Hunt J A
Department of Haematology and Oncology, Hospital for Children NHS Trust, London, England.
J Adv Nurs. 1995 Jul;22(1):126-33. doi: 10.1046/j.1365-2648.1995.22010126.x.
A specialist nursing service has evolved in recent years, to care for children with cancer or leukaemia and their families, and co-ordinate care in the community. These paediatric oncology community nurse specialists (POCNS) are mostly based at regional children's cancer treatment centres, although some are based within paediatric units of district general hospitals. In addition to the National Health Service (NHS), a major source of funding has been provided from a range of charities. This paper examines the impact that the employment location (regional or district) and funding sources have on the process, practice and structure of nursing within the speciality. All 43 POCNSs were interviewed from 28 different hospitals across the United Kingdom and Eire. Thirty-one were based at regional treatment centres, whilst 12 were from district general hospitals. Funding was provided by: the NHS (9); Cancer and Leukaemia in Childhood (CLIC) (10); Cancer Relief Macmillan Fund (5); and other charities (19). Major differences were found according to the location of POCNSs, i.e. the regional model and the district model, and according to funders, i.e. the Macmillan model, the CLIC model and the 'other funders' model. This research suggests that both funding source and location of POCNSs have implications for nursing practice.
近年来，一种专业护理服务逐渐发展起来，用于照顾患有癌症或白血病的儿童及其家庭，并在社区中协调护理工作。这些儿科肿瘤社区护士专家（POCNS）大多就职于地区儿童癌症治疗中心，不过也有一些在地区综合医院的儿科病房工作。除了国民医疗服务体系（NHS）外，一系列慈善机构也提供了主要资金来源。本文探讨了就业地点（地区或区级）和资金来源对该专业护理工作的流程、实践和结构产生的影响。研究人员对来自英国和爱尔兰28家不同医院的43名POCNS进行了访谈。其中31名就职于地区治疗中心，12名来自地区综合医院。资金提供者包括：NHS（9家）；儿童癌症与白血病组织（CLIC）（10家）；麦克米伦癌症救助基金（5家）；以及其他慈善机构（19家）。研究发现，根据POCNS的工作地点，即地区模式和区级模式，以及根据资助者，即麦克米伦模式、CLIC模式和“其他资助者”模式，存在重大差异。这项研究表明，POCNS的资金来源和工作地点都会对护理实践产生影响。
