32060326.
The Symptom Navi Program (SNP) is a self-management support (SMS) intervention for people with cancer. It consists of self-management supportive leaflets, educational conversations, and two standardized training sessions. A descriptive quality evaluation method was used to evaluate SNP implementation across 14 cancer services from 2021 to 2024. We evaluated training content, methods, and participants' confidence to use SMS in their clinical routine. Nurses, social workers, and psychologists completed ad hoc closed and open-ended questions after each training. The Work Sense of Coherence (Work-SoC) scale was used to elicit participants' self-reported perceptions of their work context at cancer services. A series of descriptive analyses were conducted on the Work-SoC scale, the training content, and the methods. In addition, training-specific questions and predefined hypotheses were correlated. Thematic analysis was employed to examine open-ended questions. The SNP training content and methods largely met participants' needs. Participants' confidence in applying educational conversations decreased over time. The findings suggest a robust correlation between the application of educational conversations in daily routines and the participants' perceptions regarding the comprehensibility and manageability of their work situations. Future research focusing on the implementation of SMS in clinical practice should examine the work context.
症状导航计划(SNP)是一项针对癌症患者的自我管理支持(SMS)干预措施。它包括自我管理支持手册、教育对话和两次标准化培训课程。采用描述性质量评估方法对2021年至2024年期间14个癌症服务机构实施SNP的情况进行评估。我们评估了培训内容、方法以及参与者在临床日常工作中使用SMS的信心。护士、社会工作者和心理学家在每次培训后完成了临时的封闭式和开放式问题。使用工作连贯感(Work-SoC)量表来了解参与者对癌症服务机构工作环境的自我报告认知。对Work-SoC量表、培训内容和方法进行了一系列描述性分析。此外,将特定于培训的问题与预定义假设进行了关联。采用主题分析法对开放式问题进行审查。SNP培训内容和方法在很大程度上满足了参与者的需求。随着时间的推移,参与者应用教育对话的信心有所下降。研究结果表明,在日常工作中应用教育对话与参与者对其工作情况的可理解性和可管理性的认知之间存在很强的相关性。未来聚焦于在临床实践中实施SMS的研究应考察工作环境。